Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338071
R. T. Onocko Campos, M. Costa, M. Pereira, É. Ricci, Giselli da Silva Tavares Enes, Leidy Janeth, Erazo Chávez, Graziela Reis, L. Davidson
ABSTRACT Over the past 30 years, the Brazilian psychiatric reform, based on the anti-asylum social movement and the psychosocial rehabilitation model of care, transformed radically the country’s system of mental health care. Even though tremendous gains were made, people with serious mental illness continue to have limited access to citizenship. In the United States the recovery movement has enhanced the central role of people with serious mental illness as an active and responsible agent in their recovery process, encouraging a more collaborative role for service users, but, still, there are challenges to citizenship. This article first identifies commonalities between these two movements, central to mental health advances in the two distinct cultures of Brazil and the United States. Then, though celebrating the cultural differences between the two societies, the authors consider the possibility of cross-fertilization and propose a set of suggestions that could help both countries to overcome the remaining barriers to social justice for those living with mental health issues. From the American recovery movement, the authors learn that society can and must make adaptations to allow people with mental health disorders to live as citizens regardless of the symptoms they might manifest. From Brazil, mental health workers can use solidarity as a tool to create inventive solutions for those with a mental health disorder to live as citizens, regardless of the symptoms they might manifest.
{"title":"Recovery, citizenship, and psychosocial rehabilitation: A dialog between Brazilian and American mental health care approaches","authors":"R. T. Onocko Campos, M. Costa, M. Pereira, É. Ricci, Giselli da Silva Tavares Enes, Leidy Janeth, Erazo Chávez, Graziela Reis, L. Davidson","doi":"10.1080/15487768.2017.1338071","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338071","url":null,"abstract":"ABSTRACT Over the past 30 years, the Brazilian psychiatric reform, based on the anti-asylum social movement and the psychosocial rehabilitation model of care, transformed radically the country’s system of mental health care. Even though tremendous gains were made, people with serious mental illness continue to have limited access to citizenship. In the United States the recovery movement has enhanced the central role of people with serious mental illness as an active and responsible agent in their recovery process, encouraging a more collaborative role for service users, but, still, there are challenges to citizenship. This article first identifies commonalities between these two movements, central to mental health advances in the two distinct cultures of Brazil and the United States. Then, though celebrating the cultural differences between the two societies, the authors consider the possibility of cross-fertilization and propose a set of suggestions that could help both countries to overcome the remaining barriers to social justice for those living with mental health issues. From the American recovery movement, the authors learn that society can and must make adaptations to allow people with mental health disorders to live as citizens regardless of the symptoms they might manifest. From Brazil, mental health workers can use solidarity as a tool to create inventive solutions for those with a mental health disorder to live as citizens, regardless of the symptoms they might manifest.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"5 1","pages":"311 - 326"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90268592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338040
Ailsa E. Stewart, K. Black, P. Benedict, Victoria Benson
ABSTRACT This article explores the usefulness of recognition theory, recovery, and citizenship in explaining constructions of community by adults who have experienced life disruptions participating in similar citizenship programs in the United States and Scotland. A content analysis of secondary data was undertaken and focus groups held with recent graduates of both programs. The findings indicate that constructions of community aligned significantly with aspects of identity and common experience rather than location. Moving toward an identity framed by assets rather than deficits was further identified, which reflects the need for recognition to be extended by communities that are well informed and nondiscriminatory in their attitudes toward those with life disruptions to promote inclusion and connectedness. Interventions at the level of community development and engagement are therefore crucial in promoting inclusion and increasing citizenship for marginalized groups alongside the role of social movements and public policy in tackling stigma and discriminatory attitudes. Uniquely, within this project, a theoretical framework that combined elements of recognition theory, recovery, and citizenship emerged that best explained the experience of those with life disruptions and provided direction for a future focus on community development as well as recovery and citizenship-oriented practice.
