Joseph J. O'Rourke, R. Casey, Jenn Cusick, S. Lochan, M. Sterling, Sylvia Keszthelyi, J. Higenbottam
This article outlines findings from two Wellness Recovery Action Plan® workshops for college students in Western Canada. Widely recognized mental health challenges among college students and a service need demonstrated in pilot sessions served as rationale for providing one of the first iterations of WRAP in a college setting.
{"title":"An Accessible Mental Health Self-Management Innovation for College Students","authors":"Joseph J. O'Rourke, R. Casey, Jenn Cusick, S. Lochan, M. Sterling, Sylvia Keszthelyi, J. Higenbottam","doi":"10.7870/cjcmh-2021-016","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-016","url":null,"abstract":"This article outlines findings from two Wellness Recovery Action Plan® workshops for college students in Western Canada. Widely recognized mental health challenges among college students and a service need demonstrated in pilot sessions served as rationale for providing one of the first iterations of WRAP in a college setting.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72892576","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}
Stigma associated with non-suicidal self-injury (NSSI), the deliberate damage of one’s body tissue for non-lethal reasons, is highly complex, far-reaching, and can have profound effects (e.g., shame, low self-esteem, thwarted help-seeking) on individuals with lived experience of NSSI. In concert with calls for greater inclusion of people with lived experience in NSSI research and advocacy, there are several robust and potentially impactful visual and digital research methods that directly involve individuals with lived experience, and which carry potential to tackle stigma. These methods, namely digital storytelling, photovoice, and participatory video, are largely underrepresented in contemporary NSSI research. Hence, the present commentary presents a concise overview of these methods and highlights their potential to address NSSI stigma.
{"title":"Addressing Self-Injury Stigma: The Promise of Innovative Digital and Video Action-Research Methods","authors":"Stephen P. Lewis, N. Heath, R. Whitley","doi":"10.7870/cjcmh-2021-020","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-020","url":null,"abstract":"Stigma associated with non-suicidal self-injury (NSSI), the deliberate damage of one’s body tissue for non-lethal reasons, is highly complex, far-reaching, and can have profound effects (e.g., shame, low self-esteem, thwarted help-seeking) on individuals with lived experience of NSSI. In concert with calls for greater inclusion of people with lived experience in NSSI research and advocacy, there are several robust and potentially impactful visual and digital research methods that directly involve individuals with lived experience, and which carry potential to tackle stigma. These methods, namely digital storytelling, photovoice, and participatory video, are largely underrepresented in contemporary NSSI research. Hence, the present commentary presents a concise overview of these methods and highlights their potential to address NSSI stigma.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79146971","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}
This qualitative descriptive study aims to explore family members’ perceptions and experiences as a caregiver to older adults (>65 years) with depression. The findings revealed three key themes reflecting the experiences of caregivers, including “not the person I used to know,” “my life has changed,” and “stigma of depression.” Findings suggest caregiver education is needed to assist caregivers to understand depression, provide appropriate support and care, take care of their own health, maintain participation in valued activities, and minimize the impact of stigma. The study suggests future research to expand the inclusion criteria to depression and other comorbidities.
{"title":"A Qualitative Study of Caregiving to Older Adults with Depression: “Not the Person I Used to Know”","authors":"Chen Wang, Bonnie Kirsh, D. Conn, J. Cameron","doi":"10.7870/cjcmh-2021-021","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-021","url":null,"abstract":"This qualitative descriptive study aims to explore family members’ perceptions and experiences as a caregiver to older adults (>65 years) with depression. The findings revealed three key themes reflecting the experiences of caregivers, including “not the person I used to know,” “my life has changed,” and “stigma of depression.” Findings suggest caregiver education is needed to assist caregivers to understand depression, provide appropriate support and care, take care of their own health, maintain participation in valued activities, and minimize the impact of stigma. The study suggests future research to expand the inclusion criteria to depression and other comorbidities.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72764144","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}
This article explores the victimizing experiences of individuals with mental illness using grounded inductive qualitative research methods, by extracting themes from 15 first-hand accounts of living with mental illness delivered on the TED Talks media platform. Emergent themes included (1) victimizing effects of the illness including the effects of medication and the effects of stigma, (2) normalcy, (3) the importance of help-seeking in the process of overcoming obstacles presented by mental health issues, and (4) victimization by others. We conclude that the speakers in our sample, even though they reflect an extraordinary level of functioning, still view themselves as what Becker (1991 [1963]) describes as outsiders, acting as moral entrepreneurs, crusading to normalize madness through a variety of strategies.
