Search results for ‘Subject term:"mental health problems"’ Sort:
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The future of critical psychiatry
- Author:
- HOPTON John
- Journal article citation:
- Critical Social Policy, 26(1), February 2006, pp.57-73.
- Publisher:
- Sage
This article outlines an agenda for critiques of psychiatry and other mainstream ideologies of mental health for the 21st century. While the heyday of anti-psychiatry was the period from the 1960s to the 1970s, new critiques of psychiatry, clinical psychology and psychotherapy continued to emerge throughout the last two decades of the 20th century. Some of these – not least those that emerged from the mental health service users’ movement – echoed the themes of earlier critics such as R. D. Laing and Thomas Szasz by questioning the legitimacy of diagnoses and therapeutic interventions. Others focused on anti-racist and/or feminist perspectives. This paper suggests that, in the wake of developments in biological psychiatry and socio-biology as well as clinical advances in psychopharmacology and the rise of Evidence Based Psychiatry, critical psychiatry has a new role. This role is less adversarial than that of the so-called anti-psychiatry of the 1960s and 1970s and less concerned with challenging basic assumptions about the causes of mental distress. The critical psychiatry of the 21st century can best serve the interests of service users by ensuring that service users’ rights to autonomy, fairness and freedom of choice are not overlooked due to a preoccupation with the science of Evidence Based Psychiatry.
Who do disabled people think they are?
- Author:
- FLETCHER Agnes
- Journal article citation:
- New Bulletin, 355, November 2005, pp.19-21.
- Publisher:
- Royal Association for Disability and Rehabilitation
In 2004 the Disability Rights Commission commissioned some research questions which asked disabled people about the impact their condition had on them, what they feel and say about it and their attitudes towards disability discrimination and disability rights. The study highlighted three groups - the 'unaffected', the 'dealing', the 'hiding' and the 'bothered'. The article highlights the priorities for the Disability Rights Commission in terms of targeting its information and finding the right way to talk to people.
Service users' perspectives on housing and support
- Author:
- SWANSTON Kenny
- Journal article citation:
- Mental Health Review, 3(3), September 1998, pp.14-16.
- Publisher:
- Pier Professional
Describes the principles and features of housing and support which are valued by mental health service users in Fife, Scotland.
Older people's sadness: a study of older people with depression
- Authors:
- CHESTER Rosie, SMITH Jef
- Publisher:
- Counsel and Care
- Publication year:
- 1995
- Pagination:
- 63p.,bibliog.
- Place of publication:
- London
Report challenging current thinking about the needs of depressed older people.
Guidelines for a local charter for users of mental health services
- Author:
- GREAT BRITAIN. Department of Health. National Health Service Executive. Mental Health Task Force Users Group
- Publisher:
- Great Britain. Department of Health. National Health Service Executive. Mental H
- Publication year:
- 1994
- Pagination:
- 14p.,bibliog.
- Place of publication:
- London
Guidelines developed from consultation with users and service providers. Designed as a framework for local people to discuss and adapt to create local charters.
