Qualified nurses' lived experience of violence perpetrated by individuals suffering from enduring mental health problems: a hermeneutic study

1999 ◽  
Vol 36 (2) ◽  
pp. 105-116 ◽  
Author(s):  
John R Cutcliffe
2021 ◽  
Author(s):  
Prisha Shah ◽  
Jackie Hardy ◽  
Mary Birken ◽  
Una Foye ◽  
Rachel Rowan Olive ◽  
...  

Purpose: We sought to understand how the experiences of people in the UK with pre-existing mental health conditions had developed during the course of the COVID-19 pandemic. Methods: In September-October 2020 we interviewed adults with mental health conditions pre-dating the pandemic whom we had previously interviewed three months earlier. Participants had been recruited through online advertising and voluntary sector community organisations. Interviews were conducted by telephone or video-conference by researchers with lived experience of mental health difficulties and explored changes over time in experiences of participants of the pandemic. Results: We interviewed 44 people, achieving diversity of demographic characteristics and a range of mental health conditions and service use among our sample. Three overarching themes were derived from interviews. The first theme Spectrum of adaptation: to difficulties in access to, or the quality of, statutory mental health services, through developing new personal coping strategies or identifying alternative sources of support. The second theme is Accumulating pressures: from pandemic-related anxieties and sustained disruption to social contact and support, and to mental health treatment. The third theme Feeling overlooked: A sense of people with pre-existing mental health conditions being overlooked during the pandemic by policy-makers at all levels. The latter was compounded for people from ethnic minority communities or with physical health problems. Conclusion: Our study highlights the need to support marginalised groups who are at risk of increased inequalities, and to maintain crucial mental and physical healthcare and social care for people with existing mental health conditions, notwithstanding challenges of the pandemic.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250367
Author(s):  
Ada Hui ◽  
Stefan Rennick-Egglestone ◽  
Donna Franklin ◽  
Rianna Walcott ◽  
Joy Llewellyn-Beardsley ◽  
...  

Background Institutional injustice refers to structures that create disparities in resources, opportunities and representation. Marginalised people experience institutional injustice, inequalities and discrimination through intersecting personal characteristics and social circumstances. This study aimed to investigate sources of institutional injustice and their effects on marginalised people with experience of mental health problems. Methods Semi-structured interviews were conducted with 77 individuals from marginalised groups with experience of mental health problems, including psychosis, Black, Asian and minority ethnic (BAME) populations, complex needs and lived experience as a work requirement. These were analysed inductively enabling sensitising concepts to emerge. Findings Three processes of institutional injustice were identified: not being believed because of social status and personal backgrounds; not being heard where narratives did not align with dominant discourses, and not being acknowledged where aspects of identity were disregarded. Harmful outcomes included disengagement from formal institutions through fear and mistrust, tensions and reduced affiliation with informal institutions when trying to consolidate new ways of being, and damaging impacts on mental health and wellbeing through multiple oppression. Conclusions Institutional injustice perpetuates health inequalities and marginalised status. Master status, arising from dominant discourses and heuristic bias, overshadow the narratives and experiences of marginalised people. Cultural competency has the potential to improve heuristic availability through social understandings of narrative and experience, whilst coproduction and narrative development through approaches such as communities of practice might offer meaningful avenues for authentic expression.


Author(s):  
Sonya Stanford ◽  
Nina Rovinelli Heller ◽  
Elaine Sharland ◽  
Joanne Warner ◽  
Gerry Bennison ◽  
...  

Author(s):  
Martin Knapp

Mental health problems have a number of complex characteristics: incidence often early in life, but symptoms that can last for decades; considerable distress to individuals and also challenges for their families; social and economic exclusion, including discrimination in employment and other areas; premature mortality, particularly through suicide; and elevated risks of violent or acquisitive crimes. Policies must respond to these challenges to protect rights, pursue efficiency in resource use, and aspire to social justice. The chapter looks at the main drivers of mental health problems and their consequences, which often spread widely across many sectors. The main dimensions of a good policy are discussed: a life-course perspective; commitment to primary prevention; promotion of co-ordinated multi-sector efforts; eradication of stigma and discrimination; involvement of families and communities; and, most importantly, giving individuals with lived experience of mental illness as many opportunities, choice, and control as possible, given their circumstances and health.


2014 ◽  
Vol 9 (4) ◽  
pp. 207-214
Author(s):  
Naomi Russell ◽  
Jennifer Taylor

Purpose – The purpose of this paper is to describe the work of the Children and Young People's Programme of Time to Change, which is England's biggest campaign to end the stigma and discrimination that surrounds mental health. Design/methodology/approach – The paper draws upon research into the nature and effects of mental health stigma and discrimination on young people and also outlines the strategy of the Time to Change campaign and its initial outcomes. Findings – The paper includes testimonies from young people with lived experience of mental health problems about the stigma and discrimination they have faced. It also outlines the aims, objectives and stages of implementation of the Time to Change Children and Young People's Programme. The paper particularly focuses on the campaign work undertaken in secondary schools, the social leadership programme for young people with lived experience of mental health problems and the process of designing effective campaign messaging for social media. Originality/value – Time to Change is England's biggest campaign to end the stigma and discrimination that surrounds mental health. This paper provides a unique insight into the process of developing and rolling out an anti-stigma campaign for young people.


Author(s):  
Nisha Chauhan ◽  
Dawn Leeming ◽  
John Wattis

AbstractThe impact of employment for individuals with mental health problems is complex. However, research suggests that when support is provided for accessing employment and gaining roles and skills that are valued by others, a positive effect can be seen on recovery. Employment-related support can take many forms and there is a need for further research into the experience of accessing different kinds of services. The current paper examines the lived experience of 11 people participating in a UK social enterprise providing work experience, training, and skills development for those with mental health problems. Although ‘sheltered’, the organisational ethos strongly emphasised service-user empowerment, co-production, equality with staff, provision of valued social roles and person-centred support. Phenomenological analysis revealed that participants valued a sense of belonging and authentic relationships within the service, whilst being given the opportunity to rediscover an identity that may have been lost because of their mental health problem. However, participants also discussed how, although the service improved their self-value, some feared the ‘real world’ outside of the service and were unsure whether they would be met with the same support. Tensions between field dominant approaches in supported employment and the experiences and values of the participants are explored. We argue that the findings highlight the importance of a nurturing working environment and the value for recovery of a range of meaningful roles, beyond competitive employment.


2014 ◽  
Vol 18 (4) ◽  
pp. 188-197 ◽  
Author(s):  
Daniel Barrett ◽  
Janette Benson ◽  
Rhiannon Foster ◽  
Alan Leader

Purpose – The purpose of this paper is to describe the conceptual basis and development of Prosper: an emerging and evolving self-directed network and movement for people with lived experience of mental health problems in South West London. Design/methodology/approach – The conceptual principles from which Prosper emerged – co-production, recovery and social movement approaches – are outlined. The ways in which these ideas were translated into action, the guiding principles and operation of Prosper are then described. Findings – An evolving self-directed network and movement has been developed that comprises around 150 “members” and a wider network of 20 service user groups across South West London. As well as open forums, collective actions fall under the themes of “create” (peer support, outreach, campaigns, training) and “collaborate” (partnership working with user-led organisations and a Recovery College, peer support networks, supporting the development of personal health budgets and local commissioning, and consultancy). This network has initially been funded by South West London and St George's Mental Health Trust with a view to it becoming an independent entity. Originality/value – The innovative and evolving social network and movement for people with lived experience of mental health problems that is continuously influenced and changed by the skills, ideas and energy of its growing and developing membership could act as a useful model for others to follow.


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