Co-production in high secure settings

    Research output: Contribution to conferencePoster

    Abstract

    Co-Production and its application to compulsory environments in health and social care

    Background
    Co-production – understood to mean the sharing of power and trust between a professional and the person they are supporting- as a means of working jointly between powerful institutions and their clients has the potential to realise qualitative benefits for mentally disordered offenders and people subject to compulsory treatment orders, both in terms of sharing power and the lived experience of illness, recovery, enablement and reducing the likelihood of reactive violence.

    Objectives
    •To identify what co-production means in the context of health and social service delivery to those subject to compulsory measures.

    •To identify theoretical models of co-production from the current literature-or to create one based on theory and evidence-to assess current practice in high secure settings

    •To update current tools/create new tools to assist practitioners in high secure settings apply co-productive practices to their interaction with people subject to compulsory mental health measures.

    •Methods

    The paper outlines the literature review of a two year project which began in January 2013

    •Results: The paper discusses models of co-production – and core, measurable aspects of the approach -and the challenges in utilising such models within a compulsory context.

    •Conclusions: The usefulness of co-production is considered, outlining the conditions that influence its effective application in high secure settings. In particular the paper examines the influence of legal restrictions and perceptions of risk have on the co-production in settings where security- of patients, between patients and of staff- is as important as the therapeutic milieu.

    •Implications for nursing practice

    The initial literature review highlights that power sharing is the core of any co-productive relationship. This requires a re-examination of the professional and social distance between social care and medical personnel and compulsory patients. This is also reflected in the 'desistence' literature in criminal justice social work where strategic accommodation and the need to meet performance targets can undermine opportunities to establish lasting change. This is challenging to professionals working in high secure environments where control and security have equal prominence to therapeutic milieu. Engaging patients with a propensity for violence using a co-productive approach on the reasons for the determination of their risk has the potential to improve their insight and may lead to greater agency 1 as well as a reduced likelihood of violence. Defining the roles in the therapeutic relationship along co-productive lines may provide confidence for nurses and other clinicians to share power and value engaging in a co-productive manner.

    Conference

    ConferenceInternational Conference on Mental Health Nursing
    CountryUnited Kingdom
    CityTurku
    Period22/05/1324/05/13

    Fingerprint

    Violence
    Social Work
    Social Distance
    Nurse Clinicians
    Criminal Law
    Therapeutics
    Health Services
    Mental Health
    Nursing
    Theoretical Models
    Delivery of Health Care
    Power (Psychology)

    Keywords

    • co-production
    • mental illness
    • mentally disordered offenders
    • high security

    Cite this

    Reilly, F. (2013). Co-production in high secure settings. Poster session presented at International Conference on Mental Health Nursing, Turku, United Kingdom.
    Reilly, Frank. / Co-production in high secure settings. Poster session presented at International Conference on Mental Health Nursing, Turku, United Kingdom.1 p.
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    abstract = "Co-Production and its application to compulsory environments in health and social care BackgroundCo-production – understood to mean the sharing of power and trust between a professional and the person they are supporting- as a means of working jointly between powerful institutions and their clients has the potential to realise qualitative benefits for mentally disordered offenders and people subject to compulsory treatment orders, both in terms of sharing power and the lived experience of illness, recovery, enablement and reducing the likelihood of reactive violence. Objectives•To identify what co-production means in the context of health and social service delivery to those subject to compulsory measures.•To identify theoretical models of co-production from the current literature-or to create one based on theory and evidence-to assess current practice in high secure settings•To update current tools/create new tools to assist practitioners in high secure settings apply co-productive practices to their interaction with people subject to compulsory mental health measures.•MethodsThe paper outlines the literature review of a two year project which began in January 2013•Results: The paper discusses models of co-production – and core, measurable aspects of the approach -and the challenges in utilising such models within a compulsory context. •Conclusions: The usefulness of co-production is considered, outlining the conditions that influence its effective application in high secure settings. In particular the paper examines the influence of legal restrictions and perceptions of risk have on the co-production in settings where security- of patients, between patients and of staff- is as important as the therapeutic milieu.•Implications for nursing practiceThe initial literature review highlights that power sharing is the core of any co-productive relationship. This requires a re-examination of the professional and social distance between social care and medical personnel and compulsory patients. This is also reflected in the 'desistence' literature in criminal justice social work where strategic accommodation and the need to meet performance targets can undermine opportunities to establish lasting change. This is challenging to professionals working in high secure environments where control and security have equal prominence to therapeutic milieu. Engaging patients with a propensity for violence using a co-productive approach on the reasons for the determination of their risk has the potential to improve their insight and may lead to greater agency 1 as well as a reduced likelihood of violence. Defining the roles in the therapeutic relationship along co-productive lines may provide confidence for nurses and other clinicians to share power and value engaging in a co-productive manner.",
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    Reilly, F 2013, 'Co-production in high secure settings' International Conference on Mental Health Nursing, Turku, United Kingdom, 22/05/13 - 24/05/13, .

