Journal article

Estranged relations: coercion and care in narratives of supported decision-making in mental healthcare

Meredith Stone, Renata Kokanovic, Felicity Callard, Alex F Broom

MEDICAL HUMANITIES | BMJ PUBLISHING GROUP | Published : 2020

Abstract

Supported decision-making has become popular among policymakers and mental health advocates as a means of reducing coercion in mental healthcare. Nevertheless, users of psychiatric services often seem equivocal about the value of supported decision-making initiatives. In this paper we explore why such initiatives might be rejected or ignored by the would-be beneficiaries, and we reflect on broader implications for care and coercion. We take a critical medical humanities approach, particularly through the lens of entanglement. We analyse the narratives of 29 people diagnosed with mental illness, and 29 self-identified carers speaking of their experiences of an Australian mental healthcare sys..

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University of Melbourne Researchers

Grants

Awarded by Australian Research Council


Awarded by Wellcome Trust


Funding Acknowledgements

This project was funded by an Australian Research Council Linkage Project grant (LP130100557) and supported by partner organisations including the Victorian Department of Health and Human Services, Mind Australia, Neami National, Wellways, Tandem Carers, Victorian Mental Illness Awareness Council, and Healthdirect Australia. FC is supported by Wellcome Trust (209513/Z/17/Z).