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In the last decade, various experiences have been organized aimed at helping future social work education professionals reflect on the power relationships that define institutions and social policies. These experiences, based on the participation of users of social services (now known as experts by experience (EBE) and as part of service user involvement (SUI), aim to create opportunities for shared learning based on mutual knowledge and understanding of the worlds of others. The research described in this article focuses on the impact that SUI experiences had on future social educators who participated in three (so far) 14-week courses in which fifteen students and a group of EBEs learnt together. Undergraduate students were asked to evaluate the course methodology, the skills they acquired and what they learnt, via two focus groups and 45 individual narrative reports. The results showed that students appreciated learning together in a safe environment, collaborating on activities. They felt that participation helped them improve their socio-personal skills and advance their professional development. They valued the importance of learning together as an instrument of social transformation. Our research suggests that SUI or EBE involvement experiences, based on learning together in initial training as an instrument for transforming socio-educational professional practices, are valuable. [ABSTRACT FROM AUTHOR]

This research evaluated the impact of service user involvement on the knowledge and competence development of social work students in their Field Forum class at Belmont University, Tennessee, USA. Over a two-week period in March, 2019, students heard from service users with diverse aspects of lived experience in the following areas: Childhood abuse, trafficking, domestic abuse, mental ill-health, homelessness, addictions and disability. The service users involved worked closely with local community groups in the university's neighboring area and shared their lived experience with the students in key aspects of social work skills, knowledge and values. In their evaluations, the students indicate positive growth in their perceptions and understandings in important aspects of social work competence such as communication skills, attitudes, values and principles of social work practice. Importantly also, the students indicated that exposure to service users' lived experience in the classroom helped sharpen their preparations for field practice. These findings have resonance and applicability internationally, particularly in the US, for social work educators preparing to involve social work service users/clients in social work education. [ABSTRACT FROM AUTHOR]

Despite efforts to address the growing severity and complexity of student mental health issues, challenges persist in data quality and application, thereby hindering progress. This article is built upon three decades of cumulative expertise from the authors, complemented by insights gathered through the extensive observations of students and practitioners within the realm of student mental health. Drawing from both robust evidence and hands-on experience, it presents evidence-based recommendations aimed at enhancing data capture and utilization in alignment with the principles and methodologies of learning health systems. The approach is based on four interconnected themes: (1) Learning from global insights on university students’ mental health; (2) Measuring, monitoring, and managing data; (3) Involving student and stakeholder perspectives; and (4) Mapping transitions, access, and systems for student mental health services. These themes encompass both the individual student journey and the broader organizational layers of universities and colleges. Ten recommendations are made for supporting universities and colleges to move towards adopting the principles of learning health systems to support students’ mental health.

There has been a growing emphasis on consumer representation in the development of health policy, services, research, and education. Existing literature has critiqued how discourses of representativeness can disempower consumers working in health systems. The context of the current study is consumer engagement in the development of COVID-19 triage policy and practice in a local health service. Consumer engagement has often been an afterthought in the COVID response, with few examples of consumers in agenda-setting or decision-making roles. In the Australian Capital Territory, 26 consumer, carer, and community groups worked together with academics and clinicians to develop these principles. Interviews were conducted with stakeholders (including consumers, clinicians, and other health professionals) to evaluate the development of triage principles. A discursive psychological approach to analysis was used to explore participants' understandings about and constructions of consumers being representative (or not) and how this may reproduce power imbalances against consumers. The results explore two distinct ways in which participants talked about consumer representativeness: the first drawing on rhetoric about consumers as lay members of the public (as distinct from being professionally engaged in the health sector), and the second in terms of consumer representatives being diverse and having intersectional identities and experiences. Expectations about consumers to be representative of the general population may reproduce traditional power imbalances and silence lived experience expertise. These power imbalances may be challenged by a shift in the way representativeness is conceptualised to requiring health services to seek out diverse and intersectionally marginalised consumers. [ABSTRACT FROM AUTHOR]

