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Mental Health Policy in Northern Ireland: The Nature and of Extent of User Involvement

Published online by Cambridge University Press:  01 October 2009

Deirdre Heenan
Deirdre Heenan*
Affiliation:
Professor of Social Policy, School of Policy Studies, University of Ulster, Derry, N. Ireland E-mail: [email protected]
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Abstract

In a recent review of the mental health policies of its 42 member states in the European Region, the World Health Organization highlighted the need for further analysis of service user involvement in the policy making process. In the UK, a plethora of recent government policies and initiatives have stressed the importance of service user involvement in the design and delivery of health and social services. Their input is described as a fundamental requirement of a modern, flexible, responsive healthcare system. This paper reviews mental health policy in Northern Ireland, which has undergone a period of unprecedented activity and explores the extent to which service users have influenced the process of policy design and development. It raises questions about the extent to which a genuine commitment to and investment in user involvement has been achieved and comments on the prospects for the future.

Type
Articles
Information
Social Policy and Society , Volume 8 , Issue 4 , October 2009 , pp. 451 - 462
Copyright
Copyright © Cambridge University Press 2009

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References

Barnes, M. and Shardlow, P. (1997), ‘From passive recipient to active citizen: participation in mental health user groups’, Journal of Mental Health, 6, 3, 289–300.Google Scholar
Barnes, M. and Bowl, R. (2001), Taking Over the Asylum, London, Palgrave.CrossRefGoogle Scholar
Birrell, D. (2008), ‘The final decisions of the Review of Public Administration in Northern Ireland: tensions and compatibility with devolution parity and modernization’, Public Administration, 86, 3, 779–93.CrossRefGoogle Scholar
Bowl, R. (1996), ‘Involving service users in mental health services: social services departments and the National Health Service and Community Care Act 1990’, Journal of Mental Health, 5, 3, 287–303.CrossRefGoogle Scholar
Carr, S. (2007), ‘Participation, power, conflict and change: theorising dynamics of service user participation in the social care system of England and Wales’, Critical Social Policy, 27, 2, 266–76.CrossRefGoogle Scholar
Croft, S. and Beresford, P. (1989), ‘User involvement, citizenship and social policy’, Critical Social Policy, 9, 26, 5–18.CrossRefGoogle Scholar
Curran, P. (1998), ‘Psychiatric aspects of terrorist violence: Northern Ireland 1969–1987’, British Journal of Psychiatry, 153, 470–5.CrossRefGoogle Scholar
Curran, P. S., Bell, P., Murray, A., Loughery, G., Roddy, R. and Rocke, L. G. (1990), ‘Psychological consequences of Enniskillen bombing’, The British Journal of Psychiatry, 156, 479–82.CrossRefGoogle ScholarPubMed
Davidson, G., MaCallion, M. and Potter, M. (2003), Connecting Mental Health and Human Rights, Belfast: Northern Ireland Human Rights Commission.Google Scholar
Department of Finance and Personnel for Northern Ireland (DFPNI) (2002), Executive Budget and Public Expenditure Plans: Belfast, DFPNI.Google Scholar
Department of Health (DoH) (2006), Our Health, Our Care, Our Say: A New Direction For Community Services, London: DOH.Google Scholar
Department of Health (2007), Our NHS, Our Future: NHS Next Stage Review Interim Report, London: DOH.Google Scholar
Department of Health (2008), High Quality Care for All: Final Report, London: DOH.Google Scholar
DHSS (NI) (1997), Regional Strategy for Health and Social Well-being 1997–2002, Belfast: DHSS (NI).Google Scholar
DHSSPS (NI) (2002a), Effectiveness Evaluation: Health and Social Care, Belfast, DHSSPS (NI).Google Scholar
DHSSPS (NI) (2002b), Investing for Health 2002, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2004), A Healthier Future 2005–2025: A Twenty Year Vision for Health and Wellbeing in Northern Ireland 2005–2025, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2005a), The Bamford Review of Mental Health and Learning Disability (Northern Ireland): The Review of Mental Health and learning Disability (Northern Ireland), A Strategic Framework for Adult Mental Services, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2005b), The Bamford Review of Mental Health and Learning Disability (Northern Ireland): Equal Lives, Review of Policy and Services for People with a Learning Disability in Northern Ireland, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2006a), Suicide Prevention Strategy, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2006b), Human Rights and Equality Report, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2007a), Health and Social Services (Reform) (NI) Draft Order, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2007b), New mental health and learning disability board announced by McGimpsey, Press release, 15 May, DHSSPS (NI), Belfast.Google Scholar
DHSSPS (NI) (2007c), Service Framework – Mental Health and Wellbeing, Belfast, DHSSPS (NI).Google Scholar
DHSSPS (NI) (2008a), Proposals for Health and Social Care Reform, Belfast: DHSSPS (NI).Google Scholar
DHSSPS (NI) (2008b), Delivering the Bamford Vision, The Response of Northern Ireland Executive to the Bamford Review of Mental Health and Learning Disability, Summary Document, Consultation Version, Belfast: DHSSPS (NI).Google Scholar
Duffy, J. (2008), Looking out from the Middle: User Involvement in Health and Social Care in Northern Ireland, London: SCIE.Google Scholar
