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Patients and carers as teachers in psychiatric education: a literature review and discussion

Published online by Cambridge University Press:  21 November 2016

C. Miller ,
V. Pradeep ,
M. Mohamad ,
Z. Izmeth ,
M. T. P. Reynolds  and
G. Gulati
C. Miller*
Affiliation:
Littlemore Mental Health Centre, Oxford, UK
V. Pradeep
Affiliation:
Department of Psychiatry, University Hospital Limerick, Limerick, Republic of Ireland
M. Mohamad
Affiliation:
Department of Psychiatry, University Hospital Limerick, Limerick, Republic of Ireland University of Limerick, Limerick, Republic of Ireland
Z. Izmeth
Affiliation:
Oxford University Hospitals NHS Foundation Trust, Oxford, UK
M. T. P. Reynolds
Affiliation:
Department of Psychiatry, University Hospital Limerick, Limerick, Republic of Ireland University of Limerick, Limerick, Republic of Ireland
G. Gulati
Affiliation:
Department of Psychiatry, University Hospital Limerick, Limerick, Republic of Ireland University College Cork, Cork, Republic of Ireland
*
*Address for correspondence: C. Miller, Core Psychiatry Trainee, The St Aubyns Centre, 2 Boxted Road, Mile End, Colchester, CO4 5HG, UK. (Email: [email protected])
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Abstract

Introduction

The direct involvement of patients and carers in psychiatric education is driven by policy in the United Kingdom and Ireland. The benefits of this involvement are well known, however, it is important to consider the ethical aspects. This paper suggests how further research could explore and potentially mitigate adverse outcomes.

Method

A literature search evaluating the role of patients and carer involvement in psychiatric education was undertaken to summarise existing evidence relating to the following: methods of involvement, evidence of usefulness, patient’s/carer’s views and learners’ views.

Results

The Medline search produced 231 articles of which 31 were included in the literature review based on the key themes addressed in the paper.

Discussion/conclusion

The available evidence is generally positive regarding the use of patients and carers in psychiatric education. However, available research is varied in approach and outcome with little information on the ethical consequences. More research is required to inform policies on teaching regarding potential adverse effects of service user involvement.

Keywords

Carereducationmental healthpatientpsychiatryservice userteaching
Type
Review Article
Information
Irish Journal of Psychological Medicine , Volume 37 , Issue 2 , June 2020 , pp. 126 - 133
Copyright
© College of Psychiatrists of Ireland 2016

