Sarah Carr

Sarah Carr
University of Birmingham · School of Social Policy

PhD

About

72
Publications
20,918
Reads
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1,982
Citations

Publications

Publications (72)
Article
Full-text available
Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in...
Article
Full-text available
Mental health problems bring substantial individual, community and societal costs and the need for innovation to promote good mental health and to prevent and treat mental health problems has never been greater. However, we know that research findings can take up to 20 years to implement. One way to push the pace is to focus researchers and funders...
Article
Full-text available
PurposeThe COVID-19 pandemic has many potential impacts on people with mental health conditions and on mental health care, including direct consequences of infection, effects of infection control measures and subsequent societal changes. We aimed to map early impacts of the pandemic on people with pre-existing mental health conditions and services...
Article
Full-text available
PurposeThe COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users.Methods We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixed me...
Article
Full-text available
Abstract This article is a response to Oliver et al.’s Commentary ‘The dark side of coproduction: do the costs outweigh the benefits for health research?’ recently published in Health Research Policy and Systems (2019, 17:33). The original commentary raises some important questions about how and when to co-produce health research, including highlig...
Article
Full-text available
We argue that predictions of a ‘tsunami’ of mental health problems as a consequence of the pandemic of coronavirus disease 2019 (COVID-19) and the lockdown are overstated; feelings of anxiety and sadness are entirely normal reactions to difficult circumstances, not symptoms of poor mental health. Some people will need specialised mental health supp...
Article
The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adverse mental health effects in previously healthy pe...
Article
People with lived experience of mental distress experience high rates of targeted violence and hostility based on their mental health status. This user-led study explored practitioners’ perceptions and experiences of supporting service users in these challenging situations and considered the role of adult safeguarding. Six focus groups with practit...
Preprint
Full-text available
Purpose The COVID-19 pandemic has many potential impacts on people with mental health conditions and on mental health care, including direct consequences of infection, effects of infection control measures and subsequent societal changes. We aimed to map early impacts of the pandemic on people with pre-existing mental health conditions and services...
Preprint
Full-text available
Purpose: The COVID-19 pandemic has potential to disrupt and burden the mental health care system, and to magnify inequalities experienced by mental health service users. Methods: We investigated staff reports regarding the impact of the COVID-19 pandemic in its early weeks on mental health care and mental health service users in the UK using a mixe...
Article
Full-text available
This letter seeks to synthesise methodological challenges encountered in a cohort of Wellcome Trust-funded research projects focusing on sexualities and health. The ten Wellcome Trust projects span a diversity of gender and sexual orientations and identities, settings; institutional and non-institutional contexts, lifecourse stages, and explore a r...
Article
Full-text available
This paper explores the methodological aspects of a user‐led study investigating mental health service user experiences of targeted violence and abuse (often called 'hate crime'). 'Keeping Control' was a 16‐month qualitative study, undertaken in the context of adult safeguarding reforms in England. By collecting data on service user concepts and ex...
Article
Full-text available
The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence‐based prevention and protection strategies. Achieving effec...
Article
This article offers some personal reflections from a mental health service user/survivor researcher working in English academia. It is a critical examination of what mainstream clinical mental health researchers and funders appear to need us to be, and what some in the service user and survivor movement perceive us to be. The discussion examines qu...
Article
Full-text available
Objective To synthesize the qualitative literature on adults’ experiences of psychological therapy assessments. The review was led by people with experience of undergoing assessments, with high levels of client involvement throughout. Search strategy A comprehensive search of electronic databases was undertaken, with additional search strategies e...
Article
Full-text available
The aim of this discursive paper was to explore the development of co‐production and service user involvement in UK university‐based mental health research and to offer practical recommendations for practitioners co‐producing research with service users and survivors, informed by an overview of the key literature on co‐production in mental health a...
Article
Full-text available
This current issues article is a brief critical examination of the recent Research Councils UK agenda and call for cross-disciplinary research in mental health. Our argument is based on the fact that patient and public involvement (PPI) is the only involvement and influencing strategy for service users and survivors in the agenda. Service user and...
Article
Full-text available
Background The aim of this research scoping review was to assemble an evidence base for the UK on mental health service user experiences and perspectives on mental health-related targeted violence and hostility (‘disability hate crime’). It also aims to address some of the gaps in the knowledge on risk management, help-seeking and prevention from t...
Article
Curing 'homosexuality' or same-sex attraction has been a recurrent trope in Western psychiatry and mental health services for over a century. Despite the progress made in the UK with equality legislation, improvements in general social attitudes and the slowly increasing confidence of lesbian, gay and bisexual (LGB) individuals and communities (Car...
Article
Full-text available
This paper explores the methodological and ethical issues arising from two co-produced mental health research projects. It is a joint presentation by a practitioner researcher and a service user researcher, both of whom are leading on co-produced studies. The presentation explores issues relating to the integration of service user experiential know...
Article
Reviewed by Jude Douglas, Open Polytechnic of New Zealand.
Poster
Full-text available
