Mick Mckeown

Mick Mckeown
University of Central Lancashire | UCLAN · Faculty of Health and Wellbeing

PhD, BA(Hons)

About

200
Publications
47,402
Reads
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1,356
Citations
Introduction
Mick is Professor of Democratic mental health at the University of Central Lancashire. He is interested in social understandings of mental distress. His research has focused on social constructions of key aspects of mental health and services, service user and carer involvement, independent advocacy, and secure services. Mick supports trade union and survivor activism and works to promote democratic alliances between both.
Additional affiliations
September 1999 - October 2014
University of Central Lancashire
Position
  • Principal lecturer
September 1999 - March 2016
University of Central Lancashire
Position
  • Reader in Democratic Mental Health
September 1995 - December 1999
University of Liverpool
Education
November 2010 - November 2011
University of Central Lancashire
Field of study
  • Published work: Linking the academy and activism
September 1994 - June 1995
The University of Manchester
Field of study
  • Psychosocial interventions
September 1991 - June 1996
University of Liverpool
Field of study
  • Social Studies

Publications

Publications (200)
Article
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A qualitative study of staff and service users' views of recovery was undertaken in a UK high secure hospital working to implement recovery practices. 30 staff and 25 service users participated in semi-structured interviews or focus groups. Thematic analysis identified four broad accounts of how recovery was made sense of in the high secure environ...
Article
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An introduction to a special issue of Critical & Radical Social Work journal (Nov 2016) exploring contemporary social movements in mental health and the legacy of the work of radical theorist and activist Peter Sedgwick.
Article
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There has recently been a re-emergence of interest in non-reductive historical materialist modes for analysing social movements. A precursor of this is found in the work of mental health activist and Marxist theorist Peter Sedgwick. We contend that Sedgwick’s work retains utility for theorising radical mental health movements in the twenty-first ce...
Article
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Introduction The three card game, sometimes called find the queen, is a classic confidence trick, typically taking place on an impromptu table top, set up on pavement or street corner. The tricksters usually operate in teams, pulling in punters and ‘losing’ games with their fellows to persuade prospective speculators the game is winnable. For our t...
Article
Aims Research in the area of mHealth, has shown much promise in the development of mobile phone interventions which look at the assessment and treatment in real-time of psychiatric disorders. Within the context of Severe Mental Illnesses (SMI), such as psychosis, communication and understanding between health professionals and service users in the...
Article
An Evaluation of a Pilot Multi-Professional Offender Personality Disorder (OPD) Higher Education Programme Purpose – Workforce development is crucial to the offender personality disorder (OPD) service, to provide contemporary, evidenced care and treatment. We provide an overview and the research evaluation results of a regional higher education pro...
Article
Purpose Workforce development is crucial to the offender personality disorder (OPD) service to provide contemporary, evidenced care and treatment. This study aims to provide an overview and the research evaluation results of a regional higher education programme delivered to a range of criminal justice workers used on the OPD pathway. Design/metho...
Book
This edited collection casts a critical eye on the concept of coproduction in our national mental health and learning disability services. Is it naive idealism? A one-way road to co-optioning the independent user/survivor movement? A major challenge to the hegemony of the psychiatric profession? The next progressive step in the shift away from medi...
Article
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Objectives The aim of the project was to examine the acceptability and feasibility of a mobile phone application-based intervention ‘TechCare’, for individuals with psychosis in the North West of England. The main objectives were to determine whether appropriate individuals could be identified and recruited to the study and whether the TechCare App...
Article
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Purpose The label “Personality Disorder” continues to divide opinion. Challenges to the terminology of personality disorder led by people with lived experience and supported by critical practitioners and academics are tempered by acknowledgement of certain positive social consequences of obtaining a diagnosis. This study aims to engage service user...
Article
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Background Previous research has examined individual-level and place characteristics as correlates of subjective wellbeing, with many studies concluding that individual factors (e.g. health, finances) are more strongly related to wellbeing. However, this ‘dualistic’ approach has been challenged, with some arguing that it is impossible to disentangl...
Article
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This paper attempts a critical discussion of the possibilities for mental health nurses to claim a particular right of conscientious objection to their involvement in enforced pharmaceutical interventions. We nest this within a more general critique of perceived shortcomings of psychiatric services, and injustices therein. Our intention is to consi...
Chapter
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This chapter makes a case for trade union support for a new wave of cooperative development and charts some of the early instances of collaborative working in this regard framed by the Preston Model. We argue for closer affinities between the trade union and cooperative movements in pursuance of mutual interests of renewal and reinvigoration. We be...