{"title":"Constructing community to achieve citizenship using recognition theory, recovery, and citizenship as a reflective lens: Experiences from the United States and Scotland","authors":"Ailsa E. Stewart, K. Black, P. Benedict, Victoria Benson","doi":"10.1080/15487768.2017.1338040","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338040","url":null,"abstract":"ABSTRACT This article explores the usefulness of recognition theory, recovery, and citizenship in explaining constructions of community by adults who have experienced life disruptions participating in similar citizenship programs in the United States and Scotland. A content analysis of secondary data was undertaken and focus groups held with recent graduates of both programs. The findings indicate that constructions of community aligned significantly with aspects of identity and common experience rather than location. Moving toward an identity framed by assets rather than deficits was further identified, which reflects the need for recognition to be extended by communities that are well informed and nondiscriminatory in their attitudes toward those with life disruptions to promote inclusion and connectedness. Interventions at the level of community development and engagement are therefore crucial in promoting inclusion and increasing citizenship for marginalized groups alongside the role of social movements and public policy in tackling stigma and discriminatory attitudes. Uniquely, within this project, a theoretical framework that combined elements of recognition theory, recovery, and citizenship emerged that best explained the experience of those with life disruptions and provided direction for a future focus on community development as well as recovery and citizenship-oriented practice.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"2 1","pages":"234 - 250"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87576561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338038
Billy Bromage, Liat S. Kriegel, Bridgett Williamson, Kirsten Maclean, M. Rowe
ABSTRACT Connection to community and a sense of belonging have been recognized as critical components of mental health recovery. However, few interventions that stress the importance of making community connections based on self-determination and personal interests have been developed. This article describes Project Connect, an innovative intervention through which people with mental illness can access support to make community connections on their own terms. It provides background on the design and implementation of the project, its connection to community organizing approaches, and initial findings.
{"title":"Project Connect: A community intervention for individuals with mental illness","authors":"Billy Bromage, Liat S. Kriegel, Bridgett Williamson, Kirsten Maclean, M. Rowe","doi":"10.1080/15487768.2017.1338038","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338038","url":null,"abstract":"ABSTRACT Connection to community and a sense of belonging have been recognized as critical components of mental health recovery. However, few interventions that stress the importance of making community connections based on self-determination and personal interests have been developed. This article describes Project Connect, an innovative intervention through which people with mental illness can access support to make community connections on their own terms. It provides background on the design and implementation of the project, its connection to community organizing approaches, and initial findings.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"9 1","pages":"218 - 233"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82516062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338032
Chyrell D Bellamy, Ailsa E. Stewart
The source of this special issue of the American Journal of Psychiatric Rehabilitation reflects border crossings that are the main theme of this brief introduction. The theme comes from a postevent discussion among attendees and presenters at a 2016 symposium at Yale University titled “Recognition: Explorations in Equity, Justice, and Health Care.” The symposium was sponsored by the International Recovery and Citizenship Council (IRCC) and the Citizenship, Recovery, and Inclusive Society Partnership (CRISP). The IRCC is
{"title":"About this special issue","authors":"Chyrell D Bellamy, Ailsa E. Stewart","doi":"10.1080/15487768.2017.1338032","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338032","url":null,"abstract":"The source of this special issue of the American Journal of Psychiatric Rehabilitation reflects border crossings that are the main theme of this brief introduction. The theme comes from a postevent discussion among attendees and presenters at a 2016 symposium at Yale University titled “Recognition: Explorations in Equity, Justice, and Health Care.” The symposium was sponsored by the International Recovery and Citizenship Council (IRCC) and the Citizenship, Recovery, and Inclusive Society Partnership (CRISP). The IRCC is","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"119 1","pages":"193 - 197"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83178361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338034
M. Rowe
