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Journal of recovery in mental health最新文献

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Everyone has a story 每个人都有自己的故事
Pub Date : 2024-01-30 DOI: 10.1163/9789004368323_017
Simone Arbour
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引用次数: 0
Integrating Peer Support Workers into Mental Health Programs 将同伴互助工作者纳入心理健康计划
Pub Date : 2024-01-30 DOI: 10.33137/jrmh.v7i1.41620
Samantha Sexsmith Chadwick, Heather Fahr, Jytte Maleski
Objective: Canadian Mental Health Association - Calgary Region (CMHA Calgary) works to reduce the impact of mental illness and addiction in the community. This is actioned through mental health programming focused on education, prevention, and early intervention. The organization places high value on the inclusion of lived experience in mental health programming in the form of Peer Support (PS). CMHA Calgary’s five-year strategic plan included a goal to formally integrate Peer Support Workers (PSWs) into all established programs with thought and intention. Research Design and Methods: CMHA Calgary integrated peers into mental health programs using a collaborative and developmental approach. The project team developed an evaluation framework as a guide to collect feedback and understand the impact of the pilot initiative. Results: This approach allowed for real-time responses and data collection, which lead to rapid action to improve the approach before it was spread to other programs. The project allowed for the development of program materials for future application. Conclusions: This project provided CMHA Calgary with tangible, actionable information on how to integrate PSWs into all of their programs.
目标:加拿大心理健康协会-卡尔加里地区(CMHA Calgary)致力于减少精神疾病和毒瘾对社区的影响。这项工作是通过以教育、预防和早期干预为重点的心理健康计划来实现的。该组织高度重视将生活经验以同伴支持(PS)的形式纳入心理健康计划中。卡尔加里社区医疗协会的五年战略计划中包括了一个目标,那就是将同伴支持工作者(PSWs)正式融入到所有既定的项目中,并进行深思熟虑。研究设计和方法:卡尔加里社区医疗协会采用合作和发展的方式将同伴融入到心理健康项目中。项目小组制定了一个评估框架,作为收集反馈和了解试点项目影响的指南。结果:这种方法允许实时响应和数据收集,从而在推广到其他项目之前迅速采取行动改进该方法。该项目还为今后的应用编写了计划材料。结论:该项目为 CMHA Calgary 提供了关于如何将 PSW 纳入其所有计划的切实可行的信息。
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引用次数: 0
Mental Health Staff Perspectives on Personal Recovery: A Narrative Study on Positive Professional Impact of Recovery-Oriented Care 心理健康工作人员对个人康复的看法:以康复为导向的护理对专业人员积极影响的叙事研究
Pub Date : 2024-01-30 DOI: 10.33137/jrmh.v7i1.40671
D. Kirkegaard Thomsen, Torben Østergaard Christensen, Marie Tranberg Hansen, Mike Slade
Objectives Mental health staff play an important role in facilitating personal recovery. We examined how mental health staff perceived personal recovery and the impact of their experience with supporting personal recovery. Research Design and Methods Forty-eight mental health staff wrote a narrative about a service user with severe mental illness that they believed to be in personal recovery and elaborated on the impact of this professional experience. Interpretive phenomenological analysis was used to illuminate 1) conceptualizations of personal recovery, 2) professional contribution to recovery, and 3) positive impact of recovery-oriented care on staff. Results Conceptualizations of recovery focused on social connections and positive subjective states, and also symptom remission and illness management. Professional contributions were narrated as encompassing treatment, relationships and conversations as well as time and team collaboration. Impact on the staff included strong positive emotions, professional gains with respect to learning and self-esteem, motivation for and meaning in work as well as belief in recovery. Conclusions This latter finding suggests that sharing narratives about service users in personal recovery may increase work pleasure and help reduce burn out in mental health staff.  
