Employment status, aspirations and perceptions of support amongst psychiatric service users in Pavia, Italy

2009 ◽  
Vol 18 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Irene Cirillo ◽  
Pierluigi Politi ◽  
Elisa Rampi ◽  
Jenny Secker ◽  
Franca Brasia ◽  
...  
Keyword(s):  
Service User ◽  
Employment Status ◽  
Psychiatric Service ◽  
User Involvement ◽  
High Standard ◽  
Service Users ◽  
Face To Face ◽  
The Individual ◽  
The Uk ◽  
Further Development

SummaryAims – To describe the employment status of people using mental health service in Pavia, Italy; to explore their employment aspirations and perceptions of support to achieve these; and to test the feasibility of working with service users as researchers. Method – Face to face interviews carried out by two service user researchers with a consecutive sample of 200 service users attending the local psychiatric outpatient department using a translated version of a questionnaire developed for previous UK surveys. Results – A higher proportion of survey participants (42.5%) were in paid work compared to the UK, but 62.4% of those in work were dissatisfied with their employment. Amongst unemployed participants, 65.2% were interested in gaining employment but only 29.3% were receiving support to do so. Support was mainly limited to referral on to a generic disability organisation. The service user researchers carried out the survey to a high standard and reported benefits from undertaking the work. Conclusions – The results indicate a need in Pavia for specialist employment support using the Individual Placement and Support approach. Further development of service user involvement in research is indicated.

A scoping review of the literature on the involvement of service users in personality disorder services

2014 ◽  
Vol 31 (4) ◽  
pp. 233-243
Author(s):  
L. Montgomery ◽  
M. Donnelly
Keyword(s):  
Health Policy ◽  
Personality Disorder ◽  
Scoping Review ◽  
Service User ◽  
Mental Health Policy ◽  
User Involvement ◽  
Service Users ◽  
Service User Involvement ◽  
Review Of The Literature ◽  
Policy Makers

BackgroundService user involvement is receiving increasing support from mental health policy makers, service planners and research commissioners. However, we lack a good understanding of the nature and extent to which service users are involved in personality disorder (PD) services and the effects of involvement in these services.ObjectivesTo review and appraise published sources; increase understanding about service user involvement in PD services; and highlight knowledge gaps and related issues.MethodsA scoping review methodology was adopted. Data were ‘charted’ to illustrate the landscape of writings and views and a qualitative analysis synthesized the results in terms of key emergent themes.ResultsOnly a small amount of published work was identified with significant gaps in the literature. Effects were reported mostly in terms processes and emotional and practical benefits for service users. Emergent themes were wellness and health, recruitment and support for service users.ConclusionsThis scoping review uncovered a lack of published work despite service user involvement being a key strand of health policy. There is a need for outcomes-focused research regarding service user involvement. Successful user involvement in PD services requires attention to be focused on the context, recruitment, support and ‘wellness’ of service users.

scholarly journals Service user involvement in cancer care: the impact on service users

2010 ◽  
Vol 14 (2) ◽  
pp. 159-169 ◽  
Author(s):  
Phil Cotterell ◽  
Gwen Harlow ◽  
Carolyn Morris ◽  
Peter Beresford ◽  
Bec Hanley ◽  
...  
Keyword(s):  
Cancer Care ◽  
Service User ◽  
User Involvement ◽  
Service Users ◽  
Service User Involvement ◽  
The Impact

scholarly journals Facilitating User Involvement in Activation Programmes: When Carers and Clerks Meet Pawns and Queens

2014 ◽  
Vol 44 (2) ◽  
pp. 235-254 ◽  
Author(s):  
ANNE BRITT DJUVE ◽  
HANNE C. KAVLI
Keyword(s):  
Human Factor ◽  
Service Providers ◽  
Qualitative Interviews ◽  
User Involvement ◽  
Individual Characteristics ◽  
Service Users ◽  
Ideal Types ◽  
Number Of Factors ◽  
User Influence ◽  
The Individual

