Evaluators and assessment process in Person-centred Integrative Diagnosis

Main Article Content

Janet Wallcraft
Michaela Amering
Sigrid Steffen
Ihsan M. Salloum


'Partnership for Evaluation' is one of the pillars of the person-centered integrative diagnosis (PID) model. Its importance is in enabling the assessment and evaluation of the problems and needs of health service users and it is fundamental to the development of more person-centered approaches in clinical practice. The need for clinicians, support professionals and service users to work in partnership is vital to effective service delivery and in the improvement of patient satisfaction and clinical outcomes. International work on Trialogue, the process whereby clinicians, patients and family members meet for informal discussion, has demonstrated the multiple benefits of this approach. Research and policy in the UK and in Europe more generally has made significant advances in developing the means of creating successful partnerships of this nature. The current article reviews the conceptual basis of partnership as part of person-centered integrative diagnosis and treatment, discusses how we can improve genuine partnership work in the evaluation and assessment of mental health and presents examples of policy support for partnership working. It is concluded that shared decision-making and partnership can lead to better and more acceptable systems of wellness-focussed treatment and more responsible citizenship where people make better health choices and learn to care for themselves and those around them.

Article Details

Fourth Geneva Conference on Person-centered Medicine: Person-centered integrative diagnosis (PID)
Author Biography

Janet Wallcraft, Centre for Mental Health Recovery, University of Hertfordshire; and Centre for Excellence in Interdisciplinary Mental Health, University of Birmingham

Janet Wallcraft has a BSc Hons (1st Class) in Science Technology & Society (1987)  and a Postgrad Diploma Social Sciences Research (1989) from Middlesex University, London, and PhD from South Bank University, London (2002) on mental health service users first experiences of breakdown and treatment. She is a Visiting Fellow at the Centre for Mental Health Recovery, University of Hertfordshire, and an Honorary Fellow at the Centre for Excellence in Interdisciplinary Mental Health, University of Birmingham. She has been a long-term consultant and researcher on the experiences of people who use or receive mental health services, working for leading NGOs and Government organisations in England and Wales. 


Amering, M. (2010). Trialog - an exercise in communication between consumers, carers and professional mental health workers beyond role stereotypes. International Journal of Integrated Care 10 (5) Supplement e014.

Wallcraft, J., S. Steffen, Amering, M. (2011). Service User and Family Perspectives on Psychiatry for the Person. International Journal of Person Centered Medicine 1 (1) 152-154.

Wallcraft, J. (2011). Service users' perceptions of quality of life measurement in psychiatry. Advances in Psychiatric Treatment 17 (4) 266-274.

Mezzich, J.E. (2011). Building person-centered medicine through dialogue and partnerships: perspective from the international network for person-centered medicine. International Journal of Person Centered Medicine 1 (1) 10-13.

WHO (2010). User empowerment in mental health. Copenhagen, Denmark: World Health Organisation Europe.

Street Jr, R.L., Makoul, G., Arora, N.K. & Epstein, R.M. (2009). How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Education and Counseling 74 (3) 295-301.

Bolam, S., Carr, S. & Gilbert, P. (2010). The Partnership Project: learning from experts by experience in mental health services; the Jersey Partnership perspective. International Journal of Leadership in Public Services 6 (2) 54-67.

Forrest, S., Risk, I., Masters, H. & Brown, N. (2000). Mental health service user involvement in nurse education: exploring the issues. Journal of Psychiatric and Mental Health Nursing 7 (1) 51-57.

Masters, H., Forrest, S., Harley, A., Hunter, M., Brown, N. & Risk, I. (2002). Involving mental health service users and carers in curriculum development: moving beyond'classroom'involvement. Journal of Psychiatric & Mental Health Nursing 9 (3) 309-316.

Levin, E. (2004). Involving service users and carers in social work education. London Social Care Institute for Excellence.

Thornicroft, G. & Tansella, M. (2005). Growing recognition of the importance of service user involvement in mental health service planning and evaluation. Epidemiologia e Psichiatria Sociale 14 (1) 1-3.

Faulkner, A. & Layzell, S. (2000). Strategies for living: A report of user-led research into people’s strategies for living with mental distress. London: Mental Health Foundation.

Department of Health. (2010). Equity and excellence: Liberating the NHS. London: The Stationery Office.

Department of Health. (2007). Mental Health: New Ways of Working for Everyone - Progress Report. London: Department of Health.

Department of Health. (2005). New Ways of Working for Psychiatrists: Enhancing effective, person-centred services through new ways of working in multidisciplinary and multi-agency contexts. London: Department of Health.

EUFAMI (2008). Treatment and Care: Position Paper.

Wallcraft, J., Amering, M., Freidin, J., Davar, B., Froggett, D., Jafri, H., Javed, A., Katontoka, S., Raja, S., Rataemanes, S., Steffen, S., Tyano, S., Underhill, C., Wahlberg, H., Warner, R. & Herrman, H. (2011). Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatry 10 (3) 229-236.

Mezzich, J.E., Salloum, I.M., Cloninger, C.R., Salvador-Carulla, L., Kirmayer, L.J., Banzato, C.E., Wallcraft, J. & Botbol, M. (2010). Person-centred Integrative Diagnosis: Conceptual Bases and Structural Model. Canadian journal of psychiatry. Revue canadienne de psychiatrie 55 (11) 701-708.