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These findings will be reported elsewhere. In such cases, answers were transcribed by the interviewing researcher. Similarly, many of those who reported being involved in service evaluation had simply filled in a questionnaire or submitted a feedback form. Despite the rapid growth and mainstreaming of user involvement in recent years, the impact of these policies on the experiences and perceptions of mental health service users and providers has rarely been examined. It is important to define what the term ‘involvement’ refers to. The descriptive statistics of our sample of service users and professionals are listed in Table 3. The results of the logistic regression examining factors which predict professional and service user participation in user involvement are shown in Table 6. With a significant proportion of the sample recruited from community day centres, service user respondents were most likely to have participated in running day services also reporting a positive impact of user involvement in this area. Both service users and professionals (n= 9) suggested that user involvement may negatively impact the health and self esteem of those who become involved, citing stress and the high demands associated with user involvement work as a primary cause for this. In addition, response rates were low, particularly among professionals. Detailed information was given to each participant about the study and its purpose. This study examines the overall levels of participation in service user involvement across three mental health trusts in the UK. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the HS&DR Programme, NIHR, NHS or the Department of Health. Tait and Lester’s review also identified ‘resistance to the idea of users as experts’ as a barrier, irish homework help further recognising ‘concerns over representative-ness’, claiming that users willing to be involved differ in personality from the majority. While the findings presented in this study point to the mainstreaming and widespread prevalence of service user involvement, it would be prudent to learn from the American and Canadian experience and continue to expand the opportunities through which people can influence and shape the services they receive. Participants were asked to identify the positive and negative impact of user involvement activity. Service users were recruited from ordinary clinical contexts including community mental health clinics, day centres and community based substance misuse services. These aspects of care are often cited as causing the most distress to patients.65 students were unable to fulfil their pledge, citing reasons such as poor resources, lack of time. Research has shown that service users have found it difficult to influence service providers and have a real impact on decision-making across all levels of service delivery.
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Despite these possible limitations, aol jr homework help efforts were made by the research team to include comments (both positive and negative) from those who had not been involved in service user engagement activities. Table 5 shows the proportion of patients and staff who had been involved in specific activities and had reported a positive impact of the area of user involvement they had experienced. Rose et al.  cites this is a common criticism directed at user involvement. The stigma associated with this area can result in a patient’s opinion being waived, with the often incorrect reasoning that they lack capacity to form a valid opinion. Overall, 70% of service user participants in Trust A and 70.2% in Trust B reported an overall positive impact of user involvement compared to participants in the non metropolitan trust (Trust C), of whom only 51.9% felt that user involvement was having a positive impact. This has been especially true in mental health. Tait L, Lester H (2005). Encouraging user involvement in mental health services. It is therefore vital that their needs are ascertained and addressed in order to maximise comfort. The sampling of the three trusts was conceptual with all study locations selected on the basis of their characteristics. The 1990 NHS and Community Care Act established formal requirements for service user involvement in the planning of services. Three hundred and two service users responded to the survey with a response rate of 48%. Ninety seven (32.1%) service users and 67 (46.9%) mental health professionals provided written or verbal comments in response to these questions. The finding is interesting as it underlines a key difference in perspective on the role and advantages of user involvement.
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Crawford et al. . The survey design also built on the findings generated from the Rose et al’s  user led study investigating the perceptions of activist and non-activist service users on the outcomes of user involvement. Increasing length of employment was a further predictor associated with service user involvement. UK policy directives have placed service users/carers at the centre of health care provision and education. An initial search returned considerably large numbers of articles; results were then refined to obtain those most relevant to the review title. Improvements have also been observed in the coordination of care and in the relationships between clinicians and those receiving treatment [6–9]. Regardless of these challenges, in the last 20 years, UK mental health Policy has continued to promote service user involvement. Verbal consent was sought before proceeding with the survey questions.