Mckeown, Michael, Jones, Fiona and Wright, Karen Margaret (2016) It’s the talk! A study of involvement initiatives in secure mental health settings. Health Expectations, 19 (3). pp. 570-579. ISSN 1369-6513
- Accepted Version
Official URL: http://dx.doi.org/10.1111/hex.12232
Background: We present a study of involvement initiatives within secure mental health services across one UK region where these have been organised to reflect alliances between staff and service users. There is little previous international research on involvement in such settings but constraints upon effective involvement have been noted.
Objective: To explore and evaluate involvement initiatives in secure mental health settings.
Design: A case study design with thematic analysis of qualitative interviews and focus groups.
Setting and participants: Data collection was carried out between October 2011 and February 2012 with 139 staff and service users drawn from a variety of secure mental health settings.
Results: Our analysis offers nine themes we have titled: appreciation for collective involvement; not just about me; bringing it all back home; it’s the talk!; involvement for recovery and well-being; emotional impact of involvement work; safety and security first, involvement second?; commissioning for involvement; accessibility of involvement practices and messages.
Discussion: Key aspects of communication and setting sustain involvement. These features are discussed with reference to Jurgen Habermas's work on communicative action and deliberative democracy.
Conclusions: Involvement initiatives with service users resident in secure hospitals can be organized to good effect and the active role of commissioners is crucial. Positive outcomes are optimized when care is taken over the social space where involvement takes place and the process of involvement is appreciated by participants. Concerns over risk management are influential in staff support. This is germane to innovative thinking about practice and policy in this field.
|Uncontrolled Keywords (separate with ;):||involvement; mental health; secure services; communicative action; democracy|
|Subjects:||B - Subjects allied to medicine > B700 - Nursing|
|Schools:||Faculty of Health and Wellbeing > School of Nursing|
|Deposited By:||Simone Finley|
|Deposited On:||21 Feb 2013 11:24|
|Last Modified:||26 Apr 2017 12:09|
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