Competence, Identity and Intersubjectivity: Applying Habermas's Theory of Communicative Action to Service User Involvement in Mental Health Policy Making

2005 ◽  
Vol 3 (3) ◽  
pp. 165-182 ◽  
Author(s):  
Suzanne Hodge
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Service User ◽  
Policy Making ◽  
Communicative Action ◽  
Mental Health Policy ◽  
User Involvement ◽  
Service User Involvement ◽  
Theory Of Communicative Action

Mental Health Policy in Northern Ireland: The Nature and of Extent of User Involvement

2009 ◽  
Vol 8 (4) ◽  
pp. 451-462 ◽  
Author(s):  
Deirdre Heenan
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Northern Ireland ◽  
Social Services ◽  
Service User ◽  
Policy Design ◽  
Mental Health Policy ◽  
User Involvement ◽  
World Health ◽  
Service User Involvement

In a recent review of the mental health policies of its 42 member states in the European Region, the World Health Organization highlighted the need for further analysis of service user involvement in the policy making process. In the UK, a plethora of recent government policies and initiatives have stressed the importance of service user involvement in the design and delivery of health and social services. Their input is described as a fundamental requirement of a modern, flexible, responsive healthcare system. This paper reviews mental health policy in Northern Ireland, which has undergone a period of unprecedented activity and explores the extent to which service users have influenced the process of policy design and development. It raises questions about the extent to which a genuine commitment to and investment in user involvement has been achieved and comments on the prospects for the future.

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 Systematic synthesis of barriers and facilitators to service user-led care planning

2015 ◽  
Vol 207 (2) ◽  
pp. 104-114 ◽  
Author(s):  
Penny Bee ◽  
Owen Price ◽  
John Baker ◽  
Karina Lovell
Keyword(s):  
Mental Health ◽  
Service User ◽  
Planning Process ◽  
Evidence Synthesis ◽  
Mental Health Policy ◽  
User Involvement ◽  
Service Users ◽  
Care Planning ◽  
Service User Involvement

BackgroundService user (patient) involvement in care planning is a principle enshrined by mental health policy yet often attracts criticism from patients and carers in practice.AimsTo examine how user-involved care planning is operationalised within mental health services and to establish where, how and why challenges to service user involvement occur.MethodSystematic evidence synthesis.ResultsSynthesis of data from 117 studies suggests that service user involvement fails because the patients' frame of reference diverges from that of providers. Service users and carers attributed highest value to the relational aspects of care planning. Health professionals inconsistently acknowledged the quality of the care planning process, tending instead to define service user involvement in terms of quantifiable service-led outcomes.ConclusionsService user-involved care planning is typically operationalised as a series of practice-based activities compliant with auditor standards. Meaningful involvement demands new patient-centred definitions of care planning quality. New organisational initiatives should validate time spent with service users and display more tangible and flexible commitments to meeting their needs.

scholarly journals Service user and family participation in mental health policy making in Timor-Leste: a qualitative study with multiple stakeholders

2019 ◽  
Author(s):  
Teresa Hall ◽  
Ritsuko Kakuma ◽  
Lisa Palmer ◽  
Harry Minas ◽  
João Martins ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Service User ◽  
Policy Making ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Health Problems ◽  
Family Participation ◽  
Enabling Factors ◽  
Timor Leste

Abstract Introduction Participation in mental health system strengthening by people with mental health problems and their families is a cornerstone of people-centred mental health care, yet there is a dearth of research about participation from low- and middle-income countries (LMICs), particularly from the Asia Pacific region. Hence, this study aimed to assess the current situation, challenges, enabling factors and future actions for service user and family participation in mental health policy making in Timor-Leste. Methods In-depth interviews were conducted with 85 adults (≥18 years) who were: (1) mental health service users (n = 20) and their families (n = 10); (2) government decision makers (n = 10); (3) mental health and social service providers (n = 23); (4) civil society (n = 9); and (5) other groups (n = 13). Interview data was analysed using framework analysis. Results There was limited service user, family and community participation in mental health policy making in Timor-Leste. Perceptions that policy making is a technical exercise and that people with mental health problems lack cognitive capacity, and a lack of supportive mechanisms challenged participation. Enabling factors were a strong focus on human rights within the social sector, and existing mechanisms for advocacy and representation of people with disabilities in social policy making. Participants suggested bolstering civil society representation of people with mental health problems, and increasing mental health awareness and literacy, including government competencies to facilitate service user participation. Conclusion The findings highlight the need for theoretical and practical focus on the role of family within mental health system development in LMICs. Global mental health research and practice should adopt a critical approach to mental health service user and family participation to ensure that the concept and strategies to achieve this are embedded in LMIC knowledge.

scholarly journals Service user and family participation in mental health policy making in Timor-Leste: a qualitative study with multiple stakeholders

2020 ◽  
Author(s):  
Teresa Hall ◽  
Ritsuko Kakuma ◽  
Lisa Palmer ◽  
Harry Minas ◽  
João Martins ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Service User ◽  
Policy Making ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Health Problems ◽  
Family Participation ◽  
Enabling Factors ◽  
Timor Leste

Abstract Introduction Participation in mental health system strengthening by people with mental health problems and their families is a cornerstone of people-centred mental health care, yet there is a dearth of research about participation from low- and middle-income countries (LMICs), particularly from the Asia Pacific region. Hence, this study aimed to assess the current situation, challenges, enabling factors and future actions for service user and family participation in mental health policy making in Timor-Leste. Methods In-depth interviews were conducted with 85 adults (≥18 years) who were: (1) mental health service users (n = 20) and their families (n = 10); (2) government decision makers (n = 10); (3) mental health and social service providers (n = 23); (4) civil society (n = 9); and (5) other groups (n = 13). Interview data was analysed using framework analysis. Results There was limited service user, family and community participation in mental health policy making in Timor-Leste. Perceptions that policy making is a technical exercise and that people with mental health problems lack cognitive capacity, and a lack of supportive mechanisms challenged participation. Enabling factors were a strong focus on human rights within the social sector, and existing mechanisms for advocacy and representation of people with disabilities in social policy making. Participants suggested bolstering civil society representation of people with mental health problems, and increasing mental health awareness and literacy, including government competencies to facilitate service user participation. Conclusion The findings highlight the need for theoretical and practical focus on the role of family within mental health system development in LMICs. Global mental health research and practice should adopt a critical approach to mental health service user and family participation to ensure that the concept and strategies to achieve this are embedded in LMIC knowledge.

scholarly journals Epidemiology: what it is and why it matters

2007 ◽  
Vol 13 (6) ◽  
pp. 412-413
Author(s):  
Brendan D. Kelly
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Policy Making ◽  
Mental Health Policy ◽  
Later Life ◽  
Cannabis Use ◽  
Policy Impact ◽  
Epidemiological Evidence ◽  
Increase Risk

Epidemiology is the study of why, how and how often diseases occur in given populations. There is now a sufficiency of epidemiological evidence for psychiatrists to warn that cannabis use could increase risk of psychosis in later life. The policy impact of this accumulated epidemiological evidence is difficult to predict. There is a strong need to develop models of mental health policy-making that incorporate careful interpretation of epidemiological evidence.

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