Recent legislation in the U.K., particularly the NHS and Community Care Act 1990, has encouraged the direct participation of service users in the planning and management of care services.
This paper explores evidence of how the interests of service users experiencing mental distress are represented within community care services in the U.K. and the extent to which this leads to a devolution of power to those service users.
The evidence is drawn from a survey of principal officers in social services departments responsible for mental health services and interviews with 135 service users.
This reveals considerable confusion about the meaning and purpose of user involvement and about how service users can best be represented ; little evidence, despite users'interest in it, of power-sharing ; and limited commitment of resources to make further participation possible.
The conclusion considers how, in the light of this evidence, Central and Local Government might further develop user involvement.
Mots-clés Pascal : Législation, Santé mentale, Royaume Uni, Europe, Utilisation, Service santé, Traitement communautaire, Psychiatrie communautaire, Participation, Planification, Organisation santé, Homme
Mots-clés Pascal anglais : Legislation, Mental health, United Kingdom, Europe, Use, Health service, Community treatment, Community psychiatry, Participation, Planning, Public health organization, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0443159
Code Inist : 002B18H05C. Création : 10/04/1997.