Patient-Centered Communication: A Key to Effective Psychiatric Rehabilitation

Authors

  • Dr. Anand Bajaj

DOI:

https://doi.org/10.69980/ajpr.v28i1.96

Keywords:

Patient-centered communication, psychiatric rehabilitation, active listening, empathy, shared decision-making.

Abstract

The review aims to analyse the importance of a patient-centred approach (PCC) that facilitates active listening, empathy, joint decision-making, culturally competent care, and more. Patient-centred communication stands out by emphasising collaboration whereby mental health patients escape the provider-centric model where only the psychiatrist speaks. It explains how communication improves relationships, trust, and treatment adherence and decreases the stigma associated with mental illness. Through the scope of patient-centred communication, psychiatric rehabilitation outcomes are improved, including rehabilitation outcomes. Stigma and low self-esteem can be remediated through compassionate care. Another aim of this paper is to compare PCC and traditional provider-centred approaches and their impact on recovery and satisfaction within the participatory model. PCC is perceived as time-consuming and distrustful, accompanied by provider-mentioned resistance. Integration of other providers, including non-mental health providers and digital communication mediums, enables patient self-advocacy and clinician training to advance the model. Putting less emphasis on stigma enables more inclusive care. Enhanced PCC fosters rehabilitation outcomes and overall mental well-being. Embracing the model in mental health practice can transform psychiatric settings.

 

 

Author Biography

Dr. Anand Bajaj

Assistant Professor of English Department of Applied Sciences DAVIET Jalandhar.

References

1. Alegrı́a, M., Falgas‐Bagué, I., & Fong, H. (2020). Engagement of ethnic minorities in mental health care. In World Psychiatry (Vol. 19, Issue 1, p. 35). Wiley. https://doi.org/10.1002/wps.20695

2. Alhuwaydi, A. M. (2024). Exploring the Role of Artificial Intelligence in Mental Healthcare: Current Trends and Future Directions – A Narrative Review for a Comprehensive Insight [Review of Exploring the Role of Artificial Intelligence in Mental Healthcare: Current Trends and Future Directions – A Narrative Review for a Comprehensive Insight]. Risk Management and Healthcare Policy, 1339. Dove Medical Press. https://doi.org/10.2147/rmhp.s461562

3. Boardman, L., Bernal, J. D., & Hollins, S. (2014). Communicating with people with intellectual disabilities: a guide for general psychiatrists. In Advances in Psychiatric Treatment (Vol. 20, Issue 1, p. 27). Cambridge University Press. https://doi.org/10.1192/apt.bp.110.008664

4. ÇAKMAK, C., & Uğurluoğlu, Ö. (2024). The Effects of Patient-Centered Communication on Patient Engagement, Health-Related Quality of Life, Service Quality Perception and Patient Satisfaction in Patients with Cancer: A Cross-Sectional Study in Türkiye. In Cancer Control (Vol. 31). SAGE Publishing. https://doi.org/10.1177/10732748241236327

5. Choudhury, M. D., Pendse, S. R., & Kumar, N. (2023). Benefits and Harms of Large Language Models in Digital Mental Health. https://doi.org/10.31234/osf.io/y8ax9

6. D’Alfonso, S. (2020). AI in mental health [Review of AI in mental health]. Current Opinion in Psychology, 36, 112. Elsevier BV. https://doi.org/10.1016/j.copsyc.2020.04.005

7. Drake, R. E., & Whitley, R. (2014). Recovery and Severe Mental Illness: Description and Analysis [Review of Recovery and Severe Mental Illness: Description and Analysis]. The Canadian Journal of Psychiatry, 59(5), 236. SAGE Publishing. https://doi.org/10.1177/070674371405900502

8. Fernandes, J. B., Vareta, D. A., Fernandes, S., Almeida, A. S., Peças, D., Ferreira, N., & Roldão, L. I. F. (2022). Rehabilitation Workforce Challenges to Implement Person-Centered Care. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 6, p. 3199). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/ijerph19063199

9. Gerken, A. T., Öngür, D., Kim, S. J., Ren, B., Idiculla, T., & Stoklosa, J. (2024). Patient-Centered Communication: Incorporating Principles of Dialogic Practice and Family Centered Rounds on an Inpatient Psychotic Disorders Unit. In Community Mental Health Journal. Springer Science+Business Media. https://doi.org/10.1007/s10597-024-01398-w

10. Gurtner, C., Lohrmann, C., Schols, J. M. G. A., & Hahn, S. (2022). Shared Decision Making in the Psychiatric Inpatient Setting: An Ethnographic Study about Interprofessional Psychiatric Consultations. In International Journal of Environmental Research and Public Health (Vol. 19, Issue 6, p. 3644). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/ijerph19063644

11. Hensley, M. A. (2012). Patient-Centered Care and Psychiatric Rehabilitation: What's the Connection?

12. Jackson, A. W. (2019). Postoperative Recovery and Survivorship After Acute Hospitalization for Serious Life-Limiting Illness [Review of Postoperative Recovery and Survivorship After Acute Hospitalization for Serious Life-Limiting Illness]. Surgical Clinics of North America, 99(5), 977. Elsevier BV. https://doi.org/10.1016/j.suc.2019.06.012

13. Jesus, T. S., & Silva, I. (2015). Toward an evidence-based patient-provider communication in rehabilitation: linking communication elements to better rehabilitation outcomes. In Clinical Rehabilitation (Vol. 30, Issue 4, p. 315). SAGE Publishing. https://doi.org/10.1177/0269215515585133