AbstractUser involvement has become an explicit goal within social service provision. Even so, the term remains ambiguous, and its implementation troublesome. Implementation theory lists a number of factors influencing bureaucratic behaviour; in this paper we investigate the ‘human factor’. Our ambition is to provide a framework for analysis of user influence in activation programmes that includes the individual characteristics of both service users and service providers. Building on theoretical insights from the literature on activation and agency, we develop a framework that distinguishes between two ideal types of service users: Pawns and Queens, and two types of service providers: care-oriented Carers and rule-oriented Clerks. This framework is then applied to identify key challenges for the interaction between users and caseworkers in two challenging situations: when service users express little or no agency and when they express agency that is incompatible with the overall goals of the programme. We find that Carers show pronounced reluctance to overrule the choices made by service users even when they have conflicting views – and tend to postpone decisions when they interact with Pawns. Clerks tend to overrule the decisions of Queens when they have conflicting views, and to make decisions on behalf of Pawns. The analysis draws on data collected from 126 qualitative interviews with service providers and participants in the Norwegian Introductory Programme for immigrants and a survey of 320 caseworkers.

scholarly journals Treatment or prison: service user and staff experiences of drug treatment and testing orders

2007 ◽  
Vol 31 (12) ◽  
pp. 463-466 ◽  
Author(s):  
Christos Kouimtsidis ◽  
Martina Reynolds ◽  
Victor Asamoah
Keyword(s):  
Grounded Theory ◽  
Drug Treatment ◽  
Focus Groups ◽  
Service User ◽  
Substance Misuse ◽  
Clinical Implications ◽  
Service Users ◽  
Areas Of Concern ◽  
The Uk ◽  
Staff Experiences

AIMS AND METHODThe drug treatment and testing order (DTTO) is a treatment option imposed by courts and the first multi-agency initiative in the treatment of substance misuse in the UK. We used separate focus groups for service users and staff involved with DTTOs in Hertfordshire to qualitatively investigate their experiences of the orders. Interviews were recorded and analysed using grounded theory methods.RESULTSAnalysis highlighted areas of concern related to the central issue of forced treatment, which was more challenging for staff than for service users. The area of most concern was multiagency collaboration.CLINICAL IMPLICATIONSMulti-agency initiatives require extensive liaison across agencies.

Involving Service Users in Professional Nurse Education in Wales

1999 ◽  
Vol 3 (4) ◽  
pp. 209-213 ◽  
Author(s):  
M. Fisher ◽  
D. Coyle
Keyword(s):  
Service User ◽  
User Involvement ◽  
Nurse Education ◽  
Small Scale ◽  
Service User Involvement ◽  
Professional Nurse ◽  
History Of ◽  
The Uk ◽  
The Impact ◽  
Health Field

A small scale survey was conducted among nurse educationalists within Wales as part of the ongoing monitoring of Welsh Office targets for learning disability nursing. This survey showed that there has been very little service user involvement in professional nurse education in Wales. The authors discuss the possible reasons for such low level involvement. Examples of involvement of people with learning disabilities are compared to the much more favourable situation within the mental health field. Possible reasons for the barriers to progress in this area are discussed. The history of service user involvement and the development of advocacy both within the UK and other countries is also highlighted. The impact of various government initiatives on this situation is considered.

scholarly journals Service user involvement in training: the trainees' view

2006 ◽  
Vol 30 (8) ◽  
pp. 303-305 ◽  
Author(s):  
Ajay Vijayakrishnan ◽  
Joan Rutherford ◽  
Steve Miller ◽  
Lynne M. Drummond
Keyword(s):  
Questionnaire Survey ◽  
Service User ◽  
User Involvement ◽  
Clinical Implications ◽  
Service Users ◽  
Service User Involvement ◽  
Specialist Training ◽  
Training Scheme ◽  
South West ◽  
Actual Participation

Aims and MethodA questionnaire survey was conducted of trainees across the South-West London and St George's Basic Specialist Training Scheme in Psychiatry to explore their attitudes towards service user involvement in training.ResultsFifty-two completed questionnaires were received; 20 trainees (38%) had not attended teaching sessions where a user was present; 35 trainees (67%) were agreeable to service user involvement in examinations. Reservations concerned the objectivity of service users in examination rating and their role as an expert on assessing the trainee's skill. Awareness of user involvement strategies and policies in their trusts were not matched with actual participation.Clinical ImplicationsService users should be involved in teaching in an expert capacity and also in examinations, with safeguards regarding transparency and objectivity of the marking schemes in place.

