Montgomery and shared decision-making: implications for good psychiatric practice

Gwen Adshead¹, David Crepaz-Keay², Mayura Deshpande³, K W M Bill Fulford⁴, Veryan Richards⁵

Affiliations

¹ Consultant Forensic Psychiatrist and Psychotherapist,Hampshire Pathfinder Service,Southern Health Foundation Trust and Consultant Forensic Psychiatrist and Psychotherapist,HMP Bronzefield,Camden & North West London Foundation Trust,UK.
² Head of Empowerment and Social Inclusion,Mental Health Foundation; Fellow,Institute of Mental Health and Partner,The Collaborating Centre for Values-based Practice,St Catherine's College,Oxford,UK.
³ Consultant Forensic Psychiatrist and Associate Medical Director,Southern Health NHS Foundation Trust and Chair,Professional Practice & Ethics Committee,Royal College of Psychiatrists,London and Clinical Lead,National Network of Adolescent Medium Secure Services,NHS England, UK.
⁴ Fellow,St Catherine's College,Oxford and Member,Philosophy Faculty,University of Oxford and Emeritus Professor,Philosophy and Mental Health,University of Warwick and Founder Editor and Chair of the Advisory Board,Philosophy, Psychiatry, & Psychology Journal and Director,The Collaborating Centre for Values-based Practice,St Catherine's College,Oxford,UK.
⁵ Individual Partner of the Collaborating Centre for Values-based Practice in Health and Social Care,St Catherine's College,Oxford,UK.

PMID: 30339110
DOI: 10.1192/bjp.2018.180

Editorial

Montgomery and shared decision-making: implications for good psychiatric practice

Gwen Adshead et al. Br J Psychiatry. 2018 Nov.

. 2018 Nov;213(5):630-632.

doi: 10.1192/bjp.2018.180.

Authors

Gwen Adshead¹, David Crepaz-Keay², Mayura Deshpande³, K W M Bill Fulford⁴, Veryan Richards⁵

Affiliations

¹ Consultant Forensic Psychiatrist and Psychotherapist,Hampshire Pathfinder Service,Southern Health Foundation Trust and Consultant Forensic Psychiatrist and Psychotherapist,HMP Bronzefield,Camden & North West London Foundation Trust,UK.
² Head of Empowerment and Social Inclusion,Mental Health Foundation; Fellow,Institute of Mental Health and Partner,The Collaborating Centre for Values-based Practice,St Catherine's College,Oxford,UK.
³ Consultant Forensic Psychiatrist and Associate Medical Director,Southern Health NHS Foundation Trust and Chair,Professional Practice & Ethics Committee,Royal College of Psychiatrists,London and Clinical Lead,National Network of Adolescent Medium Secure Services,NHS England, UK.
⁴ Fellow,St Catherine's College,Oxford and Member,Philosophy Faculty,University of Oxford and Emeritus Professor,Philosophy and Mental Health,University of Warwick and Founder Editor and Chair of the Advisory Board,Philosophy, Psychiatry, & Psychology Journal and Director,The Collaborating Centre for Values-based Practice,St Catherine's College,Oxford,UK.
⁵ Individual Partner of the Collaborating Centre for Values-based Practice in Health and Social Care,St Catherine's College,Oxford,UK.

PMID: 30339110
DOI: 10.1192/bjp.2018.180

Abstract

The 2015 Supreme Court judgment in Montgomery v Lanarkshire Health Board [2015] UKSC 11 established that consent to medical treatment requires shared decision-making based on dialogue between the clinician and patient. In this editorial, we examine what Montgomery means for standards of good psychiatric practice, and argue that it represents an opportunity for delivering best practice in psychiatric care.Declaration of interestNone.

Keywords: Ethics; consent and capacity; psychiatry and law.

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Comment in

Montgomery and changes to the process of consent: debate required.
Watts J. Watts J. Br J Psychiatry. 2019 May;214(5):307. doi: 10.1192/bjp.2019.67. Br J Psychiatry. 2019. PMID: 31012413 No abstract available.
Author's reply.
Adshead G, Deshpande M, Bill Fulford KWM. Adshead G, et al. Br J Psychiatry. 2019 May;214(5):307. doi: 10.1192/bjp.2019.68. Br J Psychiatry. 2019. PMID: 31012414 No abstract available.

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Montgomery and shared decision-making: implications for good psychiatric practice

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Montgomery and shared decision-making: implications for good psychiatric practice

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