Empowerment versus power: consumer participation in mental health services

Honey, Anne

doi:10.1002/oti.101

Cited by 27 publications

(19 citation statements)

References 22 publications

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“…Similarly, from Connor's (1999, p. 81) personal consumer perspective, consumers felt that ‘their experience of mental illness and the expertise gained because of this experience while sometimes noted is not usually valued, or even believed’. In Honey's (1999, p. 270) study, mental health consumers acknowledged that having their voices heard and their contributions valued was associated with an increase in confidence and self‐esteem. Honey (1999, p. 270) also noted that ‘consumers have a great deal of knowledge which should not be discounted because it is different in character from the knowledge of health workers’.…”

Section: Discussionmentioning

confidence: 98%

“…In Honey's (1999, p. 270) study, mental health consumers acknowledged that having their voices heard and their contributions valued was associated with an increase in confidence and self‐esteem. Honey (1999, p. 270) also noted that ‘consumers have a great deal of knowledge which should not be discounted because it is different in character from the knowledge of health workers’.…”

Section: Discussionmentioning

confidence: 98%

“…There have been several studies that have explored perspectives of service users and clinicians on consumer participation and collaboration that have identified similarities and differences in experiences and highlighted potential barriers and facilitators (e.g. Goodwin & Happell 2008;Honey 1999;Roper & Happell 2007). Other studies have focused on consumer participation in planning and service delivery at the broader agency/ organization level or have explored the attitudes and viewpoints of a primarily clinical rather than consumer participant group (McCann et al 2008;Wellard et al 2003).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Collaboration between mental health consumers and nurses: Shared understandings, dissimilar experiences

McCloughen

Gillies

O’Brien

2011

International Journal of Mental Health Nursing

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Adopting a collaborative approach within clinical relationships is illustrative of consumers' and nurses' positive beliefs, values, and attitudes towards each other and their partnership. However, for collaboration to be successful, how roles are determined, how each partner relates to the other, and how decisions are to be made need to be clearly defined and agreed upon. The research study described here utilized a mixed-method approach comprising focus groups and surveys to explore the subjective understandings, attitudes, and experiences of consumer-nurse collaboration within a mental health rehabilitation context in order to more clearly determine the conditions for successful nurse-consumer collaboration. The study found that although consumers and nurses conceptualized collaboration in similar ways, their lived experiences were disparate. A key finding of the study was that mutual recognition of each others' knowledge and expertise is needed for successful collaboration. The study reinforced the need for consumers and nurses to establish common ground on which to collaborate and to articulate the behaviours and expectations of working collaboratively. While collaboration was acknowledged as a significant and desirable basis for therapeutic relationships, it was challenged by determinants of power, such as knowledge, information, and expertise.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Collaboration between mental health consumers and nurses: Shared understandings, dissimilar experiences

McCloughen

Gillies

O’Brien

2011

International Journal of Mental Health Nursing

View full text Add to dashboard Cite

show abstract

“…; Roper & Happell ). Moreover, studies have found that consumer leaders in mental health organizations may be ambivalent about assuming power for fear that their views and concerns may not represent those of consumers at large (Honey ; Happell & Roper ).…”

Section: Introductionmentioning

confidence: 99%

Emergent leadership among tenants with psychiatric disabilities living in supported housing

Piat

Sabetti

Padgett

2017

Int J Mental Health Nurs

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The overall aim of this study was to explore the experiences of people with psychiatric disabilities living as tenants in independent, supported apartments for the first time. Supported housing provides an alternative to structured, custodial housing models, such as foster homes, or board-and-care homes, for clients in public mental health systems. This article reports findings on how leadership emerged among tenants after making the transition from custodial to supported housing. Semi-structured interviews were conducted with tenants (n = 24) and included questions on their housing history, current living situation, relationships with staff, participation, and understanding or experience of leadership. Interviews were transcribed verbatim, codes generated, and a thematic analysis conducted using a constructivist approach. The findings revealed an understanding and appreciation of leadership among tenants, who identified six pathways to leadership in their housing as a response to unmet tenant needs. Most tenant leaders emerged outside of formal authority or power structures. Supported housing provides a unique social setting and empowering community where the potential of persons with psychiatric disabilities to assume leadership may be realized and further developed. Mental health professionals working in community housing networks are well placed to harness these face-to-face tenant communities, and their natural leaders, as an additional tool in promoting tenant recovery, mutual help, neighbourhood integration, and the broader exercise of citizenship.

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“…Townsend (1998) asked if institutions have the ability and the will to introduce radically different ways of managing, so that hierarchies can be set aside to make client empowerment a reality. Client empowerment, autonomy and participation can only be achieved 'out there', in the community, so it should be a task for society and institutions as well as for individuals (Townsend, 1998;Honey, 1999). One could discuss to what extent occupational therapists can steer an institution's concept of care in the direction of client-centred or client-demanded care.…”

Section: Discussionmentioning

confidence: 97%

Promoting autonomy of the client with persistent mental illness: A challenge for occupational therapists from The Netherlands, Germany and Belgium

Granse

Kinébanian

Josephsson

2006

Occupation Therapy Intl

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The aim of this study was to determine how occupational therapists from The Netherlands, Germany and Belgium promote the autonomy of clients with persistent mental illness. Sixty occupational therapists working in psychosocial mental health completed two semi-structured questionnaires. Data were analysed by applying the constant comparative method. The results of the study show the importance of handling motivation in relation to personal autonomy and the different strategies occupational therapists use in promoting autonomy. In conclusion, enhancing clients' personal autonomy will empower and help them to discover meaningful occupations. More in-depth information could have been obtained using an interview in combination with observations. Further research is needed to evaluate the effectiveness of strategies used by occupational therapists in promoting clients' autonomy.

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Empowerment versus power: consumer participation in mental health services

Abstract: Consumer participation is regarded as increasingly important in the

Cited by 27 publications

References 22 publications

Collaboration between mental health consumers and nurses: Shared understandings, dissimilar experiences

Collaboration between mental health consumers and nurses: Shared understandings, dissimilar experiences

Emergent leadership among tenants with psychiatric disabilities living in supported housing

Promoting autonomy of the client with persistent mental illness: A challenge for occupational therapists from The Netherlands, Germany and Belgium

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