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The perspectives of a service user academic and a psychiatric trainee on engagement in supervision

Published online by Cambridge University Press:  28 February 2020

S. Gordon*
Affiliation:
Department of Psychological Medicine, University of Otago, Dunedin, 9054, New Zealand
M. Higgins
Affiliation:
Department of Psychological Medicine, University of Otago, Dunedin, 9054, New Zealand
*
*Address for correspondence: Sarah Gordon, Department of Psychological Medicine, University of Otago, Dunedin9054, New Zealand. (Email: dr.sarah.gordon.nz@gmail.com)

Abstract

This paper describes the perspectives of a service user academic and a psychiatric trainee in response to their engagement in service user supervision, now offered as part of our psychological medicine education, as a feature of an innovative service user-led, recovery and human rights focused, contact-based education programme. The supervision, being deliberately focused on exploring and addressing responsiveness to the traditionally underprivileged service user’s perspective, and hence vastly different to clinical supervision, was acknowledged by the trainee as being of distinct value, translating into changes in practice, particularly in terms of addressing power imbalances, enhancing communication with patients, supporting recovery and enabling supported decision-making. The main barrier to implementation of such changes was identified as being the lack of support of senior clinicians. The active support and enablement of trainees who want to share and apply new perspectives, models and approaches being advocated, including through current training, would likely be of benefit to all.

Type
Perspective Piece
Copyright
© College of Psychiatrists of Ireland 2020

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References

Agrawal, S, Capponi, P, López, J, Kidd, S, Ringsted, C, Wiljer, D, Soklaridis, S (2016). From surviving to advising: a novel course pairing mental health and addictions service users as advisors to senior psychiatry residents. Academic Psychiatry 40, 475480.CrossRefGoogle ScholarPubMed
Appelbaum, PS (2019). Saving the UN convention on the rights of persons with disabilities–from itself. World Psychiatry 18, 1.CrossRefGoogle Scholar
Balint, E (1969). The possibilities of patient-centered medicine. The Journal of the Royal College of General Practitioners 17, 269.Google ScholarPubMed
Billingham, V (1998). Through the Patient’s Eyes. Salzburg Seminar Session 356.Google Scholar
Committee on the Rights of Persons with Disabilities 2014. General Comment on Article 12.Google Scholar
Corrigan, PW, Morris, SB, Michaels, PJ, Rafacz, JD, Rüsch, N (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services 63, 963973.CrossRefGoogle ScholarPubMed
Corrigan, PW, Vega, E, Larson, J, Michaels, PJ, McClintock, G, Krzyzanowski, R, Gause, M, Buchholz, B (2013). The California schedule of key ingredients for contact-based antistigma programs. Psychiatric Rehabilitation Journal, 36, 173.CrossRefGoogle ScholarPubMed
Department of Health (2001). Involving Patients and the Public in Healthcare: A Discussion Document. Department of Health (http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publications PolicyAndGuidance/DH_4002892).Google Scholar
Freeman, MC, Kolappa, K, de Almeida, JMC, Kleinman, A, Makhashvili, N, Phakathi, S, Saraceno, BThornicroft, G (2015). Reversing hard won victories in the name of human rights: a critique of the General Comment on Article 12 of the UN Convention on the Rights of Persons with Disabilities. The Lancet Psychiatry 2, 844850.CrossRefGoogle ScholarPubMed
Goodrich, J, Cornwell, J (2008). Seeing the person in the patient: The point of care review paper. The King’s Fund: London.Google Scholar
Government of Ireland (2006). A Vision for Change: Report on the Expert Group on Mental Health Policy. The Stationary Office: Dublin.Google Scholar
Happell, B, Byrne, L, McAllister, M, Lampshire, D, Roper, C, Gaskin, CJ, Martin, G, Wynaden, D, McKenna, B, Lakeman, R, Platania-Phung, C (2014). Consumer involvement in the tertiarylevel education of mental health professionals: a systematic review. International Journal of Mental Health Nursing 23, 316.CrossRefGoogle ScholarPubMed
Lai, J, Jury, A, Long, J, Fergusson, D, Smith, M, Baxendine, S, Gruar, A (2019). Variation in seclusion rates across New Zealand’s specialist mental health services: are sociodemographic and clinical factors influencing this? International Journal of Mental Health Nursing 28, 288296.CrossRefGoogle Scholar
Mead, N, Bower, P (2000). Patient-centredness: a conceptual framework and review of the empirical literature. Social Science & Medicine, 51, 10871110.CrossRefGoogle ScholarPubMed
Mead, S (2014). Intentional Peer Support: An Alternative Approach. Intentional Peer Support: West Chesterfield.Google Scholar
Miller, C, Pradeep, V, Mohamad, M, Izmeth, Z, Reynolds, MTP, Gulati, G (2016). Patients and carers as teachers in psychiatric education: a literature review and discussion. Irish Journal of Psychological Medicine, 18.CrossRefGoogle Scholar
Newton-Howes, G, Gordon, S, Fedchuk, D (2019). Making the World of Difference: a service user-led education programme reshaping the learning environment in psychiatry. Australasian Psychiatry 1039856219878647.Google Scholar
Ramalho, R, Montenegro, R, Djordjevic, V, Braš, M, Christodoulou, N (2016). Person-centered psychiatric education. In Person Centered Psychiatry, pp. 539549. Springer: Cham.CrossRefGoogle Scholar
Roberts, G, Boardman, J (2014). Becoming a recovery-oriented practitioner. Advances in Psychiatric Treatment, 20, 3747.CrossRefGoogle Scholar
Slade, M (2013). 100 Ways to Support Recovery, 2nd ed. Rethink: London.Google Scholar
Stuart, H, Sartorius, N (2017). Opening doors: the global programme to fight stigma and discrimination because of schizophrenia. In The Stigma of Mental Illness-End of the Story?, pp. 227235. Springer: Cham.CrossRefGoogle Scholar
Training, P.C., Curriculum Scoping Group and the Special Committee on Professional Practice and Ethics (2018). Person-Centered Care: Implications for Training in Psychiatry. Royal College of Psychiatrists: London.Google Scholar
United Nations Human Rights Council (2017). Mental health and human rights: report of the United Nations High Commissioner for Human Rights.Google Scholar