{"title":"“Maybe No One Is Really Crazy, but Everyone Is Just a Little Bit Mad”: Framing Experiences of Living with Madness in the TED Talk","authors":"Victoria Morris, Hannah S. Scott","doi":"10.7870/cjcmh-2021-012","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-012","url":null,"abstract":"This article explores the victimizing experiences of individuals with mental illness using grounded inductive qualitative research methods, by extracting themes from 15 first-hand accounts of living with mental illness delivered on the TED Talks media platform. Emergent themes included (1) victimizing effects of the illness including the effects of medication and the effects of stigma, (2) normalcy, (3) the importance of help-seeking in the process of overcoming obstacles presented by mental health issues, and (4) victimization by others. We conclude that the speakers in our sample, even though they reflect an extraordinary level of functioning, still view themselves as what Becker (1991 [1963]) describes as outsiders, acting as moral entrepreneurs, crusading to normalize madness through a variety of strategies.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76041720","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}
The objective of this pilot study was to assess the effects of the indicated level of a multilevel preventive program on depressive symptoms and to examine personal goals appraisal as a moderating factor among college students aged between 16 and 29 years old with depressive symptoms. Students were screened for anxious and depressive symptoms in the beginning of their semester. Those who scored higher than the cut-off score were invited to be part of the intervention group. A comparison group was formed with students who did not wish to participate with the intervention group. Thirty-six students were included in the analyses. Both groups completed pre-test, post-test, and follow-up questionnaires. Results indicated a reduction in depressive symptoms at post-test and these gains were maintained three months later. Students in the intervention group with a more positive appraisal of their academic and career goals showed fewer depressive symptoms than students in the intervention group with a less positive appraisal of these goals. Limitations and implications for further implementation are discussed.
{"title":"Personal Goals as Moderators of a Cognitive-Behavioural Intervention for Depressive Symptoms in College Students","authors":"Marie-Laurence Paré, D. Marcotte","doi":"10.7870/cjcmh-2021-009","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-009","url":null,"abstract":"The objective of this pilot study was to assess the effects of the indicated level of a multilevel preventive program on depressive symptoms and to examine personal goals appraisal as a moderating factor among college students aged between 16 and 29 years old with depressive symptoms. Students were screened for anxious and depressive symptoms in the beginning of their semester. Those who scored higher than the cut-off score were invited to be part of the intervention group. A comparison group was formed with students who did not wish to participate with the intervention group. Thirty-six students were included in the analyses. Both groups completed pre-test, post-test, and follow-up questionnaires. Results indicated a reduction in depressive symptoms at post-test and these gains were maintained three months later. Students in the intervention group with a more positive appraisal of their academic and career goals showed fewer depressive symptoms than students in the intervention group with a less positive appraisal of these goals. Limitations and implications for further implementation are discussed.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89247814","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}
M. Russell, Natasha Lifeso, J. Fazio, Carley Piatt, F. Kelton, Xinjie Cui, I. Nwachukwu
We investigated the relationship between membership in an accredited Clubhouse for mental health support and psychiatric hospitalization in Canada using linked administrative data. Results show that Clubhouse members were less likely to be hospitalized after enrollment and after longer-term enrollment, and younger members diagnosed with schizophrenia and/or bipolar disorders were at increased risk of hospitalization compared to older members without such diagnoses. These findings provide evidence of the possible benefits of Clubhouses in Canada and the characteristics of members who may benefit from support.
