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The readings listed in this section illustrate the resources of what is now a considerable training resource for values-based practice and related approaches to working with values in health and social care.

This section covers

  • Early literature
  • Textbooks and edited collections
  • Publications on particular areas
  • On-line resources
  • Other cultures
  • On-going development

Early literature

Publications from the early work on values-based practice supported by the Sainsbury Centre for Mental Health and others (see Acknowledgements) provide still helpful models for training

  • Fulford, K.W.M., Williamson, T. and Woodbridge, K. (2002) Values-Added Practice (a Values-Awareness Workshop). Mental Health Today, October, pps 25-27.
  • Woodbridge, K. & Fulford, B. (2003) Good practice? values-based practice in mental health, Mental Health Practice. Vol.7, 2, pp 30-34.
  • Woodbridge, K., and Fulford, K.W.M. (2004) Right, wrong and respect. Mental Health Today, Sept 2004: 28-30.

It was this work that led to the publication of the first training manual for values-based practice, Whose Values? A Workbook, and a number of follow-on publications

  • Woodbridge, K. and Fulford, K.W.M. (2005) Values-Based Practice. Module 4 in Basset, T. and Lindley, L. (eds) The Ten Essential Shared Capabilities Learning Pack for Mental Health Practice. London: The National Health Service University (NHSU) and the National Institute for Mental Health in England (NIMHE).

An updated version of this module is available at http://www.nes.scot.nhs.uk/media/417158/mental_health_module_4.pdf

  • Fulford, K.W.M. and Woodbridge, K. (2007) Values-based Practice in Teaching and Learning. Ch 12 in Stickley, T. and Basset, T. (eds) Teaching Mental Health. London: John Wiley & Sons, pp 145-160.
  • Fulford, K.W.M. and Woodbridge, K. (2008) Practising Ethically: Values-Based Practice and Ethics: working together to support person-centred and multidisciplinary mental health care. Chapter 5 in Stickley, T. and Basset, T. (eds) Learning About Mental Health Practice. John Wiley & Sons Ltd, pp 145-160.

The key principles of values-based practice, as a process-based approach to working with complex and conflicting values in healthcare, were set out originally in

  • Fulford, K.W.M. (2004) Ten Principles of Values-Based Medicine. Chapter 14 in Radden, J. (ed) The Philosophy of Psychiatry: A Companion. New York: Oxford University Press.

The ten principles of values-based practice described in this chapter are illustrated by a corresponding ten-part clinical history of a woman with bipolar disorder, Diane Abbott, ‘The Artist who Couldn’t See Colors’. Diane Abbott’s story shows in particular how values-based and evidence-based approaches work together to support full partnership in clinical decision-making between patients and clinicians.

The Sainsbury Centre team also worked with Piers Allott (a leading figure in the early service user led recovery movement in the UK) on the use of e-conferencing to reach marginalized groups

  • Allott, P., Fulford, K.W.M., Fleming, B., Williamson, T., and Woodbridge. K. (2005) Recovery, Values and e-learning. The Mental Health Review, Vol 10:4, 34-38.
  • Woodbridge, K., Williamson, T., Allott, P. Fleming, B. and Fulford, K.W.M. (2005) Values, Mental Health and Mental Capacity: Debates in Cyberspace. The Mental Health Review, Vol 10:4, 25-29.

Textbooks and Edited Collections

Besides Essential Values-based Practice a number of textbooks and other collections include helpful outlines of values-based practice

The Oxford Textbook of Philosophy and Psychiatry includes three chapters showing how values-based practice complements traditional ethics in mental health. This book, which is based on the distance-learning version of Warwick University’s Masters program in the Philosophy and Ethics of Mental Health, provides a structured approach supported by brief exercises, detailed reading guides, and a CD-ROM of primary source readings

  • Fulford, K.W.M., Thornton, T., and Graham, G. (2006) The Oxford Textbook of Philosophy and Psychiatry. Oxford: Oxford University Press.

The chapters on values-based practice come in Part IV, Values, Ethics and Mental Health Practice

  • Chapter 18, pps., 498 – 538, From Bioethics to Values-based Practice
  • Chapter 20, pps., 564 – 584, Values in Psychiatric Diagnosis
  • Chapter 21, pps., 585 – 609, From Bioethics to Values-based Practice in Psychiatric Diagnosis

The New Oxford Textbook of Psychiatry gives a summary account linking values-based practice with the challenges of mainstream psychiatry

  • Fulford, K.W.M. (2009) Values and Values-Based Practice in Clinical Psychiatry. Chapter 1.5.2, pps 32 – 38, in M.G. Gelder, N. Andreasen and J. Geddes (eds) New Oxford Textbook of Psychiatry, Second Edition. Oxford: Oxford University Press

The Oxford Handbook of Philosophy and Psychiatry and its sister publication The Oxford Handbook of Psychiatric Ethics together give a series of publications covering the theory and practice of values-based practice including its on-going development through David Crepaz-Keay’s work on peer-led service delivery supported by Werdie van Staden’s ‘Batho Pele’ (African values-based practice)

