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Promoting Concordance in Mental Health
Author: Austyn Snowden, Glenn R Marland, Lisa McNay
Publisher: Quay Books
This book’s central premise is that concordance is a ‘process of enlightened communication between the person and the health professional leading to an agreed treatment plan’. The text uses case scenarios to help relate its concepts to everyday practice. As the scenarios develop, readers are encouraged to reflect on their practice through a variety of reflective exercises. The authors discuss the relevance of concordance to recovery and argue that person-centred care is central to recovery-focused practice. They review the biology of medicines management, covering such topics as basic pharmacology and drug interactions. Other sections focus on engaging and developing therapeutic alliances, the stress vulnerability model, the importance of sensitivity in the assessment process and potential interventions. As the case scenarios unfold, we see how clinical decisions affect the level of concordance. The final chapter combines a range of ideas to develop a theory of concordance in action. This text provides a well-referenced and balanced view of the role of mental health nurses in promoting concordance and is recommended to trainees as well as more experienced practitioners.
Reviewer: Alister Campbell
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