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The politics of evaluationParticipation and policy implementation$
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David Taylor and Susan Balloch

Print publication date: 2005

Print ISBN-13: 9781861346063

Published to University Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861346063.001.0001

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date: 17 August 2017

Best Value but not best interests: can service users instruct mental health advocates?

Best Value but not best interests: can service users instruct mental health advocates?

Chapter:
(p.87) Five Best Value but not best interests: can service users instruct mental health advocates?
Source:
The politics of evaluation
Author(s):

Hazel Platzer

Publisher:
Policy Press
DOI:10.1332/policypress/9781861346063.003.0006

This chapter examines the difficulties representing the views of people using mental health services. It focuses on the effectiveness of Patient Councils in acute psychiatric hospitals, facilitated by group advocates from an independent mental health advocacy organisation. It determines major problems in accurately expressing the views of patients to hospital managers on key issues in the therapeutic environment such as restraint and over-medication. It discusses how services users sometimes tempered their own ideas through fear of reprisal and were also prevented from identifying changes they would like because their own expectations of change were so low. It concludes that evaluation of these programmes needs to focus as much on process as outcomes and to question the underlying mechanisms if it is to make a useful contribution to developing good practice.

Keywords:   mental health services, Patient Councils, psychiatric hospitals, medication, advocacy

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