User involvement in the construction of a mental health charter: an exercise in communicative rationality?

Hodge, Suzanne

doi:10.1111/j.1369-7625.2009.00561.x

Cited by 15 publications

(27 citation statements)

References 18 publications

(10 reference statements)

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“…( , p. 55) Furthermore, a non‐judgemental approach, acknowledging people's views and experiences and considering the reasons behind behaviour rather than making a judgement were also identified. Research by Hodge highlighted the lack of ‘professional listening’ services and psychological therapies. Both Rush and Kemp found that service user involvement in the classroom provided student mental health nurses with the opportunity to see service users in recovery, rather than only in the in the acute stages of their illness, as would often be the case in placements in practice settings.…”

Section: Findings and Discussionmentioning

confidence: 99%

“…A person-centred approach Valued characteristics of person-centred care found in the sample of literature were empathy and respectful listening, 7,23-30 treating service users with dignity and/or respect, 25,[31][32][33][34] being respected as an individual 7,25,31,33,35 and trust. 36 Building a therapeutic relationship was considered important by Greaves 24 and Borg et al 5 who suggested that this required interest in and awareness of the service user's daily life and difficulties.…”

Section: Key Attributes Of the Concept Of Service User Involvementmentioning

confidence: 99%

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Service user involvement in mental health care: an evolutionary concept analysis

Millar

Chambers

Giles

2015

Health Expectations

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Section: Findings and Discussionmentioning

confidence: 99%

Section: Key Attributes Of the Concept Of Service User Involvementmentioning

confidence: 99%

Service user involvement in mental health care: an evolutionary concept analysis

Millar

Chambers

Giles

2015

Health Expectations

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“…Somewhat paradoxically, critically minded service users have capitalized on a distinctly consumerist turn in social policy attendant on neoliberal assertions of the primacy of individualism and personal choice. A consumerist framing perhaps explains both the general lack of transformative impact of what passes for standard user involvement initiatives (see Suzanne Hodge , ) and the ever present hazard of co‐option. Cooke & Kothari () view such participation as akin to a new form of tyranny, too readily incorporated into established systems of governance and control.…”

Section: Listening For a Squawk Of Resistancementioning

confidence: 99%

Care planning: a neoliberal three card trick

McKeown

Wright

Mercer

2017

Psychiatric Ment Health Nurs

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Introduction The three card game, sometimes called find the queen, is a classic confidence trick, typically taking place on an impromptu table top, set up on pavement or street corner. The tricksters usually operate in teams, pulling in punters and 'losing' games with their fellows to persuade prospective speculators the game is winnable. For our titular purposes the three card trick serves as a metaphor for broader deceits. We are concerned with how well-meaning mental health nurses can enter into a set of apparently rational practices, insisted upon by policy and protocol, seemingly motivated by ideals of care and protection from harm, yet functioning to destroy the very essence of what it might mean to be a caring, progressive practitioner by contributing to a mutuality of alienation that, at the relational level, is the opposite of what services intend to achieve. This may prove to be the case because an external confidence trickster (neoliberalism) is actually in charge, and the real function of the game serves other ends. The whole point of the game is that genuine players can never win, and for the trickster to triumph it is necessary that these punters are willing, gullible and in most circumstances accept losses without too much fuss. When the losers do not go quietly this is referred to in the argot of the con as 'squawking', and personnel are deployed on the periphery to ensure any squawk is minimised. Various strategies can be used to 'cool out the mark', and are analogous to the means by which people are assisted to adjust to life's disappointments in other contexts, including encounters with priests or sundry psy-professionals (Goffman 1952; McKeown et al. 2013). This commentary paper seeks to provoke nursing out of its state of gullibility and self-deception even if this involves painful reflection on the losses inherent in our collective game of mental health care. If we are to defend the importance of mental health nursing we must think more critically about our complicity within oppressive systems of control and do something about it. There is a lengthy critical tradition to draw on. We urge mental health nurses to squawk, asserting a more recalcitrant and rebellious standpoint, preferably in alliance with service users, refusers and survivors. Acknowledging the constraints upon nursing's agency, deficits of power, and structural disadvantage need not default to impotence and inaction: collective resistance is always possible, however difficult the circumstances. The set up: our argument in a nutshell First, we provide a critique of Neoliberalism and consequences for mental health and mental health care. Second we indicate how this might be remedied via democratisation. Care planning can be located within a wider panoply of administrative tasks that implicitly service social governance functions acceded to psychiatry from neo-liberalism under risk society (Beck 1992). We are, thus, concerned with questions of power and control in both society and the management of care and how these are worked ...

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“…Habermas's 24,25 communicative action theory was drawn on to make sense of this, and has been similarly deployed regarding involvement initiatives in mainstream mental health settings. [26][27][28] For Habermas, change is driven by communication and forms of deliberative, participatory democracy. Ideally, participants should enter into these interactions with equal power, respect and open minds.…”

Section: Involvement Practices In Secure Settingsmentioning

confidence: 99%

It's the talk: a study of involvement initiatives in secure mental health settings

McKeown

Jones²,

Wright

et al. 2014

Health Expectations

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BackgroundA study of involvement initiatives within secure mental health services across one UK region, where these have been organized to reflect alliances between staff and service users. There is little previous relevant international research, but constraints upon effective involvement have been noted.ObjectiveTo explore and evaluate involvement initiatives in secure mental health settings.DesignA case study design with thematic analysis of qualitative interviews and focus groups.Setting and participantsData collection was carried out between October 2011 and February 2012 with 139 staff and service users drawn from a variety of secure mental health settings.FindingsOur analysis offers four broad themes, titled: safety and security first?; bringing it all back home; it picks you up; it's the talk. The quality of dialogue between staff and services users was deemed of prime importance. Features of secure environments could constrain communication, and the best examples of empowerment took place in non‐secure settings.DiscussionKey aspects of communication and setting sustain involvement. These features are discussed with reference to Jurgen Habermas's work on communicative action and deliberative democracy.ConclusionsInvolvement initiatives with service users resident in secure hospitals can be organized to good effect and the active role of commissioners is crucial. Positive outcomes are optimized when care is taken over the social space where involvement takes place and the process of involvement is appreciated by participants. Concerns over risk management are influential in staff support. This is germane to innovative thinking about practice and policy in this field.

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User involvement in the construction of a mental health charter: an exercise in communicative rationality?

Abstract: Background This paper uses Ju¨rgen HabermasÕs Theory of Communicative Action as a lens through which to examine the development of a local mental health charter.

Cited by 15 publications

References 18 publications

Service user involvement in mental health care: an evolutionary concept analysis

Service user involvement in mental health care: an evolutionary concept analysis

Care planning: a neoliberal three card trick

It's the talk: a study of involvement initiatives in secure mental health settings

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