Citizenship as understood and evaluated by the editors of this special issue and several authors of the articles included here, is defined as the person’s strong connection to the 5 Rs of rights, responsibilities, roles, resources, and relationships that society makes available to its members through public and social institutions and association life, and a sense of belonging that is validated by others (Rowe, 2015). The citizenship framework was inspired by the limitations of mental health outreach to person who are homeless. In that work, outreach workers and case managers found and built with relationships with their clients and, after mutual trust was built, offered them a broad range of services—mental health and primary care, access to income through disability entitlements or employment, and access to housing. Outreach work, though it developed independently of the recovery movement during the 1990s, was characterized by person-first and strengths-based values that are consistent with those of recovery. The problem occurred when people were housed. Some felt so isolated in their apartments and so out of place with others around them that they considered moving back to the streets where they had friends, knew what to do, and shared with others the valued role of being one who could survive homelessness. Outreach workers and teams, then, could provide services and treatment that would equip people for “a life in the community” in all areas but the identity of being a member of that community. And the problem wasn’t confined to outreach. Citizenship might have been inspired by jail diversion services, assertive community treatment, or even a Housing First approach. The outreach team lived at the margins of the mental health system of care, but it was a part of a system that, in placed of full, valued, and participating citizenship, could offer only a bounded or program citizenship. Citizenship work over the past 20 years was developed iteratively. A community coalition of people who were or had been homeless, mental health providers of care, and other community members demonstrated that such a coalition could be formed and undertake meaningful education and networking actions. It was not equipped nor oriented to the challenge of helping individuals—homeless, with incarceration histories, or otherwise none defined
{"title":"Introduction: Citizenship and citizenship-oriented care","authors":"M. Rowe","doi":"10.1080/15487768.2017.1338034","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338034","url":null,"abstract":"Citizenship as understood and evaluated by the editors of this special issue and several authors of the articles included here, is defined as the person’s strong connection to the 5 Rs of rights, responsibilities, roles, resources, and relationships that society makes available to its members through public and social institutions and association life, and a sense of belonging that is validated by others (Rowe, 2015). The citizenship framework was inspired by the limitations of mental health outreach to person who are homeless. In that work, outreach workers and case managers found and built with relationships with their clients and, after mutual trust was built, offered them a broad range of services—mental health and primary care, access to income through disability entitlements or employment, and access to housing. Outreach work, though it developed independently of the recovery movement during the 1990s, was characterized by person-first and strengths-based values that are consistent with those of recovery. The problem occurred when people were housed. Some felt so isolated in their apartments and so out of place with others around them that they considered moving back to the streets where they had friends, knew what to do, and shared with others the valued role of being one who could survive homelessness. Outreach workers and teams, then, could provide services and treatment that would equip people for “a life in the community” in all areas but the identity of being a member of that community. And the problem wasn’t confined to outreach. Citizenship might have been inspired by jail diversion services, assertive community treatment, or even a Housing First approach. The outreach team lived at the margins of the mental health system of care, but it was a part of a system that, in placed of full, valued, and participating citizenship, could offer only a bounded or program citizenship. Citizenship work over the past 20 years was developed iteratively. A community coalition of people who were or had been homeless, mental health providers of care, and other community members demonstrated that such a coalition could be formed and undertake meaningful education and networking actions. It was not equipped nor oriented to the challenge of helping individuals—homeless, with incarceration histories, or otherwise none defined","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"2014 1","pages":"198 - 199"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86812115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/15487768.2017.1338064
Chyrell D Bellamy, Liat S. Kriegel, Stacey L. Barrenger, M. Klimczak, J. Rakfeldt, Victoria Benson, Michaella Baker, P. Benedict, Bridgett Williamson, Gillian MacIntyre
ABSTRACT A measure of citizenship was developed and validated by Rowe and colleagues (O’Connell, Clayton, & Rowe, 2017). The items clustered around the 5 Rs of citizenship as defined by Rowe et al.: relationships, rights, resources, roles, and rights, and a sense of belonging. Although a measure has its utility in clinical settings, to address time constraints and other administrative burdens expressed by providers in their day-to-day practice, a citizens tool was developed as a practical way that providers can enhance dialogue between providers and clients on citizenship for clients served in mental health and criminal justice reentry settings. This article describes the development of the tool, testing of the tool’s utility with case managers, and implications for practice.
