Psychiatric Bulletin (2001) 25: 154. doi: 10.1192/pb.25.4.154-a
© 2001 The Royal College of Psychiatrists
Psychiatric Bulletin (2001) 25: 154
© 2001 The Royal College of Psychiatrists
Patient or Client?
Joe McDonald, Consultant Adolescent Psychiatrist
Tony Ross, Community Adolescent Psychiatric Nurse and
Estelle Eaton, Social Worker
The Barnes Unit, Durham Road, Sunderland, SR3 4AF
Correspondence: e-mail:
joe{at}adolescentpsychiatry.co.uk
Sir: It is with interest that we noted your publication of Ritchie et
al's study Patient or client? The opinions of people attending a
psychiatric clinic (Psychiatric Bulletin, December 2000,
24, 447-450). As a community adolescent mental health team we wondered
about the best way to address the people who were attending the unit. Between
February 2000 and May 2000 we conducted a small survey and wrote to 133 people
who had accessed the service and in response we received 42 replies. There
were a number of questions on the survey, but in answer to the question about
the preferred terminology to describe a patient/client the responses were as
follows:
The preference was slightly in favour of the term client as
opposed to patient, with very little preference for service user
or customer. It may be significant that our survey was only of clients between
the ages of 16 and 19 years, whereas in the Ritchie et al's study the
mean age was between 35 and 39 years. This might indicate a shift, which is
influenced by age and points to an emerging change in culture. Perhaps the
most significant finding was that only 42 clients out of 133 were sufficiently
exercised by questions of this sort to return the questionnaire in its postage
paid envelope. This question may be of more interest to professionals than
clients.