scholarly journals Disrupting Disableism

2021 ◽  
Author(s):  
Monica Carroccetto
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Narrative Inquiry ◽  
Treatment Response ◽  
Service User ◽  
Structured Interviews ◽  
User Experiences ◽  
Critical Disability Studies ◽  
Mad Studies ◽  
Health Experiences

The following is a qualitative re-search study and narrative inquiry into service user experiences of mainstream psychiatric ‘support’ and diagnoses as a child or adolescent. Informed from the theoretical lenses of mad studies, critical disability studies, and anti-colonialism, it critically investigates treatment, response, sanism, agency and support. Through semi-structured interviews with three individuals, this MRP examines how western approaches to mental health (ex: diagnoses, medication, labeling) affect young adults long after being psychiatrized. The findings of this MRP indicate that western mental health experiences are extremely medicalized and limited/limiting and how they perpetuate adultism, sanism and psycho-colonialism. What is revealed from these narratives shows a complex reality, iatrogenesis and damage as well as a battle for acceptance, better care and ultimately understanding.

scholarly journals Disrupting Disableism

2021 ◽  
Author(s):  
Monica Carroccetto
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Narrative Inquiry ◽  
Treatment Response ◽  
Service User ◽  
Structured Interviews ◽  
User Experiences ◽  
Critical Disability Studies ◽  
Mad Studies ◽  
Health Experiences

The following is a qualitative re-search study and narrative inquiry into service user experiences of mainstream psychiatric ‘support’ and diagnoses as a child or adolescent. Informed from the theoretical lenses of mad studies, critical disability studies, and anti-colonialism, it critically investigates treatment, response, sanism, agency and support. Through semi-structured interviews with three individuals, this MRP examines how western approaches to mental health (ex: diagnoses, medication, labeling) affect young adults long after being psychiatrized. The findings of this MRP indicate that western mental health experiences are extremely medicalized and limited/limiting and how they perpetuate adultism, sanism and psycho-colonialism. What is revealed from these narratives shows a complex reality, iatrogenesis and damage as well as a battle for acceptance, better care and ultimately understanding.

From reflection to action: a case study of an art psychotherapy group which drew on occupational therapy perspectives

2020 ◽  
Vol 25 (3) ◽  
pp. 197-213
Author(s):  
Ali Coles ◽  
Tom Elliott
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Service User ◽  
Psychological Outcome ◽  
User Experiences ◽  
Content Type ◽  
Mental Health Difficulties ◽  
Art Psychotherapy ◽  
Post Therapy

Purpose This paper aims to describe service user experiences of an art psychotherapy group which drew on occupational therapy perspectives to help adults with severe and enduring mental health difficulties move forward in their recovery. Design/methodology/approach A case study approach incorporating outcome data was used. The data gathered comprised attendance, facilitators’ clinical notes, photographs of participant artworks, the Psychological Outcome Profiles questionnaire (PSYCHLOPS: www.psychlops.org), a post-therapy feedback form, discussion at post-therapy individual review sessions and participants’ achievements post-group. Findings All but one participant scored the group as “very helpful” or “helpful” and all felt that the group had helped them with the personal aims they had identified. The PSYCHLOPS questionnaire yielded a large average effect size, indicating positive change in terms of problems, functioning and well-being. Participants identified several ways in which the group was helpful, and their artwork and reflections indicate how they used the art making in the group to pursue their recovery goals. The service user experiences and outcomes suggest that this group was effective in facilitating recovery for these adults with severe and enduring mental health difficulties. Originality/value This group was innovative in integrating approaches from the different professional specialisms and the findings encourage further investigation into this way of working.

scholarly journals Explorations of Cooperation and Recalcitrance in Secure Mental Health Hospitals

2016 ◽  
Vol 33 (S1) ◽  
pp. S462-S462
Author(s):  
M. McKeown ◽  
M. Chandley ◽  
F. Jones ◽  
K. Wright ◽  
J. Duxbury ◽  
...  
Keyword(s):  
Mental Health ◽  
Service User ◽  
Personal Responsibility ◽  
Medical Model ◽  
Structured Interviews ◽  
Coercive Measures ◽  
Secure Environment ◽  
Competing Interest ◽  
Staff Experiences ◽  
The Impact

