A timeline for the emergence of collaboration and co-production in mental health: An Irish Perspective

Background
This timeline identifies some of the social and political changes from which service user involvement emerged to pursue its goals.  It is characterised by a number of landmark events beginning with a push by disadvantaged groups for civil rights from the 1960’s onward.  These events included:

• Location of services in the community
• Changes in the mental health system and closure of asylums
• Growth of consumerism
• Emergence of self-help concepts
• Influence of the anti-psychiatry movement’s critique of orthodox psychiatry
• Sharing of ideas between service user groups
• Employment of service user and carers in management roles

Between the rise of institutional care in the nineteenth century and the dismantling of asylums this century, mental health services in Ireland been through all lot of change, exemplified in recent times, by the introduction of a new Mental Health Act in 2001, which is chosen as the starting point for the timeline. Each occurrence on the timeline provides information on its significance with links to resources relating to the event.

Mental Health Act 2001 implemented

January 30, 2001

Mental Health Act (fully implemented in 2006) establishes an independent Mental Health Commission with service user representation, introduces Mental Health Tribunals to review involuntary admissions…

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Irish Advocacy Network sanctioned by Minister for Health

April 28, 2002

Irish Advocacy Network (IAN), formed 1999, was sanctioned to provide services by Minister for Health and Children.  IAN is a service user-led organisation working independently…

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Asylum closures continue

April 30, 2002

Closure of Our Lady’s Hospital Cork (Opened in 1789)

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Suicide or Survive founded

April 30, 2003

Peer support organisation Suicide or Survive founded http://www.suicideorsurvive.ie/

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Health Service Executive (HSE) replaces old Health Boards

April 29, 2004

Health Service Executive (HSE) replaces old Health Boards

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Formation of Mental Health Inspectorate

April 30, 2004

Formation of Mental Health Inspectorate. The functions of the Inspector (Section 51 of the 2001 Act) include visiting and inspect every approved centre at least…

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“A Vision for Recovery in Irish Mental Health Services”

May 1, 2005

Mental Health Commission publishes a “A Vision for Recovery in Irish Mental Health Services”.  Service user involvement and engagement planned as cornerstones of the future…

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A Better Future Now

August 30, 2005

The Irish College of Psychiatrists produces “A Better Future Now: a position paper on psychiatric services for children and adolescents” Link to “A Better future…

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United Nations (UN) Convention on the Rights of Person with Disabilities adopted

March 7, 2006

The United Nations (UN) Convention on the Rights of Person with Disabilities adopted. UN Convention on the rights of persons with disabilities    

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“A Vision for Change”

May 1, 2006

“A Vision for Change”  (2006) sets out the direction of Mental Health Services in Ireland from 2006-2016.  A complete chapter outlining incorporation of the service…

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Mental Health Reform formed

May 2, 2006

Mental Health Reform – a national coalition of organisations campaigning to transform mental health care in Ireland formed. www.mentalhealthreform.ie 

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Criminal Law Insanity Act (2006) replaces ‘guilty but insane’

May 3, 2006

The Criminal Law Insanity Act (2006) replaces ‘guilty but insane’ verdict with ‘guilty by reason of insanity. www.irishstatutebook.ie  

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Hearing Voices Ireland (HVI) founded

June 5, 2006

Hearing Voices Ireland (HVI) was founded in 2006 by Brian Hartnett to ‘promote and foster acceptance of voice hearing as a valid human experience‘. www.voicesireland.com  

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Jigsaw services for young people and families founded

June 13, 2006

Jigsaw services for young people and families founded in 2006.  Jigsaw are the National Centre for Youth Mental Health. There to ensure that no young…

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Áras Folláin peer support centre opened in Nenagh

May 1, 2007

Áras Folláin peer support centre opened in Nenagh.  Áras Folláin is a Peer Support Centre that provides a non-judgemental environment where people have an opportunity to…

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Slí Eile community housing project opens.

May 3, 2007

Slí Eile community housing project to support people with mental health problems opens. www.slieile.ie

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The Gateway Project founded

May 7, 2007

The Gateway Project, a community based peer support project run by and for people with lived experience of mental health working together for recovery and…

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National Strategy for Service User Engagement published

May 2, 2008

National Strategy for Service User Involvement in the Health Service published

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“A Recovery Approach within the Irish Mental Health Services: A Framework for Development” published

May 4, 2008

The Mental Health Commission publish its outline for “A Recovery Approach within the Irish Mental Health Services: A Framework for Development”.  It considers that staff…

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The College of Psychiatry of Ireland formed

May 1, 2009

The College of Psychiatry of Ireland emerges from the Irish College of Psychiatrists, the Irish Psychiatric Association and the Irish Psychiatric Training Committee.

