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1 – 10 of over 2000
Article
Publication date: 1 April 2008

Anna Tickle and Clark Davison

The training of future mental health professionals offers one avenue of change to improve service user and carer involvement in mental health services. This study looked at…

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Abstract

The training of future mental health professionals offers one avenue of change to improve service user and carer involvement in mental health services. This study looked at experiences of trainees on the University of Surrey's Clinical Psychology Doctorate programme in involving service users and carers on training placements. Twenty trainees completed a self‐report semistructured questionnaire providing qualitative data that were analysed using thematic analysis. A number of benefits of service user and carer involvement in training were identified as well as practical considerations, including factors that might facilitate or limit such involvement on training placements. It is intended that the findings will prove useful to others involved with the training of mental health professionals.

Details

The Journal of Mental Health Training, Education and Practice, vol. 3 no. 1
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 14 September 2012

Pearse McCusker, Gillian MacIntyre, Ailsa Stewart and Jackie Jackson

The purpose of this study is to evaluate the effectiveness of user and carer involvement in a new one‐year postgraduate certificate course for Mental Health Officers (MHOs) in…

684

Abstract

Purpose

The purpose of this study is to evaluate the effectiveness of user and carer involvement in a new one‐year postgraduate certificate course for Mental Health Officers (MHOs) in Scotland, covering the first year of its delivery (2009‐2010).

Design/methodology/approach

This was explored in two ways: first, by assessing the level of user and carer involvement against a modified framework; and second, by measuring students' confidence in working with people with mental health issues over the duration of the course, and through interviews with students and service users and documentary analysis.

Findings

The findings indicate user and carer “influence” and “partnership” over the design and delivery of the learning, teaching and assessment strategy, but no degree of “control” over any aspect of the course. Teaching provided by users and carers was associated with marked improvement in students' confidence in engaging with and upholding the rights of users and carers in the context of the MHO role. Students reported increased awareness of the lived reality of compulsory treatment. Users reported benefits from feeling they had helped facilitate future good practice.

Research limitations/implications

The research design does not allow for causal links to be made between increases in student confidence and user and carer involvement.

Practical implications

The study identified substantial barriers to effective user and carer involvement but confirmed its potential as a positive change agent for post‐qualifying social work education.

Originality/value

This study contributes to the evidence base by demonstrating the value of service user and carer involvement in post qualifying social work education.

Details

The Journal of Mental Health Training, Education and Practice, vol. 7 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 13 July 2015

Fides Katharina Schreur, Laura Lea and Louise Goodbody

– The purpose of this paper is to build a theoretical model of how and what clinical psychologists learn from service user and carer involvement in their training.

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Abstract

Purpose

The purpose of this paper is to build a theoretical model of how and what clinical psychologists learn from service user and carer involvement in their training.

Design/methodology/approach

A qualitative research design was adopted, and verbatim transcripts of semi-structured interviews conducted with 12 clinical psychologists were analysed using grounded theory methodology.

Findings

Findings indicated that clinical psychologists learned from service user and carer involvement in a variety of ways and a preliminary model was proposed, encompassing four main categories: “mechanisms of learning”, “relational and contextual factors facilitating learning”, “relational and contextual factors hindering learning” and “impact”.

Research limitations/implications

Further research is required to establish to what extent the current findings may be transferrable to learning from service user and carer involvement in the context of educating professionals from other disciplines. Additionally, participants had limited experiences of carer involvement, and more research in this area specifically would be useful.

Practical implications

This study advocates for service user and carer involvement in clinical psychology training, and specific recommendations are discussed, including service user perspectives.

Originality/value

Service user and carer involvement has become mandatory in Health Care Professional Council-approved training programmes for mental health professionals, yet if and how learning occurs is poorly understood in this context. This study makes an important contribution in evaluating outcomes of service user and carer involvement in clinical psychology training by advancing theoretical understanding of the learning processes involved. The authors are unaware of similar work.

Details

The Journal of Mental Health Training, Education and Practice, vol. 10 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 1 March 2005

Virginia Minogue, Jean Boness, Ann Brown and John Girdlestone

There are many examples of consumer involvement in NHS research but few studies have examined the impact of this on service development or the research process. This study…

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Abstract

Purpose

There are many examples of consumer involvement in NHS research but few studies have examined the impact of this on service development or the research process. This study, involving service user and carer researchers working alongside professional researchers, aimed to examine the development of one service user and carer research group in a mental health Trust.

