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Discrimination against people with a mental health diagnosis: qualitative analysis of reported experiences
- Authors:
- HAMILTON Sarah, et al
- Journal article citation:
- Journal of Mental Health, 23(2), 2014, pp.88-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Aims: The study explores experiences of reported discrimination described by mental health service users in a national survey in England. Method: Structured telephone interviews were conducted with 537 mental health service users, randomly selected from five National Health Service Trusts in England. Interviews asked about experiences of discrimination in different life areas. Twenty-three interviews were audio-recorded and qualitatively analysed to develop a typology of discrimination experiences. Results: Seven types of discrimination experiences were identified: organisational decisions; mistreatment; social distancing; stereotyping; lack of understanding; dismissiveness; and over-protectiveness. Conclusions: Discrimination should be understood as occurring within social relationships and influenced by expectations of contact within these relationships. A better understanding of these processes can help target more effective messages in anti-discrimination campaigns. (Edited publisher abstract)
The role of family carers in the use of personal budgets by people with mental health problems
- Authors:
- HAMILTON Sarah, et al
- Journal article citation:
- Health and Social Care in the Community, 25(1), 2017, pp.158-166.
- Publisher:
- Wiley
Personal budgets aim to increase choice and independence for people with social care needs but they remain underused by people with mental health problems compared to other disability groups. The use of personal budgets may impact on families in a variety of ways, both positive and negative. This paper draws on interviews, undertaken in 2012–2013 with 18 family carers and 12 mental health service users, that explored experiences of family involvement in accessing and managing personal budgets for a person with mental health-related social care needs. The sample was drawn from three sites across England, with additional carers being recruited via voluntary sector networks. The authors' findings show that for many people with severe mental health needs who lack motivation and confidence to negotiate access to personal budgets, carers may provide the necessary support to enable them to benefit from this form of social care support. The role carers may play in initiating, pursuing and maximising the level of support available through personal budgets is illustrated.. However, some carers interviewed considered that personal budget funding was reduced because of practitioners’ assumptions about carers’ willingness and ability to provide support. The authors also report perceived tensions between family carers and practitioners around appropriate involvement in decision-making. The study findings have implications for local authorities, practitioners and family carers in supporting the involvement of family carers in support for people with severe mental health problems. (Edited publisher abstract)