The potential and limits of mental health service user involvement
General Material Designation
[Thesis]
First Statement of Responsibility
Ferguson, Iain
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
University of Glasgow
Date of Publication, Distribution, etc.
1999
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Ph.D.
Body granting the degree
University of Glasgow
Text preceding or following the note
1999
SUMMARY OR ABSTRACT
Text of Note
User involvement in the planning and management of health and social services has been a key social policy theme of the 1990s. For users of mental health services in particular, such involvement has often been seen as offering an opportunity both to reconstruct mental health services on the basis of users' wishes and more equal relationships with professionals, and also to challenge the stigma which surrounds mental ill-health and contributes to the social exclusion experienced by many users. Yet the apparent consensus that user involvement is a 'good thing' can obscure the different, and sometimes contradictory, agendas underpinning such involvement, while also minimising the obstacles to involvement. This thesis will attempt to assess the potential and limits of mental health service user involvement in terms of the challenge that different forms of involvement pose to dominant ideologies of mental ill-health, to the professional domination of services and to the stigma and oppression associated with mental ill-health. This will involve a critical evaluation of the major factors - economic, political, and ideological - which have driven such user involvement over the past ten years, as the basis for an exploration of the attitudes towards, and experience of, involvement by service users and workers in five focus groups and nine community-based mental health projects across central Scotland. A central concern of the thesis will be to critically engage with recent characterisations of the mental health users' movement as a 'new social movement'.