User involvement in the planning and delivery of mental health services: a cross-sectional survey of service users and providers

Public participation in planning and implementing health care has become a government mandate in many states. In UK mental health services, this ‘user involvement’ policy dates back nearly three decades and has now become enshrined in policy. However, an implementation gap in terms of achieving meaningful involvement and influence for service users persists. This paper aims to illuminate some of the political discursive processes through which this gap emerges and to educe implications for the policy initiative and for effective approaches to service user involvement. It presents findings from a qualitative, localised UK-based study of user involvement in mental health services, conducted from a critical discourse analytic perspective, according to one emergent feature - power over discourse. Three themes relating to this discursive regulation are discussed: the rules of the game, the rules of engagement and agenda-setting. The article shows how although the policy initiative was providing opportunities for discursive contestation in local arenas surrounding mental health service development, these were pre-dominantly characterized by containment and control and by silences. Consequently, the discursive processes of user involvement worked to nullify its potentially transformative influence and to further marginalize women service users and other groups. Implications for the development of user involvement in service commissioning are provided.

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Differences between the Canadian military’s Regular and Reserve Forces in perceived need for care, mental health services use and perceived sufficiency of care: a cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-028849 ◽

2019 ◽

Vol 9 (9) ◽

pp. e028849

Author(s):

David Boulos ◽

Deniz Fikretoglu

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Armed Forces ◽

Need For Care ◽

Health Services Use ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Perceived Need ◽

Service Category

ObjectiveThe primary objective was to explore differences in perceived need for care (PNC), mental health services use (MHSU) and perceived sufficiency of care (PSC) between Canadian Armed Forces Regular Force (RegF) and Reserve Force (ResF) personnel with an objective need for mental health services.DesignData came from the 2013 Canadian Armed Forces Mental Health Survey, a cross-sectional survey of serving personnel (n=72 629). Analyses were among those with an Afghanistan deployment and an identified mental disorder (population n=6160; sampled n=868). Logistic regression compared PNC, MHSU and PSC between RegF and ResF. Covariate-adjusted marginal prevalence difference estimates were computed.Primary outcome measureThe primary outcomes were PNC, MHSU and PSC. Each had three service categories, including an aggregate ‘any’ of the three: (1) information about problems, treatments or services; (2) medication and (3) counselling.ResultsResF had an 10.5% (95% CI −16.7% to −4.4%) lower perceived need for medication services but PNC differences were not significant for other service categories. MHSU tended to be lower for ResF; 9.1% (95%CI −15.5% to −2.6%) lower for medication, 5.4% (95% CI −11.5% to 0.7%) lower, with marginal significance, for counselling and 11.3% (95% CI −17.3% to −5.2%) lower for the ‘any’ service category. Additionally, ResF tended to have a lower fully met need for care; 13.4% (95% CI −22.1% to −4.6%) lower for information, 15.3% (95% CI −22.9% to −7.6%) lower for counselling and 14.6% (95% CI −22.4% to −6.8%) lower for the ‘any’ service category.ConclusionsOur findings suggest MHSU and PSC differences between Canadian RegF and ResF personnel that are not fully accounted for by PNC differences. Deficits in ResF members’ perceptions of the sufficiency of information services and counselling services suggest perceived, or experienced, barriers to care beyond any PNC barriers. Additional research assessing barriers to mental healthcare is warranted.

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Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

Health Services Insights ◽

10.1177/11786329211026035 ◽

2021 ◽

Vol 14 ◽

pp. 117863292110260

Author(s):

Nguyen Hang Nguyet Van ◽

Nguyen Thi Khanh Huyen ◽

Mai Thi Hue ◽

Nguyen Thanh Luong ◽

Pham Quoc Thanh ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Rural Areas ◽

Mental Healthcare ◽

Healthcare Services ◽

Perceived Barriers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Important Indicator

While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.

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Attitudes toward consumer involvement in mental health services: A cross-sectional survey of Indian medical and nursing undergraduates

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v34n2a03 ◽

2016 ◽

Vol 34 (2) ◽

Cited By ~ 1

Author(s):

Vijayalakshmi Poreddi ◽

◽

Sailaxmi Gandhi ◽

Rohini Thimmaiah ◽

Suresh BM ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Consumer Involvement ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Indian Medical

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Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

International Journal of Mental Health Systems ◽

10.1186/s13033-021-00495-7 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Tella Lantta ◽

Minna Anttila ◽

Maritta Välimäki

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Controlled Trial ◽

Service Users ◽

Cross Sectional ◽

Randomized Controlled ◽

Final Score ◽

The Right

Abstract Background This article aims to review the quality of mental health services and the rights of the people receiving treatment in inpatient hospital care in Finland using the World Health Organization’s QualityRights Tool Kit as a part of a randomized controlled trial VIOLIN. So far, reports on the QualityRights Tool Kit have mainly been from low- and middle-income countries or countries lacking resources for health services. Reports from countries with well-resourced health care systems, such as the Nordic countries, are still quite few. Methods A cross-sectional observational survey was conducted on 13 closed inpatient psychiatric wards (acute, rehabilitation, forensic psychiatric) at eight hospitals in Finland. The data for the survey were gathered through a document review, observations, and group interviews among staff members, service users and family members. The STROBE checklist for cross-sectional studies was followed in the reporting. Results Finnish mental health services are partially or fully achieving the standards set by the WHO QualityRights Tool Kit (final scores: 2.5–2.9 out of 3). The highest final score out of the five themes (2.9/3) was achieved under Freedom from torture or cruel, inhuman or degrading treatment or punishment and from exploitation, violence and abuse. The lowest final score out of the five themes (2.5/3) was achieved under the right to exercise legal capacity and the right to personal liberty and the security of person. Conclusions According to the findings, Finnish mental health services appear to be of high quality. However, we have identified some gaps in quality, which we have addressed in a national randomized controlled trial VIOLIN. Improvements can be realized through shared decision making and relaying information to service users.

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Community mental health provision in Pemba Island, Zanzibar: a cross-sectional survey of different stakeholder groups

International Psychiatry ◽

10.1192/s1749367600005749 ◽

2010 ◽

Vol 7 (2) ◽

pp. 43-45 ◽

Cited By ~ 1

Author(s):

Michel Okitapoy On'okoko ◽

Ilyas Mirza ◽

Rachel Jenkins

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Community Mental Health Services ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Service Provision ◽

Pemba Island

There is limited information about stakeholder perceptions of health service provision in low- and middle-income countries. We conducted a cross-sectional survey of 821 stakeholders of the community mental health services in Pemba Island, Zanzibar, Tanzania. The aim was to obtain systematic information about coverage, barriers, accountability and room for improvement as a baseline before implementation of a new mental health policy to strengthen mental health services.

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