Book contents
- Frontmatter
- Contents
- List of contributors
- List of tables, boxes and figures
- Foreword
- Preface
- Acknowledgements
- Scoping Group on Social Inclusion, Royal College of Psychiatrists
- Part 1 What is social exclusion?
- Part 2 Social exclusion: the scope of the problem
- Part 3 Working towards inclusive psychiatry
- 13 Social inclusion: research and evidence-based practice
- 14 Implications of social inclusion for individual practice
- 15 Socially inclusive mental health services: what will they look like?
- 16 Training for socially inclusive practice
- 17 Community mental health and the inclusion–exclusion seesaw
- 18 Socially inclusive practice and psychiatry in the 21st century
- Index
15 - Socially inclusive mental health services: what will they look like?
from Part 3 - Working towards inclusive psychiatry
Published online by Cambridge University Press: 01 January 2018
- Frontmatter
- Contents
- List of contributors
- List of tables, boxes and figures
- Foreword
- Preface
- Acknowledgements
- Scoping Group on Social Inclusion, Royal College of Psychiatrists
- Part 1 What is social exclusion?
- Part 2 Social exclusion: the scope of the problem
- Part 3 Working towards inclusive psychiatry
- 13 Social inclusion: research and evidence-based practice
- 14 Implications of social inclusion for individual practice
- 15 Socially inclusive mental health services: what will they look like?
- 16 Training for socially inclusive practice
- 17 Community mental health and the inclusion–exclusion seesaw
- 18 Socially inclusive practice and psychiatry in the 21st century
- Index
Summary
What would a socially inclusive service look like?
The previous chapter illustrated the significant implications of recoveryoriented mental health services for partnership working with service users (Care Services Improvement Partnership, 2005). This approach encourages psychiatrists and other mental health professionals to move from a traditional compliance relationship to one of collaboration where there is negotiation in agreeing specific treatments, interventions and all other aspects of the care plan and risk assessment with service users, recognising there are two experts working in partnership, the patient and the clinician (Deegan & Drake, 2006).
Good practice also includes meaningful service user involvement in various aspects of mental health service planning since the direction taken in any new or continuing project will have an impact on the users of the services, and service users know how the system is working rather than how it is thought to be working. Support for this comes from NICE (2005):
The views of patients or service users, their carers and the public matter to NICE. We want to involve them, as well as doctors, nurses, other healthcare professionals and managers in our work. By working with patients, carers, patient organisations and the public, NICE aims to produce guidance that addresses patient/carer/public issues, reflects their views and meets their healthcare needs. Our clinical guidance aims to improve the quality of care across the NHS by providing clinicians and patients with the information they need to make good decisions about treatment and care.
Although it is recognised that there is no such thing as ‘the’ service user view, service user input can be considered on a continuum of involvement, from user-led to collaborative and consultative. Different approaches have been used successfully to involve service users in service planning and delivery: participation in focus groups; representing users on local borough committees, on trust and health authority committees and on project teams or planning groups; training professionals; being involved in staff recruitment; being active members of mental health charities; acting as research consultants; undertaking paid work within the health system; leading projects such as user-focused monitoring, which is probably the gold standard in this area. Carers also have a similar role to play in the planning of services.
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- Information
- Social Inclusion and Mental Health , pp. 311 - 330Publisher: Royal College of PsychiatristsPrint publication year: 2010