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. 2022 Oct 26;22(1):660.
doi: 10.1186/s12888-022-04303-5.

The processes involved in the establishment of user-provider partnerships in severe psychiatric illnesses: a scoping review

Aletta Boerkoel  1   2 , Mats Brommels  3
Affiliations

The processes involved in the establishment of user-provider partnerships in severe psychiatric illnesses: a scoping review

Aletta Boerkoel et al. BMC Psychiatry. .

Abstract

Purpose: With the rising relevance of person-centred care, initiatives towards user-led decision making and designing of care services have become more frequent. This designing of care services can be done in partnership, but it is unclear how. The aim of this scoping review was to identify for mental health services, what user-provider partnerships are, how they arise in practice and what can facilitate or hinder them.

Methods: A scoping review was conducted to obtain a broad overview of user provider partnerships in severe mental illness. Data was inductively analysed using a conventional content analysis approach, in which meaning was found in the texts.

Results: In total, 1559 titles were screened for the eligibility criteria and the resulting 22 papers found relevant were analysed using conventional content analysis. The identified papers had broad and differing concepts for user-provider partnerships. Papers considered shared decision making and user-involvement as partnerships. Mechanisms such as open communication, organisational top-down support and active participation supported partnerships, but professional identity, power imbalances and stress hindered them. Users can be impeded by their illness, but how to deal with these situations should be formalised through contracts.

Conclusion: The field of research around user-provider partnerships is scattered and lacks consensus on terminology. A power imbalance between a user and a provider is characteristic of partnerships in mental healthcare, which hinders the necessary relationship building allowing partnerships to arise. This power imbalance seems to be closely linked to professional identity, which was found to be difficult to change.

Keywords: Health services research; Person-centred care; Psychiatry; User-led care; User-provider partnerships.

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Conflict of interest statement

AB declares that the research for the manuscript was performed as part of the thesis module for the title of Master in Medical Management at Karolinska Institutet. The submitted master’s thesis was used as a base for the current work.

MB declares no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flowchart of selection of titles. Flowchart adapted from Page et al. [23]
See this image and copyright information in PMC

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