Bonner, Gwen (2001) Decision making for health care professionals: use of decision trees within the community mental health setting. Journal of Advanced Nursing, 35 (3). pp. 349-356. ISSN 1365-2648

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Abstract

AIM OF THE PAPER:
To examine the application of the decision tree approach to collaborative clinical decision-making in mental health care in the United Kingdom (UK).

BACKGROUND:
While this approach to decision-making has been examined in the acute care setting, there is little published evidence of its use in clinical decision-making within the mental health setting. The complexities of dual diagnosis (schizophrenia and substance misuse in this case example) and the varied viewpoints of different professionals often hamper the decision-making process. This paper highlights how the approach was used successfully as a multiprofessional collaborative approach to decision-making in the context of British community mental health care.

DESIGN:
A selective review of the relevant literature and a case study application of the decision tree framework.

CONCLUSIONS:
The process of applying the decision tree framework to clinical decision-making in mental health practice can be time consuming and client inclusion within the process is not always appropriate. The approach offers a method of assigning numerical values to support complex multiprofessional decision-making as well as considering underpinning literature to inform the final decision. Use of the decision tree offers a common framework that can assist professionals to examine the options available to them in depth, while considering the complex variables that influence decision-making in collaborative mental health practice. Use of the decision tree warrants further consideration in mental health care in terms of practice and education.

Item Type:	Article
Identifier:	10.1046/j.1365-2648.2001.01851.x
Keywords:	Decision making; Decision trees; Community mental health; Multidisciplinary approaches; Dual diagnosis; Case study; Collaboration
Subjects:	Medicine and health > Mental health Medicine and health > Nursing
Depositing User:	Rod Pow
Date Deposited:	28 Jun 2012 16:04
Last Modified:	06 Feb 2024 15:39
URI:	https://repository.uwl.ac.uk/id/eprint/135

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