{"title":"Development of the citizens measure into a tool to guide clinical practice and its utility for case managers","authors":"Chyrell D Bellamy, Liat S. Kriegel, Stacey L. Barrenger, M. Klimczak, J. Rakfeldt, Victoria Benson, Michaella Baker, P. Benedict, Bridgett Williamson, Gillian MacIntyre","doi":"10.1080/15487768.2017.1338064","DOIUrl":"https://doi.org/10.1080/15487768.2017.1338064","url":null,"abstract":"ABSTRACT A measure of citizenship was developed and validated by Rowe and colleagues (O’Connell, Clayton, & Rowe, 2017). The items clustered around the 5 Rs of citizenship as defined by Rowe et al.: relationships, rights, resources, roles, and rights, and a sense of belonging. Although a measure has its utility in clinical settings, to address time constraints and other administrative burdens expressed by providers in their day-to-day practice, a citizens tool was developed as a practical way that providers can enhance dialogue between providers and clients on citizenship for clients served in mental health and criminal justice reentry settings. This article describes the development of the tool, testing of the tool’s utility with case managers, and implications for practice.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"39 1","pages":"268 - 281"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85801584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-03DOI: 10.1080/15487768.2017.1302371
Vanessa A. Parletta, G. Waghorn, S. Dias
ABSTRACT Individual Placement and Support (IPS) is an evidence-based approach to supported employment designed specifically for people with severe mental illness or psychiatric disabilities. It is unclear whether this approach generalizes to adults with less severe mental illnesses. In addition, because IPS is intended for motivated volunteers, it remains unclear whether it is also applicable to individuals with mental illness who have government-imposed obligations to participate in supported employment programs. This study evaluated an IPS enhancement intervention on the Central Coast of New South Wales, Australia, involving 68 adults with a range of different mental illnesses. Thirty-seven of 68 participants had participation obligations as a condition of receiving welfare benefits, and 31 of 68 participants had no such obligations. All participants were tracked for 18 months following program commencement to assess job commencements and 13- and 26-week employment milestones. Usual services enhanced by IPS achieved significantly more job commencements than pre-IPS services. However, those with participation obligations were not less motivated and benefitted as much from the program as those with no participation obligations. The results support the application of evidence-based practices in supported employment to job seekers with more diverse forms of mental illness than the severe mental illnesses. These preliminary results support the generalization of evidence-based practices to policy settings where participation in supported employment is conditional on receiving welfare benefit payments.