Article
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Background: Patients and public members are increasingly involved across the different stages of the research process. Their involvement is particularly important in the conception and design of applied health research where it enables people with lived experience to influence the aims, content, focus and methods. Objective: To evaluate the proc...
Research Proposal
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Scoping review protocol of universal school- and community- based resilience focused interventions with children and young people. The review aims to answer the following questions: • What is the scope of the evidence base for universally provided resilience-focused school- and community-based intervention in enhancing mental well-being of childr...
Article
Objectives This integrative review provides a collective understanding of the experiences of student mental health nurses and service users carrying a diagnosis of personality disorder and the time they share together. Design Published studies about the time service users and students share together were systematically selected in order to integra...
Article
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Objectives: The physical health of people diagnosed with mental illness is a significant source of health inequality, with this group being three times more likely to have a physical illness and dying 15-20 years earlier than those without diagnosed mental illness. Unhealthy lifestyles are a major contributor to this. The purpose of this study was...
Book
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The union co-op is a model whose time has come. It is a fully unionised, worker co-operative, owned and controlled by those who own and work in it. Worker’s control, democracy and equality are built into the model which offers a solution to inequality and injustice both in and outside the workplace. Co-ops and unions are social movements with share...
Article
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This study explores the experiences of the black children and young men that attended a Youth Offending Team (YOT) in Liverpool, a city in the North of England, UK. It focuses on the perspectives of both the YOT practitioners and the black children/young men as they develop working relationships with each other. Through this two-way prism the back...
Article
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This editorial highlights some of the public health hazards implicit within the government’s treatment of migrants and locates these within a wider frame of mental health. In the midst of a pandemic threatening countless lives and a belated lockdown inducing widespread mental stress, the Government continues to pursue a Hostile Environment policy....
Article
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People of BAMME (Black, Asian, Minority, and Migrant ethnic) heritage in the UK experience various anomalies when engaging with mental health services. Typically concentrated at secondary and secure levels of care, these discrepant experiences interact with a reticence to uptake mental health support at the primary care level. O�cial, national anti...
Chapter
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Latterly there has been a growing interest in better supporting the families of people cared for in secure or forensic mental health services with these concerns going back some thirty years. Collectively, we have been involved in a number of relevant projects including early work to establish psychosocial approaches at Ashworth High Secure hospita...
Article
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Purpose The purpose of this paper is to explore experiences of survivors of the mental health system regularly attending a mental health resource centre predominantly but not exclusively focussed on needs of the BAME community. Design/methodology/approach In total, 25 participants took part in a qualitative research study regarding their experienc...
Article
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In an editorial concerned with radicalism, it is perhaps appropriate to start with Karl Marx. To paraphrase this greatest of political philosophers, we must learn the lessons of history. So, I wish to consider the idea of nursing radicalism, with recourse to a selective consideration of the past, contemplation of the present, and, most crucially, t...
Article
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Coercive practices, such as physical restraint, are used globally to respond to violent, aggressive and other behaviours displayed by mental health service users.1 A number of approaches have been designed to aid staff working within services to minimise the use of restraint and other restrictive practices. One such approach, the ‘REsTRAIN Yourself...
Chapter
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This chapter is written by people with quite different experiences of violence in relation to the practice and organisation of psychiatric services. It is our intention to draw upon our own collective experiences, including some relevant research studies to explore the notion of legitimacy with regard to violence and psychiatry. The social relation...
Article
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Introduction Safe staffing and coercive practices are of pressing concern for mental health services. These are inter‐dependent and the relationship is under‐researched. Aim To explore views on staffing levels in context of attempting to minimise physical restraint practices on mental health wards. Findings emerged from a wider dataset with the br...
Article
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International efforts to minimize coercive practices include the US Six Core Strategies© (6CS). This innovative approach has limited evidence of its effectiveness, with few robustly designed studies, and has not been formally implemented or evaluated in the UK. An adapted version of the 6CS, which we called ‘REsTRAIN Yourself’ (RY), was devised to...
Article
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Background: Physical restraint is a coercive intervention used to prevent individuals from harming themselves or others. However, serious adverse effects have been reported. Minimising the use of restraint requires a multimodal approach to target both organisational and individual factors. The 'Six Core Strategies' developed in America, underpinne...
Article
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This article draws on the published work of Frantz Fanon to engage critically with the findings of a qualitative study of experiences within an alternative black mental health centre in Liverpool. Fanon’s critique of colonialism and exhortations for revolutionary action chime with the activist beginnings of this centre, and the positive experiences...
Article
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2 Word count (not including abstract, refs etc.): 9,174 Abstract Different aspects of the neighbourhood social environment have been linked with mental ill-health, however the mechanisms underlying these associations remain poorly understood because of the number and complexity of the components involved. We used a novel statistical approach, netwo...
