Topics covered in this chapter

This chapter gives an initial overview of values-based practice by way of preparation for the case studies that follow in the rest of the book. We cover:

• The point of values-based practice: balanced decision-making within a framework of shared values

• The premise of values-based practice: mutual respect for differences of values

• Ten elements of the process of values-based practice:

1. º Four areas of clinical skills

2. º Two aspects of professional relationships

3. º Three links with evidence-based practice

4. º Dissensus: a basis in partnership.

Take-away message for practice

Values-based practice is a process that supports balanced decision-making within a framework of shared values where complex and conflicting values are in play.

In this chapter, we give an outline of values-based practice by way of preparation for the detailed case studies that follow in the rest of the book. We will be drawing in this instance not on a specific clinical scenario but rather on a number of brief examples, mainly from mental health and primary care.

Values-based practice aims to support balanced decision-making within a framework of shared values, based on a premise of mutual respect and relying for its practical effectiveness on good process rather than pre-set right outcomes. We start with the point of values-based practice by looking in more detail at what balanced decision-making within a framework of shared values really means.

The point of values-based practice – balanced decision-making

The need for balanced decision-making on individual cases where complex and conflicting values are involved became clear as we followed the story of Dr. Gulati and Roy Walker in the last two chapters.