This paper reports on the findings of three qualitative research studies undertaken within, respectively, medium and low secure units in one UK region, and a high secure mental health hospital in England (UK). The first study investigated alliance based involvement practices. The second explored service user and staff views and sense making of the notion of recovery. The third study is ongoing into service user and staff experiences of extreme coercive measures, such as forms of restraint and long-term seclusion or segregation. All studies utilised either semi-structured interviews or focus groups. All data was subject to thematic analysis.Selected and emergent themes include:– the importance of relationships and communication; security first; involvement as pacification;– different understandings of recovery; the importance of meaningful occupation; staff-service user relationships; recovery journeys and dialogue with the past; and recovery as personal responsibility;– good and bad coercion; cooperation, resistance and recalcitrance; and alternatives to coercion.Findings suggest that cooperation is largely framed by services in terms of compliance with a bio-medical model. The impact of the secure environment, whilst ever-present, is not an absolute constraint on the realisation of recovery or involvement objectives. The availability of extreme coercive measures raises some seemingly paradoxical understandings from both service user and staff perspectives. Critical social theory is drawn on to illuminate the tensions between cooperation and recalcitrance and suggest further exploration of their respective legitimacy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Service user experiences of community services for complex emotional needs: A qualitative thematic synthesis

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248316
Author(s):  
Luke Sheridan Rains ◽  
Athena Echave ◽  
Jessica Rees ◽  
Hannah Rachel Scott ◽  
Billie Lever Taylor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Service User ◽  
Emotional Needs ◽  
User Experiences

Background There is a recognised need to develop clear service models and pathways to provide high quality care in the community for people with complex emotional needs, who may have been given a “personality disorder” diagnosis. Services should be informed by the views of people with these experiences. Aims To identify and synthesise qualitative studies on service user experiences of community mental health care for Complex Emotional Needs. Methods We searched six bibliographic databases for papers published since 2003. We included peer reviewed studies reporting data on service user experiences and views about good care from community-based mental health services for adults with CEN, including generic mental health services and specialist “personality disorder” services. Studies using any qualitative method were included and thematic synthesis used to identify over-arching themes. Results Forty-seven papers were included. Main themes were: 1) The need for a long-term perspective on treatment journeys; 2) The need for individualised and holistic care; 3) Large variations in accessibility and quality of mental health services; 4) The centrality of therapeutic relationships; 5) Impacts of ‘personality disorder’ diagnosis. Themes tended to recur across studies from different countries and years. Discussion Recurrent major themes included wanting support that is individualised and holistic, provides continuity over long journeys towards recovery, and that is delivered by empathetic and well-informed clinicians who are hopeful but realistic about the prospects of treatment. Care that met these simple and clearly stated priorities tended to be restricted to often limited periods of treatment by specialist “personality disorder” services: generic and primary care services were often reported as far from adequate. There is an urgent need to co-design and test strategies for improving long-term support and treatment care for people with “personality disorders” throughout the mental health care system.

scholarly journals Monitoring Mad Mothers: Unmasking Violent Institutional Sanism

2021 ◽  
Author(s):  
Celina Dycke
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Narrative Inquiry ◽  
Research Study ◽  
Sense Of Self ◽  
Structured Interviews ◽  
Mental Health Diagnosis ◽  
Qualitative Research Study ◽  
Inquiry Approach ◽  
Health Diagnosis

<div>This qualitative research study explores the experiences, thoughts and feelings of mothers who have been given a mental health diagnosis. Using a narrative inquiry approach, semi-structured interviews were conducted with two mothers from Toronto. The study uncovers how sanist beliefs intersect with other sites of oppression, and the affect this has on mothers and their Mothering practices. Particular attention is paid to asking what the effects are on women who are assumed to be violent towards their children, due to a mental health diagnosis. It asks what this type of sanism and mental health profiling does to their sense of self, resilience and hope for their families and their futures.</div>

scholarly journals Service user engagement: A co-created interview schedule exploring mental health recovery in young adults

2017 ◽  
Vol 73 (10) ◽  
pp. 2361-2372 ◽  
Author(s):  
Claire-Odile McCauley ◽  
Hugh McKenna ◽  
Sinead Keeney ◽  
Derek McLaughlin
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Service User ◽  
Mental Health Recovery ◽  
User Engagement ◽  
Interview Schedule
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