Chapter
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This chapter draws on an anecdote from my past to explore the potential for creating and sustaining solidarity between social movement activists concerned with mental health and mental health services. My story connects with some of the tensions and turbulence of relations that can occur in the context of seeking political alliances between element...
Chapter
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This chapter presents thinking emerging from trade union and service user movement forums about the desirability of closer dialogue and alliances in a context of neo-liberal threats to public health and welfare systems. Freirian ideas underpin conclusions advocating development of inclusive workplace democracies for better organising mental health...
Article
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In Western society, policy and legislation seeks to minimize restrictive interventions, including physical restraint; yet research suggests the use of such practices continues to raise concerns. Whilst international agreement has sought to define physical restraint, diversity in the way in which countries use restraint remains disparate. Research t...
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Article
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Purpose Whilst there is growing evidence to suggest that the recovery college (RC) environment supports students towards their mental health recovery (Meddings et al., 2015b), students’ initial motivations for engagement, alongside factors that may hinder or support attendance, have yet to be exclusively explored. Design/methodology/approach All...
Article
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Purpose This paper is an author’s reply to the article by Cresswell (2017) critiquing the original piece by Spandler and McKeown (2017) on truth and reconciliation (T&R) in psychiatry. The paper aims to discuss this issue. Design/methodology/approach It continues the dialogue about the nature of reconciliation in mental health services and refle...
Article
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The relative burden of mental health disorders is increasing globally, in terms of prevalence and disability. There is limited data available to guide treatment choices for clinicians in low resourced settings, with mHealth technologies being a potentially beneficial avenue to bridging the large mental health treatment gap globally. The aim of the...
Article
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The overseas aid budget is coming under attack, both in the UK and the USA. But that shortsighted view does not take into account how working together to help communities suffering under the shadow of terrorism can actually help us combat extremism. Our research illustrated how money raised in north-west England changed the lives of people in north...
Article
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Purpose The purpose of this paper is to explore the case for a truth and reconciliation (T&R) process in the context of mental health services. Design/methodology/approach The approach is a conceptual review of T&R approaches; a consideration of why they are important; and how they might be applied in the context of mental health services and ps...
Chapter
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Services for people requiring secure forms of care Learning outcomes This chapter aims to encourage: 1. Development of critical thinking about key issues in forensic mental health. 2. Contemplation of different approaches to care and treatment for this client group emphasising the key role of supportive relationships. 3. Consideration of the role o...
Article
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In a climate of deregulation, brutal cuts to spending on health and social care and wider welfare, and the privileging of a ‘free market’ economy, the NHS is in a ‘critical condition’. Recent ‘reforms’ to the NHS and healthcare education are written in the language of neoliberalism, a global philosophy premised on celebration of a privatised econom...
Article
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Background This paper describes the community engagement process undertaken to ascertain the focus, development and implementation of an intervention to improve iodised salt consumption in rural communities in North West Pakistan. The Jirga is a traditional informal structure, which gathers men respected within their community and acts in a governi...
Article
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This article makes connections between matters of democracy in wider society and the workplace, building upon an earlier piece in Asylum arguing for trade unions to organise for reciprocal alliances with survivor movements. Thinking in this direction creates possibilities for consideration of a new workplace democracy in public services bringing to...
Article
Introduction In the UK, mental illness is a major source of disease burden costing in the region of £105 billion pounds. mHealth is a novel and emerging field in psychiatric and psychological care for the treatment of mental health difficulties such as psychosis. Objective To develop an intelligent real-time therapy (iRTT) mobile intervention (Tec...
Article
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This paper reports on the findings of three qualitative research studies undertaken within, respectively, medium and low secure units in one UK region, and a high secure mental health hospital in England (UK). The first study investigated alliance based involvement practices. The second explored service user and staff views and sense making of the...
Article
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Iodine deficiency is still prevalent in parts of Pakistan, despite the introduction of a national Iodine Deficiency Disorder Control Programme in 1994. The purpose of this study was to gain an understanding of the knowledge, attitudes and practice regarding the use of iodised salt in a brick kiln community, and to use this information to design an...
Article
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This commentary has been prompted by a degree of disquiet amongst the UK mental health nursing community in response to the Shape of Caring Review on the future of nurse education in England (Willis 2015). Proposals for the structure of nurse education have been interpreted as emphasising generic at the expense of field specific (e.g. mental health...
Chapter
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In this chapter we suggest that education for a critical understanding of democracy is central to the delivery of high-quality patient-centred care. Development of skills and knowledge which support change in practice can and must be brought into the classroom, offering opportunities for positive role modelling and real- time learning. Techniques b...
