The processes and context of innovation in mental healthcare: Oxfordshire as a case study

Hall, John; Armstrong, Neil; Agulnik, Peter; Fees, Craig; Kennard, David; Leach, Jonathan; Millard, David

doi:10.1177/0957154x221140736

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…As exemplified by Turner et al (2015), we make our argument through reflective analysis of personal experience, oral-historical material, and archival and published sources. As set out in the introductory paper (Hall et al, 2023), the research methodology grew piecemeal in an unplanned way from a range of encounters spread over a number of years, in which the authors who formed the research group had met one another in work settings. This led to a common view that what they had observed as having taken place in Oxford in the defined period of time was of interest, and should be recorded as examples of innovative practice and known more widely.…”

Section: Methodsmentioning

confidence: 99%

Innovation in mental health care: Bertram Mandelbrote, the Phoenix Unit and the therapeutic community approach

Millard¹,

Agulnik²,

Armstrong

et al. 2022

Hist Psychiatry

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Bertram Mandelbrote was Physician Superintendent and Consultant Psychiatrist at Littlemore Hospital in Oxford from 1959 to 1988. A humane pragmatist rather than theoretician, Mandelbrote was known for his facilitating style of leadership and working across organisational boundaries. He created the Phoenix Unit, an innovative admission unit run on therapeutic community lines which became a hub for community outreach. Material drawn from oral histories and witness seminars reflects the remarkably unstructured style of working on the Phoenix Unit and the enduring influence of Mandelbrote and fellow consultant Benn Pomryn’s styles of leadership. Practices initiated at Littlemore led to a number of innovative services in Oxfordshire. These innovations place Mandelbrote as a pioneer in social psychiatry and the therapeutic community approach.

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Section: Methodsmentioning

confidence: 99%

Innovation in mental health care: Bertram Mandelbrote, the Phoenix Unit and the therapeutic community approach

Millard¹,

Agulnik²,

Armstrong

et al. 2022

Hist Psychiatry

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“…From this, it follows that health is not only the absence of disease, which goes without saying, but also the strength, and stability of a person, his ability to adapt to a wide variety of living conditions and situations, as well as his adequacy, which is most significant in the ideas of mental health, and social health (Hall et al 2023). Today, it is already a fact that a person's health depends, first of all, on the measure of his efforts to maintain and strengthen health (Krifa et al 2022).…”

Section: Literature Reviewmentioning

confidence: 99%

Formation of health-saving competencies as a personal resource in conditions of prolonged traumatization

Overchuk,

Afanasieva,

Kovalova

et al. 2023

Multidiscip. Sci. J.

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The article deals with the problem of the formation of health-saving competencies as a personal resource in conditions of prolonged traumatization. The issue is relevant because of the numerical and qualitative growth of cases when people face long periods of traumatization due to various factors, such as illness, difficulties in family and social relationships, loss of working ability, and so on. The authors analyzed existing studies on this issue, identified innovative approaches to forming health-saving competencies, and identified priority areas for further development. Methods and practical recommendations for improving health-saving competence within the framework of rehabilitation programs are described, including interventions aimed at loss awareness, emotional regulation, and stress management. The study's results can be helpful for specialists in the field of psychology, pedagogy, and social work involved in rehabilitating people experiencing prolonged trauma and can also be used for further research in this area and the development of new approaches to the formation of health-saving competencies.

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Happenstance and regulatory culture: the evolution of innovative community mental health services in Oxfordshire in the late twentieth century

Armstrong

Agulnik²

2022

Hist Psychiatry

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This paper uses co-produced historical material to explore the evolution of two innovative mental healthcare institutions that emerged in Oxfordshire in the 1960s. We highlight how the trajectories of both institutions were driven by chance events occurring within social environments, rather than emerging out of evidence or policy initiatives. Both institutions found a role for spontaneity and an openness to chance in the way they worked. We argue that this kind of institutional history would be unlikely today; the paper develops and uses the concept of regulatory culture to explain why. We suggest that the role of regulatory culture has been neglected in the history of psychiatry.

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The processes and context of innovation in mental healthcare: Oxfordshire as a case study

Cited by 6 publications

References 34 publications

Innovation in mental health care: Bertram Mandelbrote, the Phoenix Unit and the therapeutic community approach

Innovation in mental health care: Bertram Mandelbrote, the Phoenix Unit and the therapeutic community approach

Formation of health-saving competencies as a personal resource in conditions of prolonged traumatization

Happenstance and regulatory culture: the evolution of innovative community mental health services in Oxfordshire in the late twentieth century

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