Reflections from the Knowledge Mobilization Network, part 3:  The use of language when working together to support people with mental health problems

Authors: the South-West Knowledge Mobilisation Network.  Collated by Larissa Milden (larissa.milden@improvinglivesplymouth.org.uk) and approved by network members

Previous blogs:

Part 1: roles needed to implement the Framework
Part 2: working together across different sectors

Introduction

The South-West Community Mental Health Knowledge Mobilization Network is an open-invite group which meet regularly to share information about the implementation of the Community Mental Health Framework for Adults and Older Adults 2019, and the sustainability and continuation of providing mental health services in a manner aligned with the ethos of this Framework. In our recent meeting, we explored the intricate dynamics of language within our various organisations, sectors and communities.

Key Points and Perspectives

Language serves as a powerful tool in our work. We acknowledged the importance of simplifying complex topics and approaching diagnoses with sensitivity to prevent inadvertently causing offence. Moreover, we emphasised the importance of fostering a shared understanding, recognising that context is also key in communication.

While language can serve as a bridge, it can also erect barriers. Clinical terminology, in particular, may unintentionally alienate individuals or come across as insensitive. However, there is a noticeable shift towards more trauma-informed language, which prioritises understanding individuals’ experiences and embracing holistic and non-pathologising perspectives. As clinical meetings increasingly adopt more person-centered language, influenced by evolving terminologies and dialogues, we recognise the importance of allowing language to evolve naturally, rather than imposing rigid changes. Practical tools like glossaries play a crucial role in navigating this linguistic evolution.

Challenges and Reflections on Language Use

Our discussions highlighted challenges stemming from confusion between similar terms in different organisations such as ‘key worker’ and ‘care coordinator,’ emphasising the need for clear role definitions. We stressed the importance of language that fosters inclusivity and reduces anxiety, advocating for shifts from clinical ‘assessments’ to more conversational approaches.

We delved into the nuanced implications of terminology, recognising that words like ‘intervention’ may carry unintended connotations for service users. Building relationships emerged as a cornerstone for facilitating understanding and acceptance of evolving language within our communities.

Best Practices and Future Directions

As we navigate the evolving landscape of language, we highlighted the value of community collectives/ spaces and information sharing in bridging language differences between strategic spaces and grassroots communities. Embracing person-centered language and remaining mindful of the impact language can have on interactions will continue to guide our practices.

In closing, we reminded ourselves of the fundamental humanity underlying our work, emphasising the importance of empathy, understanding, and collaboration. We look forward to ongoing reflection and dialogue on the transformative potential of language in mental health services.

Interested in joining the South-West Community Mental Health Knowledge Mobilisation Network?  Please email charley.hobson-merrett@plymouth.ac.uk

This blog post is supported by the Peninsula Clinical Trials Unit (PenCTU) and the NIHR ARC South West Peninsula (PenARC)

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