Exploring the concept of user involvement in mental health through a participation continuum

Abstract
• Although recent years have seen an increased emphasis on involving service users in decisions about their care, there has been limited exploration of the theories and ideologies underpinning the concept. • This paper identifies two approaches to user involvement, each with implications for the extent to which users can be involved in decisions about their care. The approaches are linked through a ‘participation continuum’ which is a framework through which the concept of user involvement can be explored, and against which practice can be assessed. • The framework must be seen within the context of constraints to user involvement. A more realistic assessment of the extent to which users can be involved in decisions can then be made and the risks of raising unrealistic expectations avoided.

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