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Service users’ experiences of social and psychological avoidable harm in mental health social care in England: Findings of a scoping review

Carr, Sarah; Hudson, Georgie; Amson, Noa; Hisham, Idura N; Coldham, Tina; Gould, Dorothy; Hodges, Kathryn; (2022) Service users’ experiences of social and psychological avoidable harm in mental health social care in England: Findings of a scoping review. The British Journal of Social Work , 53 (3) pp. 1303-1324. 10.1093/bjsw/bcac209. Green open access

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Abstract

Avoidable harm—that is, harm to service users caused by unsafe or improper interventions, practices or services and which could have been mitigated or prevented—is embedded in social care legislation and inspections. However, the concept of avoidable harm has largely been defined by policymakers, academics, practitioners, regulators and services, with little known about service users’ experiences of avoidable harm in practice. This survivor-controlled review maps and synthesises peer-reviewed literature on service users experience of social and psychological avoidable harm in mental health social care (MHSC) in England. The review was guided by an Advisory Group of practitioners and service users. Six databases were systematically searched between January 2008 and June 2020 to identify relevant literature. Following de-duplication, 3,529 records were screened using inclusion and exclusion criteria. This led to full-text screening of eighty-four records and a final corpus of twenty-two papers. Following data extraction, thematic analysis was used to synthesise data. Six key themes were identified relating to relationships and communication, information, involvement and decision-making, poor support, fragmented systems and power-over and discriminatory cultures. Impacts on MHSC service users included stress, distress, disempowerment and deterioration in mental health. We discuss our findings and indicate future research priorities.

Type: Article
Title: Service users’ experiences of social and psychological avoidable harm in mental health social care in England: Findings of a scoping review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/bjsw/bcac209
Publisher version: https://doi.org/10.1093/bjsw/bcac209
Language: English
Additional information: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Social Sciences, Social Work, co-production, mental health, patient and public involvement, safeguarding, scoping review, service users, INTELLECTUAL DISABILITIES, PERSONAL BUDGETS, WORK, PERSPECTIVES, OUTCOMES
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10179972
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