An equality of condition framework for user involvement in mental health policy and planning: evidence from participatory action research

2009 ◽  
Vol 24 (4) ◽  
pp. 461-474 ◽  
Author(s):  
Shari McDaid
2020 ◽  
Vol 10 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Maria Liegghio

While globally advances have been made to recognize children as social actors in their own right, for psychiatrized young people their experiences of distress are often seen as a limitation and thus used as a justification for denying their meaningful participation in matters of concern to their lives. However, what would it mean if ‘mental illness’ was not seen as a ‘limitation’, but rather as an ‘epistemological position’ from which the social world is experienced, understood and acted upon? What would it mean if our theories about ‘distress’ and ‘helping’ were premised on the subjugated knowledges of psychiatrized children and youth? The consumer/survivor-led research movement has made significant gains in answering these questions for the adult, but not necessarily for the child and youth mental health field. The purpose of this article is to critically examine the significance of psychiatrized young people setting and executing their own research and, ultimately, practice agendas. Presented are the outcomes of an evaluation of a participatory action research project examining the stigma of mental illness conducted with seven psychiatrized youth, 14 to 17 years old. The outcomes suggest our roles as practitioners and researchers need to shift from being ‘agents’ working on behalf of to ‘allies’ working in solidarity with young people to change the social conditions of their marginalization. The article concludes with the limits of consumer/survivor-led research for addressing adultism and, instead, ends with a call for decolonizing children’s mental health.


2009 ◽  
Vol 8 (4) ◽  
pp. 451-462 ◽  
Author(s):  
Deirdre Heenan

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.


Author(s):  
Charlotte Mindel ◽  
Lily Mainstone-Cotton ◽  
Santiago de Ossorno Garcia ◽  
Aaron Sefi ◽  
Georgia Sugarman ◽  
...  

Online digital mental health communities can contribute to users’ mental health positively and negatively. Yet the measurement of outcomes and impact relating to digital mental health communities is difficult to capture. In this paper we demonstrate the development of an online experience measure for a specific children and young people’s community inside a digital mental health service. The development is informed by three phases: (i) item reduction through Estimate-Talk-Estimate modified Delphi methods, (ii) user testing with participatory action research and (iii) a pilot within the digital service community to explore its use. Rounds of experts talks help to reduce the items. User experience workshops helped to inform the usability and appearance, wording, and purpose of the measure. Finally, the pilot results highlight completion rates, difference in scores for age and community roles and a preference to ‘relate to others’; as a mechanism of support. Outcomes frequently selected in the measure show the importance of certain aspects of the community, such as safety, connection, and non-judgment previously highlighted in the literature. Self-reported helpfulness scales like this one could be used as indicators of meaningful engagement within the community and its content but further research is required to ascertain its acceptability and validity. Phased approaches involving stakeholders and participatory action research enhances the development of digitally enabled measurement tools.


2021 ◽  
pp. 146879412110399
Author(s):  
Verusca Calabria ◽  
Di Bailey

This article explores the similarities and differences between oral history and participatory action research (PAR) as two qualitative research methods that both accord with an interpretivist paradigm. It examines how combining these two methodologies can benefit mental health research, offering opportunities for reflection and reciprocity. Drawing from the authors’ respective knowledge and experience of using oral history and PAR methods within social care and mental health settings in the UK, the article considers these opportunities in relation to key concepts, namely, the sharing of power, reciprocity and positionality that are inherent in both methodological approaches. The article concludes that PAR-led oral history offers a trans-disciplinary methodology that can offer fresh insights for improving practices and social outcomes and for reducing inequalities.


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