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Service user perspective - Coggle Diagram

- - - - Provides insights, perspectives, challenges assumptions (Tait & Lester, 2005)
      - Youthspace (McGorry) developed in consultation with young people
    - - Can deliver care on EI ward
      - Co-working (therapeutic or peer support groups)
      - Could be any NHS/social care setting
      - Education and training
    - - Often ask insightful, more human questions
      - Get a stronger sense of candidate as a person (Tait & Lester, 2005)
    - - Quality improvement projects developed jointly
    - - All patient research in the NHS will need SU involvement to get ethical approval
      - SUs can help from planning to dissemination
      - May have different priorities
        
        Robotham et al. (2016)
        
        SUs concentrated on service delivery priorities rather than biomedical
        
        Some priorities require translation of basic biomedical research into clinical practice
        
        e.g. improving early detection, which can be done by 'precision medicine'
        
        Importance of socio-environmental factors
        
        e.g. what are the effects of financial insecurity on mental health?
        
        Their interests aren't different from those of researchers but more focused on practical solutions and treatments
        
        Consulted SUs about their priorities for mental health research by the Biomedical Research Centre
      - Can use as interviewers to get more 'honest' answers (e.g. Simpson & House, 2002)
      - Provide deeper understanding
        
        Fusar-Poli et al., 2022 cowritten paper
      - Jakobsson et al., 2023 scoping review of co-production in psychosis
- - - - Clients report being less satisfied with services when interviewed by SUs - being more honest? or think socially desirable to moan?
      - Clinical staff trained by SUs have more positive/less stigmatising attitudes towards patients
      - Fewer instances of hospitalisation (maybe less willing to hospitalise clients?)
      - No detrimental effects on clients
      - Clients reported improved QoL, fewer life problems, more satisfied with personal circumstances
      - Positive effects for clients weren't present in all studies
    - - 5 RCTS, 7 other studies
    - - Case managers for clients with severe mental illness
      - Trainers of health professionals
      - Interviewing
    - - Small sample sizes
      - Most studies had substantial methodological weaknesses
      - Mostly in the US - generalise?
      - I question whether the people doing this research would be truly open to finding it's bad for clients?
      - Not always possible to give as much support as in these studies?