Exploring the concept of user involvement in mental health through a participation continuum

Abstract

Sammendrag:Artikkelen belyser hvordan man kan implementere brukermedvirkning i større grad i psykisk helsearbeid.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.

Empowerment versus power: consumer participation in mental health services

“…If particular staff members are not receptive to consumer input, then important consumer viewpoints may be ignored. Staff attitudes were cited by participants in the study as a major barrier to consumer participation and this has been verified in other research (Hickey and Kipping, 1998).…”

“…I mean, if they want to come along and chat about what's good, bad or indifferent for them, people are not so concerned these days because it's not really affecting them directly. Hickey and Kipping (1998) describe a participation continuum, which ranges from 'information and explanation' through 'consultation' to 'partnership' and finally 'user control'. The first two levels reflect a 'consumerist' approach, where users are empowered by their ability to choose between services and to provide feedback to services.…”

“…There is an increasing body of literature which advocates consumer participation in the planning and delivery of health services in general (for example, Barnes and Wistow, 1992b) and mental health services in particular (for example, Stroul, 1989;Burgess and Burns, 1990;WHO, 1990;Pyke et al, 1991;Woodside, 1991;Everett and Nelson, 1992;Hanson and Rapp, 1992;Clark et al, 1993;Hickey and Kipping, 1998). The importance of a system of service delivery that focuses on consumer needs has also achieved prominence in the Australian healthcare system (NSW Department of Health, 1995), and in the mental health system specifically (Australian Health Ministers, 1992;Human Rights & Equal Opportunity Commission, 1993).…”

Developing a ‘critical’ approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?

“…48 These have been linked with influencing different types of user involvement in public sector organizations. 49 With the managerialist ⁄ consumerist approach, Beresford has argued that methods of involvement have been framed mainly in market research terms of Ôimproving the productÕ and through market testing and feedback, based upon data collection methods and consultation designed to improve service provision on the basis of consumer or customer intelligence. 31 In contrast, the democratic ⁄ liberational approach emphasizes direct involvement of users in the decision-making process and broader democratization at a community level.…”

“…31 In contrast, the democratic ⁄ liberational approach emphasizes direct involvement of users in the decision-making process and broader democratization at a community level. 49 Beresford 31 argues that this approach focuses on people having more say in organizations that impact upon them and on being able to exert more control over their lives.…”