This paper will explore the emerging findings of a survey on the inclusion of lesbian, gay, bisexual and transgender (LGB and T) issues in health and social care curricula across HEIs in England. The research aims to survey the extent to which LGB and T issues are covered in the education and training of health and social care practitioners; attitu...
Book
Full-text available
NHS England has commissioned a primarily quantitative research project, focusing on the experiences of staff with disabilities working within the NHS, drawing upon two national data sets: • The 2014 NHS staff survey, completed by 255,000 staff, reporting their experiences of working in the NHS • The ESR Electronic Staff Record (ESR), with data gath...
Article
Full-text available
As English social care services reconstruct themselves in response to the personalization agenda, there is increased interest in the contribution of micro-providers – very small community-based organizations, which can work directly with individuals. These micro-providers are assumed to be able to cater for the ‘seldom heard’ groups which have been...
Article
There is some pilot evidence that mental effectiveness training provided by the social enterprise Mindapples helps people to learn about their own minds and self-manage their stress (Webber et al., 2015). It is possible that it could similarly help people who have experience of using mental health services. This study aimed to evaluate the feasibil...
Article
Background: Personal budgets are a key policy priority in adult social care in England and are expected to become increasingly important in the care of adults with mental health problems. Aims: This article systematically reviews evidence for the effectiveness of personal budgets for people with mental health problems across diverse outcomes. M...
Book
Full-text available
This is a guide to what co-production is and how to develop co-productive approaches to working with people who use services and carers. It is aimed at managers and commissioners, frontline practitioners and people who use services and carers.
Chapter
This chapter explores the idea of using personal narrative and testimony to contribute to collective knowledge on lesbian, gay and bisexual (LGB) experiences of mental distress and mental health service use. It draws upon some personal reflections about the methodologies previously used by the writer, particularly where personal experience is inclu...
Book
Full-text available
What's the Issue? The choice of housing and support for older lesbian, gay and bisexual (LGB) people is currently inadequate or even unsafe. What types of accommodation and support could help them to have a better life, now and in the future? How can personalisation, co-production, mutual support and international innovations contribute to our thin...
Chapter
An historical overview of adult social care that locates the roots of the current crisis in the under-valuing of older people and adults with disabilities, and in the marketisation of social care over the past two decades.
Article
Purpose – This paper aims to argue that the inflexible administration and funding silos which characterise a health and social care system focused on uniform provision is no longer working, particularly for those who require some support to live independent and fulfilled lives. Design/methodology/approach – This paper details social care reform pol...
Article
Purpose – This paper aims to present a digest of the main discussion points and key findings from a recent Social Care Institute for Excellence report on risk enablement and safeguarding in the context of self‐directed support and personal budgets. Design/methodology/approach – The paper explores how the personalisation agenda and adult safeguardi...
Book
Full-text available
This At a glance briefing explores what personalisation means for lesbian, gay, bisexual and transgender (LGBT) people. It looks at some of the main issues and examples of good practice.
Article
This paper examines a selection of emerging lessons on the design and implementation of personal budget schemes from some of the international literature. It is not a report of an exhaustive systematic review covering all related issues (such as social care market development), but gives some key lessons for promoting personal budget uptake from re...
Conference Paper
Full-text available
Article
Full-text available
This paper focuses on an aspect of diversity and anti-discrimination training in social care which has been marginalised in social care training and social work education, namely good practice with lesbian, gay, bisexual and transgender (LGBT) people. It discusses some key good practice points for working with LGBT people, derived both from the res...
Article
This paper is partly informed by lived experience. It briefly examines general lesbian, gay and bisexual (LGB) mental health and some of the factors that influence the engagement of LGB people with mainstream mental health services. It discusses areas for awareness-raising and practice development, specificially those concerning the recognition of...
Article
Partnership between people who use services, their carers, and professionals is seen as an increasingly important aspect of providing a quality service across health and social care. The concept is enshrined in national policy, but the application of it is patchy at best, and has partly been undermined by constant restructuring and organisational c...
Article
The author provides a mental health service user's perspective on leadership, arguing that users should be empowered by services to lead their own lives. In order to do so, leaders in services should have human and emotional skills because their decisions have human and emotional consequences. She argues that leadership and power sharing should hap...
Article
This paper is an exploratory and critical discussion of a particular aspect of the mainstreaming equalities social policy agenda and local authority diversity strategies in social care. The specific example of the potential difficulties involved with engaging both religious groups and sexual minorities in community engagement, service user particip...
Article
Drawing on the findings of a major review on service user participation in the social care system of England and Wales, this paper explores some of the challenging dynamics that are emerging as service users begin to take up strategic power in social care organizations. Analysis of the current situation suggests that such participation is challengi...

Projects

Projects (2)
Project
Archival study to explore what happened to lesbians and bisexual women in the UK mental health system in the post war period when homosexuality was considered a mental disorder
Project
I am currently researching how LGB&T issues are being taught in curriculum in health and social care programmes.