Abstract:Le Plan d’action en santé mentale 2015-2020, du ministère de la Santé et des
services sociaux du Québec, comprend des mesures « favorisant le plein exercice de la
citoyenneté ». Il mise sur la mobilisation de tous les partenaires. Participation aux
instances et citoyenneté vont de pair, mais jusqu’à récemment il n’existait pas de mesure de
la citoyenneté qui aurait permis d’observer empiriquement d’éventuelles avancées en cette
matière. Nous avons utilisé les résultats d… Show more
“…The Citizens Project, a six-month program, was developed to support people with psychiatric disabilities to build and fulfill lives in their communities (Benedict et al , 2019). It has been incorporated and studied in mental health projects of other countries, including the Citizenship project in Spain (Eiroa-Orosa and Rowe, 2017), Connecting Citizens project in Scotland (Turning Point Scotland, 2016), Project Citoyen in Quebec (Pelletier et al , 2017) and Project Connect in the USA in addition to the Citizens Project (Bromage et al , 2017). Since RC has never been investigated among the local Chinese general population, and our agency is going to replicate the Citizens project and adopt RC in its community mental health services, the acceptability and attitudes toward RC in Hong Kong require further exploration.…”
Purpose
This study aims to assess the knowledge and attitudes toward recovering citizenship (RC)/5 Rs and mental illness of people aged ≥18 years in Hong Kong using a telephone survey approach.
Design/methodology/approach
A questionnaire comprised the Mental Health Knowledge Schedule (MAKS), Short Form-Community Attitudes Toward Mental Illness (SF-CAMI) and questions on attitudes toward RC/5 Rs, was administered on the phone.
Findings
A total of 1,009 respondents completed the telephone survey. A high mean score of MAKS (4.37 ± 1.08) was found with 68%–94% answering the knowledge items correctly. The mean score of SF-CAMI was 46.50 ± 8.74 with the most positive attitude toward fear and exclusion. Approximately half had heard about a similar concept of RC and 79%–94.3% agreed with people in recovery to possess the 5 Rs. Those with greater knowledge or more positive toward mental illness, or knowing someone in recovery were more supportive toward 5 Rs. Those aged 18–44 years, attained a post-secondary education, were employed, and received a monthly income of US$3,861–6,434 were significantly more positive toward 5 Rs.
Originality/value
To the best of the authors’ knowledge, this is the first study assessing the views of RC of people in the community. The sample had a good knowledge of mental illness but recognition of recovery from mental illness and a sympathetic view toward people in recovery can be further improved. Besides promotion programs, dissemination of the concept of RC and having people in recovery take up valued roles in the community could potentially facilitate the acceptance of social inclusion and acceptance in the community.
“…The Citizens Project, a six-month program, was developed to support people with psychiatric disabilities to build and fulfill lives in their communities (Benedict et al , 2019). It has been incorporated and studied in mental health projects of other countries, including the Citizenship project in Spain (Eiroa-Orosa and Rowe, 2017), Connecting Citizens project in Scotland (Turning Point Scotland, 2016), Project Citoyen in Quebec (Pelletier et al , 2017) and Project Connect in the USA in addition to the Citizens Project (Bromage et al , 2017). Since RC has never been investigated among the local Chinese general population, and our agency is going to replicate the Citizens project and adopt RC in its community mental health services, the acceptability and attitudes toward RC in Hong Kong require further exploration.…”
Purpose
This study aims to assess the knowledge and attitudes toward recovering citizenship (RC)/5 Rs and mental illness of people aged ≥18 years in Hong Kong using a telephone survey approach.
Design/methodology/approach
A questionnaire comprised the Mental Health Knowledge Schedule (MAKS), Short Form-Community Attitudes Toward Mental Illness (SF-CAMI) and questions on attitudes toward RC/5 Rs, was administered on the phone.
Findings
A total of 1,009 respondents completed the telephone survey. A high mean score of MAKS (4.37 ± 1.08) was found with 68%–94% answering the knowledge items correctly. The mean score of SF-CAMI was 46.50 ± 8.74 with the most positive attitude toward fear and exclusion. Approximately half had heard about a similar concept of RC and 79%–94.3% agreed with people in recovery to possess the 5 Rs. Those with greater knowledge or more positive toward mental illness, or knowing someone in recovery were more supportive toward 5 Rs. Those aged 18–44 years, attained a post-secondary education, were employed, and received a monthly income of US$3,861–6,434 were significantly more positive toward 5 Rs.
