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Acute solutions and beyond: lessons on service users involvement
- Author:
- LEA Laura
- Journal article citation:
- Journal of Mental Health Workforce Development, 1(2), 2006, pp.34-37.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article describes how service user involvement at all levels can offer a different route for the provision of good quality care for people experiencing mental distress. Taking examples of service users involvement in the acute solutions project, from the Sainsbury Centre for Mental Health, the paper demonstrates how effective involvement can bring about measurable change in service provision and patient satisfaction. Examining the benefits, barriers to, and practicalities of service users involvement, it is argued that placing involvement at the centre offers solutions to the persistent problems found in mental health services. Workers who value and facilitate effective service user involvement enable social inclusion, change service users' status and enrich their own lives and practice.
Lambeth joint mental health strategy: services for adults with mental health problems
- Author:
- LAMBETH. Social Services Department
- Publisher:
- Lambeth. Social Services Department
- Publication year:
- 2002
- Pagination:
- 35p.
- Place of publication:
- London
This joint strategy for adults with mental health problems was launched in April 02. The strategy sets out a clear direction for the continuing development and improvement of mental health services in Lambeth and was developed in partnership by statutory, voluntary and user organisations. The strategy is set in the context of the National Service Framework for Mental Health, the NHS Plan and the Local Modernisation Review.
First year strategy for NIMHE: meeting the implementation challenge in mental health
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH IN ENGLAND
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 21p.
- Place of publication:
- London
The NIMHE is a new organisation based within the modernisation agency of the Department of Health. Its aim is to provide the quality of life for people of all ages who experience mental distress. Working beyond the NHS, the MIME provides a gateway to learning and development, through the establishment of local centres and national programmes of work.
Medication, healing and resistance in East Malaysia
- Author:
- CRABTREE Sara Ashencaen
- Journal article citation:
- Mental Health Religion and Culture, 8(1), March 2005, pp.17-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper considers some findings from an ethnographic study of psychiatric patients in hospital care in East Malaysia. The subject of treatment is considered with regard to professional attitudes towards patient 'compliance' and the demonstration of resistance by users within a multicultural context in which traditional healing continues to be a popular alternative to biomedicine. 'Resistance' here is used in its literal meaning, rather than as an abstract, theoretical construct. The narratives of Malaysian patients in relation to resisting treatment in this study form some direct comparisons with, for example, the quotes from service users on the topic of medication, 'control and coercion' in the UK. Resistance to treatment then is interpreted by staff as the outcome of sickness behaviour, which frequently results in coercive strategies. The undisputed power of the medical profession in Malaysia has contributed to the lack of an evolved 'service-user' perspective in which few patient rights are recognised, especially non-treatment. These responses remain embedded in a paternalistic and custodial attitude that does not acknowledge issues of spirituality or alternative healing practices that are important to hospitalised patients. Modernisation of services have not led to a parallel development with regard to patient participation or in terms of appropriate cultural responses. It is concluded that until this takes place professionals will continue to ignore the personal meaning users attach to treatment resistance.
In-patient psychiatric care for individuals with intellectual disabilities: the service users' and carers' perspectives
- Authors:
- LONGO Silvia, SCIOR Katrina
- Journal article citation:
- Journal of Mental Health, 13(2), April 2004, pp.211-221.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Little is known about the experiences of individuals with intellectual disabilities and additional mental health problems who are admitted for inpatient psychiatric care. In the UK such care is delivered in both generic psychiatric and specialised treatment settings. The present study explored service users' and carers' views on in-patient psychiatric treatment received across these two settings. Thirty service users and wherever possible their main carers were interviewed about their views on the psychiatric admission, treatment and discharge process. Data was gathered during semi-structured, one-to-one interviews. Both service users and carers identified positive and negative aspects of the psychiatric admission. For service users lack of control and information, support from staff, or conversely its absence emerged as key themes. For carers concerns about service users' vulnerability, negative staff attitudes and opportunities for involvement emerged as key themes. The accounts of both groups regarding generic psychiatric settings were predominantly negative. In contrast, specialized settings were frequently described as providing a pleasant environment, supportive and caring staff, good information sharing and satisfactory discharge arrangements. Important areas for service improvements are highlighted. Implications in particular for generic settings are considered.
Breaking the circles of fear: a review of the relationship between mental health services and African and Caribbean communities
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2002
- Pagination:
- 102p.,bibliog.
- Place of publication:
- London
The key findings of this report include the following. Mainstream services are experienced as inhumane unhelpful and inappropriate by black people. The care pathways are problematic. Primary care is limited and community based crisis care is lacking. There is a divergence in professional and lay discourse about mental illness. Service user, family and carer involvement is lacking. Black led initiatives are not valued. The feeling of stigma is wide spread.
Being there in a crisis: a report of the learning from eight mental health crisis services
- Editors:
- FAULKNER Alison, PETIT-ZEMAN Sophie, SHERLOCK Joanne, WALLCRAFT Jan
- Publisher:
- Mental Health Foundation,|Sainsbury Centre for Mental Health
- Publication year:
- 2002
- Pagination:
- 89p.,bibliog.
- Place of publication:
- London
Report demonstrates the value of partnerships between mental health users and providers in the development of community-based crisis services. Service users and the user movement have been calling for 24 access to care and admissions . Most of the services reported were strongly led, staffed or supported by service users or those with personal experience of crisis.
Meeting of minds: best practice case studies in mental health services
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH
- Publisher:
- National Institute for Mental Health
- Publication year:
- 2002
- Pagination:
- 46p.
- Place of publication:
- London
Contains examples of best practice of partnership working in the implementation of mental health policy. The establishment of the National Institute for Mental Health presents an opportunity to reshape services and practice in line with the evidence base. The 'Meeting of minds' project represents some of the wide range of joint NHS and industry initiatives that have been developed through the foresight of those working in mental health.
Working for excellence in mental health services: a complete set of all the current executive briefings
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2000
- Place of publication:
- London
Eleven briefing papers: keys to engagement, review of services; open all hours, twenty four hour response for emergencies; implications of the consultation paper 'partnership in action'; acute problems; briefing on the new mental health strategy; a first class mental health service; conclusions of the first annual mental health forum; national service framework for mental health; taking your partners, using interagency cooperation; finding and keeping, review of recruitment and retention; implications of the NHS plan.