This paper reports findings from pedagogic research evaluating the impact of the involvement of survivors from the World Trade Center attacks in New York City in 2001 in trauma-specific social work education. A pedagogic approach to mental health education is discussed which aims to prepare students to develop trauma-informed assessment and intervention skills concurrent with their encounters with trauma survivors in field practice placements. The small-scale research involved surveying students’ evaluations at a university in New York, following exposure to first-hand accounts of survivors’ experiences. Across the three areas—confidence in knowledge of trauma, impact on learning, and preparation for field practice—the evaluation findings indicate that the students’ knowledge, gained from the involvement of 9/11 survivors, improved over time. This paper presents the background to this project, preparations involved, and findings from research evaluations with the students. The findings suggest that the involvement of those with direct and lived trauma experience in classroom teaching, whilst challenging, can yield positive impacts for students. The 9/11 survivors poignantly shared with students that their lives were changed forever in the aftermath of these events. The findings have potential global educational impact and resonance. [ABSTRACT FROM AUTHOR]

There is a growing recognition of the value of Expert by Experience (EbE) input into the training of forensic psychologists. This study aimed to gain insight into the experiences of doctoral trainees of an EbE led workshop. Sixteen trainees wrote reflective pieces of work following attending an EbE designed and led workshop. Four main themes were found: What I took from the workshop; Workshop delivery; What will I do differently?; and What needs to change? The findings point to the EbE led workshop having a positive impact on trainee current and future work practices. [ABSTRACT FROM AUTHOR]

Service user and carer involvement is firmly established as an integral part of social work education in the UK, with a growing body of evidence demonstrating its beneficial effects on student learning. Calls have been made to further develop its theoretical base and evaluate its impact on students’ future practice. This article contributes to these aims, by following a cohort of undergraduate UK-based social work students. Using a focus group, the research elicited the views of the students on how classroom-based learning by people with lived experience affected their learning and practice pre-qualification. The findings are underpinned by the theme of ‘challenging the narrative’. They assert the powerful effect service user narratives have on bringing issues ‘to life’ and challenging stereotypes, as well as affecting students’ practice. However, challenging the narrative also linked to students’ reflections on what counts as ‘legitimate’ and reliable knowledge and a disconnection between University-based learning and messages received in practice. The paper argues for an ongoing critical evaluation of the impact of pedagogy led by people with lived experience, with the dual aims of identifying what benefits student learning, as well as critically dissecting power, authority and knowledge. [ABSTRACT FROM AUTHOR]

The involvement of service users in social work education is longstanding, and there exists a rich body of research which explores the perceptions, attitudes and experiences of service users, academics and students in relation to this involvement. However, existing reviews of the literature conclude that few studies examine the impact of service user involvement in education on subsequent social work practice. This scoping review takes a broader approach, by mapping research which evaluates the impact on practice of service user involvement in education across domains of health and social care. Utilising the PRISMA guidance on scoping reviews, we conducted a systematic search of articles published between 2003 and 2021. The search generated six qualitative and three mixed methods studies for inclusion, which were analysed using narrative synthesis. All studies supported the claim that involvement of service users in professional education can make a constructive contribution to practice. The review highlights four themes from the studies: the application of transformative learning; impact on outcomes; influence on organisational practice; and challenges to integrating learning into practice. These themes provide a foundation for identifying potential future directions for research and pedagogical practice on service user involvement within social work education. [ABSTRACT FROM AUTHOR]

Service user involvement and participatory research are central concepts in social work practice and research. Inspired by Spivak's essay "Can the Subaltern Speak," this article draws on the poststructural and postcolonial theory to unpack the assumptions about essentialism, representation, and division of labor underlying the concepts of involvement, participation, and voice. The article combines Spivak's theory about the subaltern and Rancière's theory about politics as dissensus to shed light on how the space for authentic service user voice risks being minimized, corrupted, and co-opted. I discuss the challenges arising from this for understanding service user involvement and participatory knowledge production and suggest possible steps toward handling these challenges. [ABSTRACT FROM AUTHOR]

