Values-Based Assessment in Mental Health

Author(s):  
K. W. M. Fulford ◽  
Lu Duhig ◽  
Julie Hankin ◽  
Joanna Hicks ◽  
Justine Keeble

This chapter describes philosophical and empirical work underpinning recent developments in values-based mental health assessment culminating in the 3 Keys to a Shared Approach, a UK-based project co-produced between service users and providers. Three aspects of values-based mental health assessment are described: person-centered, multidisciplinary, or strengths-based assessment. The central role of values in person-centered assessment is shown through the story of a real (biographically disguised) person and the interpretation of his story drawing on diagnostic manuals such as the DSM. Philosophical value theory suggests that values in psychiatric diagnosis reflect the diversity of our values as unique individuals. This diversity is addressed by values-based practice. The contribution of multidisciplinary teamwork to values-based assessment is then outlined as derived from the Models Project. Finally, the 3 Keys Project is described, concluding by pointing to the wider significance of the Project for mental health practice as a whole.

2021 ◽  
pp. 263440412199996
Author(s):  
Michelle O’Reilly ◽  
Nikki Kiyimba

With the prevalence of child mental health conditions rising, the role of the initial mental health assessment is crucial in determining need. Utilising a critical discursive analytic framework, we explored the ways in which parents during these mental health assessments constructed the child’s difficulties as medicalised and doctorable as opposed to systemic and familial. Through this discursive positioning, we examined the ways in which parents mitigated blame and accounted for the child’s behaviours and emotions. Parents engaged in three accounting practices to construct the child’s problems as dispositional and to mitigate against an alternative familial system interpretation. First, they drew upon normative cultural repertoires of parenting. Second, they mediated ways whereby normative practices were deviated from in the best interest of the child. Third, they rhetorically positioned overcoming systemic difficulties by illustrating cooperative parenting in separated families. Our findings have implications for how parents build a case for the need for medical intervention in assessment settings.


2017 ◽  
Vol 48 (6) ◽  
pp. 453-460 ◽  
Author(s):  
Michelle A. Silva ◽  
Manuel Paris ◽  
Luis M. Añez

2011 ◽  
Vol 08 (01) ◽  
pp. 09-15
Author(s):  
D. McDaid

SummaryNew forms of psychiatric remuneration linked to levels of activity undoubtedly will have an increasing role to play in mental health systems right across Europe. Potentially they can be more efficient and promote choice, but valid concerns have been raised about their impact on the sustainability and nature of psychiatric care. This article looks in particular at recent developments in England and the Netherlands and reflects on how remuneration mechanisms may need to develop further both to improve efficiency and quality within the context of an ever more fragmented and multi-sectoral mental health system. Any introduction of activity- based reimbursement should be introduced gradually. This should be accompanied by investment in adequate information systems to help better understand service utilisation patterns, transitional funding safeguards to reduce the risk of financial instability and incentives/ contractual measures to ensure that services strive to offer services of the highest possible quality that meet the needs of service users.


2018 ◽  
Vol 107 ◽  
pp. 26-32 ◽  
Author(s):  
Stephen Potts ◽  
Frank Vitinius ◽  
Yesim Erim ◽  
Gabor Gazdag ◽  
Robert Gribble ◽  
...  

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