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Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration
Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-pro...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454952/ https://www.ncbi.nlm.nih.gov/pubmed/36090358 http://dx.doi.org/10.3389/fpsyt.2022.981238 |
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author | Grim, Katarina Näslund, Hilda Allaskog, Conny Andersson, Jessica Argentzell, Elisabeth Broström, Kjell Jenneteg, Filippa Gagnér Jansson, Mårten Schön, Ulla-Karin Svedberg, Petra Svensson, Sara Wåhlstedt, Sonny Rosenberg, David |
author_facet | Grim, Katarina Näslund, Hilda Allaskog, Conny Andersson, Jessica Argentzell, Elisabeth Broström, Kjell Jenneteg, Filippa Gagnér Jansson, Mårten Schön, Ulla-Karin Svedberg, Petra Svensson, Sara Wåhlstedt, Sonny Rosenberg, David |
author_sort | Grim, Katarina |
collection | PubMed |
description | Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-production study was conducted by a team of researchers and representatives from user organizations in Sweden. The aim of the study was to explore the barriers and facilitators to the legitimacy of user knowledge, as a central factor in sustainably implementing user influence in mental health practice. A series of workshops, with representatives of mental health services and user organizations were conducted by the research team to explore these issues. The analysis built on the theoretical framework of epistemic injustice, and the underlying aspects, testimonial, hermeneutic and participation-based injustice, were utilized as a framework for a deductive analysis. Results suggest that this is a useful model for exploring the complex dynamics related to the legitimacy of user knowledge in mental health systems. The analysis suggests that the legitimacy of user knowledge is related to the representativeness of the knowledge base, the systematic formulation of this knowledge in applicable methods, access to resources and positions within the mental health system and participation in the process of integrating this knowledge-base in mental health contexts. Legitimizing user knowledge in practice additionally challenges mental health systems to support readiness for change in working environments and to address the power and role issues that these changes involve. |
format | Online Article Text |
id | pubmed-9454952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-94549522022-09-09 Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration Grim, Katarina Näslund, Hilda Allaskog, Conny Andersson, Jessica Argentzell, Elisabeth Broström, Kjell Jenneteg, Filippa Gagnér Jansson, Mårten Schön, Ulla-Karin Svedberg, Petra Svensson, Sara Wåhlstedt, Sonny Rosenberg, David Front Psychiatry Psychiatry Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-production study was conducted by a team of researchers and representatives from user organizations in Sweden. The aim of the study was to explore the barriers and facilitators to the legitimacy of user knowledge, as a central factor in sustainably implementing user influence in mental health practice. A series of workshops, with representatives of mental health services and user organizations were conducted by the research team to explore these issues. The analysis built on the theoretical framework of epistemic injustice, and the underlying aspects, testimonial, hermeneutic and participation-based injustice, were utilized as a framework for a deductive analysis. Results suggest that this is a useful model for exploring the complex dynamics related to the legitimacy of user knowledge in mental health systems. The analysis suggests that the legitimacy of user knowledge is related to the representativeness of the knowledge base, the systematic formulation of this knowledge in applicable methods, access to resources and positions within the mental health system and participation in the process of integrating this knowledge-base in mental health contexts. Legitimizing user knowledge in practice additionally challenges mental health systems to support readiness for change in working environments and to address the power and role issues that these changes involve. Frontiers Media S.A. 2022-08-25 /pmc/articles/PMC9454952/ /pubmed/36090358 http://dx.doi.org/10.3389/fpsyt.2022.981238 Text en Copyright © 2022 Grim, Näslund, Allaskog, Andersson, Argentzell, Broström, Jenneteg, Jansson, Schön, Svedberg, Svensson, Wåhlstedt and Rosenberg. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Grim, Katarina Näslund, Hilda Allaskog, Conny Andersson, Jessica Argentzell, Elisabeth Broström, Kjell Jenneteg, Filippa Gagnér Jansson, Mårten Schön, Ulla-Karin Svedberg, Petra Svensson, Sara Wåhlstedt, Sonny Rosenberg, David Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title | Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title_full | Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title_fullStr | Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title_full_unstemmed | Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title_short | Legitimizing user knowledge in mental health services: Epistemic (in)justice and barriers to knowledge integration |
title_sort | legitimizing user knowledge in mental health services: epistemic (in)justice and barriers to knowledge integration |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454952/ https://www.ncbi.nlm.nih.gov/pubmed/36090358 http://dx.doi.org/10.3389/fpsyt.2022.981238 |
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