Use this URL to cite or link to this record in EThOS:
Title: The importance of participation in psychiatric hospital : experiences of treatment planning and socio-economic predictors of admission
Author: Golightly, Mark
ISNI:       0000 0004 7967 7312
Awarding Body: Bangor University
Current Institution: Bangor University
Date of Award: 2019
Availability of Full Text:
Access from EThOS:
Access from Institution:
This thesis examines the influence of different forms of participation in psychiatric hospital admission, and inpatient psychiatric treatment planning. The first chapter presents a systematic review and meta-synthesis of qualitative studies into patients' experiences of treatment planning and decision making in psychiatric hospital. We found across the twenty one studies reviewed, that the degree and quality of participation possible in inpatient systems has important emotional and psychological consequences for patients. A novel model - the 'maze' was developed which describes the synthesis of patient experiences. We suggest ways for services to use the findings of the review to inform ward-based interventions to facilitate reciprocity in decision making and provide opportunities for patients to reflect on the impact of practices. The second chapter describes a spatial epidemiological investigation into the relative utility of political participation and income deprivation as predictors of neighbourhood level psychiatric admission rates across Wales. Multilevel regression modelling was used to account for non-independent, non-normally distributed outcome data and showed that whereas neighbourhood political participation is associated with lower admission rates, this association is not significant when neighbourhood income deprivation is taken into account. In the third chapter, the results of the literature review and empirical paper are discussed in the context of relevant theory, and methodological considerations, clinical implications and personal reflections are explored.
Supervisor: Saville, Christopher ; Griffith, Gemma Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: DClinPsy