{"title":"Clubhouse Model and Its Impact on Psychiatric Hospitalization in Canada: A Cohort Study","authors":"M. Russell, Natasha Lifeso, J. Fazio, Carley Piatt, F. Kelton, Xinjie Cui, I. Nwachukwu","doi":"10.7870/cjcmh-2021-019","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-019","url":null,"abstract":"We investigated the relationship between membership in an accredited Clubhouse for mental health support and psychiatric hospitalization in Canada using linked administrative data. Results show that Clubhouse members were less likely to be hospitalized after enrollment and after longer-term enrollment, and younger members diagnosed with schizophrenia and/or bipolar disorders were at increased risk of hospitalization compared to older members without such diagnoses. These findings provide evidence of the possible benefits of Clubhouses in Canada and the characteristics of members who may benefit from support.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88980070","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}
I. Courcy, Alena Valderrama, Lindsay Weis-Heitner, Mathieu Giroux, Lucila Guerrero, Ghitza Thermidor, L. Laporte, Baudouin Forgeot d’Arc
Ce projet est issu d’une préoccupation quant au besoin de développer des outils de communication faciles à comprendre et qui répondent au plus grand nombre de parents d’enfant(s) autiste(s) ayant récemment reçu leur diagnostic. Dans une approche systémique de la littératie en santé (Sørenson et al., 2012), nous avons développé une grille pratique de manière à soutenir la rédaction de documents et leur amélioration afin de les rendre plus compréhensibles pour le grand public. La démarche réalisée s’est caractérisée par le croisement des perspectives de différents publics concernés : professionnels, parents, adultes autistes. Ce projet novateur est l’un des premiers à avoir exploré les enjeux de littératie dans le contexte de l’autisme.
这个项目源于对开发易于理解的沟通工具的需求，以满足最近被诊断为自闭症儿童的大多数父母的需求。在卫生素养的系统方法中(Sørenson et al.， 2012)，我们开发了一个实用网格，以支持文件的编写和改进，使其更容易为公众理解。所采取的方法的特点是不同受众的观点的交叉:专业人士、父母、自闭症成年人。这个创新项目是第一个探索自闭症背景下识字问题的项目。
{"title":"Croiser les perspectives pour mieux informer en autisme : Entre ce que les professionnels veulent dire, ce que les parents veulent savoir et comment les adultes autistes veulent que l’on parle d’eux","authors":"I. Courcy, Alena Valderrama, Lindsay Weis-Heitner, Mathieu Giroux, Lucila Guerrero, Ghitza Thermidor, L. Laporte, Baudouin Forgeot d’Arc","doi":"10.7870/cjcmh-2021-014","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-014","url":null,"abstract":"Ce projet est issu d’une préoccupation quant au besoin de développer des outils de communication faciles à comprendre et qui répondent au plus grand nombre de parents d’enfant(s) autiste(s) ayant récemment reçu leur diagnostic. Dans une approche systémique de la littératie en santé (Sørenson et al., 2012), nous avons développé une grille pratique de manière à soutenir la rédaction de documents et leur amélioration afin de les rendre plus compréhensibles pour le grand public. La démarche réalisée s’est caractérisée par le croisement des perspectives de différents publics concernés : professionnels, parents, adultes autistes. Ce projet novateur est l’un des premiers à avoir exploré les enjeux de littératie dans le contexte de l’autisme.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80404920","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}
There is limited literature on youths’ experiences of accessing mental health supports and services in rural Canada. Through interviews with young women, this research explored barriers and facilitators to accessing mental health services and supports in rural Nova Scotia. Participants shared numerous barriers at the family, school, and community levels, including stigma from family, lack of knowledge of school supports, and limited community service options. Facilitators also existed at these three levels, including supportive parents, school-based service availability, and supportive community members. Increased investment in school-based services may improve access; however, an understanding of young men’s experiences is needed first.
