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Detained – what’s my choice? Part 1: Discussion

Glenn Roberts is a consultant in rehabilitation and recovery in Devon (Wonford House Hospital, Dryden Road, Exeter EX2 5AF, UK. Email: glennroberts{at}doctors.org.uk). Eluned Dorkins is a consultant forensic psychiatrist at Langdon Hospital, Dawlish, Devon. James Wooldridge is a service avoider, freelance trainer/consultant/speaker and regional coordinator for the Open Up project. Elaine Hewis is a survivor and carer, consultant trainer and lecturer in mental health issues.

Choice, responsibility, recovery and social inclusion are concepts guiding the ‘modernisation’ and redesign of psychiatric services. Each has its advocates and detractors, and at the deep end of mental health/psychiatric practice they all interact. In the context of severe mental health problems choice and social inclusion are often deeply compromised; they are additionally difficult to access when someone is detained and significant aspects of personal responsibility have been temporarily taken over by others. One view is that you cannot recover while others are in control. We disagree and believe that it is possible to work in a recovery-oriented way in all service settings. This series of articles represents a collaborative dialogue between providers and consumers of compulsory psychiatric services and expert commentators. We worked together, reflecting on the literature and our own professional and personal experience to better understand how choice can be worked with as a support for personal recovery even in circumstances of psychiatric detention. We were particularly interested to consider whether and how detention and compulsion could be routes to personal recovery. We offer both the process of our co-working and our specific findings as part of a continuing dialogue on these difficult issues.

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Continuing the dialogue: INVITED COMMENTARY ON ...DETAINED – WHAT’S MY CHOICE? PART 1

Mary Ellen Copeland and Shery Mead
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A values-based perspective on good practice in compulsion: INVITED COMMENTARY ON ... DETAINED – WHAT’S MY CHOICE? PART 1

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