The challenges of shared decision making and antipsychotic polypharmacy in forensic settings an interview and observational study



To explore the issues, potential benefits, challenges, and feasibility of service user involvement in the design of patient safety interventions in mental health (specifically, the reduction of inappropriate polypharmacy prescribing).


Qualitative interviews and non-participant observation of medication review meeting in forensic psychiatric settings (with a scoping review of service user involvement in safety initiatives in mental health)


National attempts at improving medication safety in mental health have failed to maximise the potential that exists by co-producing safety interventions with service users (Paton et al. 2008). Whilst interventions to change behaviour have an increased chance of success where they draw on theory and research evidence, the role of service users in the design of safety interventions in mental healthcare is less well established. 


Carl Thompson
Inna Kotchetkova
Kathryn Berzyns
John Baker
Sarah Eames (NHS, Leeds York Partnership NHS Foundation Trust)

Funding body: NIHR CLAHRC for Yorkshire and Humber, Research Capability Funding, £10,000

Contact: Professor Carl Thompson