An evaluation of communication barriers and facilitators at the time of a mental health diagnosis: a survey of health professional practices
MetadataShow full item record
Aims: To examine health professionals’ views and practices relating to the specific barriers to communication that arise at the time of mental health diagnosis, and the strategies used to support individuals throughout this process. Methods: An online survey of the beliefs and practices of 131 mental health clinicians working in different clinical settings across Australia was conducted. Results: Exploratory factor analysis of the items relating to barriers to communication resulted in three latent factors (‘stigma, diagnosis and risk’; ‘service structure’; and ‘individual circumstances’ such as the person receiving the diagnosis being young, having a culturally and linguistically diverse background or being unwell at the time of conversation). Using linear regression it was found that variance in ‘stigma, diagnosis and risk’ was significantly explained by whether participating clinicians had medical training, their experience working with serious mental health problems, their confidence handling distress and attitude towards diagnosis. Variance in ‘individual circumstances’ was significantly explained by participating clinicians’ confidence handling distress. The most frequently used strategies to support diagnostic discussions centred on the health professionals’ communication skills, gauging the individual's perception of their circumstances, responding with empathy, following-up after discussion, addressing stigma concerns, using collaborative practice and setting up for the conversation. Conclusions: Three main areas for health professionals to reflect on, plan for and ultimately address when discussing news with the individual concerned emerged (‘stigma, diagnosis and risk’; ‘service structure’; and ‘individual circumstances’). Variations in practice indicate that practitioners should be cognisant of their own beliefs and background and how this impacts their communication practice.
Showing items related by title, author, creator and subject.
Information giving challenges and support strategies at the time of a mental health diagnosis: qualitative views from Australian health professionalsMilton, A.; Mullan, Barbara; Hunt, C. (2016)Purpose: Communication of a mental health diagnosis can be a difficult process and is a poorly understood area of service provision. The aim of this qualitative study was to examine clinicians’ perceptions of barriers and ...
Milton, A.; Mullan, Barbara (2014)Purpose of review: There are complexities in communicating diagnostic information relating to schizophrenia spectrum disorders. There is a current dearth of research in understanding how clinicians effectively communicate ...
Views and experience of communication when receiving a serious mental health diagnosis: satisfaction levels, communication preferences, and acceptability of the SPIKES protocolMilton, A.; Mullan, Barbara (2016)Background: There is limited research investigating how information about a mental health diagnosis is discussed and received. Aims: To measure community-based service users’ satisfaction and preferences toward receiving ...