  • Fulford, K.W.M., van Staden, W., (2013) Values-based practice: topsy-turvy take home messages from ordinary language philosophy (and a few next steps) chapter 26, pps 385 – 412 in Fulford, K.W.M., Davies, M., Gipps, R., Graham, G., Sadler, J., Stanghellini, G., and Thornton, T. (Eds). The Oxford Handbook of Philosophy and Psychiatry. Oxford: Oxford University Press
  • Crepaz-Keay, D., Fulford, K.W.M., van Staden, W., (forthcoming, 2015) Putting both a person and people first: interdependence, values-based practice and African Batho Pele as resources for co-production in mental health. Ch 4 in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., (Eds) The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press
  • van Staden, W and Fulford, K.W.M., (forthcoming, 2015) The Indaba in African Values-based practice: respecting diversity of values without ethical relativism or individual liberalism. Ch 28, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., Eds The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press
  • Fulford, K.W.M., Duhig, L., Hankin, J., Hicks, J., and Keeble, J.(forthcoming, 2015) Values-based Assessment in Mental Health: The 3 Keys to a Shared Approach between Service Users and Service Providers. Ch 73, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., (Eds) The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press
  • Fulford, K.W.M., Dewey, S., and King, M.(forthcoming, 2015) Values-based Involuntary Seclusion and Treatment: Value Pluralism and the UK’s Mental Health Act 2007. Ch 60, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., (Eds) The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press

These chapters are available for individual purchase via Oxford Handbooks on-line oxfordhandbooks.com

A forthcoming volume for trainees in mental health nursing and related disciplines is

  • Morgan A, Felton A, Fulford K. W. M, Kalathil J and Stacey G.(forthcoming 2015) Values and Ethics: an Exploration for Mental Health Practice. Palmgrave Macmillan

As its title suggests this book explores some of the links between values-based practice and ethics in mental health. It focuses in particular on the relatively neglected (in values-based practice) issue of power relationships. Three of the authors are members of The Critical Values-based Practice Network. The book is unique in being fully co-written by authors representing both service user and service provider perspectives.

Toby Williamson and Rowena Daw’s Law, Values and Practice integrates values-based practice and legislation in an accessible style and authoritative way that is richly illustrated with case studies. Many current issues are covered including Human Rights, Mental Health and Mental Capacity legislation and their implications for challenging areas of practice ranging from children’s health to care homes.

  • Williamson, T., and Daw, R., (2013) Law, Values and Practice in Mental Health Nursing: A Handbook. Open University Press

Publications on particular areas

Essential Values-based Practice includes examples from both primary and secondary care. Aside from the overview of values-based practice (chapter 3), each chapter is built around an extended clinical story illustrating the way values-based practice contributes to positive outcomes in the management of everyday issues in different areas of clinical care:

  • low back pain (chapters 1, 2 and 14)
  • acute psychiatric admission (chapter 4)
  • teenage acne (Chapter 5)
  • smoking cessation (chapter 6)
  • diabetes control (chapter 7)
  • breast cancer (chapter 8)
  • safeguarding children (chapter 9)
  • hypertension (chapter 10)
  • abdominal emergency in casualty (chapter 11)
  • assisted fertility (chapter 12)
  • end of life care (chapter 13)

The web-supported VBP Index allows particular topic areas to be picked up across the book as a whole

For further publications on particular areas of clinical care see Read More about Policy and Service Development, Practice Guidance and Commissioning of Services

On-line resources

A variety of training materials for values-based practice are available on-line.

Training Module

Mental health nursing

Recovery

Peace studies

The training manual for values-based practice, ‘Whose Values?’, and many other training resources are available for free down-load from Full Text Downloads

Other cultures

Training in values-based practice has been successfully implemented in non-Western as well as Western countries.

Werdie van Staden runs a values-based training program with medical students at Pretoria Medical School. He has also used Batho Pele, an African form of values-based practice, in an enriched concept of person-centered care and in the practical context of running research ethics committees

  • Van Staden, C. W. (2011). African approaches to an enriched ethics of person-centered health practice. International Journal of Person-Centered Medicine, 1:11-17.
  • Van Staden, C. W. (2013). Desirable objects of evaluation for measuring person-centered medicine: conceptual considerations drawing on African insights. International Journal of Person-Centered Medicine, 3:187-190.
  • van Staden, W and Fulford, K.W.M., (forthcoming, 2015) The Indaba in African Values-based practice: respecting diversity of values without ethical relativism or individual liberalism. Ch 28, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., Eds The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press

David Davies and Ed Peile have developed a successful application of values-based practice in the training of non-physician clinicians in a fieldwork context in Malawi. This work is currently being written up but you can see them in action at [page being developed].

On-going Development

Building on the above materials several groups are actively engaged in on-going work developing training programs for values-based practice in different areas.

Further development of resources for teaching and learning about values is a priority area for every part of the values toolkit.

For more on this see Research and On-going Issues.