目标 心理健康工作人员在促进个人康复方面发挥着重要作用。我们研究了心理健康工作人员如何看待个人康复,以及他们在支持个人康复方面的经验所产生的影响。研究设计与方法 48 名心理健康工作人员撰写了一篇关于他们认为正在进行个人康复的严重精神疾病服务使用者的叙述,并阐述了这一职业经历的影响。研究采用解释现象学分析法来阐明:1)个人康复的概念;2)对康复的专业贡献;3)以康复为导向的护理对员工的积极影响。结果 对康复的概念主要集中在社会联系和积极的主观状态,以及症状缓解和疾病管理。专业贡献包括治疗、人际关系和对话以及时间和团队合作。对工作人员的影响包括强烈的积极情绪、学习和自尊方面的专业收获、工作动力和意义以及对康复的信念。结论 后一项研究结果表明,分享关于服务使用者个人康复的叙事可能会增加心理健康工作人员的工作乐趣,并有助于减少他们的职业倦怠。
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引用次数: 0
Applied Research in Recovery – Demonstrating Impact Across Canada 康复应用研究--在加拿大全国展示影响
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.41439
Simone Arbour
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引用次数: 0
Mental Health Recovery Outcomes of students attending a hospital-based Recovery College in Canada 加拿大医院康复学院学生的心理健康康复成果
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.39521
Simone Arbour, Rachael Battistelli, Sayani Paul, Katie David
Recovery Colleges are strength-based mental health and well-being learning centers driven by peer support and principles of adult education. This paper examines the outcome of a hospital-based Recovery College in Canada on participants’ self-reported well-being, recovery, loneliness and self-esteem. Using a retrospective pre- and post- survey design and standardized scales, we collected self-reported data from 32 Recovery College students. The majority (88%) of participants were female and 78% of participants reported to struggle with maintaining positive mental health. Recovery College participation had a significant impact on self-reported connection, mental well-being, self-esteem, and personal mental health recovery.
康复学院是以力量为基础的心理健康和幸福学习中心,由同伴支持和成人教育原则驱动。本文研究了加拿大一所医院康复学院在参与者自我报告的幸福感、康复、孤独感和自尊方面取得的成果。通过回顾性前后调查设计和标准化量表,我们收集了 32 名康复学院学员的自我报告数据。大多数参与者(88%)为女性,78%的参与者表示在保持积极的心理健康方面遇到过困难。康复学院的参与对自我报告的联系、心理健康、自尊和个人心理健康康复有重大影响。
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引用次数: 0
Unknown Battle 未知战役
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.40741
Amber Phillips
It is a poem that breaks down the stigma associated with having a mental health diagnosis.
这首诗打破了与心理健康诊断相关的耻辱感。
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引用次数: 0
A Social Network Analysis of Interagency Collaboration in the Mental Health Sector in Toronto, Canada: Service Providers’ Perspectives on Supporting Black Youth in Recovery 加拿大多伦多心理健康部门机构间合作的社会网络分析:服务提供者对支持黑人青少年康复的看法
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.39734
Melissa Booker, F. Jackson-Best, Tiyondah Fante-Coleman
Objective: There is minimal research on mental health service providers’ perspectives on existing interagency relationships, collaboration, and caring for Black youth. We sought to characterize interagency relationships between Mainstream and Black-focused mental health agencies in Ontario, and their impact on service providers’ ability to provide culturally safe care for Black youth. Research Design and Methods: A mixed methodological approach was used to explore service providers’ perspectives on the collaborative nature and presence of relationships, communication, and influence in the mental health sector. An online survey was disseminated to service providers in Toronto, Ontario between March 2020 and April 2020. 7 focus groups were conducted in Toronto between May 2020 and December 2020. Focus groups were conducted with Black youth, families/caregivers, community, and service providers. Quantitative data were analyzed using SPSS and visualized in the form of social network analysis using Gephi, while Nvivo 12 was utilized to identify and analyze themes from the qualitative data. Results: Findings included a lack of interagency collaboration, infrequent Mainstream-Black agency collaborations, Mainstream agencies’ disinterest in future partnerships with Black agencies, and feelings of unpreparedness amongst service providers to provide culturally safe care to Black youth or referrals. Conclusions: Collaboration between mainstream agencies is common in the sector. There is a paucity of Black-focused agencies and Black service providers in the existing social networks. A limited understanding of the systemic impacts anti-Black racism at the agency and service provider level might be impairing service providers’ ability to support the mental health recovery of Black youth.