    Co-production in high secure settings. / Reilly, Frank.

    2013. Poster session presented at International Conference on Mental Health Nursing, Turku, United Kingdom.

    Research output: Contribution to conferencePoster

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    T1 - Co-production in high secure settings

    AU - Reilly, Frank

    PY - 2013/5/22

    Y1 - 2013/5/22

    N2 - Co-Production and its application to compulsory environments in health and social care BackgroundCo-production – understood to mean the sharing of power and trust between a professional and the person they are supporting- as a means of working jointly between powerful institutions and their clients has the potential to realise qualitative benefits for mentally disordered offenders and people subject to compulsory treatment orders, both in terms of sharing power and the lived experience of illness, recovery, enablement and reducing the likelihood of reactive violence. Objectives•To identify what co-production means in the context of health and social service delivery to those subject to compulsory measures.•To identify theoretical models of co-production from the current literature-or to create one based on theory and evidence-to assess current practice in high secure settings•To update current tools/create new tools to assist practitioners in high secure settings apply co-productive practices to their interaction with people subject to compulsory mental health measures.•MethodsThe paper outlines the literature review of a two year project which began in January 2013•Results: The paper discusses models of co-production – and core, measurable aspects of the approach -and the challenges in utilising such models within a compulsory context. •Conclusions: The usefulness of co-production is considered, outlining the conditions that influence its effective application in high secure settings. In particular the paper examines the influence of legal restrictions and perceptions of risk have on the co-production in settings where security- of patients, between patients and of staff- is as important as the therapeutic milieu.•Implications for nursing practiceThe initial literature review highlights that power sharing is the core of any co-productive relationship. This requires a re-examination of the professional and social distance between social care and medical personnel and compulsory patients. This is also reflected in the 'desistence' literature in criminal justice social work where strategic accommodation and the need to meet performance targets can undermine opportunities to establish lasting change. This is challenging to professionals working in high secure environments where control and security have equal prominence to therapeutic milieu. Engaging patients with a propensity for violence using a co-productive approach on the reasons for the determination of their risk has the potential to improve their insight and may lead to greater agency 1 as well as a reduced likelihood of violence. Defining the roles in the therapeutic relationship along co-productive lines may provide confidence for nurses and other clinicians to share power and value engaging in a co-productive manner.

    AB - Co-Production and its application to compulsory environments in health and social care BackgroundCo-production – understood to mean the sharing of power and trust between a professional and the person they are supporting- as a means of working jointly between powerful institutions and their clients has the potential to realise qualitative benefits for mentally disordered offenders and people subject to compulsory treatment orders, both in terms of sharing power and the lived experience of illness, recovery, enablement and reducing the likelihood of reactive violence. Objectives•To identify what co-production means in the context of health and social service delivery to those subject to compulsory measures.•To identify theoretical models of co-production from the current literature-or to create one based on theory and evidence-to assess current practice in high secure settings•To update current tools/create new tools to assist practitioners in high secure settings apply co-productive practices to their interaction with people subject to compulsory mental health measures.•MethodsThe paper outlines the literature review of a two year project which began in January 2013•Results: The paper discusses models of co-production – and core, measurable aspects of the approach -and the challenges in utilising such models within a compulsory context. •Conclusions: The usefulness of co-production is considered, outlining the conditions that influence its effective application in high secure settings. In particular the paper examines the influence of legal restrictions and perceptions of risk have on the co-production in settings where security- of patients, between patients and of staff- is as important as the therapeutic milieu.•Implications for nursing practiceThe initial literature review highlights that power sharing is the core of any co-productive relationship. This requires a re-examination of the professional and social distance between social care and medical personnel and compulsory patients. This is also reflected in the 'desistence' literature in criminal justice social work where strategic accommodation and the need to meet performance targets can undermine opportunities to establish lasting change. This is challenging to professionals working in high secure environments where control and security have equal prominence to therapeutic milieu. Engaging patients with a propensity for violence using a co-productive approach on the reasons for the determination of their risk has the potential to improve their insight and may lead to greater agency 1 as well as a reduced likelihood of violence. Defining the roles in the therapeutic relationship along co-productive lines may provide confidence for nurses and other clinicians to share power and value engaging in a co-productive manner.

    KW - co-production

    KW - mental illness

    KW - mentally disordered offenders

    KW - high security

    M3 - Poster

    ER -

    Reilly F. Co-production in high secure settings. 2013. Poster session presented at International Conference on Mental Health Nursing, Turku, United Kingdom.