After 5 years of work I have finally submitted my
#PhD
thesis!
I'm not 100% happy with it, but thrilled to have got this far! I really hope I've served my participants well.
Now it's time for a rest!
In the light of
#COVID19
, have heard people saying that they're "a bit OCD" about hand-washing/hygiene already.
Whilst you may mean well, or are trying to be funny, it's actually trivialising OCD, which is a debilitating
#MentalHealth
condition.
#OCD
is not a quirk or a joke.
In a bid to manage antipsychotic-related weight gain I took up running earlier in the year. Did my 25th
#parkrun
today, achieved a PB (28:43), and am now actually enjoying it!
@beestonparkrun
@parkrunUK
#loveparkrun
Absolutely thrilled that my
#PhD
corrections have been approved! I'm now officially Dr Grundy (just changed the bio!).
So thankful to my supervisors
@DrNicolaWright
,
@anne_feltonmh
, and Prof Richard Morriss. And also to all of my participants.
Now time to work on some papers!
Gutted that my new psychiatrist is dismissive, unempathetic, patronising, and invalidating - just when I need to know someone understands & can help me.
Had pinned my hopes on today's CMHT review that I would get some support (now there's a delusion).
I'm so relieved that the University has given all PhD students a six-month extension. This has been such a stressful time. I will get this thesis done - I owe it to my participants & they are really keeping me going!
#phdlife
Why do
@NIHRresearch
panels think that having a PhD and working in a University invalidate my lived experience?
Why doesn't my 'involvement' count?
Why am I considered 'professionalised'?
I'm still in MH services.
Do they understand what a Lived Experience Researcher is?
When I first spoke out about my
#psychosis
:
A friend asked my wife whether she feared for her life
A youth-club leader asked if I was still safe to work with children
& a hospital chaplain offered to exorcise me!
Nothing prepared me for that
#stigma
.
#TimeToTalk
??
#TimeToTalkDay
Reminder that professionals have a responsibility for initiating & facilitating an 'engaging' therapeutic relationship.
They can be the first to disengage from us - and sometimes with terrible consequences.
'Informal' service users deserve serious therapeutic engagement too.
Jan 2018 I decided to try & tackle antipsychotic-related weight issues & started running with my (much fitter!) wife & began
#Couchto5k
. April 2018 conquered paranoia & we started
#parkrun
(Thanks Jude!). Today I ran my 50th parkrun & smashed my PB!
@beestonparkrun
#loveparkrun
In 2007, a psychiatrist uttered a word that ruined my life:
#Schizophrenia
.
The associated sanism & the almost universal misunderstanding of the term, has caused me & others real harm.
I unexpectedly 'recovered', so they rebranded me: psychosis NOS. But damage remains.
#NSAD24
Really excited that our new Lived Experience Research Fellow roles
@MentalHealthPRU
are now open for applications.
More details here:
Please help spread the word!
Today I am now a year older than the age my Dad was when he died, which was apparently the same age that his father had died too. Always wondered whether I'd make it this far, but think I may have broken the family curse!!!
#Thankful
Once
#MentalHealth
services have funding
#parity
, shorter waiting lists, lower access thresholds, greater access to crisis/respite admissions, & consistent compassionate care, then, maybe then, we can start telling people it will be OK to reach out!
#WorldMentalHealthDay2020
About this time Dec 2010, a keyworker gave me a flyer for a
#Research
#Methods
training course for service users and carers & I was encouraged to apply.
I saw my
#LivedExperience
could make a difference. I didn't know then that my Service User Researcher career had just begun!!
Congratulations to another cohort trained in our '
#Research
Methods for Lived Experience & Public Involvement Researchers' course.
We've now finished an evaluation & engagement exercise where we've been asking: How can training better meet the needs of LERs?
More details soon!
Delighted to have jointly won 'Best publication by
@InstituteMH
member who is a person with lived experience of mental distress...' for this paper:
'Violence risk assessment and management in mental health: a conceptual, empirical and practice critique'!!
Appalled by increasing evidence of the misogyny of anti-antipsychiatry criticals.
I called out
@StigmaB47868
for wishing sexual violence on Dr Jessica Taylor.
Here's
@sulmoney
all dressed up as JT to mock & demean her.
You can't fight one harm, by perpetuating another.
Last big push to get a full draft of my
#PhD
thesis done.
Still excited to be writing all about
#MentalHealth
inpatient perspectives and experiences of
#risk
assessment and management in an acute psychiatric setting...
But feeling stressed right now too tbh!!
