Discourses of service user involvement in meeting places in Norwegian community mental health care: a discourse analysis of staff accounts

Haugen, Lill Susann Ynnesdal; Envy, Andreas; Borg, Marit; Ekeland, Tor-Johan; Anderssen, Norman

doi:10.1080/09687599.2016.1139489

Cited by 6 publications

(16 citation statements)

References 33 publications

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“…The advisory group offered an arena for validation and reflexivity, by challenging professional terminology. Involving the advisory group in all steps of analysis and during interviews might have offered further possibilities to address this potential limitation (Ynnesdal Haugen et al, 2016).…”

Section: Limitations and Strengthsmentioning

confidence: 99%

First-person experiences of recovery in co-occurring mental health and substance use conditions

Brekke

Lien

Davidson

et al. 2017

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Purpose The purpose of this paper is to explore and describe experiences of recovery among people with co-occurring mental health and substance use conditions (co-occurring conditions) in a rural community in Norway. Design/methodology/approach In-depth individual interviews with eight persons with co-occurring conditions were conducted, audiotaped, transcribed and analysed using a phenomenological approach. This study is part of a research project investigating recovery orientation of services in a Norwegian district. Findings The analysis yielded four dimensions of recovery: feeling useful and accepted; coming to love oneself; mastering life; and emerging as a person. Insecure and inadequate housing and limited solutions to financial problems were described as major obstacles to recovery. Research limitations/implications Further research into the facilitation of recovery as defined by persons with concurrent disorders is needed, particularly regarding the facilitation of community participation. Practical implications This study supports an increased focus on societal and community factors in promoting recovery for persons with co-occurring conditions, as well as service designs that allow for an integration of social services and health care, and for collaboration among services. Social implications The results suggest that the community can aid recovery by accepting persons with co-occurring conditions as fellow citizens and welcoming their contributions. Originality/value The paper provides an enhanced understanding of how persons with co-occurring conditions may experience recovery.

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Section: Limitations and Strengthsmentioning

confidence: 99%

First-person experiences of recovery in co-occurring mental health and substance use conditions

Brekke

Lien

Davidson

et al. 2017

ADD

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“…The study shows that institutional thinking has been transferred to community mental health care when professionals come to pick up the user at the waiting room, unlock the doors, lead the conversation against goals, and care plans. One can ask if the users really are able to cooperate and make autonomous decisions if the professionals set the rules, and if professionals only ‘pretend’ co-determination directed at practicalities rather than involving users in fundamental decisions [ 48 ]. This is considered as tokenistic involvement when people are led to believe that their influence is greater than it actually is.…”

Section: Discussionmentioning

confidence: 99%

The right place? Users and professionals’ constructions of the place’s influence on personal recovery in community mental health services

Gjellebæk

2018

Int J Ment Health Syst

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BackgroundCurrent mental health policy emphasizes the importance of community-based service delivery for people with mental health problems to encompass personal recovery. The aim of this study is to explore how users and professionals construct the place’s influence on personal recovery in community mental health services.MethodsThis is a qualitative, interpretive study based on ten individual, semi-structured interviews with users and professionals, respectively. A discourse analysis inspired by the work of Foucault was used to analyze the interviews.ResultsThe findings show how place can be constructed as a potential for and as a barrier against recovery. Constructions of the aim of the services matter when choosing a place for the services. Further, constructions of user–professional relationships and flexibility are important in the constructions of an appropriate place for the services.ConclusionsThe aim of the service, the user–professional relationship, and flexibility in choosing place were essential in the participants’ constructions. To find “the right place” for mental health services was constructed as context-sensitive and complex processes of assessment and co-determination.Trial registration The study is approved by the Regional Committee for Medical Research Ethics, Norway (REK-Midt 2011/2057)

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“…Later, three of the co-researchers participated in one or more of the following phases: conducting the focus group interviews, taking part in important parts of the analysis, disseminating knowledge by communicating with the municipalities that were involved and by co-authoring publications. While the present analysis is based on focus group interviews with service users of staffed meeting places, another report from the project is based on focus group interviews with members of staff from several staffed meeting places (Ynnesdal Haugen, Envy, Borg, Ekeland, & Anderssen, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…Staff members were positioned as not always 'liking' the demands of service users but still accepting of democratic decisions. Both in the current analysis of service users' accounts and in the study based on staff accounts (Ynnesdal Haugen et al, 2016), concerns were raised about the future of public welfare arrangements with regard to economic matters.…”

Section: Discursive Constructions Of Meeting Places I) Public Welfarementioning

confidence: 99%

“…In this article, and based on staff accounts (Ynnesdal Haugen et al, 2016) in another article from the same project, service users were positioned as defending staffed meeting places and resisting pressures for responsibilisation. In short, responsibilisation could be described as a neoliberal process in which, for instance, state responsibility becomes viewed as the responsibility of individuals (O'Malley, 2009).…”

Section: I) Compensatory Public Welfare Arrangement Positioning Servimentioning

confidence: 99%

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A participatory discourse analysis of service users’ accounts of staffed meeting places in Norwegian community mental health care

Haugen¹,

Envy²,

Ekeland³

et al. 2018

Nordic Journal of Social Research

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Since the 1960s, deinstitutionalisation has been salient in mental health reforms across the West. In Norway, this culminated in the National Action Plan for Mental Health (1999-2008), where meeting places in community mental health care were deemed a prioritised strategy to counter social isolation among people in psychosocial hardships. However, during the same period in England, meeting places were beginning to be contested for could mean everything to the people who attend them by facilitating opportunities considered less accessible elsewhere in their everyday lives in a sanist civil society.

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Discourses of service user involvement in meeting places in Norwegian community mental health care: a discourse analysis of staff accounts

Cited by 6 publications

References 33 publications

First-person experiences of recovery in co-occurring mental health and substance use conditions

First-person experiences of recovery in co-occurring mental health and substance use conditions

The right place? Users and professionals’ constructions of the place’s influence on personal recovery in community mental health services

A participatory discourse analysis of service users’ accounts of staffed meeting places in Norwegian community mental health care

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