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Meeting-The-Challenge-Making-a-Difference-Practitioner-Guide

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What are the<br />

challenges<br />

associated with<br />

service user<br />

involvement?<br />

Some of the named challenges<br />

to involving service users in<br />

service design, development<br />

and evaluation include:<br />

• <strong>The</strong>y’re unreliable! Stigma<br />

and discrimination can<br />

underpin the belief that<br />

service users are ‘ill all the<br />

time’ and therefore<br />

unreliable. Service users do<br />

have considerable coping<br />

skills, strengths and<br />

resources.<br />

• <strong>The</strong>y’re TOO well! On the<br />

other hand, service users can<br />

be ‘too well’,‘too articulate’<br />

or ‘too vocal’. Some workers<br />

are often looking for the<br />

‘typical patient’, often<br />

someone who is passive and<br />

will not challenge the system or<br />

the practitioner viewpoint<br />

• We can’t pay them! Does<br />

your organisation have a<br />

policy in place for paying<br />

service users? If you cannot<br />

pay people, how will you<br />

reward service users for their<br />

input? <strong>The</strong>re are other ways<br />

to give back – can you organise<br />

a meeting around a working<br />

lunch and provide food?<br />

• It takes too much time!<br />

Consulting others, working<br />

collaboratively, these do all<br />

take time but try to think<br />

about the process as well as<br />

the end result – by involving<br />

people well you are working<br />

towards your therapeutic<br />

aims as well as service<br />

development.<br />

• It’s always the same people!<br />

Welcome the input of<br />

regulars while continuing to<br />

seek new people.Word of<br />

mouth is the best way to<br />

attract people – make people<br />

want to get involved.<br />

What are the<br />

benefits associated<br />

with service user<br />

involvement?<br />

Involving service users in the<br />

development and running of<br />

the mental health services<br />

they use has benefits for all:<br />

service users, staff, services<br />

and commissioners.<br />

BENEFITS FOR SERVICES<br />

AND STAFF<br />

Staff can find out more about<br />

what service users want and<br />

can develop responsive<br />

services. <strong>The</strong> relationship<br />

between staff and services<br />

users will be strengthened<br />

if service users feel that their<br />

views and contribution are<br />

taken seriously. Involvement<br />

activities offer a chance to<br />

see people in a different<br />

role and to see their abilities<br />

and growth.<br />

BENEFITS FOR SERVICE USERS<br />

Service users can feel<br />

empowered by getting involved<br />

in this work, and it has been<br />

shown to strengthen selfconfidence<br />

and self-esteem.<br />

Peer support from other service<br />

users can also contribute to<br />

recovery. <strong>The</strong> increase in<br />

confidence, as well developing<br />

new skills, has led many service<br />

users into paid employment.<br />

Involvement offers an<br />

opportunity to explore new<br />

roles and identities beyond<br />

that of service user.<br />

“Evidence shows that<br />

involving service<br />

users with a<br />

diagnosis of<br />

personality disorder<br />

can be therapeutic<br />

itself, by improving<br />

self-confidence and<br />

self-esteem.”<br />

64

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