#NearlyThere
Can you imagine the DISTRESS of former MH inpatients discovering that:
1) They may have been filmed in their bedroom without knowing it
& 2) Footage may have been sent to researchers for analysis WITHOUT consent?
And all approved by
@HRA_Latest
@TEWV
,
@rdash_nhs
&
@EPUTNHS
!!!
If this horrifies you, please join us in contacting the Health Research Authority (in particular clinicians/researchers)
You can also contact one of the three Trusts (EPUT, RDaSH, TEWV) involved if you think you might have been directly affected
My CMHT have agreed to providing 6mths of clinical psychology!
Can finally process psychosis-related & iatrogenic
#trauma
.
I'm grateful to staff counselling service & visiting psychiatrist at Manchester Uni who listened to my needs & advocated for me, which made this happen!
My decade:
Spent 1st part in & out of psychiatric units
Took course in research/public involvement that changed my life
2013-16 1st
#research
post
@UoN_SHS
Meanwhile, re-stabilised on
#Clozapine
2016-pres working on
#PhD
The power of experiential knowledge!
#DecadeinReview
Most people claiming a project or service or resource was
#coproduced
don't define the term, or unpack the values/principles, or demonstrate how the values were outworked in practice.
We should suspect
#fauxproduction
until proven otherwise.
#CoProWeek
Had my annual blood tests (kidney/liver function, cholesterol etc), BP check and an ECG. A reminder of the cardio-metabolic risks of
#clozapine
, which I'm so glad are being monitored. But it's the price of mental stability for me.
Keep getting asked what a 'Lived Experience Researcher' is - it's about bringing experiential knowledge and expertise to the whole research process; to study design, management, and conduct. I'm proud to have those credentials!
#coproduction
#MoreThanPPI
#WhyWeDoResearch
First full week back in
#phdlife
and everything feels fresh & exciting again. Still struggling through the
#clozapine
brain-fog as I get to grips with my Findings chapter, but determined to get this done. My participants really keep me going, I owe it to them to do this well!
Totally resonate with Eleanor Longden's notion that
#hearingvoices
can be "a survival strategy", representing "emotional pain" and "emotional conflicts".
#MHNR2018
I'm very grateful that
@NIHRresearch
have got in touch to ask for further information & that my email arguing for the recognition of Lived Experience Researchers has been forwarded onto senior figures across the NIHR for consideration.
Why do
@NIHRresearch
panels think that having a PhD and working in a University invalidate my lived experience?
Why doesn't my 'involvement' count?
Why am I considered 'professionalised'?
I'm still in MH services.
Do they understand what a Lived Experience Researcher is?
If, like me, you're really distressed by all the "dangerous mental patient" talk in the media & socials right now, it's not your fault if you've internalised all this prejudice. Please try to talk to someone you can trust.
We should be very suspicious of hierarchical organisations like Universities or NHS Trusts etc. claiming to be regularly 'doing
#CoProduction
'.
How exactly are they sharing power/responsibility in equitable partnerships in such contexts/systems?
#fauxproduction
#CoProWeek
I know I'm not the most macho of men(!), but I love GBBO's Michael for crying over struggling with the technical & not feeling ashamed!
#RealMenCry
#ManTears
#GBBO
Absolutely thrilled to have been invited to stage 2 of the
@wellcometrust
'Innovative approaches to lived experience in mental health science' call.
Glad there's good time for the team to get a full proposal in best shape & fully costed up ready for submission late November.
I'm happy for the
#academic
success stories on here: theses submitted, vivas passed & graduations celebrated!
In case you need to hear this:
I'm into an extension & in my 5th year of my full-time
#PhD
. I had expected to be done by now. I've struggled.
But we will get there!
If you've not graduated with your peers, I know it hurts right now. I graduated late when my finals were delayed due to my
#MentalHealth
& then missed Masters graduations entirely because I was on psych wards. Please seek support if you're struggling.
#Graduation2019
#graduation
Really thankful to CMHT who have enabled me to have my monthly
#clozapine
blood-test at the GP's rather than the hospital. One small person-centred change, big difference!
For more service user recommendations in how services can respond to
#COVID
ー19 see:
#MadCovidRecommends
Can't believe I'm nearly at the end of 5 months of the psychotherapy provision.
Been helpful to process the trauma underlying the psychosis, the traumatic nature of psychosis experiences & the iatrogenic trauma I've experienced.
I feel a lived experience narrative brewing!
My CMHT have agreed to providing 6mths of clinical psychology!
Can finally process psychosis-related & iatrogenic
#trauma
.
I'm grateful to staff counselling service & visiting psychiatrist at Manchester Uni who listened to my needs & advocated for me, which made this happen!
