At a time when policy makers are increasingly interested in shared decision making, this book tells the story of how to deliver tools created to help patients make better informed decisions. The real-world cases in this book, describe how pioneers from the US and UK introduced tools designed to help patients become well informed about tough decisions. They describe efforts to get the tools integrated into healthcare systems, sometimes with success, but often in the face of seemingly insurmountable obstacles. To better understand the challenges, each case in this book is reviewed through the lens of three different perspectives: Relational Coordination Theory presented by Jody Hoffer Gittell; Normalization Process Theory presented by Glyn Elwyn; and Microsystems presented by Marjorie M Godfrey. In the last chapter, Glyn Elwyn writes a provocative analysis of the steps that might be needed to facilitate large-scale implementation. Elliott Fisher comments in his foreword that “the gap between promise and reality remains deep and wide.” This book helps explain how we rise to meet this challenge.

In this introductory text, the author presents the law relating to child care and the reforms introduced by the Children Act 1989, assessing its impact on child care practice and procedures. Focusing on a practical interpretation of the law by the use of hypothetical examples, practice notes and recommendations, the book illustrates its relevance to those working in the caring and health professions, and incorporates details of various sets of Guidance and Regualtions issued by the Department of Health. In addition it provides an outline of adoption law, the principles of consent to treatment and the effect of surrogacy and "assisted reproduction" on the legal definition of parenthood.

This report discusses patient preference and challenges the NHS to stop 'the silent misdiagnosis' and take more account of patient preferences. It argues that by doing so it will improve not only the service offered to patients but also the performance of the health system as a whole.

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

This volume provides an overview of the key advances in shared decision making, covering theory and research, practical implementation, and input from different clinical specialties as well as the lived experience of patient partners.