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Client Autonomy (client + autonomy)

Distribution by Scientific Domains
Medical Sciences80%

Selected Abstracts

Clinical Responsibility and Client Autonomy: Dilemmas in Mental Health Work at the Margins

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2001
Michael Rowe Ph.D.
Mental health outreach to homeless persons requires practice standards for cases in which clinical assessment and client autonomy conflict. After reviewing the principles of mental health outreach and presenting case examples, conditions and boundaries within which outreach workers negotiate the clinical responsibility/client autonomy dilemma are discussed. Guidelines to support sound clinical practice while respecting client autonomy are also discussed. [source]

Treatment non-negotiables: why we need them and how to make them work

EUROPEAN EATING DISORDERS REVIEW, Issue 4 2006
Josie Geller
Abstract In this paper, we define mandatory treatment components as ,treatment non-negotiables' and suggest that the manner in which non-negotiables are set and implemented has a significant impact on therapeutic alliance and outcome in the eating disorders. Common non-negotiable difficulties are reviewed and a philosophy is provided that can be applied to all stages of treatment: non-negotiables need to have a sound rationale, be consistently implemented, not take the client by surprise, and maximize client autonomy. We do not believe that a given non-negotiable is ,right' or ,wrong', but rather that treatment non-negotiables are optimally developed in response to the client population, treatment setting, clinician values and beliefs about change, and client and clinician input and experience. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Clinical Responsibility and Client Autonomy: Dilemmas in Mental Health Work at the Margins

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2001
Michael Rowe Ph.D.
Mental health outreach to homeless persons requires practice standards for cases in which clinical assessment and client autonomy conflict. After reviewing the principles of mental health outreach and presenting case examples, conditions and boundaries within which outreach workers negotiate the clinical responsibility/client autonomy dilemma are discussed. Guidelines to support sound clinical practice while respecting client autonomy are also discussed. [source]

Autonomy and intellectual disability: the case of prevention of obesity in Prader,Willi syndrome

JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 7 2002
R. H. van Hooren
Abstract Background The policy concerning care for people with intellectual disability (ID) has developed from segregation via normalization towards integration and autonomy. Today, people with ID are seen as citizens who need to be supported to achieve a normal role in society. The aim of care is to optimize quality of life and promote self-determination. The promotion of autonomy for people with ID is not easy and gives rise to ethical dilemmas. Caregivers are regularly confronted with situations in which there is a conflict between providing good care and respecting the client's autonomy. This becomes evident in the case of prevention of obesity in people with Prader,Willi syndrome (PWS). Method As part of a study about the ethical aspects of the prevention of obesity, in-depth qualitative interviews were conducted with the parents and professional caregivers of people with PWS. Results In analysing interviews with parents and formal caregivers, the present authors found that the dichotomy between respecting autonomy and securing freedom of choice on the one hand, and paternalism on the other, is too crude to do justice to the process of care. The stories indicated that caregivers see other options and act in other ways than to intervene without taking into account the wishes of the individual with PWS. The present authors elaborated these options, taking models of the physician,patient relationship as a heuristic starting point. They extended the logic of these models by focusing on the character of the process of interaction between caregiver and care receiver, and on the emotional aspects of the interactions. Conclusion This approach results in more attention to processes of interpretation, deliberation and joint learning. [source]

Promoting autonomy of the client with persistent mental illness: A challenge for occupational therapists from The Netherlands, Germany and Belgium

OCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2006
Mieke Le Granse
Abstract The aim of this study was to determine how occupational therapists from The Netherlands, Germany and Belgium promote the autonomy of clients with persistent mental illness. Sixty occupational therapists working in psychosocial mental health completed two semi-structured questionnaires. Data were analysed by applying the constant comparative method. The results of the study show the importance of handling motivation in relation to personal autonomy and the different strategies occupational therapists use in promoting autonomy. In conclusion, enhancing clients' personal autonomy will empower and help them to discover meaningful occupations. More in-depth information could have been obtained using an interview in combination with observations. Further research is needed to evaluate the effectiveness of strategies used by occupational therapists in promoting clients' autonomy. Copyright © 2006 John Wiley & Sons, Ltd. [source]