Had a full meds review with CMHT's Advanced Clinical Practitioner. Full and frank discussion about
#Clozapine
side-effects & meds taken to alleviate some of them. Now have to have more routine blood tests and an ECG, but so glad they're taking my physical health seriously!
This is still one of the best critiques of
#recovery
& its operationalisation in
#MentalHealth
services that I've heard:
'
#Neorecovery
: A Survivor Led Conceptualisation And Critique'
Also, do give
@RITB_
a follow!
ANY proposed study on acute MH settings should undergo Ethical Review. Period.
'Service evaluations' should not be exempt. No 'usual care' loopholes.
It's time to stand with this vulnerable population, who have been let down by those who should be protecting them.
@HRA_Latest
An important message - but this evidence is changing nothing!
Look at how the press immediately speculates about the mental state of every mass shooter etc. The carelessness with how psychosis & violence gets reported.
We urgently need media guidelines on this issue.
#NSAD24
We're also recruiting for 5 new Lived Experience Research Involvement roles
@MentalHealthPRU
.
These ones are
#involvement
roles, not salaried staff roles. Deadline now Friday 5th April.
More details here:
Really looking forward to interviewing more people about their experiences of the hunger side-effects of antipsychotics to help us co-develop a support-package of resources.
Dr Andrew Grundy (
@acgrundy
) is a Lived Experience Researcher working on the SUSTAIN study. He has personal experience of psychosis, Early Intervention services, antipsychotics, and hunger side-effects. So there's a friendly face doing the SUSTAIN interviews!
Had my annual medication review via phone with CMHT. Talked about
#clozapine
side-effects (using the GASS-C, I think), cravings, mood, and (of course!) risk. Felt very weird over the phone. But good to reconsider risks/benefits of meds & glad for ongoing monitoring of issues.
A welcome retraction. Note even when
#Oxehealth
declare their COIs there is a disturbing lack of reflexivity.
Still waiting for reliable evidence of the effectiveness & safety of an intervention that has been rolled out without proper ethical scrutiny.
Heading off to the
#clozapine
clinic. So glad that the Community
#MentalHealth
Team centre is currently open again & that I can pick up my meds & see my CPN *in person* (note my emphasis!). Hoping things will stay that way during
#Lockdown2
& beyond, but fearing that they won't.
A small delegation from the EQUIP team at the NIHR CRN McPin MQ awards ceremony today collecting the service user and carer award for involvement in research obo EQUIP CI Prof Karina Lovell
@karinalovell
If you're not talking about POWER & transparently addressing power dynamics in your team, you're not doing
#CoProduction
.
This requires critical thinking, consciousness-raising, and reflexivity.
#fauxproduction
is naive about the manifestations of power in teams.
#CoProWeek
Fantastic
@MadCovid
#MadMeetup
tonight! We hope that out of the collective discussion of panelists & audience members we can produce some kind of guidance document for
#MentalHealth
services & professionals on how best to support us at this difficult time. So, watch this space!!
As I'm in cohort 6, I've been booked in for my
#COVID19
vaccine tomorrow - so relieved.
As well as providing protection from the virus, I think it should also really ease my health
#anxiety
&
#paranoia
.
Rarely have I been thankful for having a
#MentalHealth
diagnosis!
Whilst it's disappointing that this year's Mental Health Nursing Research conference can't happen in person (I'll miss seeing friends & colleagues!) am thrilled that it can happen online. Check out the programme & join for free:
@MHNRconf
#MHNR2020
#mhTV
We need to lock them in to keep them safe, they said.
But the evidence suggests otherwise.
Can we now finally pursue the least restrictive option here?
Will be interesting to see if/how ward staff respond to this evidence.
What can we say about NHS Trusts who implement unevidenced interventions in acute MH settings via ethically dubious research practices?
They clearly cannot be trusted to provide evidence-based, safe & ethical care & treatment to this vulnerable group.
@NHSEngland
take action!
Some take home messages from
#MHNR2018
for me: we need to fight for investment &
#parity
, provide an evidence-base for MH nursing, pursue
#coproduction
in research, challenge abuses of power, & protect our human rights!
"These assessments are not only not fit for purposes, they are actually doing harm"
How many have to suffer & die before the government takes action?
'
#DWP
shamed in parliament as MP breaks down reading list of
#suicide
victims'
via
@MetroUK
Reflections on
#CoProWeek
1). There's a concerning lack of knowledge of the
#CoProduction
literature from many claiming that they are achieving it
2). It's evidently been diluted & co-opted
3).
#fauxproduction
is rife & needs calling out
4). We need honesty & transparency.
