TY - JOUR
AU - J. McDonough
AU - M. Loughhead
AU - K. Rhodes
AU - M. Ferguson
AU - N. Procter
A1 - 
AB - Healthcare concepts shape the way mental health care is conceived, delivered, experienced and evaluated. Person-centred care and consumer-directed care are two distinct but intertwined concepts that aim to redistribute knowledge and power between healthcare providers and consumers to ensure that healthcare is meeting the needs of consumers. However, despite many years of Australian services attempting to deliver person-centred and consumer-directed care, multiple reviews and inquiries into services find these attempts failing. The concepts of person-centred and consumer-directed care challenge the traditional ways in which mental health and mental health care have been conceived and delivered, reflecting tensions in the mental healthcare system. These tensions are theoretical, legislative and cultural. In this paper, the authors provide a description of these tensions, and highlight scenarios where these tensions have been overcome, and mental healthcare has been designed and delivered in a way that meets the needs of consumers. We provide ways forward that all stakeholders can implement to better our healthcare services, with a particular focus on mental health nurses.
AD - Mental Health and Suicide Prevention Research and Education Group, Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
AN - 41268640
BT - Int J Ment Health Nurs
C5 - Healthcare Disparities
CP - 6
DA - Dec
DO - 10.1111/inm.70177
DP - NLM
IS - 6
JF - Int J Ment Health Nurs
LA - eng
N2 - Healthcare concepts shape the way mental health care is conceived, delivered, experienced and evaluated. Person-centred care and consumer-directed care are two distinct but intertwined concepts that aim to redistribute knowledge and power between healthcare providers and consumers to ensure that healthcare is meeting the needs of consumers. However, despite many years of Australian services attempting to deliver person-centred and consumer-directed care, multiple reviews and inquiries into services find these attempts failing. The concepts of person-centred and consumer-directed care challenge the traditional ways in which mental health and mental health care have been conceived and delivered, reflecting tensions in the mental healthcare system. These tensions are theoretical, legislative and cultural. In this paper, the authors provide a description of these tensions, and highlight scenarios where these tensions have been overcome, and mental healthcare has been designed and delivered in a way that meets the needs of consumers. We provide ways forward that all stakeholders can implement to better our healthcare services, with a particular focus on mental health nurses.
PY - 2025
SN - 1445-8330 (Print); 1445-8330
SP - e70177
ST - 'Am I Safe Here? Am I Going to Be Let Down?' Disentangling Tensions in the Pursuit of Person-Centred and Consumer Directed Care in the Australian Mental Healthcare Context
T1 - 'Am I Safe Here? Am I Going to Be Let Down?' Disentangling Tensions in the Pursuit of Person-Centred and Consumer Directed Care in the Australian Mental Healthcare Context
T2 - Int J Ment Health Nurs
TI - 'Am I Safe Here? Am I Going to Be Let Down?' Disentangling Tensions in the Pursuit of Person-Centred and Consumer Directed Care in the Australian Mental Healthcare Context
U1 - Healthcare Disparities
U3 - 10.1111/inm.70177
VL - 34
VO - 1445-8330 (Print); 1445-8330
Y1 - 2025
ER -