14. Jørgensen, K., Lerbæk, B., Frederiksen, J., Watson, E., & Karlsson, B. (2024). Patient Participation in Mental Health Care – Perspectives of Healthcare Professionals and Patients: A Scoping Review [Review of Patient Participation in Mental Health Care – Perspectives of Healthcare Professionals and Patients: A Scoping Review]. Issues in Mental Health Nursing, 45(8), 794. Taylor & Francis. https://doi.org/10.1080/01612840.2024.2358931

15. Kwame, A., & Petrucka, P. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward [Review of A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward]. BMC Nursing, 20(1). BioMed Central. https://doi.org/10.1186/s12912-021-00684-2

16. Liberman, R. P. (2005). Rehab Rounds: Drug and Psychosocial Curricula for Psychiatry Residents for Treatment of Schizophrenia: Part II [Review of Rehab Rounds: Drug and Psychosocial Curricula for Psychiatry Residents for Treatment of Schizophrenia: Part II]. Psychiatric Services, 56(1), 28. American Psychiatric Association. https://doi.org/10.1176/appi.ps.56.1.28

17. MacLaren, J.-A. (1996). Rehabilitation through advocacy and empowerment. In British Journal of Therapy and Rehabilitation (Vol. 3, Issue 9, p. 492). https://doi.org/10.12968/bjtr.1996.3.9.14774

18. Maynart, W. H. da C., Albuquerque, M. C. dos S. de, Brêda, M. Z., & Jorge, J. S. (2014). A escuta qualificada e o acolhimento na atenção psicossocial. In Acta Paulista de Enfermagem (Vol. 27, Issue 4, p. 300). Universidade Federal de São Paulo. https://doi.org/10.1590/1982-0194201400051

19. McGilton, K. S., Sorin‐Peters, R., Rochon, E., Boscart, V., Fox, M., Chu, C. H., Stewart, S., & Sidani, S. (2017). The effects of an interprofessional patient-centered communication intervention for patients with communication disorders. In Applied Nursing Research (Vol. 39, p. 189). Elsevier BV. https://doi.org/10.1016/j.apnr.2017.11.017

20. Moser, R. P., Trivedi, N., Murray, A. B., Jensen, R. E., Willis, G., & Blake, K. D. (2022). Patient-Centered Communication (PCC) scale: Psychometric analysis and validation of a health survey measure. In PLoS ONE (Vol. 17, Issue 12). Public Library of Science. https://doi.org/10.1371/journal.pone.0279725

21. Naughton, C. A. (2018). Patient-Centered Communication. In Pharmacy (Vol. 6, Issue 1, p. 18). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/pharmacy6010018

22. Nichols, H. M., Dababnah, S., Berger, Z., Long, C., & Sacco, P. (2021). Can You Hear Me Now? Effects of Patient-Centered Communication With Young Adults Aged 26 to 39. In Journal of Patient Experience (Vol. 8). SAGE Publishing. https://doi.org/10.1177/23743735211033116

23. Parliamentary Office of Science and Technology. (2000). Statistical Information on Air Passenger Numbers and Characteristics.

24. Prenger, E. (2016). Communication Case Studies for Health Care Professionals: An Applied Approach, by Pagano, M. In Health Communication (Vol. 32, Issue 4, p. 520). Taylor & Francis. https://doi.org/10.1080/10410236.2016.1168005

25. Priebe, S., Dimić, S., Wildgrube, C., Janković, J., Cushing, A., & McCabe, R. (2011). Good communication in psychiatry – a conceptual review [Review of Good communication in psychiatry – a conceptual review]. European Psychiatry, 26(7), 403. Cambridge University Press. https://doi.org/10.1016/j.eurpsy.2010.07.010

26. Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review.

27. Stanhope, V., Ingoglia, C., Schmelter, B., & Marcus, S. C. (2013). Impact of Person-Centered Planning and Collaborative Documentation on Treatment Adherence. In Psychiatric Services (Vol. 64, Issue 1, p. 76). American Psychiatric Association. https://doi.org/10.1176/appi.ps.201100489

28. Stubbe, D. (2012). Communication Commentary: Effective Patient-Centered Communication. In FOCUS The Journal of Lifelong Learning in Psychiatry (Vol. 10, Issue 1, p. 42). https://doi.org/10.1176/appi.focus.10.1.42

29. Stubbe, D. (2017). Competent Communication in Collaborative Care. In FOCUS The Journal of Lifelong Learning in Psychiatry (Vol. 15, Issue 3, p. 298). https://doi.org/10.1176/appi.focus.20170016

30. Teutsch, C. (2003). Patient–doctor communication [Review of Patient–doctor communication]. Medical Clinics of North America, 87(5), 1115. Elsevier BV. https://doi.org/10.1016/s0025-7125(03)00066-x

31. Urbanoski, K., Mulsant, B. H., Novotná, G., Ehtesham, S., & Rush, B. (2013). Does the Redesign of a Psychiatric Inpatient Unit Change the Treatment Process and Outcomes? In Psychiatric Services (Vol. 64, Issue 8, p. 804). American Psychiatric Association. https://doi.org/10.1176/appi.ps.004532012

32. Wong, E. C., Collins, R. L., Breslau, J., Burnam, M. A., Cefalu, M., & Röth, E. (2019). Associations between provider communication and personal recovery outcomes. In BMC Psychiatry (Vol. 19, Issue 1). BioMed Central. https://doi.org/10.1186/s12888-019-2084-9

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Published

2025-04-10