Service user experiences of care recommendations from the 2014 NICE guideline for bipolar disorder: a survey

Roe, James; Cresswell, Adele; Mittal, Shweta; Al-Uzri, Mohammed; Tanner, James; Moore, Matthew; Simpson, Sandra; Guo, Boliang; Morriss, Richard

Abstract

Clinical guidelines for mental health disorders produced by the National Institute of Care Excellence (NICE) emphasise a recovery-based approach clinical care with collaborative decision-making. The aim of the study was to explore service user experience of collaborative decision-making and recovery focussed care in relation to a NICE clinical guideline for bipolar disorder four years after publication. Participants with a clinical diagnosis of bipolar disorder were recruited from adult mental health services in four specialist mental health NHS Trusts through health professional or self-referral following advertisement. An online or written survey was designed with service user input to cover 40 NICE recommendations on recovery based or collaborative care. Participants completed the survey anonymously and independent of any health professional involvement. Of 222 participants, 72 (33.5%) reported to a great extent care was delivered in line with a positive recovery message; 55 (25.5%) reported that not much or no care was recovery based. Only four items (10%) on medication or the offer of crisis services were endorsed as collaborative decision-making with a health professional by >70% service users. Most decision-making in relation to the NICE clinical guideline for bipolar disorder was not delivered collaboratively and only some care was recovery focussed.

Citation

Roe, J., Cresswell, A., Mittal, S., Al-Uzri, M., Tanner, J., Moore, M., …Morriss, R. (2022). Service user experiences of care recommendations from the 2014 NICE guideline for bipolar disorder: a survey. Journal of Mental Health, 31(5), 724-731. https://doi.org/10.1080/09638237.2021.2022614

• Journal Article Type: Article
• Acceptance Date: Sep 29, 2021
• Online Publication Date: Jan 24, 2022
• Publication Date: 2022
• Deposit Date: Jan 20, 2022
• Publicly Available Date: Jan 25, 2023
• Journal: Journal of Mental Health
• Print ISSN: 0963-8237
• Electronic ISSN: 1360-0567
• Peer Reviewed: Peer Reviewed
• Volume: 31
• Issue: 5
• Pages: 724-731
• DOI: https://doi.org/10.1080/09638237.2021.2022614
• Keywords: Psychiatry and Mental health; General Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/7280864
• Publisher URL: https://www.tandfonline.com/doi/full/10.1080/09638237.2021.2022614