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Joint Working Group on Mental Health Services and the Police

May 12, 2009

Joint Working Group on Mental Health Services and the Police formed. Report of Joint Working Group on Mental Health Services and the Police (2009)

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Establishment of Co-operative Learning Programme at DCU

May 2, 2010

Establishment of Co-operative Learning Programme at Dublin City University (DCU). A service improvement leadership collaboration between service users, carers and service providers. www.dcu.ie  

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A Good Practice Guide for Mental Health Nurses working with Gay, Lesbian and Bisexual People published

June 15, 2010

The IIMHN, Gay + Lesbian Equality Network (GLEN) and the HSE co-produce A Good Practice Guide for Mental Health Nurses working with Gay, Lesbian and Bisexual…

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IIMHN produces Position Statement on Advanced Directives

March 8, 2011

IIMHN produces Position Statement on Advanced Directives.  It states “… nurses should encourage and facilitate users of mental health services to prepare and implement advanced…

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The EOLAS Project

May 2, 2011

The EOLAS project: a psycho-education programme for service user, families and supporters, uniquely co-facilitated by service users and clinicians begins. The EOLAS project delivers two mental…

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Trialogue begins holding conversations

May 9, 2011

Trialogue begin holding conversations about mental health within three groups – people experiencing mental health difficulties, carers and professionals in the community. https://www.dcu.ie/news/2011/mar/s0311h.shtml  

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HSE issues guidance papers for community services development

May 2, 2012

HSE issues guidance papers for community services development, with specific guidance given for service user involvement in services. www.hse.ie/eng/services/

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Closure of St. Brendan’s Hospital, Dublin (opened 1814)

February 28, 2013

Closure of formerly Ireland’s largest psychiatric institution, St. Brendan’s Hospital, Dublin after 199 years (opened 1814).  At its peak, the 74 acre campus housed 2,500…

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Gay and Lesbian Equality Network (GLEN) publish guidelines for mental health staff working with the LGBT community

May 2, 2013

Gay and Lesbian Equality Network (GLEN) publish guidelines to inform for mental health staff when providing a mental health service for gay, lesbian, bisexual and…

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Launch of first Recovery College to deliver co-produced recovery education

May 2, 2013

Launch of first Recovery College to deliver co-produced recovery education (Mayo), 5 recovery colleges nationally in 2018 www.recoverycollegewest.ie/

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ARI Formed

May 2, 2013

Founding of Advancing Recovery in Ireland (ARI) as a National Mental Health Division initiative to bring together people who provide services, those who use them…

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HSE forms Mental Health Listening Meetings

May 8, 2014

In 2014, the Mental Health Division undertook an ambitious number of events where they wanted to hear the experiences of service users, family members and…

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Hearing Voices Network Ireland, peer support for people who hear voices launched in Ireland

April 17, 2015

Hearing Voices Network Ireland, a peer support organisation for people who hear voices launched in Ireland.  HVNI affiliated to Intervoice, the international umbrella organisation for…

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HSE Office of Mental Health Engagement established

May 12, 2015

Establishment of HSE Office of Mental Health Engagement, the purpose of which is to support the development of mechanisms for service user and carer engagement….

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Mental Health Ireland publish the review of peer-led support in the community

May 11, 2016

Mental Health Ireland publish the Review of peer-led support in the community.

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HSE launches ‘Partnership for Change’ report of the Mental Health Reference Group

June 22, 2016

HSE launches ‘Partnership for Change’, the report of the Mental Health Reference Group.  The report recommends establishing Local Fora and Area Fora for SU engagement, the…

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Office of Mental Health Engagement appoints Area Leads to MH services

May 2, 2017

Establishment of 9 HSE Area Leads comprised of service users, carers and family members to presents the views of service users, family members and carers…

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IIMHN produce position paper on Trauma Informed Care

May 4, 2017

IIMHN produce position paper on Trauma Informed Care. “In light of contemporary evidence, we can expect that the majority of people using mental health services…

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Establishment of the Oireachtas Joint Committee on the Future of Mental Health Services

July 13, 2017

Establishment of The Oireachtas Joint Committee on the Future of Mental Health Services in Ireland, aiming for cross-party consensus on the future of mental health…

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Launch of National Framework for Recovery in Mental Health

November 20, 2017

Launch of National Framework for Recovery in Mental Health which builds on committed efforts of service users, family members, carers and service providers to develop…

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Peer Support Workers employed by HSE

January 1, 2018

Individuals with self-experience of mental health difficulties, with a good level of recovery, begin to offer support to service users across the country in a…

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Establishment of HSE Area Fora

February 5, 2018

Establishment of HSE Area Fora the purpose of which is to work collaboratively for improved mental health services across the Community Health Organisation (CHO) through…

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United Nations (UN) Convention on the Rights of Person with Disabilities ratified in Ireland

March 7, 2018

The Government of Ireland ratifies the United Nations (UN) Convention on the Rights of Person with Disabilities.  Ireland was the last of the 27 EU countries to…

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