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About

This digital interface presents service user experiences of mental health social care that can lead to avoidable social and psychological harm, the harm impacts that can arise and their recommendations for harm minimisation. These components form an evidence-based, user-defined model of avoidable harm in mental health social care and its minimisation.

 

The model was developed in several stages:

  1. A scoping review of peer reviewed journal papers and a ‘grey literature’ review on the experiences of mental health social care service users in England.
     

  2. A synthesis of the findings from the two reviews to create an initial user-defined model of avoidable harm. 
     

  3. Focus groups to develop the model and to make recommendations for harm minimisation. 
     

  4. An England-wide online survey to further refine the model. The survey asked service users whether they had experienced the harms identified to date, to rank the urgency of addressing each source of harm and order the importance of implementing harm minimisation recommendations. 
     

  5. An expert Advisory Group of people with lived experience of using and/or providing social care and mental health support was consulted at each stage. 

The project was carried out by a team of service user/survivor researchers.

Aim

This digital interface was created with mental health social care practitioners and educators. The aim is to provide an information resource for all those concerned with mental health social care so they can use the research evidence to minimise risk of avoidable harm and improve service user experiences of services and support.   

The site can be used to:

  • Help social care and social work practitioners and service users recognise, understand and address avoidable harm in mental health social care. 

  • Support mental health social care and social work practitioners to use service user experiential evidence to inform their practice.

  • Inform the teaching and training of mental health social care and social work practitioners.

Downloadable Format

 

Click here to download.

One Page Infographic

 

Click here to download.

Acknowledgments

Principal Investigator: Dr Sarah Carr, independent researcher.

Co-Investigators: Dr Angela Sweeney, King’s College London and Tina Coldham, independent researcher.

Research Assistant: Georgie Hudson, King’s College London.

Design & illustrations: Traumascapes.

We would like to thank the research participants who so generously shared their experiences with us and the practitioners and educators who helped to create this resource. We would also like to thank the study’s Advisory Group for their vital support and advice throughout the study.

Funding acknowledgement statement

This resource is based on independent research funded by the National Institute for Health Research School for Social Care Research (NIHR SSCR). The views expressed are those of the authors and not necessarily those of the NIHR SSCR, the National Institute for Health Research or the Department of Health and Social Care.

We would like to acknowledge the support of the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.

Ethical approval for the research was obtained from the Social Care Research Ethics Committee (ref: 20/IEC08/0010, July 2020). 

 

Suggested Citation

[To be agreed]

Related papers

[When available add refs/links to a) scoping review paper b) NIHR SSCR findings summary c) main paper]

Additional resources

BASW. (2021) The BASW code of ethics for social work – Link

CQC. (2018) The five key questions we ask – Link

Department of Health & Social Care. (2022) Care and support statutory guidance on safeguarding – Link

Lawson, J. (2017) Making Safeguarding Personal: what might “good” look like for health and social care commissioners and providers? – Link

Local Government Association. (n.d.) Making Safeguarding Personal toolkit – Link

Faulkner, A. (2012) The right to take risks: service users’ views of risk in adult social

care – Link

Markham, S. (2018) Dealing with iatrogenic harm in mental health – Link

CQC. (2020) Identifying and responding to closed cultures – Link

SWE. (2019) Professional standards – Link

Skills for Care. (n.d.) Code of Conduct – Link

CQC. (2022) The fundamental standards – Link

Local Government and Social Care Ombudsman (n.d.) How to complain – Link

The Care Act 2014 – Setting out responsibility for the integration of care and support between health and LAs– Link

The Care Act 2014 – Safeguarding adults at risk of abuse or neglect within the Care Act 2014 – Link

Safeguarding accountability and assurance framework – Link

Useful resources by the Social Care Institute for Excellence – Link

Professional standards of practice and behaviour for nurses, midwives and nursing associates – Link

Abuse and neglect of vulnerable adults, NHS Basic guidance – Link

Copyright

Different copyright restrictions apply to different components of the site.

The website is licensed under...

The copyright of individual illustrations belongs to Traumascapes and all rights are reserved to them. To enquire about permissions please email hello@traumascapes.org

Publication date

February 2023

Last updated

January 2023

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A model of service user experiences of avoidable harm in mental health social care, the impacts of harm caused and service user recommendations for ways to minimise harms.

Principal Investigator: Dr Sarah Carr

Co-Investigator: Dr Angela Sweeney

Co-Investigator: Tina Coldham

Research Assistant: Georgie Hudson

Design & illustrations: Traumascapes

This resource is based on independent research funded by

the National Institute for Health Research School for Social Care Research (NIHR SSCR). The views expressed are those of the authors and not necessarily those of the NIHR SSCR,the National Institute for Health Research or the Department

of Health and Social Care.

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