The mental health recovery movement recognises the importance of expertise by experience held by service users alongside healthcare practitioners. Recovery has gained attention in music therapy but a situation prevails where practitioners and researchers set research agendas. A group of music therapists recognised the absence of service user voices in music therapy research, and in 2017 they established a network called the Alliance for Recovery Research in Music Therapy (ARRIMT). In 2020, they started to develop a multi-national platform to explore mental health recovery in relation to research. Service users and music therapists were invited from three countries including Ireland, Norway, and the United Kingdom (UK). Local meetings were held to introduce stakeholders from each country, followed by three online meetings. Music was central to each meeting and each built upon content from previous meetings. Our conversations opened up new possibilities for working together. Four priorities for practice and research were identified: Music as a connector; music between sessions; music technology; and, online music therapy. This report will share our process and what we learnt from working together. We contextualise our work within concepts of foregrounding and mattering and view this work as a crucial step towards meaningful co-production. We reflect upon the role of music in building group identity alongside the importance of careful curation. Finally, we present ideas for future music therapy and mental health research. Group Description In 2018 the Alliance for Recovery Research in Music Therapy (ARRIMT) was founded as an international group of music therapy service users, researchers and practitioners from Australia, Ireland, Norway, and the United Kingdom. Fundamental to this group is the concept of recovery where those who use and those who provide mental health services work together to share knowledge and experiences that can have a positive impact on mental health service delivery. Key to this is listening carefully to the voices of those who use music therapy so that their views and experiences influence how music therapy is offered in mental health services. The founders and coordinators of the group are Tríona McCaffrey, Hans Petter Paulen Solli, and Catherine E. Carr. Other members of the group are Cornelia Bent, Darmuid Boyle, Oda Bjørke Dypvik, Kenneth Dybdahl, Tommy Hayes, Lauren M. Hickling, Jane Fernandez, Anne Malerbakken, Brendan Ruddy, and Torgrim Vågan.

Meaningful service user involvement in health professions education requires integrating knowledge held by "lay" people affected by health challenges into professional theories and practices. Involving service users redefines whose knowledge "counts" and implies a shift in power. Such a shift is especially significant in the mental health field, where power imbalances between health professionals and service users are magnified. However, reviews of the literature on service user involvement in mental health professional education do little to explore how power manifests in this work. Meanwhile critical and Mad studies scholars have highlighted that without real shifts in power, inclusion practices can lead to harmful consequences. We conducted a critical review to explore how power is addressed in the literature that describes service user involvement in mental health professions education. Our team used a co-produced approach and critical theories to identify how power implicitly and explicitly operates in this work to unearth the inequities and power structures that service user involvement may inadvertently perpetuate. We demonstrate that power permeates service user involvement in mental health professional education but is rarely made visible. We also argue that by missing the opportunity to locate power, the literature contributes to a series of epistemic injustices that reveal the contours of legitimate knowledge in mental health professions education and its neoliberal underpinnings. Ultimately, we call for a critical turn that foregrounds power relations to unlock the social justice-oriented transformative potential of service user involvement in mental health professions education and health professions education more broadly. [ABSTRACT FROM AUTHOR]

Patient and public involvement (PPI) in research improves relevance to end users and improves processes including recruitment participants. PPI in our research has gone from being non-existent to ubiquitous over a few years. We provide critical reflections on the benefits and challenges of PPI. Case studies are reported according to a modified GRIP2 framework; the aims, methodology, impact of PPI and critical reflections on each case and our experiences with PPI in general. We report five UK projects that included PPI from teenagers, families, people living with dementia, autistic people, and people from South Asian and d/Deaf communities. Our experience has progressed from understanding the rationale to grappling methodologies and integrating PPI in our research. PPI took place at all stages of research, although commonly involved input to design including recruitment and development of study materials. Methodologies varied between projects, including PPI co-investigators, advisory panels and online surveys. On-going challenges include addressing social exclusion from research for people that lack digital access following increasing on-line PPI and involvement from underserved communities. PPI was initially motivated by funders; however the benefits have driven widespread PPI, ensuring our research is relevant to people living with hearing loss. [ABSTRACT FROM AUTHOR]

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