[A literature review on perception of the providers and clients regarding the use of the client centered approach in psychiatry]

Abstract

Background: This article presents a literature review based on the following question: According to service providers and clients, is the approach adopted by service providers in psychiatry, centred on client needs?

Purpose: To compare the perceptions of clients and service providers regarding the use of a client-centred approach and the identification of the intervention needs in psychiatry.

Methods: Medline, PsycInfo and CINAHL databases were consulted; eight studies were selected.

Results: Service providers and clients agree to the fact that the client-centred approach is not priorized in psychiatry. Different reasons are given by both parties. There is little agreement between clients and service providers regarding the intervention needs. Many clients needs seem to be unsatisfied (interpersonal relationships, independent life skills, productive activities, coping with illness, health care).

Practice implications: Occupational therapists must adopt a client-centred approach to their interventions by evaluating the global needs of the clients, by developing services to encourage clients to engage in social or productive activities and by consulting the clients and their families in order to evaluate the quality of the services.