Dersign/methodology/approach

The research involved a review of existing literature on consumer involvement in research, a review of user involvement in research in South West Yorkshire Mental Health NHS Trust, a survey of consumers and NHS staff in the Trust, and a skills audit and training needs analysis of consumers.

Findings

The study identified the range and extent of consumer involvement and the impact of this on consumers and the Trust. Service users and carers were involved in a range of projects, mainly on the level of consultation or collaboration. The benefits for consumers were principally on a personal level and included gaining knowledge and experience, improved sense of well‐being, self esteem, and confidence. The benefit for the Trust was in having a service user perspective and focus. However, there is a tendency to omit service users from planning and setting priorities.

Practical implications

The study pointed to the need to build the evidence base on consumer involvement in research, particularly in terms of how consumers can impact on setting research priorities and selecting appropriate methods. It identifies the need for more training for consumers and for NHS staff and for a more coherent strategy.

Originality/value

This article will be of value to anyone who is at the start or in the early stages of their journey of consumer involvement. It identifies some of the practical issues faced by consumers and staff in working collaboratively, but also points to the benefits for all the stakeholders.

Details

International Journal of Health Care Quality Assurance, vol. 18 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 10 June 2019

Virginia Minogue, Mary Cooke, Anne-Laure Donskoy and Penny Vicary

Service user and carer involvement in all aspects of the health and care research process, from co-applicant on funding applications to active engagement in a research study, is…

Abstract

Purpose

Service user and carer involvement in all aspects of the health and care research process, from co-applicant on funding applications to active engagement in a research study, is now a requirement for most research funders. However, as co-production increases and service users and carers take on more responsibilities, this involvement has legal, governance and ethical implications. The purpose of this paper is to raise awareness of the issues and consider potential solutions.

Design/methodology/approach

Experiences of engagement as co-applicants in research funding applications, of involvement as research study team members, and as co-researchers were gathered from a range of service user and carer experts. Consultation and a workshop gathered further evidence from a range of stakeholders across the research management community.

Findings

Service users and carers, who contribute to the research protocol and process, feel a strong sense of responsibility to ensure the high quality of a research study. However, they may be new to their roles, status and key responsibilities when acting as project team members, co-researchers or co-applicants engaging in funding applications. The responsibility of sponsors, grant holding organisations, funders and other members of the research community is to communicate with and support service users and carers in those roles. More needs to be done to understand the contractual, a legal and governance issues and responsibilities that are specific to service user and carer co-applicants, project team members and co-researchers, from both an organisational and individual service user and carer perspective.

Practical implications

The implications of the findings are to raise awareness of the practical, legal and ethical issues arising from this type of involvement and the potential risks arising from lack of cohesion or understanding. The review also highlights the concerns and barriers service users and carers may find in becoming involved.

Originality/value

The findings highlight a range of issues for research regulators, sponsors and investigators to consider to ensure service users and carers can fulfil their responsibilities and be supported in doing so.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 8 February 2011

Sherrie Hitchen, Mary Watkins, Graham R. Williamson, Susan Ambury, Gillian Bemrose, David Cook and Maureen Taylor

The purpose of this paper is to describe learning gained from involving service users and carers as researchers in an action research study. The researchers aimed to introduce…

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Abstract

Purpose

The purpose of this paper is to describe learning gained from involving service users and carers as researchers in an action research study. The researchers aimed to introduce self‐directed support in mental health services – part of the government's personalisation agenda, which requires a move from current social care commissioning, where a person is matched to available services, to one where a person self‐assesses, has an agreed support plan and then with appropriate help, purchases his or her own services to lead as independent a life as possible. This development is allied closely with the mental health service recovery approach.

Design/methodology/approach

Three service users and two carers were recruited to work alongside the lead researcher. Service users were fully involved in the steering group – part of participatory action research project. Data were collected from: debriefing meetings with co‐researchers between April and December 2007; a group interview held by the lead researcher; and participants' journal comments and self‐reflections.

Findings

The main areas in which service users and carers found involvement difficult were: overcoming professional language barriers; emotional impact; and power imbalances between themselves and professionals. Findings suggest that considerable improvement is required by mental health professionals and managers if service users and carers are successfully involved in projects.

