Innovation without Change?



What we are experiencing in mental illness services is the rhetoric of participation and userism rather than actual practice. It has become highly fashionable to be a ‘consumerist’. As we have seen, that means vastly different things to different people. To most it simply means improvements in quality: ‘consumer choice is another form of quality control ... better information is a central aspect of this choice’ (Secretary of State, 1989). To some it means the genuine extension of democratic processes — users appointing staff, managing budgets and, if desired, taking their individualised funding and designing their own services.


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  1. Donald Attwater, Penguin Dictionary of Saints (Penguin, 1965).Google Scholar
  2. Peter Beresford and Suzy Croft, From Paternalism to Participation — Involving People in Social Services (Open Service Project, 1990).Google Scholar
  3. David Brandon et al., The Survivors — A Study of Homeless Young Newcomers to London and the Responses Made to Them (Routledge, 1980).Google Scholar
  4. David Brandon and Noel Towe, Free to Choose (Good Impressions, 1989).Google Scholar
  5. Dennie Briggs, chapter 6 in Dealing with Deviants, (eds) Stuart Whiteley, Dennie Briggs and Merfyn Turner (Hogarth Press, 1972).Google Scholar
  6. Arthur Brownlea, ‘Participation: Myths, Realities and Prognosis’, Social Science and Medicine, vol. 25, no. 6 (1987) pp. 605–14.CrossRefGoogle Scholar
  7. Kathryn Church and David Revell, ‘User Involvement in Mental Health Services in Canada’, in Report of Common Concerns — International Conference of User Involvement in Mental Health Services (MIND, 1990).Google Scholar
  8. David Cohen, Forgotten Millions — The Treatment of the Mentally Ill — A Global Perspective (Paladin, 1988).Google Scholar
  9. DSS, Caring for People: Community Care in the Next Decade and Beyond, Cm 849 (HMSO, 1989) p. 5.Google Scholar
  10. Brian Davey, personal communication (August 1990).Google Scholar
  11. HMSO, Caring for People: Community Care in the Next Decade and Beyond, Cm 849 (November 1989).Google Scholar
  12. M. J. Haveman and M. A. Maaskant, ‘Psychiatric Foster Care for Adult Patients: Results of a Study in the Netherlands’, The International Journal of Social Psychiatry (Spring 1990).Google Scholar
  13. Chris Heginbotham, The Rights of Mentally Ill People, The Minority Rights Group Report No. 74 (1987).Google Scholar
  14. Lucy Johnstone, Users and Abusers of Psychiatry — A Critical Look at Traditional Psychiatric Practices (Routledge, 1989).Google Scholar
  15. Bill Jordan, Value for Caring: Recognising Unpaid Carers (King’s Fund, 1990).Google Scholar
  16. Lancashire County Council Social Services Department, Adult Placement Scheme for People with Learning Difficulties — Policy and Operational Working Document (1989).Google Scholar
  17. John MacKnight, ‘Regenerating Community’, Presented before the Canadian Mental Health Associations Search Conference, Ottawa (28 November 1985).Google Scholar
  18. John MacKnight (ed.), A Story that I Heard, Pennsylvania Developmental Disabilities Planning Council, 569 Forum Building, Harrisburg, PA 17120 (1986).Google Scholar
  19. MIND/Roehampton Institute, People First Survey (1990).Google Scholar
  20. Office of Health Economics, Mental Health in the 1990s: From Custody to Care (OHE, 1990).Google Scholar
  21. Shula Ramon, ‘Social Work Teams Facing the Closure of a Psychiatric Hospital’, unpublished (1990).Google Scholar
  22. Susan B. Rifkin, ‘Health Planning and Community Participation’, World Health Forum, vol. 7, no. 2 (1986) pp. 156–67.Google Scholar
  23. Eugeen Roosens, Mental Patients in Town Life — Geel — Europe’s First Therapeutic Community (SAGE, 1979).Google Scholar
  24. Salman Rushdie, ‘In Good Faith’, The Independent on Sunday (4 February 1990).Google Scholar
  25. P. O. Sandman, A. Norberg and R. Adolfsson, ‘Verbal Communication and Behaviour During Meals in Five Institutionalised Patients with Alzheimer-type Dementia’, Journal of Advanced Nursing, 13 (1988) pp. 571–8.CrossRefGoogle Scholar
  26. Secretary of State for Health, Speech to the Royal College of General Practitioners, THS (December 1989).Google Scholar
  27. Peter Sedgwick, Psycho Politics (Pluto Press, 1982).Google Scholar
  28. Adam Smith, The Wealth of Nations (Edinburgh, 1776).Google Scholar
  29. Helen Smith, ‘Collaboration for Change’, in David Towell et al. (eds), Managing Psychiatric Services in Transition (King’s Fund, 1989).Google Scholar
  30. Social Services Select Committee, report, Community Care: Carers (HMSO, 1990).Google Scholar
  31. Marry van Dongen, Independent Living, Helios — Commission of the European Communities Programme for Disabled People (1990).Google Scholar
  32. World Health Organisation, Consumer Involvement in Mental Health and Rehabilitation Services (WHO, 1989).Google Scholar

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© David Brandon 1991

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