Abstract

Aims and methodThe level of reading ability required to understand written information about key mental health issues designed for service users is examined. Information was taken from four reputable internet sources and analysed for readability. The relevant literature in relation to psychiatric patients and literacy is reviewed and potential solutions are proposed.ResultsA considerable proportion of the available information has a reading age at or above 14 years. Some organisations appear better than others in providing information at a more appropriate level of reading ability.Clinical implicationsWritten information aimed at users of psychiatric services may not take into account that they are more likely to have impaired reading ability, even though they might not have an identified intellectual disability. Professionals who develop written materials can use tools in word processing software to assist with the appropriate development of these materials. Information technology could in the future provide information directed at users of psychiatric services that does not rely so heavily on written material.

Highlights

  • There were 34 patient information leaflets from three sources and 15 leaflets devoted to explaining the Mental Health Act from the Department of Health

  • There was considerable variation in the range of FleschKincaid Grade Level in information about mental health issues designed for users from three sources: 10 years when material designed for service users with intellectual disability was included and 5.7 years when this material was excluded

  • For the Royal College of Psychiatrists, average Flesch-Kincaid grade was 7.6 and increased slightly to 8 when the Patient literacy should be the concern of every healthcare organisation and healthcare professional, not just those working with patients with identified intellectual disabilities

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Summary

Results

There was considerable variation in the range of FleschKincaid Grade Level in information about mental health issues designed for users from three sources: 10 years when material designed for service users with intellectual disability was included and 5.7 years when this material was excluded. The average Flesch-Kincaid Grade Level for NHS Direct was 10.5 and for Mind it was 10.2; both equate to a reading age of 15-16 years. For the Royal College of Psychiatrists, average Flesch-Kincaid grade was 7.6 and increased slightly to 8 (reading age 12-13 years) when the

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