Research limitations/implications

This is a small study within a larger action research project. Findings are not generalisable owing to the small sample; however, findings are supported by the service‐user involvement literature.

Originality/value

Few studies explore participation effects on service users and carers from their perspective. This research provides insights into what needs to be addressed to improve service user and carer involvement to improve mental health services.

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 November 2007

Tushna Vandrevala, Mark Hayward, Jane Willis and Mary John

National policies suggest that service users and carers should be involved in health care planning and delivery. Initiatives to involve service users and carers within the…

Abstract

National policies suggest that service users and carers should be involved in health care planning and delivery. Initiatives to involve service users and carers within the education of mental health professionals have been reported. However, there has been no initiative to involve such individuals in the selection of clinical psychologists. This study examines the experiences of service users, carers and members of the Doctorate of Clinical Psychology programme in the implementation of a new interview task for the selection of trainee clinical psychologists at the University of Surrey. This new initiative involves service users, carers and staff members working collaboratively to assess candidates in a discussion based task. The study employed two focus groups, one pre‐selection and one post‐selection, and used interpretative phenomenological analysis (IPA) to evaluate participants' expectations and experiences of the task. The findings suggest that there was genuine collaboration between service users, carers and programme team members that was deeply engrained in the programme ethos and was a step forward in normalising and empowering service users and their carers. Interviewers felt that this task helped select a different calibre of applicants who had an awareness of the perspective of service users and carers and were able to communicate effectively. Interviewers viewed applicants who were able to disclose and take ownership of their views favourably. The introduction of a successful new interview task at Surrey has set a marker for future collaboration with service users and carers in selection, which will have implications for other doctorate programmes in clinical psychology and the broader health care training community.

Details

The Journal of Mental Health Training, Education and Practice, vol. 2 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 4 May 2010

Virginia Minogue and John Girdlestone

The purpose of this paper is to examine the role of service user and carer involvement in NHS research and describe the nature of this involvement in three specialist mental…

1995

Abstract

Purpose

The purpose of this paper is to examine the role of service user and carer involvement in NHS research and describe the nature of this involvement in three specialist mental health Trusts. It also aims to discuss the value of service user and carer involvement and present the perspective of the service user and research manager.

Design/methodology/approach

The paper reviews patient and public involvement policy and practice in the NHS and NHS research. It examines the effectiveness of involvement activity and utilises a case example to demonstrate the impact of patient/service user involvement on the NHS and the individuals who take part.

Findings

The paper concludes that service user involvement is essential if research is to support the development of health services that clearly reflect the needs of the service user and impact positively on service quality.

Practical implications

Service user involvement is an established element of NHS research and development at both national and local level. The Department of Health strategy for research, Best Research for Best Health, reiterates both the importance of research that benefits the patient and the involvement of the service user in the research process. Despite this, the changes in Department of Health support funding for research, introduced by the strategy, may inadvertently lead to some NHS Trusts experiencing difficulty in resourcing this important activity.

Originality/value

The paper illustrates the effectiveness of successful patient and public involvement in research. It also identifies how involvement has developed in a fragmented and uncoordinated way and how it is threatened by a failure to embed it more consistently in research infrastructure.

Details

International Journal of Health Care Quality Assurance, vol. 23 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 16 September 2013

Helen Kara

– The aim of the research is to assess the extent and value of mental health service user (MHSU) involvement in research in England.

Abstract

Purpose

The aim of the research is to assess the extent and value of mental health service user (MHSU) involvement in research in England.

Design/methodology/approach

This is a knowledge review, including academic and “grey” literature, and documented testimonial evidence.

Findings

The involvement of MHSUs in mental health research has become mainstream. There is clear evidence that involving MHSUs in research adds value. Four gaps in the literature were identified. First, a lack of evidence from non-service-user researchers about their experience of working with MHSUs. Second, a lack of recognition that anyone involved in research may hold more than one role. Third, failure to treat carers as separate from MHSUs, or – often – to include them at all. Fourth, a lack of understanding that MHSUs may have a useful role to play in research on topics other than mental health.

Research limitations/implications

The literature would benefit from some evidence about non-service-user researchers’ experiences of working with MHSU researchers. Carers should be recognised much more widely as different from MHSUs and with a valid role to play in mental health research from their own perspectives. MHSU researchers, and carer researchers, should be offered opportunities for involvement in research on topics other than mental health.

