A digital place for people who access services, carers, staff and partner agencies, to share ideas around care co-ordination & care planning in mental health

Reimagining Professionalism in mental health: towards co-production

Co-production involves a redistribution of power. In the first instance, this requires respect for people’s choices and preferences about their care.  For this reason, policy initiatives such as the introduction of personal budgets and the personalisation agenda constitute progress – they help to re-instate marginalised people as self-determining citizens. Choice is a cornerstone of co-production, but, equally, it should be about much more than this. People sometimes wonder how personalisation differs from co-production. My response is that co-production supports people’s choices but recognises that they do not make choices in circumstances of their own choosing. Many people in mental distress are caught up in complex and oppressive entanglement of powers which severely constrain choices.

What about a person who can’t face getting out of bed because of the emotional, mental, social and material challenges which they face? ‘Fine’, some would say, ‘that’s their choice’. After all, it’s a key liberal…

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