目标:关于心理健康服务提供者对现有机构间关系、合作和黑人青少年护理的看法的研究极少。我们试图描述安大略省主流心理健康机构和以黑人为重点的心理健康机构之间的机构间关系,以及这些关系对服务提供者为黑人青少年提供文化安全护理的能力的影响。 研究设计和方法:采用混合方法探讨服务提供者对合作性质的看法,以及心理健康部门中存在的关系、沟通和影响。在 2020 年 3 月至 2020 年 4 月期间,向安大略省多伦多市的服务提供者发放了一份在线调查。2020 年 5 月至 2020 年 12 月期间,在多伦多开展了 7 个焦点小组活动。焦点小组的成员包括黑人青少年、家庭/照顾者、社区和服务提供者。定量数据使用 SPSS 进行分析,并使用 Gephi 以社会网络分析的形式进行可视化,而定性数据则使用 Nvivo 12 来识别和分析主题。 结果研究结果包括缺乏机构间合作、主流机构与黑人机构合作不频繁、主流机构对未来与黑人机构合作不感兴趣,以及服务提供者对向黑人青少年或转介人员提供文化上安全的护理缺乏准备。 结论:主流机构之间的合作在该部门很常见。在现有的社会网络中,以黑人为重点的机构和黑人服务提供者很少。在机构和服务提供者层面,对反黑人种族主义的系统性影响的理解有限,这可能会影响服务提供者支持黑人青少年心理健康康复的能力。
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引用次数: 0
A Narrative Review of Mental Health Services for Indigenous Youth in Canada: Intersectionality and Cultural Safety as a Pathway for Change 加拿大土著青年心理健康服务叙事回顾:作为变革途径的交叉性和文化安全
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.39353
Navisha Weerasinghe, Amy L Wright, Rachel VanEvery, Shan Mohammed
Objectives: Indigenous youth who identify themselves as First Nations, Métis or Inuit living in Canada between the ages of 12-25 experience higher rates of depression and suicide than non-Indigenous youth. Using narrative review, this paper provides a critical analysis of the scholarly literature to explore the current delivery and accessibility of mental health services among Indigenous youth and suggests areas for improvements in system recovery. Research Design and Methods: The narrative review selected papers from databases including Google Scholar, PubMed, APA PsychInfo, and Indigenous Peoples Atlas of Canada to capture literature from several academic disciplines between August 2020 to May 2022. Data was then synthesized to deliver broad perspectives on this topic. Results: Three categories describe how the accessibility of mental health services for Indigenous youth is impacted by (1) research, (2) current mental health practice, and (3) the location of care services. The medicalization of mental health services, and its emphasis on individual causation and intervention, grounded this discussion. Intersectionality and cultural safety offered a counterpoint to medicalization since these ideas encourage the consideration of social, political, economic, and historical forces. These concepts inform possibilities for change at the micro, mezzo, and macro system levels to address this growing issue. Conclusion: Future implications for improving mental health services and mental health recovery among Indigenous youth include advancing research and implementing innovative solutions that promote intersectionality and culturally safe care across multiple system levels. Keywords: Mental health, Indigenous youth, Intersectionality, Cultural Safety, Narrative Review, Medicalization, Canada
目标:生活在加拿大的 12-25 岁原住民、梅蒂斯人或因纽特人青少年的抑郁症和自杀率高于非原住民青少年。本文采用叙事回顾的方式,对学术文献进行了批判性分析,探讨了当前为土著青少年提供心理健康服务的情况和可及性,并提出了系统恢复方面需要改进的地方。 研究设计与方法:叙事性综述从谷歌学术、PubMed、APA PsychInfo 和加拿大原住民图集等数据库中选取论文,以获取 2020 年 8 月至 2022 年 5 月期间多个学科的文献。然后对数据进行综合,以提供有关该主题的广泛视角。 结果:三个类别描述了原住民青少年心理健康服务的可及性如何受到以下因素的影响:(1)研究;(2)当前的心理健康实践;(3)护理服务的地点。心理健康服务的医疗化及其对个人因果关系和干预措施的强调是本次讨论的基础。交叉性和文化安全与医疗化形成了对立,因为这些理念鼓励考虑社会、政治、经济和历史力量。这些理念提供了在微观、中观和宏观系统层面进行变革的可能性,以解决这一日益严重的问题。 结论:改善土著青少年心理健康服务和心理健康康复的未来影响包括:推进研究和实施创新解决方案,在多个系统层面上促进交叉性和文化安全护理。 关键词精神健康、土著青年、交叉性、文化安全、叙事回顾、医疗化、加拿大
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引用次数: 0
