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Preferences of dress and address: views of attendees and mental health professionals of the psychiatric services

Published online by Cambridge University Press:  13 June 2014

Christina Sim ,
Brian Hallahan  and
Colm McDonald
Christina Sim
Affiliation:
Department of Psychiatry, University College Hospital Galway, Ireland
Brian Hallahan*
Affiliation:
Department of Psychiatry, Roscommon County Hospital, Co. Roscommon, Ireland and Honorary Research Fellow, Clinical Science Institute, National University of Ireland, Galway, Co Galway, Ireland
Colm McDonald
Affiliation:
Department of Psychiatry, Clinical Science Institute, National University of Ireland, Galway, Co. Galway, Ireland
*
*Correspondence E-mail brian.hallahan@nuigalway.ie
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Abstract

Objectives: The aim of this study was to determine the views of both individuals attending the mental health services (attendees) and mental health professionals in relation to how attendees and staff should be addressed, how attendees should be described, and how staff should be attired.

Methods: We surveyed 132 attendees of the West Galway Mental Health Services and 97 mental health professionals in relation to how they prefer to be addressed (first name/ title and surname/ no preference) the description of attendees (patient / client / service user / no preference) and the attire of mental health staff (casual / smart / no preference). We also ascertained how mental health professionals believed attendees would view these issues.

Results: Attendees preferred to be described as patients rather than clients or service users by all mental health professionals, with 46-54% of attendees preferring this term “patient” compared to 14-17% preferring the term “client”, 11-13% preferring the term “service user” and 20-25% having no preference (p < 0.001). They preferred to address doctors by their title and surname (61%) but other mental health professionals by their first names (60-69%) (p < 0.001). Attendees had a strong preference for being addressed by their first names by all the mental health professionals (86-91%) (p < 0.001). Doctors preferred to be attired formally (88%), compared to nurses (50%) or other mental health professionals (42%) (p = 0.002). Attendees had no preference in relation to the attire of doctors but preferred other mental health professionals to be attired informally.

Conclusions: The study demonstrates that despite the increased use of several non-medical terms to describe attendees of mental health services; the preferred term of attendees of the psychiatric services in both in-patient and out-patient settings remains ‘patient’. However, this is not universally the case, and the ascertainment of the preference of the attendee at the first encounter with the health professional should be ascertained. We also demonstrated that attendees preferences in relation to both “dress and address” of doctors is significantly different to their preference for nurses or other allied mental health professionals; which may reflect a wish for a less familiar and more formal interaction with doctors.

Keywords

DressAddressMental health professionalsPsychiatric services
Type
Original Paper
Information
Irish Journal of Psychological Medicine , Volume 29 , Issue 1 , 2012 , pp. 27 - 32
Copyright
Copyright © Cambridge University Press 2012

