Alicia King Profile picture
Researcher with a interest in promoting the recognition of #livedexperience as a resource for improving #mentalhealth services. she/her
11 Nov 20
Another great episode in this series, this time touching on #academia, #class and #traumainformed understandings of distress.

I love how @themichjam's #livedexperience informs her understanding of the change we need to see in #mentalhealth systems.

Highlights...

1/11
"You're such an inspiration!"

"Are you safe to be here?"

On responses from mental health professionals when identifying as person with #livedexperience during guest lectures.

2/11
"Over the years, I just got angry and that's why I decided to start speaking about it"

On the choosing to share #livedexperience as a form of activism.

3/11
Read 12 tweets
28 Oct 20
I now know why my colleague mentioned @Rufusmay to me.

I love the way he proposes telling stories, and being creative, playful and vulnerable as a way of bringing our whole selves to our work.

Highlights below...

1/20
2:00 2:35

"Until you or a relative experience it, it's another world [...] If you're sectioned you lose your rights, and things get done to you...

...I think it really changed my life."

On the influence of experiencing involuntary treatment on his career.

2/20
2:35 - 3:05

"When I managed to return to education I thought, "I want to make a difference" and go back into the #mentalhealth system and promote a more listening approach...

...I didn't feel I'd been listened to."

3/20
Read 21 tweets
27 Oct 20
I know I'm a little behind but loved catching up on this episode today.

Particularly like Dr Schreiber's reflections on the implications of "us and them" between service users and professionals, for the quality of public #mentalhealth services.

Highlights to follow...

1/13
1:00 - 2:51

"...noticing that their were divisions between staff and patients."

Reflecting on first encountering the "us and them" as an assistant psychologist working in inpatient unit.

2/13
2:33 - 3:30

"...being really incredibly anxious about what would happen if a young person told [...] another staff member...

...it just seemed like a massive taboo."

On professionals sharing #livedexperience with service users.

3/13
Read 14 tweets
20 Oct 20
It took me a while to get to this episode but so glad I did.

Dr Linacre touches on so many important issues with regard to the sharing of lived experience by mental health professionals.

This will be a long thread.

1/14
10:37 - 11:25

On recognising the double-edged nature of our personal qualities. How qualities that predispose us to mental health difficulties might also be strengths.

2/14
11:43 - 12:25

On how personal experiences of #stigma towards disability and #Ableism motivated him to work with people with learning disabilities.

3/14
Read 15 tweets
9 Oct 20
Seriously, if you work in #mentalhealth and haven't checked out this series yet, do yourself, your colleagues and your staff a favour.

This episode touches on more of the themes identified in my scoping review into the sharing of #livedexperience in the workplace...

1/11
7:30 - 8:40:

"We never talked about it"

"We can't let the cat out of bag"

On supervisors not being comfortable discussing episodes of mental health challenges.

2/11
10:39 - 11:25

"I was just really worried about what would happen"

On fear of disclosing during clinical training.

3/11
Read 12 tweets
30 Sep 20
Another great episode in this series.

Important reflections on the contrast between workplaces that support and value the well being of the staff within them, and those that don't.

Must watch for leaders within #mentalhealth services who wish to create compassion cultures.

1/
1:55 - 3:40

Great description of "homely" team where the health of staff was prioritised by the manager and colleagues "had each others' backs".

2/
4:05 - 4:15

Contrasted with a workplace where in response to a toxic workplace culture she was "given the message" that "their was something wrong me", creating a "deep sense of shame".

3/
Read 10 tweets
22 Sep 20
This series just keeps getting better.

Great conversation around the intersections of #mentalhealth #stigma and structural #racism and bring our whole selves to our work as mental health professionals

Definitely worth watching the whole 40 minutes but highlights for me... 1/7
1:40 - 2:15

"I'm more of a them than I am an us"

The "us and them" dichotomy in #mentalhealth professions.

2/7
4:55 - 5:35

"It was a sharing culture"

On a workplace that supported the sharing of #livedexperience and it's impact on the well being of staff.

3/7
Read 7 tweets
14 Sep 20
Talk about a strong start ⁦⁦@In2gr8mh⁩!

In conversation with #mentalhealthstigma researcher with #livedexperience, Patrick Corrigan:

“I think one of the best things to happen in the last 10-15 years in mental health is peer support.”
Also check out 10:50-11:30 on the effect of the “us and them” on outcomes for people accessing services.
...and 15:09-16:10 on "The Clinician's Illusion" in mental health and it's impact on how we perceive the possibility of people living their best lives.
Read 7 tweets
11 Sep 20
Interesting qualitative study highlighting both the value of peer support (PS) but some of the key challenges of implementing PS in clinical settings.
Particularly interesting reflection from participants on
the importance of shared diagnosis... 1/3
bpded.biomedcentral.com/articles/10.11…
“I, personally, would prefer someone (a consumer peer worker) with BPD. Um [pause], not another diagnosis … a lot of my own experience with BPD could only really be understood by somebody else with BPD” (Consumer).

In contrast, the view of a PSW:
“If you’ve experienced... 2/3
...extreme distress, you’ve experienced mistreatment in the public mental health system … those things are still quite important for the client to know that you’ve experienced but it doesn’t necessarily need to come with a diagnosis of BPD” (PSW).