{"title":"The applicability of supported employment to adults with participation obligations as a condition for receiving welfare benefits","authors":"Vanessa A. Parletta, G. Waghorn, S. Dias","doi":"10.1080/15487768.2017.1302371","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302371","url":null,"abstract":"ABSTRACT Individual Placement and Support (IPS) is an evidence-based approach to supported employment designed specifically for people with severe mental illness or psychiatric disabilities. It is unclear whether this approach generalizes to adults with less severe mental illnesses. In addition, because IPS is intended for motivated volunteers, it remains unclear whether it is also applicable to individuals with mental illness who have government-imposed obligations to participate in supported employment programs. This study evaluated an IPS enhancement intervention on the Central Coast of New South Wales, Australia, involving 68 adults with a range of different mental illnesses. Thirty-seven of 68 participants had participation obligations as a condition of receiving welfare benefits, and 31 of 68 participants had no such obligations. All participants were tracked for 18 months following program commencement to assess job commencements and 13- and 26-week employment milestones. Usual services enhanced by IPS achieved significantly more job commencements than pre-IPS services. However, those with participation obligations were not less motivated and benefitted as much from the program as those with no participation obligations. The results support the application of evidence-based practices in supported employment to job seekers with more diverse forms of mental illness than the severe mental illnesses. These preliminary results support the generalization of evidence-based practices to policy settings where participation in supported employment is conditional on receiving welfare benefit payments.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"39 1","pages":"106 - 125"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85298060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-03DOI: 10.1080/15487768.2017.1302370
T. Klevan, B. Karlsson, T. Ruud
ABSTRACT Mental health services have recently undergone a transition from institution- to community-based care, and crisis resolution teams (CRTs) represent a community-based service that targets users experiencing an acute mental health crisis. The current study was undertaken to explore the service user experiences of helpful help provided by CRTs in a mental health crisis context. Semistructured in-depth interviews were conducted with 14 service users to elucidate how mental health crises are experienced as devastating and multilayered events. Suicidal thoughts and/or intentions were commonly reported, seemingly regardless of whether the crisis was related to a serious mental illness. The important issues relating to help that were emphasized by the participants in this study were practical support and help with daily structure, establishing a foundation of safety, and strengthening the sense of self. The authors elaborate in the discussion on how these different issues of help are connected, showing that practical help plays an important role in supporting self-worth and the sense of safety, but that practical and structural issues have been rarely addressed by CRTs, at least in the context of this study. Thus, a broadened and social contextual-oriented perspective on mental health crises is important in developing helping practices that are perceived as more recovery oriented and helpful.
{"title":"“At the extremities of life” – Service user experiences of helpful help in mental health crises","authors":"T. Klevan, B. Karlsson, T. Ruud","doi":"10.1080/15487768.2017.1302370","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302370","url":null,"abstract":"ABSTRACT Mental health services have recently undergone a transition from institution- to community-based care, and crisis resolution teams (CRTs) represent a community-based service that targets users experiencing an acute mental health crisis. The current study was undertaken to explore the service user experiences of helpful help provided by CRTs in a mental health crisis context. Semistructured in-depth interviews were conducted with 14 service users to elucidate how mental health crises are experienced as devastating and multilayered events. Suicidal thoughts and/or intentions were commonly reported, seemingly regardless of whether the crisis was related to a serious mental illness. The important issues relating to help that were emphasized by the participants in this study were practical support and help with daily structure, establishing a foundation of safety, and strengthening the sense of self. The authors elaborate in the discussion on how these different issues of help are connected, showing that practical help plays an important role in supporting self-worth and the sense of safety, but that practical and structural issues have been rarely addressed by CRTs, at least in the context of this study. Thus, a broadened and social contextual-oriented perspective on mental health crises is important in developing helping practices that are perceived as more recovery oriented and helpful.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"1 1","pages":"105 - 87"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72993889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-03DOI: 10.1080/15487768.2017.1302368
Ayako Aikawa, N. Yasui
ABSTRACT The aim of this study was to examine the process in which peer-delivered service providers, or prosumers, developed an identity as a prosumer in the United States and Japan. Participants were 25 prosumers from the United States and 23 from Japan, who provided peer-delivered services for wages. The authors analyzed data from qualitative, in-depth interviews and created a conceptual model of prosumer identity development. In addition, the authors identified common themes that characterized their experiences as developing prosumers and contextual factors that affected their identity development from a social constructionist perspective. Results indicate the following: (1) prosumers experience sense of worth and/or distress affected by societal, cultural, and historical factors of their environment associated with prosumer work; and (2) prosumers develop a prosumer identity as they pursue a sense of worth and actively address distress, by integrating the preexisting consumer and provider positions at a higher level. Participants who had established prosumer identity described how they created unique relationships with consumers and colleagues rather than seeking to fit into predesigned molds. In conclusion, the authors discuss the vital connection of prosumer identity development with relationships with consumers and colleagues, and roles and needs of supervision and training for prosumers to promote their identity development through open discussion as well as active exploration of sense of worth and distress, and possible impact of prosumer identity development for inducing organizational and systemic changes in mental health service system.