This year's International
#MentalHealth
#Nursing
#Research
Conference will be online 9th/10th June.
Whilst it's really disappointing that we can't run it in-person, it still promises to be a great event!
More updates via
@MHNRconf
#MHNR2021
Book now:
Gearing up to attend my first Research Ethics Committee meeting tomorrow. Preparing to answer questions about my proposed PhD study! Feeling apprehensive.
#REC
#PhDLife
Just back from having the first dose of my
#COVID19
vaccine. Was so anxious, but it was a smooth and easy process, plus all the staff were fantastic!
#ThankYouNHS
Just gave my own concurrent on 'A feasibility & acceptability study of the Talking With Voices intervention amongst adults with psychosis' --- and survived!
#MHNR2019
The next time we complain about the intricacies & time it can take to get
#Research
#Ethics
approval, let's not forget how we got here - the horrors of Nazi experimentations & their many victims, all committed in the name of 'science'.
#NeverAgain
#DoNoHarm
#HolocaustMemorialDay
Given the power dynamics of risk assessment and management in mental health services, the notion of 'coproduced safety plans' is utterly absurd.
#fauxproduction
#CoProWeek
Really constructive meeting with my CPN today, talking stress-vulnerability,
#mindfulness
,
#Clozapine
levels, & managing my slightly raised blood sugar level. Lots packed in, but so helpful!
I would argue that the
#media
need to look at how they report on violence and mental illness:
'Opinion: It's time to end the fear and
#stigma
of complex mental health problems such as schizophrenia' via
@Independent
#MentalHealth
As I say every year,
#BlueMonday
(the most 'depressing' day of the year) is pseudoscience and it propagates a definition of depression & its treatment that trivialises it.
#bluemonday2019
#MentalHealth
If you're not talking about the VALUES shaping your SHARED DECISION-MAKING, you're not doing
#CoProduction
.
SDM requires values-driven reflexivity on power, responsibility, accountability, & equity - & how they operate in decision-making processes.
#fauxproduction
#CoProWeek
Early start, heading up to Manchester for the EQUIP (Enhancing the quality of service user involved care planning in
#MentalHealth
services) conference. Check out
#equipmh
throughout the day!
#FF
@Care_Plan
If you compromise on any of the VALUES of
#Coproduction
, you stop doing coproduction!
You might claim you were informed by coproduction principles & transparently report where those were not met & why, but you can't then disingenously claim you achieved coproduction.
#CoProWeek
Day 3 of
#CoProductionWeek
& we've got the next 2 tips from our
#McPin10for10
resource!🧵
Co-production seeks to build a consensus but compromises are sometimes needed in research studies, including co-produced ones.
Read the resource to find out more 👉
Feel like I need to reintroduce myself after a Twitter break (and in case Elon Musk wants to say Hi!)
I'm Andrew, a
#LivedExperience
Researcher now mainly working on
@SUSTAIN_MH
.
I tweet about all things
#MentalHealth
, including news, views, experiences, and
#research
.
Absolutely buzzing after meeting with the Research Ethics Committee in Cambridge this morning. Some tweaks and clarifications coming my way, but it was a really constructive & friendly meeting. Relieved!
#PhDlife
In response to a DM suggesting hypocrisy:
I have no COI here as I'm not a member of
@StopOxevision
If I were, I would 1) always Report it 2) explicitly Discuss it & 3) flag it as a possible Limitation of research with a COI.
@StopOxevision
have flagged concerns & I share them.
@StopOxevision
Of the Background acute care lit, also note:
Ndebele et al., 2022, Oxehealth authors x2 (COI declared)
Barrera et al., 2020 Oxehealth x2 (Competing interests: 'None declared').
Clark et al., 2022 x3 authors COI declared.
Ndebele et al. 2023 x2 authors COI declared.
Had my annual
#physical
&
#emotional
health check-up with GP (good practice!) and talked about
#Clozapine
related weight gain, cravings, & need to exercise more. Now tracking calories with an app (tedious!) & started jogging after dark (the only time
#paranoia
will allow me to!).
ALL studies/evaluations on acute MH wards should require informed consent from participants or consultee assent.
No opt-out models.
Fully/accessibly inform, assess capacity to consent & take enthusiastic consent &/or adopt a justifiable assent model. No exceptions.
@HRA_Latest
I know many of my followers will be struggling today, so won't wish you all merriment - but I pray you all have hope today whatever you're going through. Keep on going on.
An important paper from
@TheTealTigerUK
on the different kinds of supervisory needs of Lived Experience Researchers.
Having seen an early version, this has already significantly impacted my own thinking & practice towards giving & receiving supervision.