Lynda Tait is a research fellow in primary care mental health at the University of Birmingham. Her research interests include primary care mental health, adaptation to psychosis, service engagement, user involvement and service development. Helen Lester is a reader in primary care mental health, also at Birmingham (Department of Primary Care, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. Tel: 0121 414 2684; fax: 0121 414 6571; e-mail: h.e.lester{at}bham.ac.uk) and a GP in inner-city Birmingham. She has a particular interest in primary care mental health, mental health policy and user involvement.
This article summarises the current research evidence base on user involvement in mental health services from both policy and practical perspectives. We begin by examining the many meanings of the term mental health service user and the policy imperatives for user involvement, to provide a context for later examples of good practice. We then discuss what is meant by involvement and the reasons why user involvement is particularly important in mental health services. Finally, we describe some of the traditional barriers to involvement and a number of examples of positive practice across a range of different aspects of mental health service development and delivery.
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