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The purpose of this paper is to present a qualitative analysis of the role of self-harm self-help groups from the perspective of group members.

A qualitative case study approach guided the research, which involved working with two self-harm self-help groups and all regularly attending members.

A thematic approach to the analysis of the findings indicates that self-harm self-help groups can provide a safe, non-judgemental space where those who self-harm can meet, listen and talk to others who share similar experiences for reciprocal peer support. Offering a different approach to that experienced in statutory services, the groups reduced members’ isolation and offered opportunities for learning and findings ways to lessen and better manage their self-harm.

This was a small-scale qualitative study, hence it is not possible to generalise the findings to all self-harm self-help groups.

The value of peers supporting one another, as a means of aiding recovery and improving well-being, has gained credence in recent years, but remains limited for those who self-harm. The findings from this research highlight the value of self-help groups in providing opportunities for peer support and the facilitative role practitioners can play in the development of self-harm self-help groups.

Self-harm self-help groups remain an underexplored area, despite such groups being identified as a valuable source of support by its members. This research provides empirical evidence, at an individual and group level, into the unique role of self-harm self-help groups.

Evidence accumulated over many years illustrates the benefits of work for mental health, including that of mental health service users. Despite strong evidence of the effectiveness of the individual placement and support (IPS) approach in enabling this group to find and keep paid employment, employment rates among mental health service users remain low, and IPS is not widely implemented in the UK. This paper reviews recent evidence for IPS, describes the key features of the approach and compares these with service users' accounts of the kind of support that they find helpful. The current situation regarding implementation of IPS is then considered, together with the barriers hindering implementation. It is clear that the barriers are multifaceted, and action will be required at a number of levels if mental health service users are to be enabled to achieve their employment goals.

In this article we describe Open Arts' achievements during the project's first year of operation and present the first results from an ongoing evaluation being carried out by SE‐SURG (the South Essex Service User Research Group).

Empowerment has been described as the ‘holy grail’ of health promotion. This article describes an evaluation of arts participation for people with mental health needs that both measured empowerment outcomes and explored the processes by which positive outcomes were achieved, through six qualitative case studies. For the outcomes study, 62 arts and mental health project participants returned a questionnaire, including a measure of empowerment, soon after joining their project and again six months later. The follow‐up questionnaire asked participants to rate the impact of their arts involvement on the issues addressed in the measure. Six diverse arts and mental health projects took part in the case studies. Interviews with project participants explored what they saw as the benefits of arts involvement and how these came about. Results from the outcomes study showed significant improvements in empowerment and were suggestive of a strong causal link with arts participation. Analysis of the case study interviews revealed five processes through which benefits relating to empowerment were brought about. We argue that psychological empowerment is in itself important for people with mental health needs. In addition, our case studies indicate that some arts and mental health projects do empower participants at a social as well as individual level.

In the UK the concept of social exclusion came into widespread use in mental health following the publication of an influential Social Exclusion Unit report in 2004. Based on a comparison of ways of defining social exclusion with the mental health literature, this article begins by outlining a social systems approach to understanding social exclusion. The approach is later used to examine the position of people with mental health needs in the UK. First, however, a common assumption that social inclusion constitutes the opposite of social exclusion is addressed and an alternative way of thinking about the two concepts is put forward. A further assumption that social inclusion is self‐evidently desirable is also critiqued from political and service user perspectives before drawing conclusions from the evidence reviewed. These concern a need for policy initiatives to focus on tackling the structural barriers that work to exclude people with mental health needs, as well as on challenging the deep‐rooted prejudice and stigmatisation that reinforce those barriers; and a need to be mindful of the context in which inclusion policies are implemented, the assumptions that become implicit within these policies, and the possible consequences of their adoption as a moral imperative.

A year‐long review of services was carried out in South Essex by local authority and primary care trust commissioners to help inform future commissioning plans. The review included a focus group to consult service users, carers, project staff and referrers across the area. This was undertaken by SE‐SURG, a group of current and former service users who carry out research and consultation work for mental health service commissioners and providers. The results of the consultation are presented here, particularly in relation to the strengths and limitations of current services, service user aspirations and staff expectations.

Taking the principles of health promotion as a starting point, this paper begins with a review of the ways in which mental health has been defined in the mental health promotion literature. In order to move beyond definitions that revolve only around the absence of illness or reductionist lists of individual skills and attributes, it then introduces a model derived from health promotion theory. Finally, the paper concludes with an example of the model's application to promoting the well‐being of mental health service users through the provision of evidence‐based employment support.