Short contract student counselling in a neoliberal world

Gavin, Bea

doi:10.1080/14753634.2020.1713201

Cited by 2 publications

(3 citation statements)

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“…Managerialism is linked to the emergence and dominance of neoliberalism in Western countries, which is a partnership between government and market where market values are applied to the governance of areas such as healthcare, education, and welfare [ 40 ]. The emergence and growing proliferation of managerial discourse in health services occurred in the context of financial crises and increasing health demands in the 1980s and 1990s [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…The report states: “the measure of outcomes should be multidimensional, covering symptoms and disability” (p. 29). Disability is outlined in terms of “the symptoms of the individual consumer [and] … the consequences of the illness especially with regard to the ability of the consumer to function in the community and to maintain independence from the mental health services” (p. 29), reflecting a neoliberal focus on productivity and individual responsibility for health and wellbeing [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…The focus on the individual and their ‘deficits’ prioritises ‘fixing’ individuals and their relationships rather than the broader issues that affect mental health. Adversity is framed as “an individual matter which excludes the possibility that adversity could result from circumstances which require social rather than individual change” ([ 40 ], p. 13). The effect of this is that funding and action is focused on the individual and health services levels rather than on the broader forces affecting mental health.…”

Section: Resultsmentioning

confidence: 99%

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Mental health outcome measures in the Australian context: what is the problem represented to be?

et al. 2023

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Background There is growing interest in the use of routine outcome measures (ROM) in mental health services worldwide. Australia has been at the forefront of introducing ROM in public mental health services, with the aim of improving services and consumer outcomes. Methods An in-depth policy and document analysis was conducted using Carol Bacchi’s ‘What is the problem represented to be?’ approach to critically analyse the use of ROM. This approach was used to identify and analyse the problem representations relating to the need for, and the choice of, outcome measures in Australian public mental health services, and the potential consequences of policy and practice. Data included in the analysis were seven policy documents, four reports on the introduction of outcome measures in Australia, the Australian Mental Health Outcomes and Classifications Network website, and the content of the outcome measures themselves. Results Two dominant representations of the ‘problem’ were identified: 1) the ‘problem’ of mental health service quality and accountability, relating to the need for mental health outcome measures; and 2) the ‘problem’ of addressing deficits in biopsychosocial functioning of mental health consumers, which relates to the choice of outcome measures. Framing the ‘problem’ of mental health outcomes in these ways locates the problem within individual health providers, services, and consumers, ignoring the broader socioeconomic conditions underpinning mental health and effective service provision. Conclusions This critical analysis of the introduction and use of ROM in public mental health services in Australia highlights the need to consider the role of the social determinants of mental health, mental health service funding, and recovery-oriented care in ensuring services are meeting consumer needs and expectations. Broader governmental engagement is central to genuine change and opportunities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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