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New risks: the intended and unintended effects of mental health reform
Author(s) -
Wilson Stacey C,
Carryer Jenny,
Brannelly Tula
Publication year - 2016
Publication title -
nursing inquiry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.66
H-Index - 49
eISSN - 1440-1800
pISSN - 1320-7881
DOI - 10.1111/nin.12130
Subject(s) - mental health , unintended consequences , legislation , public relations , perspective (graphical) , service (business) , economic justice , political science , nursing , public administration , psychology , medicine , business , psychiatry , law , marketing , artificial intelligence , computer science
In crisis situations, the authority of the nurse is legitimised by legal powers and professional knowledge. Crisis stakeholders include those who directly use services and their families, and a wide range of health, social service and justice agencies. Alternative strategies such as therapeutic risk taking from the perspective of socially inclusive recovery policy coexist in a sometimes uneasy relationship with mental health legislation. A critical discourse analysis was undertaken to examine mental health policies and guidelines, and we interviewed service users, families, nurses and the police about experiences of accessing services. For those who attempt to access services early in crisis, as is suggested to lead to a better outcome, provision of services and rights appear to be reversed by an attempt to exclude them through practices that screen them out, rather than prioritising a choice in access.