Exploring multi-disciplinary team meetings on a personality-disorder ward within a forensic setting
ISSN: 1361-9322
Article publication date: 28 August 2019
Issue publication date: 12 September 2019
Abstract
Purpose
The purpose of this paper is to understand how patients on a low security personality disorder ward experienced multi-disciplinary team (MDT) meetings, in order to suggest improvements that would benefit the patients and clinical teams.
Design/methodology/approach
The design was a case study where all patients on a low secure ward that specialised in personality disorders were approached to take part in the research. The study utilised non-participant observations of the MDT meeting (n=11), followed by individual interviews with the patients (n=10).
Findings
The data were subjected to a thematic analysis and this illuminated five themes relating to the patients’ experience of the MDT meetings namely, the importance of leave applications, the formality of the meetings, the opportunity to check on progress, decision-making and the importance of communication.
Practical implications
The findings suggest that small changes could be made to improve the patients’ experience of the MDT meeting. These included the provision of a less formal setting, ensuring a system where leave can be requested confidentially, greater transparency about the content of progress reports, and clearer communication between the MDT and the patient after the meeting.
Originality/value
There is limited research that has explored patients’ experiences of MDT meetings within secure forensic settings, and the use of non-participant observations of the MDT meeting followed by semi-structured interviews meant that the researcher and the patient had a shared experience that formed the basis of the later discussion.
Keywords
Acknowledgements
The authors wish to sincerely thank the patients who co-operated so willingly with this study. The authors are also grateful to the staff who were uncomplaining of the disruption to their routines by the process of the study. This authors did not receive any funding for this study.
Citation
Leese, M. and Fraser, K. (2019), "Exploring multi-disciplinary team meetings on a personality-disorder ward within a forensic setting", Mental Health Review Journal, Vol. 24 No. 3, pp. 160-170. https://doi.org/10.1108/MHRJ-05-2019-0017
Publisher
:Emerald Publishing Limited
Copyright © 2019, Emerald Publishing Limited