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References

Ahuja, AS, Williams, R (2005). Involving patients and their carers in educating and training practitioners. Current Opinion in Psychiatry 18, 374–380.CrossRefGoogle ScholarPubMed
Anderson, LW, Krathwohl, D (2001). A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives. Longman: New York.Google Scholar
Babu, KS, Law-Min, R, Adlam, T, Banks, V (2008). Involving service users and carers in psychiatric education: what do trainees think? Psychiatric Bulletin 32, 28–31.10.1192/pb.bp.107.015354CrossRefGoogle Scholar
Bideau, M, Guerne, P-A, Bianchi, M-P, Huber, P (2006). Benefits of a programme taking advantage of patient-instructors to teach and assess musculoskeletal skills in medical students. Annals of the Rheumatic Diseases 65, 1626–1630.CrossRefGoogle ScholarPubMed
Bloom, B, Englehart, M, Furst, E, Hill, W, Krathwohl, D (1956). Taxonomy of Educational Objectives: The Classification of Educational Goals. Handbook I: Cognitive Domain New York. Longmans, Green: Toronto.Google Scholar
Butterworth, M, Livingston, G (1999). Medical student education. The Role of Caregivers and Families 23, 549–550.Google Scholar
Cook, JA, Jonikas, JA, Razzano, L (1995). A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Mental Health Journal 31, 229.CrossRefGoogle ScholarPubMed
Department of Health (2001). Involving Patients and the Public in Healthcare: A Discussion Document. Department of Health (http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4002892). Accessed 13 November 2016.Google Scholar
Dogra, N, Edwards, R, Karim, K, Cavendish, S (2008). Current issues in undergraduate psychiatry education: the findings of a qualitative study. Advances in Health Sciences Education 13, 309–323.CrossRefGoogle ScholarPubMed
General Medical Council (2013). Duties of a doctor. Paragraph 50 (http://www.gmc-uk.org/guidance/good_medical_practice/partnerships.asp). Accessed 13 November 2016.Google Scholar
Government of Ireland (2006). A Vision for Change: Report on the Expert Group on Mental Health Policy. The Stationary Office: Dublin.Google Scholar
Greenberg, D, Cohen, R (2003). Interviewing and case presentations in the presence of patients in undergraduate psychiatry: an experiment. Medical Teacher 25, 167–170.CrossRefGoogle ScholarPubMed
Haeney, O, Moholkar, R, Taylor, N, Harrison, T (2007). Service user involvement in psychiatric training: a practical perspective. Psychiatric Bulletin 31, 312–314.CrossRefGoogle Scholar
Hughes, T, Williams, C (1998). Teaching general psychiatry to medical undergraduates. Advances in Psychiatric Treatment 4, 177–182.CrossRefGoogle Scholar
Ikkos, G (2003). Engaging patients as teachers of clinical interview skills. Psychiatric Bulletin 27, 312–315.CrossRefGoogle Scholar
Ikkos, G (2005). Mental health service user involvement: teaching doctors successfully. Primary Care Mental Health 3, 139–144.Google Scholar
Jha, V, Quinton, ND, Bekker, HL, Roberts, TE (2009). Strategies and interventions for the involvement of real patients in medical education: a systematic review. Medical Education 43, 10–20.CrossRefGoogle ScholarPubMed
Knight, P (2002). Being a Teacher in Higher Education. Maidenhead, UK: Society for Research in Higher Education and the Open University Press.Google Scholar
Livingston, G, Cooper, C (2004). User and carer involvement in mental health training. Advances in Psychiatric Treatment 10, 85–92.CrossRefGoogle Scholar
NHS Executive Mental Health Task Force User Group (1994). Building on Experience: A Training Pack for Mental Health Service Users Working as Trainers, Speakers and Workshop Facilitators. Department of Health Publications Unit: Lancashire.Google Scholar
Nil, S (2002). ) ‘Wanted: patients with mental illness in role of teacher,. British Medical Journal 325, 1300.CrossRefGoogle Scholar
Owen, C, Reay, RE (2004). Consumers as tutors – legitimate teachers? BMC Medical Education 4, 1–8.CrossRefGoogle ScholarPubMed
Perry, J, Watkins, M, Gilbert, A, Rawlinson, J (2013). A systematic review of the evidence on service user involvement in interpersonal skills training of mental health students. Journal of Psychiatric and Mental Health Nursing 20, 525–540.10.1111/j.1365-2850.2012.01955.xCrossRefGoogle ScholarPubMed
Prosser, M, Trigwell, K (1999). Understanding Learning and Teaching: The Experience in Higher Education. Buckingham: SRHE and Open University Press.Google Scholar
Rani, S, Byrne, H (2014). ‘Telling their stories’ on a dual diagnosis training course: Forensic mental health service users’ perspective on their challenges, benefits and future strategies. Nurse Education in Practice 14, 200–207.CrossRefGoogle ScholarPubMed
Recovery Experience Forum Of Carers and Users of Services (REFOCUS) (2013). Who Cares? Listening to the Needs and Experiences of Carers of People with Mental Illness. College of Psychiatrists Of Ireland (http://www.irishpsychiatry.ie/Ext-Affairs-Policy/REFOCUSCPsychI.aspx). Accessed 13 November 2016.Google Scholar
Schneebeli, C, O’Brien, A, Lampshire, D, Hamer, HP (2010). Service user involvement in undergraduate mental health nursing in New Zealand. International Journal of Mental Health Nursing 19, 30–35.10.1111/j.1447-0349.2009.00642.xCrossRefGoogle ScholarPubMed
Stacy, R, Spencer, J (1999). Patients as teachers: a qualitative study of patients’ views on their role in a community‐based undergraduate project. Medical Education 33, 688–694.CrossRefGoogle Scholar
Stillman, PL, Ruggill, JS, Rutala, PJ, Sabers, DL (1980). Patient instructors as teachers and evaluators. Academic Medicine 55, 186–193.CrossRefGoogle ScholarPubMed
Vijayakrishnan, A, Rutherford, A, Miller, S, Drummond, L (2006). Service user involvement in training: the trainees’ view. The Psychiatrist 30, 303–305.Google Scholar
Walters, K, Buszewicz, M, Russell, J, Humphrey, C (2003). Teaching as therapy: cross sectional and qualitative evaluation of patients’ experiences of undergraduate psychiatry teaching in the community. British Medical Journal 326, 740.CrossRefGoogle Scholar
Wood, J, Wilson-Barnett, J (1999). The influence of user involvement on the learning of mental health nursing students. Nursing Times Research 4, 257–270.10.1177/136140969900400403CrossRefGoogle Scholar
Wykurz, G, Kelly, D (2002). Developing the role of patients as teachers: literature review. British Medical Journal 325, 818–821.CrossRefGoogle ScholarPubMed