For me this highlights... 3/
Read 4 tweets
4 Sep 20
Thrilled to report my review of research with #mentalhealth professionals with #livedexperience has been birthed after 9 months: ps.psychiatryonline.org/doi/10.1176/ap…

Thanks to best midwives ever, @LisaMBrophy @DrTEFF @DrLouiseByrne!

If you have any difficulties accessing, please PM me. Image
For those short on time, these were the key themes... but definitely read the full paper and not just because it took six months to write 😉
Many of the studies were qualitative and the words of participants powerful. Image
Massive thanks for all the Twitter love over the weekend. I've been #workingfromhome since March, and we're in #lockdown for another seven weeks in Melbourne so it feels good to have the support of people so far away.

I might be slightly hanging on for that 100th like...
Read 4 tweets
26 Aug 20
Loving reading @esylarur's beautifully crafted e-book of her thesis.

"Self-disclosure is [...] an ongoing consideration of intent and impact, an informed decision on what to share in and out of session, as a therapist and as a human being in general."

digitalcollections.saic.edu/islandora/obje… Image
.@esylarur's findings from her survey with therapists with #livedexperience echo those of the other studies in supporting fear of #stigma as a primary factor in decisions not to share, and the implications for service user experiences of support. Image
This is the end game for me in supporting the sharing of #livedexperience in the workplace.
We need to change the conversations we have behind closed doors if we're going to better support people accessing #mentalhealth services. Image
Read 4 tweets
26 Aug 20
Great paper by @HelenaRoennfel2 and @DrLouiseByrne on senior staff's understanding of #livedexperience workforce issues: publish.csiro.au/ah/Fulltext/AH…

I particularly ❤️ Sam:

"...But you know just saying ‘you’re not recovered enough to do this job’ is a load of bullshit." (Sam)
"The ambiguity in this study reinforces the need for greater consensus in defining and determining relevant lived experience in the context of designated roles."

As someone who has previously been responsible for recruiting peer workers, I was less interested in what... 1/2
...experiences they had had, and more interested in what they had learnt from those experiences that might help them to connect with and support others, especially their capacity to work with people who may have different experiences and worldviews to their own. 2/2
Read 6 tweets
25 Aug 20
Had a COVID test this morning for some mild cold symptoms so putting myself to bed with some light PhD related reading: Kay Redfield Jamison’s memoir about her experiences as a psychiatrist with #livedexperience.
#phdlife #GetTested #StayHome Image
Correction, KRP not a psychiatrist but a clinical psychologist & professor in psychiatry department.
Love this description of her own psychiatrist. Image
The value of her and other’s #livedexperience is evident in her descriptions of the research & training program she created as director of the UCLA Affective Disorders Clinic. Image
Read 6 tweets
22 Jul 20
I’m taking my internet dropping out all morning as a sign I should do something offline.
Thankfully, printed @DrLouiseByrne’s latest paper yesterday & treated myself to some new highlighters on weekend (given my others are locked down in my LTU office). #workingfromhome #phdlife Image
Looking forward to speaking with young people in coming weeks involved in groups with #peer workers that have recently moved online.
It will be interesting to see if their experiences of #peersupport are different to those in face to face groups. Image
No so keen on the idea of “monitoring” or #peer “counselling” but can definitely say based on my scoping review that informal and formal opportunities for #peersupport are valued by health care professionals with #livedexperience of emotional distress. Image
Read 6 tweets
21 Jan 20
I like the cut of your jib, Stuart, Arboleda-Florez & Sartorius. This books identified 11 paradigms we need to throw out in anti-stigma research & activism. My personal favourites are... 1/5 Image
2/5 Image
3/5 Image
Read 5 tweets
19 Jan 20
I had mixed feelings about going on this tour but it was a good reminder of how far we have come, and how far we have to go, in responding compassionately & helpfully to emotional distress. 1/4 Image
The ubiquitous “fish bowl” or “bubble” found in modern inpatient units, was all too familiar 2/4 Image
...as were the isolation rooms 3/4 Image
Read 4 tweets
15 Jan 20
Fantastic article from the broader workplace inclusion literature, on the management of concealable stigmas in the workplace, with relevance to health professionals with lived experience of emotional distress @ManyHatsNetwork @In2gr8mh
journals.sagepub.com/doi/10.1177/01…
@ManyHatsNetwork @In2gr8mh ..if one has not revealed to a colleague, the individual may spend a great deal of attentional resources ensuring […] stigma related information is not accidentally exposed, considering if revealing might be a good idea, and/or trying to gauge how the colleague would react.. 1/2
@ManyHatsNetwork @In2gr8mh I'm curious if this holds true for mental health professionals with lived experience.
Some have suggested the decision not to disclose is due to feeling it is not relevant to their work whilst others indicate the fear of stigma is burdensome.
Maybe it depends on the person?
2/2
Read 4 tweets
5 Nov 19
5 reasons mental health services should work to create more welcoming workplaces for staff with lived experience. 1/6
Source: tucollaborative.org/wp-content/upl… Image
1. They always have employed staff with lived experience (they just might not have known it). 2/6
2. Environments that promote mental health of staff benefit the productivity, creativity & wellness of all staff (including those with physical health conditions). 3/6
Read 6 tweets