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Transition and Identity: Conditional discharge stories - PowerPoint PPT Presentation


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Transition and Identity: Conditional discharge stories. Michael Coffey. Background. Service user views of forensic mental health Volume and breadth of studies limited Flaws in conduct, application and reporting of research process Concerns expressed about restrictions on liberty

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Presentation Transcript
background
Background

Service user views of forensic mental health

Volume and breadth of studies limited

Flaws in conduct, application and reporting of research process

Concerns expressed about restrictions on liberty

Striking absence of ethical discussion

rationale for current research
Rationale for current research
  • Community rather than secure settings
  • Focus on narrative as method
  • Preparation for eventual discharge
  • Returning to live in the community
  • Managing identity in community return
approach to analysis
Approach to analysis
  • Stories are a common feature of talk
  • They are often structured
  • They are functional – they seek to do something
  • Action-orientated work of talk is analysable
  • Particularly I am interested in how people orientate towards particular identities in their talk as a way of managing their return to the community
study sample
Study Sample
  • People (n= 20) currently subject to conditional discharge
  • Formal aftercare by mental health professional
  • Recent plus established discharge
  • Capacity to give written informed consent
  • Nurses (n=10)and social supervisors (n=10) providing after-care
the study
The study
  • Participants accessed through forensic services in 2 settings
  • Gate-keeping
  • Social sensitivity
  • 59 in-depth interviews with service users and staff
  • Focus on social inclusion, support, reintegration and identity
analysis
Analysis
  • Coding interview talk to enable content analysis
  • Categories reduced and themes examined
  • Narrative structure of talk
  • Action-orientated nature of talk
  • How functions of talk are achieved
  • What these tell us about the work people do in managing community return
some preliminary findings
Some Preliminary Findings
  • Identity
  • Social supports
  • Process/transition
  • Emotions
  • Stories
identity and transition
Identity and transition
  • Talk functions to account for previous identity ascriptions
  • This is often followed by “distancing”
  • Talk moves to claim ‘normative’ identities
transition
Transition
  • Separation
  • Transition/Liminal
  • Reintegration
co constructed accounts
Co-constructed accounts
  • Professional talk aims to achieve a number of tasks
  • Formal talk
  • Supporting or challenging identities
  • Accounting for the ‘specialness’ of work
conclusion
Conclusion
  • Examining the talk of people returning to community living is revealing about the work they must do to reintegrate and will help us develop ways in which we might support and facilitate new identities as an important element of recovery
  • m.j.coffey@swansea.ac.uk