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.

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

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.

scholarly journals Involvement in Mental Health and Substance Abuse Work: Conceptions of Service Users

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Minna Laitila ◽  
Merja Nikkonen ◽  
Anna-Maija Pietilä
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Abuse ◽  
Data Analysis ◽  
Service User ◽  
User Involvement ◽  
Service Users ◽  
Service User Involvement

Service user involvement (SUI) is a principal and a guideline in social and health care and also in mental health and substance abuse work. In practice, however, there are indicators of SUI remaining rhetoric rather than reality. The purpose of this study was to analyse and describe service users' conceptions of SUI in mental health and substance abuse work. The following study question was addressed: what are service users' conceptions of service user involvement in mental health and substance abuse work? In total, 27 users of services participated in the study, and the data was gathered by means of interviews. A phenomenographic approach was applied in order to explore the qualitative variations in participants' conceptions of SUI. As a result of the data analysis, four main categories of description representing service users' conceptions of service user involvement were formed: service users have the best expertise, opinions are not heard, systems make the rules, and courage and readiness to participate. In mental health and substance abuse work, SUI is still insufficiently achieved and there are obstacles to be taken into consideration. Nurses are in a key position to promote and encourage service user involvement.

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 involvement in teaching and learning: student nurse perspectives

2019 ◽  
Vol 24 (3-4) ◽  
pp. 183-194 ◽  
Author(s):  
Bimpe Kuti ◽  
Trish Houghton
Keyword(s):  
Service User ◽  
Teaching And Learning ◽  
Positive Impact ◽  
Phase 1 ◽  
Student Nurses ◽  
User Involvement ◽  
Care Practice ◽  
Free Text ◽  
Service Users ◽  
Service User Involvement

Background Service user involvement in educating healthcare professionals in higher education can help student nurses develop a compassionate approach to care practice. This article explains one university’s initiative, the Patient as Coach Team (PaCT), and presents evaluation results from phase 1. The PaCT strategy involved a service user-led session with student nurses, in small groups, sharing experiences of care from a service user perspective. Aim Our aim was to evaluate nursing students’ views of the PaCT session, involving service users in their teaching and learning. Design Survey. Method Structured questionnaires with a free-text box were completed by student nurses ( n = 321). Structured question responses were analysed manually and free-text data thematically. Data collection took place from June 2016 to June 2017. Results There were very positive responses to the survey questions, with students perceiving a positive impact on their learning. Five themes emerged from the students’ free-text responses: ‘Usefulness of the session’, ‘Seeing patients’ perspectives’, ‘Inspiring and motivating session’, ‘Good discussions with patient coach’ and ‘Overall views about the PaCT session’. Conclusion The PaCT session provides a valid learning strategy, utilising coaching as a technique to enable student nurses to learn from service users’ experiences and perspectives of care. In addition, it contributes to students’ reflective practice about their individual professional practice in care settings.

scholarly journals Psychiatric drugs: reconsidering their mode of action and the implications for service user involvement

2019 ◽  
Vol 24 (1) ◽  
pp. 1-10
Author(s):  
Marc Roberts
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service User ◽  
User Involvement ◽  
Service Users ◽  
Service User Involvement ◽  
Content Type ◽  
Psychiatric Drugs

Purpose The purpose of this paper is to examine two competing pharmacological models that have been used to understand how psychiatric drugs work: the disease-centred model and the drug-centred model. In addition, it explores the implications of these two models for mental health service users and the degree to which they are meaningfully involved in decisions about the use of psychiatric drugs. Design/methodology/approach The approach is a conceptual review and critical comparison of two pharmacological models used to understand the mode of action of psychiatric drugs. On the basis of this analysis, the paper also provides a critical examination, supported by the available literature, of the implications of these two models for service user involvement in mental health care. Findings The disease-centred model is associated with a tendency to view the use of psychiatric drugs as a technical matter that is to be determined by mental health professionals. In contrast, the drug-centred model emphasises the centrality of the individual experience of taking a psychiatric drug and implies a more equitable relationship between practitioners and mental health service users. Originality/value Although infrequently articulated, assumptions about how psychiatric drugs work have important consequences for service user involvement in mental health care. Critical consideration of these assumptions is an important aspect of seeking to maximise service user involvement in decisions about the use of psychiatric drugs as a response to their experience of mental distress.

An audit of service-user involvement and quality of HCR-20 version 2 risk assessments on rehabilitation and low secure wards

2015 ◽  
Vol 11 (S1) ◽  
Author(s):  
Karen Gough ◽  
Charlotte Richardson ◽  
Hannah Weeks
Keyword(s):  
Service User ◽  
Psychiatric Rehabilitation ◽  
User Involvement ◽  
Training Programme ◽  
Risk Assessments ◽  
Service Users ◽  
Service User Involvement ◽  
Record System ◽  
System Risk

AbstractThe HCR-20 is the most widely used structured professional judgement instrument for assessing risk of violence. Recent developments in secure settings have addressed service user involvement in risk assessment to empower service users, and encourage them to take responsibility for their pathway through hospital. This audit aimed to examine the quality of, and service-user involvement in, the HCR-20 assessments completed on two wards (a low secure and a psychiatric rehabilitation ward) within Somerset Partnership NHS Foundation Trust. Data from the current RiO (electronic patient record system) Risk Screen and Risk Information sections and the most up-to date HCR-20 report (if there was one) was reviewed across a number of domains. The in-house HCR-20 training programme appeared to be effective, with most assessors following the appropriate data collection process. The quality of the risk assessments was mixed with the historical section being more consistently completed than the clinical and risk sections. The results of the audit facilitated the development of standards for the completion of HCR-20 risk assessments on the two wards reviewed. Limitations of the audit in terms of generalisation are noted. Nonetheless, this audit serves to give an early impression on the extent of collaboration with service users on risk assessments.

Advocates, Agnostics and Adversaries: Researchers’ Perceptions of Service User Involvement in Social Policy Research

2010 ◽  
Vol 9 (3) ◽  
pp. 355-366 ◽  
Author(s):  
Saul Becker ◽  
Joe Sempik ◽  
Alan Bryman
Keyword(s):  
Social Policy ◽  
Service User ◽  
Policy Research ◽  
User Involvement ◽  
Original Data ◽  
Research Process ◽  
Service Users ◽  
Service User Involvement

The involvement of service users in the research process is becomingly increasingly required by many funders of research and is being seen as an indicator of quality in its own right. This paper provides original data from a study of social policy researchers’ views of service user involvement in research. It shows a diversity of stances which have been categorised here as belonging to Advocates, Agnostics and Adversaries of user involvement. The views of Agnostics and Adversaries pose serious challenges that need to be addressed if service user involvement is to be more widely accepted and valued by some researchers and academics in social policy.

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