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Participation in mental healthcare: a qualitative meta-synthesis

BACKGROUND: Facilitation of service user participation in the co-production of mental healthcare planning and service delivery is an integral component of contemporary mental health policy and clinical guidelines. However, many service users continue to experience exclusion from the planning of thei...

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Autores principales: Stomski, Norman J., Morrison, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678577/
https://www.ncbi.nlm.nih.gov/pubmed/29151851
http://dx.doi.org/10.1186/s13033-017-0174-y
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author Stomski, Norman J.
Morrison, Paul
author_facet Stomski, Norman J.
Morrison, Paul
author_sort Stomski, Norman J.
collection PubMed
description BACKGROUND: Facilitation of service user participation in the co-production of mental healthcare planning and service delivery is an integral component of contemporary mental health policy and clinical guidelines. However, many service users continue to experience exclusion from the planning of their care. This review synthesizes qualitative research about participation in mental healthcare and articulates essential processes that enable service user participation in mental health care. METHODS: Electronic databases were systematically searched. Studies were included if they were peer reviewed qualitative studies, published between 2000 and 2015, examining participation in mental health care. The Critical Appraisal Skills Program checklist was used to assess the quality of each included study. Constant comparison was used to identify similar constructs across several studies, which were then abstracted into thematic constructs. RESULTS: The synthesis resulted in the identification of six principal themes, which articulate key processes that facilitate service user participation in mental healthcare. These themes included: exercising influence; tokenism; sharing knowledge; lacking capacity; respect; and empathy. CONCLUSIONS: This meta-synthesis demonstrates that service user participation in mental healthcare remains a policy aspiration, which generally has not been translated into clinical practice. The continued lack of impact on policy on the delivery of mental healthcare suggests that change may have to be community driven. Systemic service user advocacy groups could contribute critically to promoting authentic service user participation in the co-production of mental health services.
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spelling pubmed-56785772017-11-17 Participation in mental healthcare: a qualitative meta-synthesis Stomski, Norman J. Morrison, Paul Int J Ment Health Syst Review BACKGROUND: Facilitation of service user participation in the co-production of mental healthcare planning and service delivery is an integral component of contemporary mental health policy and clinical guidelines. However, many service users continue to experience exclusion from the planning of their care. This review synthesizes qualitative research about participation in mental healthcare and articulates essential processes that enable service user participation in mental health care. METHODS: Electronic databases were systematically searched. Studies were included if they were peer reviewed qualitative studies, published between 2000 and 2015, examining participation in mental health care. The Critical Appraisal Skills Program checklist was used to assess the quality of each included study. Constant comparison was used to identify similar constructs across several studies, which were then abstracted into thematic constructs. RESULTS: The synthesis resulted in the identification of six principal themes, which articulate key processes that facilitate service user participation in mental healthcare. These themes included: exercising influence; tokenism; sharing knowledge; lacking capacity; respect; and empathy. CONCLUSIONS: This meta-synthesis demonstrates that service user participation in mental healthcare remains a policy aspiration, which generally has not been translated into clinical practice. The continued lack of impact on policy on the delivery of mental healthcare suggests that change may have to be community driven. Systemic service user advocacy groups could contribute critically to promoting authentic service user participation in the co-production of mental health services. BioMed Central 2017-11-07 /pmc/articles/PMC5678577/ /pubmed/29151851 http://dx.doi.org/10.1186/s13033-017-0174-y Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Stomski, Norman J.
Morrison, Paul
Participation in mental healthcare: a qualitative meta-synthesis
title Participation in mental healthcare: a qualitative meta-synthesis
title_full Participation in mental healthcare: a qualitative meta-synthesis
title_fullStr Participation in mental healthcare: a qualitative meta-synthesis
title_full_unstemmed Participation in mental healthcare: a qualitative meta-synthesis
title_short Participation in mental healthcare: a qualitative meta-synthesis
title_sort participation in mental healthcare: a qualitative meta-synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678577/
https://www.ncbi.nlm.nih.gov/pubmed/29151851
http://dx.doi.org/10.1186/s13033-017-0174-y
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