Fay, M. T., Morrisey, M. and Smith, M. (1999), Northern Ireland's Troubles: The Human Costs, London: Pluto.Google Scholar
Ferry, F., Bolton, D., Bunting, B., Devine, B., McCann, S. and Murphy, S. (2008), Trauma, Health and Conflict in Northern Ireland: A Study of the Epidemiology of Trauma Related Disorders and Qualitative Investigation of the Impact of Trauma on the Individual, Derry: University of Ulster.Google Scholar
Greer, S. L. (2004), Territorial Politics and Health Policy: UK Health Policy in Comparative Perspective, Manchester: Manchester University Press.Google Scholar
Hannigan, B. and Coffey, M.(eds.) (2003), The Handbook of Community Mental Health Nursing, London: Routledge.Google Scholar
Health Service Executive (2007), ‘HSE launches national service user executive for mental health’, Press release, 31 January, HSE, Dublin.Google Scholar
Heenan, D. and Birrell, D. (2006), ‘The integration of health and social care: the lessons from Northern Ireland’, Social Policy and Administration, 40, 1, 47–66.CrossRefGoogle Scholar
Heenan, D. (2006), ‘Art as therapy: an effective way of promoting positive mental health?’, Disability and Society, 21, 2, 179–91.CrossRefGoogle Scholar
Henwood, M. and Hudson, B. (2000), Partnership and the NHS Plan: Cooperation or Coercion? Leeds, Nuffield Institute for Health in association with NHS Executive.Google Scholar
Hodge, S. (2005), ‘Participation, discourse and power: a case study in service user involvement’, Critical Social Policy, 25, 2, 164–79.CrossRefGoogle Scholar
Kapur, R. and Campbell, J. (2004), The Troubled Mind of Northern Ireland, London: Karnac.Google Scholar
Kelleher, C. C. (2003), ‘Mental Health and “the troubles in Northern Ireland” implications of civil unrest for health and wellbeing’, Journal of Epidemiology and Community Health, 57, 474–5.CrossRefGoogle ScholarPubMed
Kenway, P., MacInnes, T., Kelly, A. and Palmer, G. (2006), Monitoring Poverty and Social Exclusion in Northern Ireland, York: Joseph Rowntree Foundation.Google Scholar
Kirwan, G. and Kirby, M. (2002), ‘Social work and the changes in mental health legislation in Ireland’, Social Work in Europe, 9, 2, 53–55.Google Scholar
Mantelow, R., Hughes, P., Britton, F, Campbell, J., Hamilton, B. and Wilson, G. (2002), ‘The experience and practice of approved social workers in Northern Ireland’, British Journal of Social Work, 32, 443–61.CrossRefGoogle Scholar
Mental Health Commission for Northern Ireland (MHCNI) (2007), 11th Annual Report and Accounts 2006–2007, Belfast: MHC.Google Scholar
Moore, R., Mason, C., Harrison, S. and Orr, J. (1996), An Exploration of Inequalities in Health in Two Northern Ireland Communities and Assessment of Related Need, Report for DHSS (NI), Belfast: HMSO.Google Scholar
Northern Ireland Assembly (NIA) (2008), ‘Debates’, Monday, 7 April.Google Scholar
Northern Ireland Association for Mental Health (NIAMH) (2003), Counting the Cost: The Economic and Social Costs of Mental Illness in Northern Ireland, Belfast: NIAMH.Google Scholar
Northern Ireland Association for Mental Health (NIAMH) (2007), Mental Health Promotion: Building an Economic Case, Belfast, NIAMH.Google Scholar
Northern Ireland Association for Mental Health (NIAMH) (2008), Response to the DHSSPS Proposals for Health and Social Care Reform, Belfast: NIAMH.Google Scholar
Northern Ireland Council for Voluntary Action (NICVA) (2008), Response to Proposals for Health and Social Services Reform in Northern Ireland, Belfast: NICVA.Google Scholar
O'Reilly, D. and Stephenson, M. (2003), ‘Mental Health in Northern Ireland: have “the troubles” made it worse?’, Journal of Epidemology and Community Health, 57, 7, 488.CrossRefGoogle ScholarPubMed
Peck, E., Gulliver, P. and Towel, D. (2002), ‘Information, consultation or control: user involvement in mental health services in England at the turn of the century’, Journal of Mental Health, 11, 441–51.Google Scholar
Pilgrim, D. and Waldron, L. (1998), ‘User involvement in mental health service development: how far can it go?’, Journal of Mental Health, 11, 1, 95–104.Google Scholar
Prior, P. (1988), ‘Mental health policy in Northern Ireland’, in Campbell, J. and Mankelow, R. (eds.), Mental Health Social Work in Ireland: Comparative Issues in Policy Practice, Aldershot: Ashgate.Google Scholar
Review of Public Administration (RPA) (2006), Better Government for Northern Ireland: Final Decisions of the Review of Public Administration, Belfast: RPA.Google Scholar
Tait, L. and Lester, H. (2005), ‘Encouraging user involvement in mental health services’, Advances in Psychiatric Treatment, 11, 168–75.CrossRefGoogle Scholar
The Regulation and Quality Improvement Authority (RQIA) (2008), The Public Participation Strategy, Draft– For Consultation, Belfast, RQIA.Google Scholar
Wilson, G. and Daly, M. (2007), ‘Shaping the future of mental health policy and legislation in Northern Ireland: the impact of service user and professional social work discourses’, British Journal of Social Work, 37, 3, 423–39.CrossRefGoogle Scholar
Wilson, G. and Kirwan, G. (2007), ‘Mental health social work in Northern Ireland and the Republic of Ireland: challenges and opportunities for empowering practice’, European Journal of Social Work, 10, 2, 175–91.CrossRefGoogle Scholar
World Health Organization (WHO) (2005a), Mental Health Declaration for Europe: Facing the Challenges, Building Solutions, Finland, WHO.Google Scholar
World Health Organization (WHO) (2005b), Mental Health Action Plan for Europe: Facing the Challenges, Building Solutions, Finland, WHO.Google Scholar
World Health Organization (WHO) (2008), Policies and Practices for Mental Health in Europe: Meeting the Challenges, Denmark, WHO.Google Scholar