genuine user involvement: what does it look like? alison faulkner mental health researcher &...
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Genuine user involvement: what does it look like?
Alison Faulkner
Mental health researcher & service user
Genuine user involvement…
Principles of service user involvement User involvement and the research
process What does it look like?
Examples The way forward…?
Principles for user involvement Clarity about the potential for involvement &
influence Respect for people’s views and experience Offer support and training User involvement policies & procedures An openness to change A base of support & accountability Offer payment & other incentives Ideas about negotiating differences Power and empowerment
Principles
Active partnership Doing research with or by people who use
services, not to, about or for them If research reflects the needs & views of people
who use services it is more likely to produce results that can be used to improve practice in social care services.
(INVOLVE)
Principles of service user involvement Clarity and transparency Empowerment Identity Commitment to change Respect Equal opportunities Theoretical approach Accountability
Faulkner 2005
Clarity and transparency Diversity Respect Flexibility Accessibility
SURGE 2005
Two examples…
1. Learning the lessons: a multi-method evaluation of dedicated community-based services for people with personality disorder.
2. Evaluation of Leeds survivor led crisis service.
‘Learning the Lessons’
Service user involvement at all stages and all levels – from design to dissemination
Project steering group, advisory group Service users as researchers, reviewers,
interviewers. Integrated research team-based approach
LL: What was good about it? Support for Researchers:
systematic debriefing; peer support telephone contact with research supervisors
Practical Arrangements Paid as consultants & expenses; Administrative support; e.g. information packs, accommodation
and travel arrangements Involvement and ownership of process as a whole
Design, interviewing, analysis and report writing Training and team work
Good quality research
LL: What was challenging?
Amount of work & co-ordination involved Expensive Time-consuming Personally challenging at times
Evaluation of Leeds Survivor Led Crisis Service Commissioned by the crisis service Service user led evaluation 4 service users recruited Designed and carried out evaluation together Report written together Fed back to staff and management group
(but not formally disseminated)
Crisis service evaluation (2)
A good experience for everyone Collaborative training Understanding of crisis Skills development Positive effects on service delivery Some uncomfortable findings Little external dissemination
The Research cycle…
Identifying
topicsPrioritising Commissioning
Designing research
Managing research
Undertaking research
Analysing & interpreting
Disseminating research
Evaluating research
Obstacles to genuine user involvement Identifying topics
Prioritising Commissioning
Designing research Managing research
Undertaking research Analysing & interpreting Disseminating
Evaluating
Government agendaMoney
Pharmaceutical companies
Research careers
Need for publications Concerns about quality
Attitudes: ‘We know best’
Keeping the space
Good service user involvement
Information and Communication
Respect
Accessibility
Flexibility
Honesty, transparency
Support
Training
Payment
Resources
Difference
Distress
Dissent
Keeping the space
New knowledge
and theory
Sharing th
e
‘research gaze’
Empowerment
Empowerment
Making change
happen
Evidence - and what
counts as evidence
Skills
Some references Faulkner, A. (2004) The Ethics of Survivor Research: Guidelines for the ethical
conduct of research carried out by mental health service users and survivors. Bristol: Policy Press on behalf of the Joseph Rowntree Foundation.
Service User Research Group England (2005) Guidance for Good Practice: Service user involvement in the UK Mental Health Research Network. London: UK MHRN.
Crawford, M et al (2007) Learning the lessons: A multi-method evaluation of dedicated community-based services for people with personality disorder. National Coordinating Centre for NHS Service Delivery and Organisation R&D, Department of Health.
Faulkner A, Gillespie S, Imlack S, Dhillon K & Crawford M (2008) Learning the lessons together. Mental Health Today Vol. 8 (1), February.
INVOLVE (2007) Public Information Pack. www.invo.org.uk INVOLVE (2004) Involving the public in NHS, public health, and social care research:
Briefing notes for researchers; as above. Direct Impact Service User and Carer Research Group (2004) Involving Service
Users and Carers in Audit, Evaluation and Research and Other Projects to Improve and Develop Services. South West Yorkshire Mental Health NHS Trust.