Service user experiences of participating in a Recovery and Collaborative Care Planning Café framed with CHIME: 服务用户参加由 CHIME 框架设计的康复与合作护理规划咖啡馆的经历:
Pub Date : 2023-07-14 DOI: 10.33137/jrmh.v6i2.39943
Lyn Williams, Claire Armitage, Azar Richardson, Firoza Davies, April Smith, Jayshree Adnath
The Recovery and Collaborative Care Planning Café (RCCP) used World Café principles[i] to foster inquiry and learning about recovery by talking about important questions in a safe environment that allowed supportive relationships to form. Changing conversations towards recovery and living well with conditions by applying CHIME[ii] as a framework was an important part of the method.  CHIME incorporates Connectedness, Hope, Identity, Meaning and Empowerment to help shape conversations. The monthly cafés began with a masterclass exploring each concept in turn and this was then followed by a World Café conversation. Through undertaking a reflective story process with four active service user participants, it became clear that these concepts resonated strongly; their feedback was that the cafe had led to growth and positive health changes and had helped them to develop supportive peer networks and increased stability. This article describes the methodology and explores the impact through service user voices.
康复与协作护理规划咖啡馆(RCCP)采用世界咖啡馆原则[i],通过在安全的环境中讨论重要问题来促进对康复的探究和学习,从而形成相互支持的关系。该方法的一个重要部分是将 CHIME[ii]作为框架,将对话转向康复和有条件的美好生活。 CHIME 包含 "联系"、"希望"、"身份"、"意义 "和 "赋权",有助于形成对话。每月一次的咖啡馆活动以依次探讨每个概念的大师班开始,然后是世界咖啡馆对话。通过与四名积极的服务用户参与者一起进行反思,这些概念显然产生了强烈的共鸣;他们的反馈是,咖啡馆带来了成长和积极的健康变化,并帮助他们发展了相互支持的同伴网络,增强了稳定性。本文介绍了这一方法,并通过服务使用者的声音探讨了其影响。
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引用次数: 0
Incorporation of peer support in a novel community-based mobile withdrawal management program 在一个新的基于社区的移动取款管理方案中纳入同伴支持
Pub Date : 2023-01-06 DOI: 10.33137/jrmh.v6i1.38622
A. Lodge, Eden Greene, Kelly Surbey
Despite the sweeping and deep-rooted impacts of problematic substance use throughout Canada, services remain under-resourced and overwhelmed.  Innovative approaches are required if meaningful change is to occur. In this paper, we examine the incorporation of peer support into a novel, community-based outreach withdrawal program which engages with participants where they are situated.Peer support is an evidence-based intervention utilized in a wide range of health care arenas.  It employs lived experience as a skillset to address health care needs to complement other components in the therapeutic journey.In the context of an outreach withdrawal service, peer support holds potential to deconstruct the power dynamic that acts as a barrier in conventional withdrawal programs.  Peer support    promotes the concept of interdisciplinary care, while actively dismantling stigma.  More research is required to evaluate outcomes, client satisfaction, and cost-effectiveness with regards to peer support interventions in community-based outreach detoxification programming.
尽管问题物质使用在加拿大各地产生了广泛而根深蒂固的影响,但服务仍然资源不足,不堪重负。如果要发生有意义的变化,就需要创新的方法。在本文中,我们研究了同伴支持纳入一个新颖的,以社区为基础的外展退出计划,该计划与参与者在他们所在的地方进行接触。同伴支持是一种基于证据的干预措施,广泛应用于卫生保健领域。它采用生活经验作为一套技能来解决保健需求,以补充治疗过程中的其他组成部分。在外展退出服务的背景下,同伴支持具有解构传统退出计划中作为障碍的权力动态的潜力。同伴支持促进了跨学科护理的概念,同时积极消除污名。需要更多的研究来评估社区外展戒毒规划中同伴支持干预的结果、客户满意度和成本效益。
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引用次数: 0
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Journal of recovery in mental health
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