Practical implications

The evidence shows that involving service users in research can benefit everyone involved and the research itself. The process can be challenging for all concerned. However, there is now plenty of guidance about how to involve service users in research for maximum benefit to all (e.g. Faulkner, 2004b; SURGE, 2005; Morgan, 2006; Tew et al., 2006; Kotecha et al., 2007; Schrank and Wallcraft, 2008, pp. 243-247; Leiba, 2010, pp. 160-169; Armes et al., 2011; Morrow et al., 2012, p. 114). This guidance should be consulted by researchers, funders, ethics committees, and other stakeholders at the earliest possible stage of any relevant project.

Social implications

It is essential to recognise and acknowledge that anyone involved in research may hold more than one role. Embracing multiple and mutable identities is not an easy process, as the literature shows, and attempts to do so are likely to produce resistance at every level. Nevertheless, the example of the survivor researchers suggests that doing this has the potential to enrich our individual and collective experience, and therefore society as a whole.

Originality/value

The paper is written by an independent researcher who is also a carer for people with mental health problems: a viewpoint which is rarely found in the literature. The literature suggests that power imbalances and identity issues are at the root of most difficulties and gaps. Social identity and categorisation theory offers a useful theoretical perspective. The paper will be of value to anyone interested in mental health research, whether as a student, service user/survivor, researcher or teacher.

Details

Journal of Public Mental Health, vol. 12 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 14 December 2015

Eleanor Bradley

The purpose of this paper is to provide a brief overview of the literature to date which has focused on co-production within mental healthcare in the UK, including service user…

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Abstract

Purpose

The purpose of this paper is to provide a brief overview of the literature to date which has focused on co-production within mental healthcare in the UK, including service user and carer involvement and collaboration.

Design/methodology/approach

The paper presents key outcomes from studies which have explicitly attempted to introduce co-produced care in addition to specific tools designed to encourage co-production within mental health services. The paper debates the cultural and ideological shift required for staff, service users and family members to undertake co-produced care and outlines challenges ahead with respect to service redesign and new roles in practice.

Findings

Informal carers (family and friends) are recognised as a fundamental resource for mental health service provision, as well as a rich source of expertise through experience, yet their views are rarely solicited by mental health professionals or taken into account during decision making. This issue is considered alongside new policy recommendations which advocate the development of co-produced services and care.

Research limitations/implications

Despite the launch of a number of initiatives designed to build on peer experience and support, there has been a lack of attention on the differing dynamic which remains evident between healthcare professionals and people using mental health services. Co-production sheds a light on the blurring of roles, trust and shared endeavour (Slay and Stephens, 2013) but, despite an increase in peer recovery workers across England, there has been little research or service development designed to focus explicitly on this particular dynamic.

Practical implications

Despite these challenges, coproduction in mental healthcare represents a real opportunity for the skills and experience of family members to be taken into account and could provide a mechanism to achieve the “triangle of care” with input, recognition and respect given to all (service users, carers, professionals) whose lives are touched by mental distress. However, lack of attention in relation to carer perspectives, expertise and potential involvement could undermine the potential for coproduction to act as a vehicle to encourage person-centred care which accounts for social in addition to clinical factors.

Social implications

The families of people with severe and enduring mental illness assume a major responsibility for the provision of care and support to their relatives over extended time periods (Rose et al., 2004). Involving carers in discussions about care planning could help to provide a wider picture about the impact of mental health difficulties, beyond symptom reduction. The “co-production of care” reflects a desire to work meaningfully and fully with service users and carers. However, to date, little work has been undertaken in order to coproduce services through the “triangle of care” with carers bringing their own skills, resources and expertise.

Originality/value

This paper debates the current involvement of carers across mental healthcare and debates whether co-production could be a vehicle to utilise carer expertise, enhance quality and satisfaction with mental healthcare. The critique of current work highlights the danger of increasing expectations on service providers to undertake work aligned to key initiatives (shared decision-making, person-centred care, co-production), that have common underpinning principles but, in the absence of practical guidance, could be addressed in isolation rather than as an integrated approach within a “triangle of care”.

Details

Mental Health Review Journal, vol. 20 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

1 – 10 of over 2000