Nouf Faten, Ineland Jens
Department of Social Work, Umeå University, Umeå, Sweden.
Department of Social Work, Faculty of Social Sciences, Umeå University, Umeå, Sweden.
Front Psychiatry. 2023 Jun 2;14:1156835. doi: 10.3389/fpsyt.2023.1156835. eCollection 2023.
This paper presents a meta-analysis, drawing exclusively on qualitative research ( = 38), which contributes to findings on mental health service user experiences of received provisions and/or encounters in contemporary social and mental health services in the Nordic countries. The main objective is to identify facilitators of, and barriers to, various notions of service user involvement. Our findings provide empirical evidence regarding service users' experiences of participation in their encounters with mental health services. We identified two overarching themes, professional relations and the regulative framework and current rule and norm system, in the reviewed literature concerning facilitators and hindrances of user involvement in mental health services. By including the interrelated policy concept of 'active citizenship' and theoretical concept of 'epistemic (in)justice' in the analyses, the results provide foundations for broader exploration and problematization of the policy ideals of what we call 'epistemic citizenship' and contemporary practices in Nordic mental health organizations. Our conclusions include suggestions that linking micro-level experiences to organizational macro-level circumstances opens up avenues for further research on service user involvement.
本文呈现了一项荟萃分析，该分析仅基于定性研究（n = 38），有助于得出北欧国家当代社会和心理健康服务中精神卫生服务使用者对所接受的服务条款和/或遭遇的体验的研究结果。主要目的是确定服务使用者参与的各种概念的促进因素和障碍。我们的研究结果提供了关于服务使用者参与心理健康服务体验的实证证据。在有关使用者参与心理健康服务的促进因素和障碍的综述文献中，我们确定了两个总体主题，即专业关系以及监管框架和现行规则与规范体系。通过在分析中纳入“积极公民身份”这一相互关联的政策概念和“认知（不）公正”这一理论概念，研究结果为更广泛地探索和质疑我们所称的“认知公民身份”的政策理想以及北欧心理健康组织的当代实践奠定了基础。我们的结论包括一些建议，即将微观层面的体验与组织宏观层面的情况联系起来，为进一步研究服务使用者参与开辟了道路。
