Service user led organisations in mental health today

Diana Rose, Dee Macdonald, Aaron Wilson, Mike J. Crawford, Marian Barnes, Edward Omeni

Research output: Contribution to journalArticle

Abstract

Background: Since 1990, health policy in England has stressed the importance of user involvement in shaping and delivering services. Aims: To explore mental health service user-led organisations (ULOs) in England, as they interact with decision-makers to bring about change desired by them with a focus on institutional norms behaviour and specialised knowledge impacting service users’ relationships with services. Method: An ethnography of five ULOs in two provider organisations (NHS Trusts) including observing their meetings and interactions with decision-makers, conducting in-depth interviews and collecting reflective diaries kept by two members of each group. Results: During the study, one group ceased to operate. This was a group which refused to adopt the institutional rules and norms of managerial discourse. The other four groups survived by navigating the changing environment which existed at the time of the study, although often at some cost. Themes of autonomy and leadership were also identified. Conclusion: The current environment is one of the organisational complexity and change and the place of ULOs is an ambiguous one as they strive to maintain autonomy whilst at the same time being an acceptable voice to managers.
Original languageEnglish
Pages (from-to)254-259
Number of pages6
JournalJournal of Mental Health
Volume25
Issue number3
DOIs
Publication statusPublished - 12 Feb 2016

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mental health
decision maker
Group
autonomy
health policy
ethnography
health service
manager
leadership
discourse
costs
interaction
interview

Bibliographical note

This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 12/02/2016 available online:http://www.tandfonline.com/10.3109/09638237.2016.1139070

Keywords

  • Service user led organisations
  • user led organisations
  • service user involvement
  • patient and public involvement.

Cite this

Rose, D., Macdonald, D., Wilson, A., Crawford, M. J., Barnes, M., & Omeni, E. (2016). Service user led organisations in mental health today. Journal of Mental Health, 25(3), 254-259. https://doi.org/10.3109/09638237.2016.1139070
Rose, Diana ; Macdonald, Dee ; Wilson, Aaron ; Crawford, Mike J. ; Barnes, Marian ; Omeni, Edward. / Service user led organisations in mental health today. In: Journal of Mental Health. 2016 ; Vol. 25, No. 3. pp. 254-259.
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Rose, D, Macdonald, D, Wilson, A, Crawford, MJ, Barnes, M & Omeni, E 2016, 'Service user led organisations in mental health today', Journal of Mental Health, vol. 25, no. 3, pp. 254-259. https://doi.org/10.3109/09638237.2016.1139070

Service user led organisations in mental health today. / Rose, Diana; Macdonald, Dee; Wilson, Aaron; Crawford, Mike J.; Barnes, Marian; Omeni, Edward.

In: Journal of Mental Health, Vol. 25, No. 3, 12.02.2016, p. 254-259.

Research output: Contribution to journalArticle

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AU - Rose, Diana

AU - Macdonald, Dee

AU - Wilson, Aaron

AU - Crawford, Mike J.

AU - Barnes, Marian

AU - Omeni, Edward

N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 12/02/2016 available online:http://www.tandfonline.com/10.3109/09638237.2016.1139070

PY - 2016/2/12

Y1 - 2016/2/12

N2 - Background: Since 1990, health policy in England has stressed the importance of user involvement in shaping and delivering services. Aims: To explore mental health service user-led organisations (ULOs) in England, as they interact with decision-makers to bring about change desired by them with a focus on institutional norms behaviour and specialised knowledge impacting service users’ relationships with services. Method: An ethnography of five ULOs in two provider organisations (NHS Trusts) including observing their meetings and interactions with decision-makers, conducting in-depth interviews and collecting reflective diaries kept by two members of each group. Results: During the study, one group ceased to operate. This was a group which refused to adopt the institutional rules and norms of managerial discourse. The other four groups survived by navigating the changing environment which existed at the time of the study, although often at some cost. Themes of autonomy and leadership were also identified. Conclusion: The current environment is one of the organisational complexity and change and the place of ULOs is an ambiguous one as they strive to maintain autonomy whilst at the same time being an acceptable voice to managers.

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Rose D, Macdonald D, Wilson A, Crawford MJ, Barnes M, Omeni E. Service user led organisations in mental health today. Journal of Mental Health. 2016 Feb 12;25(3):254-259. https://doi.org/10.3109/09638237.2016.1139070