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Legitimizing user knowledge in mental health services

Epistemic (in)justice and barriers to knowledge integration

Bibliographic Data

ID15529351
AuthorsKatarina Grim (0000-0002-7236-0836, Karlstad University, corresponding author), Hilda Näslund (0000-0002-8755-3710, Umeå University), Conny Allaskog, Jessica Andersson (Skåne University Hospital), Elisabeth Argentzell (0000-0002-9405-4418, Lund University), Kjell Broström, Filippa Gagnér Jenneteg (Nordic School of Public Health), Mårten Jansson, Ulla‐karin Schön (0000-0002-6986-5657), Ulla-Karin Schön (0000-0002-3866-5636, Stockholm University), Petra Svedberg (0000-0003-4438-6673, Halmstad University), Sara Svensson (0000-0003-4759-7505, Nordic School of Public Health), Sonny Wåhlstedt (Nordic School of Public Health), David Rosenberg (0000-0002-0005-4151, Umeå University)
Year2022
Volume13
Pages981238-981238
Publication date2022-08-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.981238
PMID36090358
OpenAlexW4293233353
LanguageEN
Citations received11
References cited31

Including the voices and knowledge of service users is essential for developing recovery-oriented and evidence-based mental health services. Recent studies have however, suggested that challenges remain to the legitimization of user knowledge in practice. To further explore such challenges, a co-production study was conducted by a team of researchers and representatives from user organizations in Sweden. The aim of the study was to explore the barriers and facilitators to the legitimacy of user knowledge, as a central factor in sustainably implementing user influence in mental health practice. A series of workshops, with representatives of mental health services and user organizations were conducted by the research team to explore these issues. The analysis built on the theoretical framework of epistemic injustice, and the underlying aspects, testimonial, hermeneutic and participation-based injustice, were utilized as a framework for a deductive analysis. Results suggest that this is a useful model for exploring the complex dynamics related to the legitimacy of user knowledge in mental health systems. The analysis suggests that the legitimacy of user knowledge is related to the representativeness of the knowledge base, the systematic formulation of this knowledge in applicable methods, access to resources and positions within the mental health system and participation in the process of integrating this knowledge-base in mental health contexts. Legitimizing user knowledge in practice additionally challenges mental health systems to support readiness for change in working environments and to address the power and role issues that these changes involve

Injustice · Knowledge base · Knowledge management · Legitimacy · Mental health · Political science · Representativeness heuristic · World Wide Web · Computer Science · Health Policy Implementation Science · Mental Health and Patient Involvement · Mental Health and Psychiatry · Psychology · Social Psychology

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Unique citing works11
Citations per year3,67
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10
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