Communication of a mental health diagnosis: a systematic synthesis and narrative review

Background: There is limited understanding of the mechanisms used to effectively communicate with service-users about their mental health diagnoses. Aims: To conduct a systematic synthesis of studies that present data on the communication of a psychiatric diagnosis. Methods: Comprehensive database a...

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Main Authors: Milton, A., Mullan, Barbara
Format: Journal Article
Published: Informa Healthcare 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/15213
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author Milton, A.
Mullan, Barbara
author_facet Milton, A.
Mullan, Barbara
author_sort Milton, A.
building Curtin Institutional Repository
collection Online Access
description Background: There is limited understanding of the mechanisms used to effectively communicate with service-users about their mental health diagnoses. Aims: To conduct a systematic synthesis of studies that present data on the communication of a psychiatric diagnosis. Methods: Comprehensive database and manual searches were conducted resulting in the inclusion of 30 quantitative and qualitative papers. Results: The majority of studies were descriptive. The rate of service-users being informed of their diagnosis has increased over the past decade. Consumer communication preferences were not always satisfactorily addressed in practice. Individual characteristics of service-users and clinicians influenced whether a diagnostic discussion took place. Results from intervention studies aimed at facilitating diagnostic communication reported significant improvements in service-user satisfaction and mood and clinician communication skills. Conclusions: This review highlights a gap in the system of communication between clinicians and service-users. To assist clinicians to talk effectively with individuals about their mental health, communication protocols and training need to be further developed and assessed. Such developments would benefit from well-designed randomised controlled trial protocols, should incorporate service-users’ preferences and address stigma-related concerns.
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spelling curtin-20.500.11937-152132017-09-13T15:04:46Z Communication of a mental health diagnosis: a systematic synthesis and narrative review Milton, A. Mullan, Barbara mental health Breaking bad news diagnosis communication models Background: There is limited understanding of the mechanisms used to effectively communicate with service-users about their mental health diagnoses. Aims: To conduct a systematic synthesis of studies that present data on the communication of a psychiatric diagnosis. Methods: Comprehensive database and manual searches were conducted resulting in the inclusion of 30 quantitative and qualitative papers. Results: The majority of studies were descriptive. The rate of service-users being informed of their diagnosis has increased over the past decade. Consumer communication preferences were not always satisfactorily addressed in practice. Individual characteristics of service-users and clinicians influenced whether a diagnostic discussion took place. Results from intervention studies aimed at facilitating diagnostic communication reported significant improvements in service-user satisfaction and mood and clinician communication skills. Conclusions: This review highlights a gap in the system of communication between clinicians and service-users. To assist clinicians to talk effectively with individuals about their mental health, communication protocols and training need to be further developed and assessed. Such developments would benefit from well-designed randomised controlled trial protocols, should incorporate service-users’ preferences and address stigma-related concerns. 2014 Journal Article http://hdl.handle.net/20.500.11937/15213 10.3109/09638237.2014.951474 Informa Healthcare fulltext
spellingShingle mental health
Breaking bad news
diagnosis
communication models
Milton, A.
Mullan, Barbara
Communication of a mental health diagnosis: a systematic synthesis and narrative review
title Communication of a mental health diagnosis: a systematic synthesis and narrative review
title_full Communication of a mental health diagnosis: a systematic synthesis and narrative review
title_fullStr Communication of a mental health diagnosis: a systematic synthesis and narrative review
title_full_unstemmed Communication of a mental health diagnosis: a systematic synthesis and narrative review
title_short Communication of a mental health diagnosis: a systematic synthesis and narrative review
title_sort communication of a mental health diagnosis: a systematic synthesis and narrative review
topic mental health
Breaking bad news
diagnosis
communication models
url http://hdl.handle.net/20.500.11937/15213