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Leeds Survivor Led Crisis Service was set up in 1999 by a group of service users, who had campaigned for five years to develop the service. We were set up to be a place of sanctuary – an alternative to hospital admission and statutory services for people in acute mental health crisis. The service was established, and continues to be governed, managed and staffed by people with direct experience of mental health problems. We have our own unique perspectives on what it feels like to be in crisis, and what helps and doesn't help. We have developed our service based on this knowledge and experience, while responding to the needs articulated by our visitors and callers.

This research explores the experiences of self-identified queer victims of intimate partner violence, their personal encounters with violence-response organizations, and the extent to which their gender/sexual identity impacted their willingness to disclose their abuse.

Eleven respondents were recruited from online queer social networking sites and were interviewed via e-mail or Skype.

All respondents identified as gender variant or had an abusive partner who identified as gender variant. All study participants reported having experienced physical abuse. Several reported sexual and emotional abuse. Respondents reported a reluctance to seek institutional support and intervention. Several respondents were unable to recognize abuse as abuse until much later. When asked about whether or not they sought intervention, most respondents in this study described a sort of isolation, where they perceived that they were facing prejudice and stigmatization, and risked being dismissed and delegitimized. Several respondents sensed that there simply were no organizations that were sensitized and available to queer-identified victims. Even if they had pursued help from existing institutions, several respondents communicated a doubt that they could truly be of service, since these institutions likely operated with heteronormative narratives and practices. Collectively, the respondents in this study describe experiences as victims of IPV that are clearly mediated by homophobia and cissism.

We emphasize the need for an “intersectional awareness” in scholarship and organizing surrounding IPV. We critique the state’s gender-based practices of violence intervention and propose alternative possibilities for more inclusive intervention and organizing on behalf of queer victims of violence.

The body of literature that exists on IPV among LGBTQ persons is small, and much of this literature is focused on how patterns of IPV differ from heterosexual violence. In exploring IPV among self-identified queer victims, we depart from most research on IPV in that our analysis is not so much concerned with the gender or sex assignment of the victim, but rather the gendered context in which the violence is playing out.

From time to time A life in the day gets a ‘snippet’ of information about a project or development that is only just under way or about to happen and which we think our readers should know about at an early stage. One such project is ‘The Palace’ ‐ an ambitious contribution to community development by a user/survivor‐managed organisation from the London Borough of Newham, the Independent Newham Users' Forum (INUF). At the time of writing there are a few legal loose ends that need to be tied up, as is the nature of finalising such property transactions. However, since it is such an inspiring idea we thought that readers might want to be told about the project soon enough in order to offer encouragement and practical support to this innovative user/survivor initiative in its formative stages.

This inspiring article describes a series of activities that have taken place in the UK over the past year (2001) aiming to generate interest in user/survivor/consumer‐run social enterprises. The writers want to let others know about these activities, about the survivor‐run businesses in Ontario, and hopefully to create more interest in this type of work/community initiative. As editor of this journal I hope that the article will provoke those of you already running user/survivor‐led businesses in the UK to rise to the challenge and write about your work for future issues. Can't let the Canadians have things all their own way… Bob Grove.

This chapter examines the continued presence of sexualized violence against girls and gender nonconforming/lesbian, gay, trans* or inter* students in education. It discusses endeavours to establish ‘true’ safe spaces as preconditions for and effects of efforts to prevent or minimize sexualized violence. It shows thereby that debates on safe or even brave spaces provide further stimuli for the topic of sexualized violence and reveals the significance of the interaction of sexism, heteronormativity and hatred of people who are perceived as ‘different’. Counselling centres, survivor support associations, schools, and child and youth welfare organizations are now developing concepts to protect all target groups. However, there is still a lack of sufficient and well-conceived offers, especially for lesbians, gays and trans*. Strengthening the agency of those affected could be a promising starting point.

Abstract This article looks at the benefits of and obstacles to using a whole systems approach to plan and deliver personality disorder services. It does so using the example of the Leeds Managed Clinical Network, a community pilot service that employs whole system working to support people with personality disorder.