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References

1.McGuire, R, McCabe, R, Priebe, S. Theoretical frameworks for investigating and understanding the therapeutic relationship in psychiatry. Soc Psych and Psychiatric Epidem 2001; 36: 557–64.CrossRefGoogle ScholarPubMed
2.McGuire-Snieckus, R., McCabe, R, Priebe, S. Patient, client or service user? A survey of patient preferences of dress and address of six mental health professions. Psych Bull 2003; 27: 305–8.CrossRefGoogle Scholar
3.Day, JC, Bentall, RP, Roberts, C, et al.Attitudes toward antipsychotic medication: The impact of clinical variables and relationships with health professionals. Arch Gen Psychiatry 2005; 62: 717–24.CrossRefGoogle ScholarPubMed
4.Fakhoury, WK, White, I, Priebe, S. Be good to your patient: how the therapeutic relationship in the treatment of patients admitted to assertive outreach affects re-hospitalization. J Nerv Ment Dis 2007; 195: 789–91.CrossRefGoogle Scholar
5.Gaudiano, BA, Miller, IW. Patients' expectancies, the alliance in pharmacotherapy, and treatment outcomes in bipolar disorder. J Consult Clin Psychol 2006, 74: 671–76.CrossRefGoogle Scholar
6.Swift, G, Zachariah, M, Casey, PR. A rose by any other name: psychiatric outpatients' views on dress and address. Ir J Psychol Med, 2000; 17: 132–34.CrossRefGoogle Scholar
7.Nursing and Midwifery Council. The Code: Standards of conduct, Performance and Ethics for Nurses and Midwives, NMC 2008. (http://ww.nmc-uk.org/aDisplay.Document.aspx?documentID=5982).Google Scholar
8.British Association of Social Workers. The Code of Ethics for Social Work. BASW, 2002. (http://www.basw.co.uk/Portals/O/CODE%200F%20ETHICS.pdf).Google Scholar
9.British Psychological Society. Code of Ethics and Conduct. BPS, 2006. (http://www.bps.org.uk/downloadfile.cfm?File_uuid=5084A882-1143-DFDO-7E6C-F1983A65C242&ext=pdf).Google Scholar
10.College of Occupational Therapists. Code of Ethics and Professional Conduct (Revised). College of Occupational Therapists, 2005. (http://www.cot.org.uk/MainWebsite/Resources/Documents/Code-of-Ethics.pdf).Google Scholar
11.Davis, C, Davis, J. “Nurse”: dynamic term for a dynamic relationship. Nurse Manager 1992; 23: 42–3.Google Scholar
12.Herzberg, SR. Client or patient: which term is more approprioate for use in occupational therapy? Am J Occup Ther 1990 44: 561–4.CrossRefGoogle ScholarPubMed
13.Keaney, F, Strang, J, Raga-JM, , Spektor, D, Manning, V, Kelleher, M, et al.Does anyone care about names? How attendees at substance misuse services like to be addressed by health professionals. Eur Addict Res 2004; 10: 75–9.CrossRefGoogle ScholarPubMed
14.Neuberger, J. Do we need a new word for patients? Let's do away with “patients”. BMJ 1999; 318: 1756–8.CrossRefGoogle Scholar
15.Ritchie, CW, Hayes, D, Ames, DJ. Patient or client? The opinions of people attending a psychiatric clinic. Psych Bull 2000; 24: 447–50.CrossRefGoogle Scholar
16.Upton, MWM, Boer, GH, Neale, AJ. Patients or clients? - a hospital survey. Psych Bull 1994; 18, 142–3.CrossRefGoogle Scholar
17.Simmons, P, Hawley, CJ, Gale, TM, Sivakumaran, T. Service user, patient, client, user or survivor: describing recipients of mental health services. The Psychiatrist 2010; 34: 20–3.CrossRefGoogle Scholar
18.Covell, NH, McCorkle, BH, Weissman, EM, Summerfelt, T, Essock, SM. What's in a name? Preferred by service recipients. Adm Policy Ment Health 2007; 34: 443–7.CrossRefGoogle Scholar
19.Gledhill, JA, Warner, JP, King, M. Psychiatrists and their patients: views on forms of dress and address. BJPsych 1997; 171: 228–32.Google ScholarPubMed
20.Gallagher, J, Waldron Lynch, F, Stack, J, Barragry, J. Dress and address: Patient preferences regarding doctor's style of dress and patient interaction. IMJ 2008; 101: 211–3.Google ScholarPubMed
21.Rehman, SU, Nietert, PJ, Cope, DW, Kilpatrick, AO. What to wear today? Effect of doctor's attire on the trust and confidence of patients. Am J Med 2005; 118: 1279–86.CrossRefGoogle ScholarPubMed
22.Lill, MM, Wilkinson, TJ. Judging a book by its cover: descriptivesurvey of patients' preferences from doctors' appearance and mode of address. BMJ 2005; 331:1524–7.CrossRefGoogle Scholar
23.Hennessy, N, Harrison, DA, Aitkenhead, AR. The effect of the anaesthetist's attire on patient attitudes. The influence of dress on patient perception of the anaesthetist's prestige. Anaesthesia 1993; 48: 219–2.CrossRefGoogle ScholarPubMed
24.Baevsky, RH, Fisher, AL, Smithline, HA, Salzberg, MR. The influence of physician attire on patient satisfaction. Acad Emerg Med 1998; 5: 82–4.CrossRefGoogle ScholarPubMed
25.Albert, NM, Wocial, L, Meyer, KH, et al.Impact of nurses' uniforms on patient and family perceptions of nurse professionalism. Appl Nurs Res 2008; 21: 181–90.CrossRefGoogle ScholarPubMed
26.Sharma, V, Whitney, D, Kazarian, SS, Manchanda, R. Preferred terms for users of mental health services among service provides and recipients. Psychiatric Services 2000; 51: 203–9.CrossRefGoogle ScholarPubMed
27.Torrey, EF. Patients, clients, consumers, survivors'et al:What is in a name? Schiz Bull 2010, in press.Google Scholar