{"title":"Becoming a consumer-provider of mental health services: Dialogical identity development in prosumers in the United States of America and Japan","authors":"Ayako Aikawa, N. Yasui","doi":"10.1080/15487768.2017.1302368","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302368","url":null,"abstract":"ABSTRACT The aim of this study was to examine the process in which peer-delivered service providers, or prosumers, developed an identity as a prosumer in the United States and Japan. Participants were 25 prosumers from the United States and 23 from Japan, who provided peer-delivered services for wages. The authors analyzed data from qualitative, in-depth interviews and created a conceptual model of prosumer identity development. In addition, the authors identified common themes that characterized their experiences as developing prosumers and contextual factors that affected their identity development from a social constructionist perspective. Results indicate the following: (1) prosumers experience sense of worth and/or distress affected by societal, cultural, and historical factors of their environment associated with prosumer work; and (2) prosumers develop a prosumer identity as they pursue a sense of worth and actively address distress, by integrating the preexisting consumer and provider positions at a higher level. Participants who had established prosumer identity described how they created unique relationships with consumers and colleagues rather than seeking to fit into predesigned molds. In conclusion, the authors discuss the vital connection of prosumer identity development with relationships with consumers and colleagues, and roles and needs of supervision and training for prosumers to promote their identity development through open discussion as well as active exploration of sense of worth and distress, and possible impact of prosumer identity development for inducing organizational and systemic changes in mental health service system.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"10 1","pages":"175 - 191"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81093045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-03DOI: 10.1080/15487768.2017.1302369
O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson
ABSTRACT Many countries have sought reforms aimed at maximizing the potential of service users to regain as much control as possible over care decisions and through the trajectory of care. There is a robust research literature suggesting that at the core of these services are collaborative relationships in which providers respect the perspectives of the persons being served and the partnerships in which they are involved. Although the significance of collaboration is established in the mental health field in this way, what it actually means to collaborate in practice, to be partners or to be mutually involved in a partnership with young adult service users, has been given less attention. In this article, the authors explore and describe the experiences of a cohort of these young adults, paying particular attention to their perspectives on collaborative practices with practitioners. Qualitative interviews were conducted with seven young adult service users age 20 to 30. Using thematic analysis, the authors identified four overarching themes that characterized their experiences of collaborating with practitioners in mental health and addiction care: (1) don’t fix me or judge me, (2) someone to sort issues out with, (3) not giving up, and (4) practical help. These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with cooccurring mental health and substance use problems.
{"title":"“Sorting things out together”: Young adults’ experiences of collaborative practices in mental health and substance use care","authors":"O. Ness, Ø. Kvello, M. Borg, Randi Semb, L. Davidson","doi":"10.1080/15487768.2017.1302369","DOIUrl":"https://doi.org/10.1080/15487768.2017.1302369","url":null,"abstract":"ABSTRACT Many countries have sought reforms aimed at maximizing the potential of service users to regain as much control as possible over care decisions and through the trajectory of care. There is a robust research literature suggesting that at the core of these services are collaborative relationships in which providers respect the perspectives of the persons being served and the partnerships in which they are involved. Although the significance of collaboration is established in the mental health field in this way, what it actually means to collaborate in practice, to be partners or to be mutually involved in a partnership with young adult service users, has been given less attention. In this article, the authors explore and describe the experiences of a cohort of these young adults, paying particular attention to their perspectives on collaborative practices with practitioners. Qualitative interviews were conducted with seven young adult service users age 20 to 30. Using thematic analysis, the authors identified four overarching themes that characterized their experiences of collaborating with practitioners in mental health and addiction care: (1) don’t fix me or judge me, (2) someone to sort issues out with, (3) not giving up, and (4) practical help. These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with cooccurring mental health and substance use problems.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"4 1","pages":"126 - 142"},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81710142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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