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Cited by 18Psychiatric care and mental health servicesHistorical Psychiatry and Medical PracticesMental Health Treatment and Access

An explication of treatment ideology among mental health care providers

Scheid, Teresa Linnea·1994·Sociology of Health & Illness
DOI 10.1111/1467-9566.ep11348763
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Abstract

This paper presents an exploratory analysis of the treatment ideologies of mental health care providers who work with the chronically ‘mentally ill.’ Treatment ideology is understood as the complex set of beliefs providers hold about the aetiology of mental illness, the role of the client and the provider, and the efficacy of various treatments or interventions. A case study of a large, urban mental health care organisation providing care to the chronically‘mentally ill’was conducted in 1992. The author attended a series of staff retreats, administered a questionnaire, and completed in‐depth interviews with 22 providers. A typology reflecting two dimensions that juxtapose alternative treatment preferences was developed to represent the range of treatment ideologies uncovered. The first dimension reflects differing conceptions of the role of the provider (supportive or facilitative) and the second dimension reflects differing treatment goals (adjustment or autonomy). This typology was then theoretically extended to include a custodial role for the provider and a treatment goal oriented toward social control of clients. Further study of providers in differing organisation settings is needed to determine the salience of these typologies. Research must also investigate the development and consequences of treatment ideologies, with critical attention focused on the consistency (or inconsistency) of treatment ideologies within a given system, the professional and organisational sources of differing preferences for treatment, and the effect of various belief sets on health care services and outcomes.

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  • Treatment ideologies held by clinicians, parents, and children/youth lead them to greater skepticism about whether eMental healthcare can deliver the same quality of care as face-to-face services for children and adolescents.

    “It may because the treatment ideologies (ie, beliefs about the etiology of illness, the roles of the provider/patient, and the efficacy of various treatments) [92] held by clinicians, parents, and children/youth lead them to greater skepticism about whether eMental healthcare can deliver the same quality of care [93] as face-to-face services for children and adolescents.”

    From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [92]

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Authors
Scheid, T. L.
Affiliations
University of North Carolina at Charlotte (US)
Corresponding author
Scheid, Teresa Linnea
Venue
Sociology of Health & Illness
Publisher
Wiley
Published
1994-11
Volume
16
Issue
5
Pages
668-693
ISSN
  • 0141-9889 (ISSN-L)
  • 1467-9566
DOI
10.1111/1467-9566.ep11348763
OpenAlex
W2056848215
Cited by
18
References
79
Citations by year
2020: 1 · 2019: 1 · 2018: 1 · 2014: 1
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4988 d)
Locations
Sociology of Health & Illness (publishedVersion)
Funders
University of North Carolina at Charlotte
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
treatment ideology, mental health care providers, chronic mental illness, provider role, treatment goals, social control, etiology of mental disorders, mental health services

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