The relationship between clients’ motivation and interprofessional teamwork in forensic mental health settings

ABSTRACT

Client motivation is regarded as a key to preventing violence behavior and positively affecting both patients and treatment staff in forensic psychiatric settings. We examined the correlation between client motivation for medical treatment and the quality of interprofessional teamwork. We surveyed 18 hospitalized forensic psychiatric patients using the IMI-J and CSQ-8J and 18 interprofessional teams from various professions using the r-CPAT, 6 and 12 months after the initial treatment. At 6 months, the correlation coefficients between the total r-CPAT scores and the total IMI-J and CSQ-8J scores were not significant. At 12 months, the correlation coefficients between the total r-CPAT scores and the total IMI-J or CSQ-8J scores were .33 and .11, respectively. The findings indicate that both clients’ motivation and the quality of treatment provided by the interprofessional team improved over time. However, this study also showed that the professionals’ subjective evaluation of the quality of interprofessional teamwork did not correlate with clients’ subjective evaluation of satisfaction. In order to achieve client satisfaction, it is essential for professionals to address clients’ needs in a timely manner and to prioritize effective communication to facilitate patient decision-making rather than merely providing advice.

KEYWORDS:

• Interprofessional teamwork
• mental health
• motivation
• quality
• forensic psychiatry

Declaration of interest

There are no conflicts of interest to declare

Additional information

Notes on contributors

Ryoko Tomizawa

Ryoko Tomizawa, OTR, PhD, is an Associate Professor in the Department of Occupational Therapy at the Seirei Christopher University. She studies interprofessional teamwork and psychiatric rehabilitation.

Yuichi Murata

Yuichi Murata, OTR, MS is a chief Occupational Therapist in the Department of psychiatric rehabilitation at the National Center of Neurology and psychiatry. He studies psychiatric rehabilitation for persons with severe mental illnesses.

Masahiro Shigeta

Masahiro Shigeta, MD, PhD, is a Professor in the department of psychiatry at the Jikei University School of Medicine. He studies Alzheimer’s disease and interprofessional collaboration.

Naotugu Hirabayashi

Naotugu Hirabayashi MD, PhD, is a director in the department of forensic psychiatry at the National Center of Neurology and Psychiatry. He studies forensic psychiatry and interprofessional teamwork.