Chapter
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This chapter presents reflections and experiences of our involvement in an annual film festival hosted by the Comensus (service-user and carer-led) initiative at UCLan (Mckeown et al., 2012). Here we discuss successes and failures in realising the goals of the film festival including the extent to which we have made links into the classroom and the...
Book
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This book takes an appreciative but critical view of independent mental health advocacy.
Article
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Football can bring people together in acts of solidarity and togetherness. This spirit is most evocatively illustrated in the world renowned football anthem You’ll Never Walk Alone (YNWA). In this paper we argue that this spirit can be effectively harnessed in nursing and mental health care. We draw on data from qualitative interviews undertaken as...
Article
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This is a book that anyone interested in the experience of madness or care and treatment in modern mental health services should read. It is intensely profound, poetic and richly descriptive of the personal and interpersonal experience of madness, institutional detention and intervention. The harrowing and sobering lack of care at stake in much of...
Article
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Plato referred to democracy as a charming form of government. In the UK the impact of the Mid Staffordshire Inquiry (2013), Berwick (2013), and Clwyd-Hart Reviews (2013) has fundamentally influenced the public perception of nurses, resulting in a significant legitimacy crisis for the profession. Nursing has arguably lost some of its charm with the...
Article
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There has been much debate about the use of restraint to control aggressive and violent patients in health and social care services. Although concerns apply across different sectors of service provision it is often thought to be a more significant issue in mental health settings. Furthermore, it appears that forcible restraint is more readily accep...
Article
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The reform of the 1983 Mental Health Act (MHA), leading to the revised 2007 legislation, included for the first time a statutory right to independent advocacy for persons subject to compulsion under mental health law in England and Wales. This legal entitlement was accompanied with a range of formal expectations for nurses and other practitioners t...
Chapter
Full-text available
In this chapter we suggest that education for a critical understanding of democracy is central to the delivery of high-quality patient-centred care. Development of skills and knowledge which support change in practice can and must be brought into the classroom, offering opportunities for positive role modelling and real-time learning. Techniques by...
Article
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Advocacy serves to promote the voice of service users, represent their interests and enable participation in decision-making. Given the context of increasing numbers of people detained under the Mental Health Act and heightened awareness of the potential for neglect and abuse in human services, statutory advocacy is an important safeguard supportin...
Chapter
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Article
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Background. A study of involvement initiatives within secure mental health services across one UK region, where these have been organized to reflect alliances between staff and service users. There is little previous relevant international research, but constraints upon effective involvement have been noted. Objective. To explore and evaluate invol...
Chapter
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This chapter explores the possibility of alliances between mental health workers and psychiatric survivor movements – a focus that has received little scholarly attention to date. Particular attention is paid to alliances between survivors and public sector trade unions in the UK. These alliances are replete with what, in a more general context, We...
Article
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Drawing on a national study of independent mental health advocacy, we explored the social relations of independent advocacy. The study was commissioned by the Department of Health (England), and involved a case study design covering eight different geographies and service configurations, and interviews or focus groups with a total of 289 stakeholde...
Article
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This paper will attempt to celebrate both key developments and best practice involving the users of health and social care services in programmes of practitioner education in a UK context, and offer a critical appraisal of the extent to which such initiatives meet some of the more transformative objectives sought by service user activists for chang...
Article
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This paper examines gender issues in relation to a mental health project in England, which is based on football metaphor and aimed at engaging men in therapeutic activity. We use the football related analogy of “playing by the rules” to explore how gender was framed, performed, negotiated and contested in the project. We note three different “games...
Article
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What we want to argue is that this failure of caring systems is directly related to the liquidification of nursing. Zygmunt Bauman (2000) describes a state of liquid modernity, a phase in the development of capitalism where uncertainty reigns and stability is forever undermined. Now nurses are educated by universities in various hospitals, they are...
Chapter
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This chapter provides a fascinating overview of a revolution that has been quietly occurring in the mental health field. Traditional roles for people with mental health issues when receiving services of passivity have been creatively challenged. It is no longer the case that services are something that are exclusively ‘done to’ people, rather a gra...
Article
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This paper offers a critique of austerity policies in a context of mental health and contemplates some activist inspired remedies. These policies of austerity powerfully stalk the globe, preying on the poor, weak and vulnerable, redistributing their meagre assets wholesale to the pockets of the rich and super-rich whilst simultaneously stigmatising...
Article
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In this article we draw upon a 1952 paper by Erving Goffman, 'On cooling the mark out: some aspects of adaptation to failure' to provoke some critical thinking about the value of independent advocacy within modern mental health services. We start from a position that is appreciative of the efforts of practicing advocates and other supporters of adv...