ArticlePloS one2021
Institutional injustice: Implications for system transformation emerging from the mental health recovery narratives of people experiencing marginalisation.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Differences Between Online Trial Participants Who Have Used Statutory Mental Health Services and Those Who Have Not: Analysis of Baseline Data From 2 Pragmatic Trials of a Digital Health Intervention.Journal of medical Internet research · 2023Trial
- Article
- Sustained engagement with a digital youth mental health platform: A mixed-methods study.Internet interventions · 2026Article
- Functional, Contextual, and Interventional Drivers of Formal Coercion in Acute Mental Health Units: A Feature Analysis.International journal of mental health nursing · 2026Article
- How to Tell a Recovery Story 'Professionally'? Issues Related to the Transformation of Personal Stories During a Training for Becoming a Peer Support Worker.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- The status, or conspicuous absence, of regulation of proprietary or locally manufactured African traditional medicines in South Africa: a constitutional injustice.Frontiers in public health · 2026Article
- "Why shouldn't I expect a lot from life?" - a qualitative study of what facilitates long-term recovery in first-episode psychosis.BMC psychiatry · 2025Article
- One or Many Recoveries? Recoveries in the Plural for a Better Understanding of One's Healing Journey.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- Recovery-oriented and trauma-informed care for people with mental disorders to promote human rights and quality of mental health care: a scoping review.BMC psychiatry · 2025Article
- Taking what you get or Getting what you Need: A Qualitative Study on Experiences with Mental Health and Welfare Services in Long-Term Recovery in First-Episode Psychosis.Community mental health journal · 2025Article
- Caught between confidentiality and compulsion: the global ethics-law dilemma in psychotherapy.Frontiers in psychology · 2025Article
- Humanism and Psychosis: Working With Patients Who Have Potential Medical Comorbidities Along With Mental Illness.Cureus · 2024Article
- Taking Action on Racism and Structural Violence in Psychiatric Training and Clinical Practice.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Tailoring the continuum of care for substance use problems to persons with an Islamic migration background: a co-creative case study.Frontiers in psychiatry · 2023Article
- Psychiatry and/or recovery: a critical analysis.International journal of mental health nursing · 2022Article
- 'Maybe I Shouldn't Talk': The Role of Power in the Telling of Mental Health Recovery Stories.Qualitative health research · 2022Article
- Development and delivery cost of digital health technologies for mental health: Application to the Narrative Experiences Online Intervention.Frontiers in psychiatry · 2022Article
- Older forensic mental healthcare patients in England: demographics, physical health, mental wellbeing, cognitive ability and quality of life.NIHR open research · 2022Article
- Management of a High-Performing Mental Health Recovery Research Group.International journal of environmental research and public health · 2021Review
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
backgroundInstitutional injustice refers to structures that create disparities in resources, opportunities and representation. Marginalised people experience institutional injustice, inequalities and discrimination through intersecting personal characteristics and social circumstances. This study aimed to investigate sources of institutional injustice and their effects on marginalised people with experience of mental health problems.
methodsSemi-structured interviews were conducted with 77 individuals from marginalised groups with experience of mental health problems, including psychosis, Black, Asian and minority ethnic (BAME) populations, complex needs and lived experience as a work requirement. These were analysed inductively enabling sensitising concepts to emerge.
findingsThree processes of institutional injustice were identified: not being believed because of social status and personal backgrounds; not being heard where narratives did not align with dominant discourses, and not being acknowledged where aspects of identity were disregarded. Harmful outcomes included disengagement from formal institutions through fear and mistrust, tensions and reduced affiliation with informal institutions when trying to consolidate new ways of being, and damaging impacts on mental health and wellbeing through multiple oppression.
conclusionsInstitutional injustice perpetuates health inequalities and marginalised status. Master status, arising from dominant discourses and heuristic bias, overshadow the narratives and experiences of marginalised people. Cultural competency has the potential to improve heuristic availability through social understandings of narrative and experience, whilst coproduction and narrative development through approaches such as communities of practice might offer meaningful avenues for authentic expression.
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