{"title":"Access to Mental Health Supports and Services: Perspectives of Young Women Living in Rural Nova Scotia (Canada)","authors":"H. Mathias, L. Jackson, J. Hughes, M. Asbridge","doi":"10.7870/cjcmh-2021-013","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-013","url":null,"abstract":"There is limited literature on youths’ experiences of accessing mental health supports and services in rural Canada. Through interviews with young women, this research explored barriers and facilitators to accessing mental health services and supports in rural Nova Scotia. Participants shared numerous barriers at the family, school, and community levels, including stigma from family, lack of knowledge of school supports, and limited community service options. Facilitators also existed at these three levels, including supportive parents, school-based service availability, and supportive community members. Increased investment in school-based services may improve access; however, an understanding of young men’s experiences is needed first.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"66 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87752761","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}
It is unclear how ethno-cultural concentration of residential areas relates to the mental health of immigrant, refugee, ethno-cultural, and racialized (IRER) groups. Communities of higher ethno-cultural density are theorized to support IRER groups’ mental health via community supports, access to culturally/linguistically appropriate healthcare, and lower discrimination/stigma. This article reviewed quantitative studies that examined relationships between communities’ ethno-cultural density and mental health among IRER groups in Canada. Eleven of the sixteen reviewed studies (almost 70%) observed protective associations between ethno-cultural density and mental health; patterns were more mixed for studies with child populations, suggesting associations may differ based on developmental phases. Findings suggested there was more support in protective associations of higher areal ethno-cultural density with regard to community mental health of IRER groups in Canada.
{"title":"A Scoping Review of Associations Between Ethno-Cultural Context and Mental Health in Canada","authors":"S. D. Emerson, Lisa Ritland, M. Guhn","doi":"10.7870/cjcmh-2021-010","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-010","url":null,"abstract":"It is unclear how ethno-cultural concentration of residential areas relates to the mental health of immigrant, refugee, ethno-cultural, and racialized (IRER) groups. Communities of higher ethno-cultural density are theorized to support IRER groups’ mental health via community supports, access to culturally/linguistically appropriate healthcare, and lower discrimination/stigma. This article reviewed quantitative studies that examined relationships between communities’ ethno-cultural density and mental health among IRER groups in Canada. Eleven of the sixteen reviewed studies (almost 70%) observed protective associations between ethno-cultural density and mental health; patterns were more mixed for studies with child populations, suggesting associations may differ based on developmental phases. Findings suggested there was more support in protective associations of higher areal ethno-cultural density with regard to community mental health of IRER groups in Canada.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82001988","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}
While there is growing recognition that fathers lack social support during the transition to fatherhood, little is known about the types of services fathers would access. An online survey was conducted with Canadian fathers asking about the type and helpfulness of support they sought. Participants also rated their interest in, convenience of, and the likelihood of using alternative options. All fathers sought support and the majority relied on partners, friends, and family. Fathers were equally likely to have accessed online support versus support from professionals. While fathers rated face-to-face interactions as potentially helpful, they rated online sources as most convenient.
{"title":"Canadian Fathers’ Preferences for Support During the Transition to Fatherhood","authors":"P. Sevigny, L. Loutzenhiser, Chris Oriet","doi":"10.7870/cjcmh-2021-011","DOIUrl":"https://doi.org/10.7870/cjcmh-2021-011","url":null,"abstract":"While there is growing recognition that fathers lack social support during the transition to fatherhood, little is known about the types of services fathers would access. An online survey was conducted with Canadian fathers asking about the type and helpfulness of support they sought. Participants also rated their interest in, convenience of, and the likelihood of using alternative options. All fathers sought support and the majority relied on partners, friends, and family. Fathers were equally likely to have accessed online support versus support from professionals. While fathers rated face-to-face interactions as potentially helpful, they rated online sources as most convenient.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":"259 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76949839","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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