Service User Involvement in Research

2015 ◽  
Author(s):  
Jan Wallcraft
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Service User ◽  
User Involvement ◽  
Ways Of Knowing ◽  
Service Users ◽  
Staff Attitudes ◽  
Service User Involvement ◽  
Treatment Staff ◽  
The Impact

This chapter traces the development of service user involvement in research and user-controlled research, from its origins in the early 1990s to the present day where mental health researchers are expected to involve service users. It looks at why service users wanted to be involved in research and their issues of concern, including the effects of treatment, staff attitudes, and human rights. Values in research are linked to the epistemological underpinnings of research, and it is argued that service users’ ways of knowing based on experience are in conflict with mainstream research based on claims of objectivity and neutrality. Service user involvement at all levels from consultation to control is explored with examples. The benefits and problems of working in partnership are explored, and the chapter ends with an assessment of the impact of involvement in research and how it can lead to change.

Tame clients: an evaluation of service users’ and trainee clinical psychologists’ perspective of service user involvement in teaching

2019 ◽  
Vol 14 (5) ◽  
pp. 327-338
Author(s):  
Carl Norwood ◽  
Anna Tickle ◽  
Danielle De Boos ◽  
Roberta Dewa
Keyword(s):  
Clinical Psychology ◽  
Service User ◽  
User Involvement ◽  
Clinical Psychologists ◽  
Psychology Training ◽  
Service Users ◽  
Service User Involvement ◽  
Clinical Psychology Training ◽  
Content Type ◽  
Competency Frameworks

Purpose The involvement of service users within clinical psychology training is written into policy. However, the practice of evaluating involvement from both trainees’ and service users’ viewpoint is minimal. The purpose of this paper is to evaluate recent service user involvement in psychometrics and formulation teaching on a clinical psychology training programme, from both service user and trainee perspectives. Design/methodology/approach Focus groups were held with service users (n=3) involved in the teaching, as well as trainees (n=3). Additional questionnaire data were captured from trainees (n=11). Service user and trainee data were analysed separately using thematic analysis. Themes generated for trainees were also mapped on to a competency framework for clinical psychologists. Findings Both parties found the teaching beneficial. Service users enjoyed supporting trainees and engaged positively in their roles. They identified relational aspects and reflections on their own therapy as other benefits. Trainees reported enhanced clinical preparedness, critical and personal reflection. Trainee anxiety was evident. Learning mapped well to competency frameworks. Research limitations/implications The samples were small and some data truncated. Findings speak to broader issues and may transfer to other involvement contexts. Practical implications A good degree of meaningful involvement can be achieved through such initiatives, to mutual benefit and enhanced learning. Originality/value Nature of the exercise and dual-aspect approach to evaluation described here helps to minimise tokenism. The mapping of findings to competency frameworks supports evaluative processes and helps to legitimise involvement initiatives that challenge the boundaries of existing practice.

From the service user association's perspective

2020 ◽  
Vol 28 (2) ◽  
pp. 53-63
Author(s):  
Charlotte Klinga ◽  
Johan Hansson ◽  
Henna Hasson ◽  
Magna Andreen Sachs ◽  
Carolina Wannheden
Keyword(s):  
Mental Health ◽  
Service User ◽  
Social Care ◽  
Service Users ◽  
Content Type ◽  
Care Services ◽  
Care And Support ◽  
Health And Social Care ◽  
The Individual ◽  
Integrated Mental Health

PurposeThe aim of this study was to identify key components of integrated mental health and social care services that contribute to value for service users in Sweden.Design/methodology/approachAn explorative research study design was used, based on data from four group interviews conducted in June and August 2017 with service user representatives.FindingsThe analysis resulted in eight subcategories reflecting components that were reported to contribute to value for service users. These subcategories were grouped into three main categories: (1) professionals who see and support the whole person, (2) organizational commitment to holistic care and (3) support for equal opportunities and active participation in society.Research limitations/implicationsThe findings are primarily transferable to integrated mental health and social care services, as they emphasize key components that contribute to value for service users in these specific settings.Practical implicationsThe complexity of integrated mental health and social care services requires coordination across the individual and organizational levels as well as ongoing dialogue and partnerships between service users, service user associations and health and social care organizations. In this integration, it is important that service users and service user associations not only are invited but also keen to participate in the design of care and support efforts.Originality/valueService User Associations (SUAs) can act as a bridge between county and municipal services through their participation in the development of local activities; at the regional and national levels, SUAs can help achieve more equitable integrated services. It is important that SUAs are not only invited but encouraged to actively participate in the design of such care and support efforts.

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