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Knowledge and expertise in care practices: the role of the peer worker in mental health teams.

Oborn, E; Barrett, M; Gibson, S; Gillard, S (2019) Knowledge and expertise in care practices: the role of the peer worker in mental health teams. Sociol Health Illn, 41 (7). pp. 1305-1322. ISSN 1467-9566 https://doi.org/10.1111/1467-9566.12944
SGUL Authors: Gillard, Steven George

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Abstract

Our research examines how different forms of knowledge and expertise are increasingly important in caring for people experiencing mental illness. We build on theoretical developments regarding multiple ontologies of knowing about illness. We examine how experiential knowledge of mental health problems, learned by being subject to illness rather than through objective study, is enacted in mental healthcare teams. We focus on Peer Workers (PW), individuals who have lived experience of mental health problems, and who contribute knowledge and expertise to mental health care within multidisciplinary healthcare teams. Our longitudinal study was undertaken over 2 years by a multidisciplinary team who conducted 91 interviews with PW and other stakeholders to peer support within a comparative case study design. We show how workers with tacit, experiential knowledge of mental ill health engaged in care practice. First, we show how subjective knowing is underpinned by unique socialisation that enables the development of shared interactional spaces. Second, we point to how the situated nature of subjective knowing is uniquely embedded in time and space and allows for the alignment of embodied knowledge with trajectories of care. Third, we provide insight into how subjective forms of expertise might be incorporated into multidisciplinary care.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Oborn, E. , Barrett, M. , Gibson, S. and Gillard, S. (2019), Knowledge and expertise in care practices: the role of the peer worker in mental health teams. Sociol Health Illn, 41: 1305-1322, which has been published in final form at https://doi.org/10.1111/1467-9566.12944. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: embodiment, experiential knowledge, lay concepts, medical knowledge, mental health and illness, mental health services, 1117 Public Health And Health Services, 1608 Sociology, 2202 History And Philosophy Of Specific Fields, Public Health
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Sociol Health Illn
ISSN: 1467-9566
Language: eng
Dates:
DateEvent
21 September 2019Published
23 April 2019Published Online
20 March 2019Accepted
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
10/1008/15National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
PubMed ID: 31012987
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110832
Publisher's version: https://doi.org/10.1111/1467-9566.12944

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