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EPA Guidance on Building Trust in Mental Health Services

Part of: EPA Guidance Papers

Published online by Cambridge University Press:  04 February 2014

W. Gaebel ,
M. Muijen ,
A.E. Baumann ,
D. Bhugra ,
D. Wasserman ,
R.J. van der Gaag ,
R. Heun  and
J. Zielasek
W. Gaebel*
Affiliation:
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich, Heine University, Düsseldorf, Germany
M. Muijen
Affiliation:
WHO Regional Office for Europe, Copenhagen, Denmark
A.E. Baumann
Affiliation:
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich, Heine University, Düsseldorf, Germany
D. Bhugra
Affiliation:
Institute of Psychiatry, King’ College, London, United Kingdom
D. Wasserman
Affiliation:
NASP, National Centre for Suicide Research and Prevention of Mental Ill-Health, Karolinska Institute, Stockholm, Sweden
R.J. van der Gaag
Affiliation:
UMCN Nijmegen, Utrecht, The Netherlands
R. Heun
Affiliation:
Derbyshire Mental Health Services, Derby, United Kingdom
J. Zielasek
Affiliation:
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich, Heine University, Düsseldorf, Germany
*
⁎Corresponding author. LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629 Düsseldorf, Germany. Tel.: +49 2119 222 001; fax: +49 2119 222 020. E-mail address:wolfgang.gaebel@uni-duesseldorf.de (W. Gaebel).
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Abstract

Purpose

To advance mental health care use by developing recommendations to increase trust from the general public and patients, those who have been in contact with services, those who have never been in contact and those who care for their families in the mental health care system.

Methods

We performed a systematic literature search and the retrieved documents were evaluated by two independent reviewers. Evidence tables were generated and recommendations were developed in an expert and stakeholder consensus process.

Results

We developed five recommendations which may increase trust in mental health care services and advance mental health care service utilization.

Discussion

Trust is a mutual, complex, multidimensional and dynamic interrelationship of a multitude of factors. Its components may vary between individuals and over time. They may include, among others, age, place of residence, ethnicity, culture, experiences as a service user, and type of disorder. For mental health care services, issues of knowledge about mental health services, confidentiality, continuity of treatment, dignity, safety and avoidance of stigma and coercion are central elements to increase trust.

Conclusion

Evidence-based recommendations to increase mutual trust of service users and psychiatrists have been developed and may help to increase mental health care service utilization.

Keywords

Psychiatry in EuropeQuality of careTrust in psychiatristsTrust in mental health servicesPsychiatric servicesStigma
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 2 , February 2014 , pp. 83 - 100
Copyright
Copyright © European Psychiatric Association 2014

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