20.500.12556/RUL-173341 The process of deinstitutionalisation from within an institution evaluating innovations in a closed ward for women with (borderline) personality disorder Proces deinstitucionalizacije znotraj institucije Although UK Mental Health services have been de-institutionalised since the end of the 20th century, women with (borderline) personality disorder are often admitted compulsorily to closed psychiatric wards due to high level of self-harm. The paper focuses on the evaluation of introducing innovative intervention methods, along- side dialectical behaviour therapy, in the Daffodil ward which promoted the agency and self-responsibility of service users in managing their mental health. The evaluation reported in the article includes individualised photovoice followed by interviews of the inpatients, and in parallel receiving providers’ reports about every three months. The photovoice method enabled service users to take photos representing their experiences on the ward; this provided a basis for interview content. The new interventions promoted the recovery and empowerment of service users and utilised the transformative role of peer support and experts by experience in improving ward culture. The interim findings highlight how the impact of an effective culture of experts by experience involvement and the introduction of a new service model can provide a context for deinstitutional- isation from within an institution, providing a template for future hospital service delivery. Čeprav so službe za duševno zdravje v Združenem kraljestvu od konca 20. stoletja deinstitucionalizirane, so ženske z (mejno) osebnostno motnjo pogosto prisilno sprejete na zaprte psihiatrične oddelke zaradi visoke stopnje samopoškodovanja. Avtorice opisujejo evalvacijo uvajanja inovativnih intervencijskih metod, ki so po- leg dialektične vedenjske terapije na oddelku Daffodil spodbudile samoodgovornost uporabnic storitev pri skrbi za svoje duševno zdravje. Evalvacija vključuje individualiziran fotoglas, intervjuje s hospitaliziranimi pa- cientkami in poročila izvajalcev približno vsake tri mesece. Metoda fotoglas je uporabnicam storitev omogo- čila snemanje fotografij, ki prikazujejo njihove izkušnje na oddelku; to je bila podlaga za vsebino intervjujev. Inovacije so spodbudile okrevanje in krepitev moči uporabnic storitev, k izboljševanju kulture na oddelku pa so občutno pripomogle vrstniška podpora in osebe, ki so strokovnjakinje za svoje osebne izkušnje stiske. Pre- liminarne ugotovitve kažejo, da lahko učinkovita kultura vključevanja takšnih strokovnjakinj in uvedba novega modela storitev zagotovita kontekst za deinstitucionalizacijo znotraj ustanove. To je potem vzorec za prihodnje izvajanje bolnišničnih storitev. mental health psychiatric ward behaviour therapy service users recovery photovoice duševno zdravje psihiatrični oddelek vedenjska terapija uporabniki storitev okrevanje fotoglas true false true Angleški jezik Slovenski jezik Članek v reviji 2025-09-16 11:32:59 2025-09-16 11:33:06 2025-11-07 04:03:43 0000-00-00 00:00:00 2025 0 0 Str. 45-70 št. 1/2 Letn. 64 jan.-jun. 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-01-01 364-786.2 0352-7956 249101059 Socialno_delo_2025_1-2_Fox_et-al.pdf Socialno_delo_2025_1-2_Fox_et-al.pdf 1 05A55B5F2AC30C256DEAD4F97E484975 ad12103e605b0fce13b2bcd0cc0c1f2a1ac197eb8743cc82327cf85b4e5201e9 2c688544-92e0-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=217712 https://www.revija-socialnodelo.si/mma/Socialno_delo_2025_1-2_Fox_et-al.pdf/2025090910135287/ 1 faf5de26-92df-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=217711 Fakulteta za socialno delo Socialno delo 0 0 0