Background. This paper adds to the established importance of client-centred practice in mental health programs by reporting on the outcome of client interviews in one community setting in England. Purpose. The purpose of these interviews was to determine the opportunities for, and barriers to, the application of a definition of client-centred practice. Methods. Purposive sampling was used to obtain 9 clients who participated in structured interviews. A combination of methods, including template analysis and the editing approach, were employed to determine themes and sub themes that are presented within the context of the clients' reasons for attending these programs. Results. These themes included initiating client-centred practice with the sub themes of providing information to enable choice, participate in negotiating goals, overcoming fear and the severity of illness. Other themes related to the therapist's response to the client's illness and the clients knowledge about client-centred practice. Practice Implications. It was clear from these interviews that client-centred practice was important to this group of clients and there were both opportunities and barriers to be considered by therapists.
AddisonR.B. (1999). A grounded hermeneutic approach. In CrabtreeB.F.MillerW.L. (Eds.), Doing qualitative research (pp. 154–161). Thousand Oaks: Sage Publications.
2.
AllshouseK. D. (1993). Treating patients as individuals. In GerteisM.Edgeman-LevitanS.DaleyJ.DelbancoT. L. (Eds.), Through the patients eyes (pp. 19–44). San Francisco: Jossey Bass Publishers.
3.
AlvarezC. (1997). Client empowerment: Is it always client-centred care?Clinical Nurse Specialist, 11, 95.
DeberR. B. (1994). Physicians in health care management: The patient-physician partnership: Decision making, problem solving and the desire to participate. Canadian Medical Association Journal, 151, 423–427.
10.
EndeJ.KazisL.AshA.MoskowitzM. A. (1989, Jan/Feb). Measuring patients' desire for autonomy. Journal of General Internal Medicine, 4, 23–30.
11.
ErsserS. (1996). Ethnography and the development of patient-centred nursing. In FulfordK.W.M.ErsserS.HopeT. (Eds.), Essential practice in patient-centred care (pp. 53–64). Oxford: Blackwell Science.
12.
FiveashB. (1998). Client-managed care. European Nurse, 3, 186–193.
13.
FletcherE.StevensonC. (2001, August). Launching the tidal model in adult mental health programme. Nursing Standard, 15, 33–36.
14.
GlenisterD. (1994). Patient participation in psychiatric services: A literature review and proposal for a research strategy. Journal of Advanced Nursing, 19, 802–811.
15.
HobsonS. (1996). Being client-centred when the client is cognitively impaired. Canadian Journal of Occupational Therapy, 63, 133–137.
16.
HycnerR. H. (1985). Some guidelines for the phenomenological analysis of interview data. Human Studies, 8, 279–303.
17.
KrantzD. S.BaumA.WidemanM. (1980). Assesment of preferencies for self-treatment and information in health care. Journal of Personality and Social Psychology, 39, 977–990.
18.
LawM.BaptisteS.MillsJ. (1995). Client-centred practice: What does it mean and does it make a difference?Canadian Journal of Occupational Therapy, 62, 250–257.
19.
McKinstryB. (2000). Do patients wish to be involved in decision making in the consultation? A cross sectional survey with video vignettes. British Medical Journal, 321, 867–871.
20.
McWilliamC. L.BrownJ. B.CarmichaelJ. L.LehmanJ. M. (1994). A new perspective on threatened autonomy in elderly persons: The disempowering process. Social Science Medicine, 38, 327–338.
21.
MilesM. B.HubermanA. M. (1994). Qualitative data analysis. London: Sage Publications.
22.
PattonM. Q. (1990). Qualitative evaluation and research methods. London: Sage Publications.
23.
PollockN. (1993). Client-centred assessment. American Journal of Occupational Therapy, 47, 298–301.
24.
PopeC.ZieblandS.MaysN. (2000) Analysing qualitative data. In PopeC.MaysN. (Eds.), Qualitative research in Health Care (pp. 75–88). London: BMJ Books.
25.
SpeechleyV. (1992). Patients as partners. European Journal of Cancer Care, 1, 22–26.
26.
SternM.RestallG.RipatJ. (2000). The use of self-reflection to improve client-centred process. In FearingV. G.ClarkJ. (Eds.), Individuals in context: A practical guide to client-centred practice (pp. 145–158). New Jersey: Slack.
27.
SumsionT. (2000). A revised occupational therapy definition of client-centred practise. British Journal of Occupational Therapy, 63, 304–309.
28.
ThomasB.LindowV. (1993). New directions. Nursing Times, 89, 31–34.
29.
WilliamsB.GrantG. (1998). Defining people-centredness: Making the implicit explicit. Health and Social Care in the Community, 6, 84–94.
30.
WilsonJ. H.HobbsH. (1995). Therapeutic partnership: A model for clinical practice. Journal of Psychosocial Nursing, 33, 27–39.