The purpose of this paper is to discuss human rights assessment and monitoring in psychiatric institutions from the perspectives of those whose rights are at stake. It explores the extent to which mental health service user/psychiatric survivor priorities can be addressed with monitoring instruments such as the WHO QualityRights Tool Kit.

The paper is based on the outcomes of a large-scale consultation exercise with people with personal experience of detention in psychiatric institutions across 15 European countries. The consultation took place via one focus group per country and extended to a total of 116 participants. The distinctive characteristic of this research is that it imparts an insider perspective: both the research design and the qualitative analysis of the focus group discussion transcripts were done by a social researcher who shared the identity of service user/survivor with the participants.

The paper highlights human rights issues which are not readily visible and therefore less likely to be captured in institutional monitoring visits. Key issues include the lack of interaction and general humanity of staff, receipt of unhelpful treatment, widespread reliance on psychotropic drugs as the sole treatment and the overall impact of psychiatric experience on a person's biography.

Because of the way participants were recruited, the research findings do not offer a representative picture of the human rights situation in particular countries. They point clearly, however, to new directions for human rights research in the psychiatric context.

This paper demonstrates the indispensability of experiential knowledge for not only securing and improving but also extending the understanding of human rights standards in psychiatry.

Previous research has highlighted the importance of engaging people with lived experience (PWLE) in the knowledge creation process. However, diverse approaches to engagement exist. In addition, tensions remain in community-engaged research (CER), including how to address structural inequalities in research settings. This study aims to consider how CER interacts with citizenship within and beyond the research context.

This study discusses the authors’ experiences as a majority-PWLE of psychosis research team in Canada, including successes and challenges the authors experienced building their team and navigating research institutions. This study also reflects on the authors’ pathways through citizenship, prior to and during the research process. This study discusses divergent models of CER and their applicability to the cyclical process of citizenship and community participation.

Relationships between academic and peer researchers developed organically over time. However, this study was limited by structural barriers such as pay inequality and access to funding. The authors recognize that there are barriers to full citizenship and acknowledge their resources and privilege of being well supported within their communities. Team members built on a foundation of citizenship to access participation in research. This led to opportunities to engage in community spaces, and for PWLE to participate in research as partners and leaders. This study also found that citizenship is a way of giving back, by building a sense of social responsibility.

Academic and peer researchers can reflect on the authors’ experiences to build more inclusive research teams and communities by using a citizenship approach to research participation.

There are many initiatives — by organisations and by individuals — across the UK displaying imagination in responding to mental distress. Many of us want to be enthused through awareness of this richness. This regular ‘Network’ section is a small attempt to increase opportunities to learn and be inspired by each other.In each issue, part of this section will give some brief information on contacts and ideas relating to a particular theme. The first theme is ‘Arts, creativity and mental health’. Future themes include Leisure, Employment, Support and European Partnerships.The success of the Network section will to a large extent depend on our readers. If you involved in, or know of, something which you think will be of interest to others, then do send us brief details. If it seems particularly exciting, then we may contact you and ask whether you would do a larger piece for the journal.

Purpose – The goal of this chapter is to understand the role of nonprofit voluntary health organizations (VHOs) in the lives of Canadian women coping with breast cancer.

Methodology – Through qualitative interviews with breast cancer survivors and records of VHOs active in this field, we assess the level and nature of their interactions and impact on women's quality of life.

Findings – Our findings suggest that at the micro-level, VHOs are venues for women to receive auxiliary services such as information, counseling, and support that complement the mainstream health care provision. While VHO services empower women as health care consumers, we show that they also serve as venues for women to reciprocate by volunteering. This process of reciprocity helps women cope with their own healing and allows them to be not only consumers but also producers of health services.

Research limitations – The non-random nature and the small sample size make our findings not easily generalizable to the larger population of breast cancer survivors; rather they are indicative of the experiences of Canadian women in one large urban metropolitan area.

Value of the chapter – We demonstrate the role of VHOs as venues of health consumerism as well as places for consumers to become involved in the production of services by volunteering.