Community treatment orders and social factors: complex journeys in the mental health system
- Authors:
- HAYNES Philip, STROUD Julia
- Journal article citation:
- Journal of Social Welfare and Family Law, 41(4), 2019, pp.463-478.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Community Treatment Orders (CTOs) have developed rapidly in England and Wales to become a substantial legal intervention. Mixed methods were used to analyse CTOs as one intervention in a complex mental health system and its relationship with social factors. CTOs are used more than expected, with a high number of revocations and renewals. Less than half of CTOs are discharged on time. Service users experience multiple social disadvantages and isolation. They value the stability of a relationship with a care coordinator, but are ambivalent about medication, and can have negative feelings about coercion. Those experiencing recovery tend to initiate social activities, but have poor engagement in care plans, tribunals and reviews. CTOs reduce compulsory hospitalisation, but give rise to human rights issues in the community. Without major social investment to support those with chronic mental health conditions, CTOs may remain the best compromise to balance the demands and requirements of legal and health policy. (Edited publisher abstract)
Adult acute themed visit report: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 61
- Place of publication:
- Edinburgh
This report details findings from visits to 47 mental health admission wards providing care to adults across Scotland, which were conducted to find out whether people receiving care felt their rights were being respected, identify any good practice and provide recommendations for practice. The visits reviewed the care of 323 patients and spoke to 41 carers and hospital staff. The report summarises key findings in the areas of: hospital admission, feeling safe, care planning, recovery, peer support, discharge planning, activities, consent to treatment and advance statements. The report found positive and negative findings. It identifies improvements in the physical environment, found wards were taking a more recovery-focused approach, and also found more peer support workers in wards since the last themed visit. However, the report also identifies a number of areas for improvement. These included: level of safety, with almost one in five patients spoken to reporting feeling unsafe; access to activities, with fewer than half of patients spoken to said they had the opportunity to exercise; and delays in accessing social work services affecting discharge planning. A series of recommendations are included. (Edited publisher abstract)
‘When you haven't got much of a voice’: an evaluation of the quality of Independent Mental Health Advocate (IMHA) services in England
- Authors:
- NEWBIGGING Karen, et al
- Journal article citation:
- Health and Social Care in the Community, 23(3), 2015, pp.313-324.
- Publisher:
- Wiley
Given the context of increasing numbers of people detained under the Mental Health Act and heightened awareness of the potential for neglect and abuse in human services, statutory advocacy is an important safeguard supporting human rights and democratising the social relationships of care. This article reports findings from a national review of Independent Mental Health Advocate (IMHA) provision in England. A qualitative study used a two-stage design to define quality and assess the experience and impact of IMHA provision in eight study sites. A sample of 289 participants - 75 focus group participants and 214 individuals interviewed - including 90 people eligible for IMHA services, as well as advocates, a range of hospital and community-based mental health professionals, and commissioners. The research team included people with experience of compulsion. Findings indicate that the experience of compulsion can be profoundly disempowering, confirming the need for IMHA. However, access was highly variable and more problematic for people with specific needs relating to ethnicity, age and disability. Uptake of IMHA services was influenced by available resources, attitude and understanding of mental health professionals, as well as the organisation of IMHA provision. Access could be improved through a system of opt-out as opposed to opt-in. Service user satisfaction was most frequently reported in terms of positive experiences of the process of advocacy rather than tangible impacts on care and treatment under the Mental Health Act. IMHA services have the potential to significantly shift the dynamic so that service users have more of a voice in their care and treatment. However, a shift is needed from a narrow conception of statutory advocacy as safeguarding rights to one emphasising self-determination and participation in decisions about care and treatment. (Edited publisher abstract)
The right to take risks: service users' views of risk in adult social care
- Author:
- FAULKNER Alison
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 38p.
- Place of publication:
- York
Commissioned as part of a scoping programme on rights, responsibilities, risk and regulation in adult social care, this paper looks at service users' perspectives on issues concerning their right to decide about the risks they wish to take in their lives and on their right to be protected from risks. It is based on existing literature presenting the views or experiences of service users or disabled people and discussions with service users and disabled people from a range of different backgrounds and experiences. It presents the views of service users on risk, the balance between risk and benefits, rights, responsibility, and the role of regulation. It identifies additional risks and fears to those commonly identified by professionals and policy makers and notes that perceptions of risk and rights are significantly different for mental health service users.
User champions
- Author:
- THORP Samantha
- Journal article citation:
- Care and Health Guide, 27.11.02, 2002, pp.16-17.
- Publisher:
- Care and Health
Amid the controversy surrounding the draft Mental Health Bill, the questions of advocacy and the protection of users rights has assumed prominence. Currently there are no national requirements for an advocacy presence in every locality. Therefore service users are subject to a postcode lottery in terms of their ability to access an advocate.