The Recovering Citizenship Learning Collaborative: a system-wide intervention to increase citizenship practices and outcomes

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Public Mental Health Pub Date : 2023-08-22 DOI:10.1108/jpmh-12-2022-0125
E. Flanagan, J. Tondora, Annie Harper, P. Benedict, J. Giard, Billy Bromage, Bridgett Williamson, Paul Acker, Cheri L. Bragg, V. Adams, M. Rowe
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Abstract

Purpose This paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and two state hospitals. Design/methodology/approach The learning collaborative used a Recovering Citizenship approach, which holds that recovery occurs in the context of people’s lives in their communities and society, that is, their citizenship. The RCLC was implemented by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in the USA and the Yale Program for Recovery and Community Health along with lived experience leaders. The RCLC supported system change through training DMHAS staff on concepts of recovery and citizenship and developing agency action plans, with the long-term goal of improving citizenship-oriented care at the agency-level and recovery and citizenship-related outcomes for people receiving services. Findings Lessons learned include the importance of assessing organizational readiness for change, addressing leadership investment and attention to systemic barrier, and offering tools to promote structure and accountability. Next steps are supporting agency action plans through technical assistance, state-wide educational offerings and a resource library. Research limitations/implications Systemic barriers are considerable and must be addressed before system transformation is possible. Practical implications The authors are hopeful that the RCLC has been part of overcoming those challenges and can be a tool for building foundations for improving citizen practices and people’s citizenship-related outcomes. Social implications Next steps are sustaining agency action plans, ongoing agency-specific technical assistance, ongoing state-wide educational offerings and a resource library. Originality/value The RCLC has provided tools and supports to build the foundation for improved citizenship practices and client outcomes at the multiagency system level.
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恢复公民学习协作:一个全系统的干预,以增加公民实践和成果
本文旨在描述恢复公民学习协作(RCLC),这是一项针对13个地方精神卫生当局和两家州立医院的培训、咨询和实施工作。设计/方法/方法学习协作使用了恢复公民身份的方法,该方法认为恢复发生在人们在其社区和社会中的生活背景中,即他们的公民身份。RCLC是由美国康涅狄格州心理健康和成瘾服务部(DMHAS)和耶鲁大学康复和社区健康项目以及生活经验领导者实施的。RCLC通过对DMHAS工作人员进行康复和公民身份概念的培训以及制定机构行动计划来支持系统变革,其长期目标是在机构一级改善以公民身份为导向的护理,并为接受服务的人提供康复和公民身份相关的结果。经验教训包括评估组织变革准备程度的重要性,解决领导力投资和对系统障碍的关注,以及提供促进结构和问责制的工具。接下来的步骤是通过技术援助、全州范围的教育和资源图书馆来支持机构的行动计划。研究局限/影响系统障碍是相当大的,必须在系统转型之前解决。实际意义作者希望RCLC已经成为克服这些挑战的一部分,并且可以成为为改善公民实践和人民公民相关成果建立基础的工具。社会影响接下来的步骤是维持机构行动计划,持续的机构特定技术援助,持续的全州教育和资源图书馆。创新/价值RCLC提供了工具和支持,在多机构系统层面为改进公民实践和客户结果奠定了基础。
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来源期刊
Journal of Public Mental Health
Journal of Public Mental Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
7.10%
发文量
32
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