Originality/value
To the best of the authors’ knowledge, this is the first study assessing the views of RC of people in the community. The sample had a good knowledge of mental illness but recognition of recovery from mental illness and a sympathetic view toward people in recovery can be further improved. Besides promotion programs, dissemination of the concept of RC and having people in recovery take up valued roles in the community could potentially facilitate the acceptance of social inclusion and acceptance in the community.
“…associated with psychiatric hospitalisation, offending or homelessness) who have engaged in citizenship programmes, have been found to experience an improved quality of life and increased sense of belonging within their communities as a result (Andersen et al., 2020 ; Clayton et al., 2013 ; Rowe et al., 2007 ). However, the extent to which the benefits experienced by individuals can be attributed to such interventions is difficult to capture using existing outcomes measures which are often focused on symptoms and illness‐based constructs (MacIntyre et al., 2019 ; Pelletier et al., 2017 ). This pioneering work led to the development of a U.S. citizenship measure and additional tools to guide citizenship‐enhancing practices (Bellamy et al., 2017 ; O’Connell et al., 2017 ; Rowe, 2015 ).…”
Section: Introductionmentioning
confidence: 99%
“…These domains map onto the 5Rs framework developed by Rowe ( 2015 ; rights, responsibilities, roles, resources and relationships as well as a sense of belonging) and highlight the interplay between the relational and structural aspects of citizenship whilst acknowledging the barriers that marginalised groups face in claiming their citizenship rights (Cogan et al., 2021 ; Rowe & Ponce, 2020 ). The development of the SCM will allow subsequent studies to accurately measure the effects and changes in citizenship experienced by people who engage in citizenship‐based programmes and/or research, as well as extending the applicability of citizenship across health and social care settings by providing a means for practitioners to explore lived experience of mental illness in a more holistic manner (O’Connell et al., 2017 ; Pelletier et al., 2017 ).…”
There has been increasing interest and research attention towards citizenship‐based practices and care within health and social care settings. A framework for implementing citizenship‐based interventions has helped support the participation in society of persons who have experienced major life disruptions. Yet, having ways to measure the impact of citizenship ‘in action’ within specific socio‐cultural contexts has proved challenging. We report on the development of the Strathclyde Citizenship Measure (SCM) which seeks to establish a psychometrically sound measure of citizenship that is relevant to the Scottish context. We outline the three phases of developing the SCM: (1) item generation, (2) item reduction and piloting, and (3) measure validation. Having generated items for the SCM using concept mapping techniques, we piloted it with 407 participants who completed an online survey of a 60‐item version of the SCM. The aims were to assess the validity of the items and reduce the number of items using principal components analysis for the final measure. This resulted in a 39 item SCM. We then sought to establish the psychometric properties of this shorter version of the SCM through testing its reliability, convergent, concurrent and discriminant validity. The 39 item SCM was administered online to 280 Scottish residents along with additional measures including the Warwick‐Edinburgh Mental Well‐being Scale (WEMWBS), the Depression, Anxiety and Stress Scale (DASS21), the Sense of Belonging Instrument (SOBI‐A); the Big Five Personality Inventory (Shortened Version; BFI‐10) and the Personal Social Capital Scale (PSCS‐16). The factor structure and dimensionality of the SCM was examined using exploratory factor analysis and it was found to be reliable and valid. This paper explores the potential for the application of the SCM across health and social care settings and identifies future work to develop citizenship tools to facilitate dialogues about citizenship across health and social care practice settings.
“…In addition, health support initiatives tend to reinforce active and responsible health behavior. The redefinition of the health care user as a “patient-actor” requires individuals to engage in meaningful participation in decisions that affect them and to develop a practical approach to health care [21].…”
BackgroundPersons with a diagnosis of severe mental illness have a life expectancy that is 20 years lower than the general population, and they are disproportionately affected by cardiovascular disorders. Improving the management of cardiovascular risk is one of the main challenges for the public health system. In the care pathway of persons with a diagnosis of severe mental illness, a better understanding of limiting and facilitating factors is required. The objective was to include persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals in the creation and evaluation (feasibility) of a health promotion program designed to improve cardiovascular risk management through empowerment.MethodsThis study combines a mixed methodology with qualitative and quantitative components. A multicenter prospective qualitative study was conducted in seven mental health units in France and was coordinated by a steering committee composed of persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals.ResultsThis health promotion program must enable persons with a diagnosis of severe mental illness to assert their right to self-determination and to exercise greater control over their lives, beyond their diagnosis and care. Following a preliminary feasibility study, the effectiveness of this new tool will be evaluated using a randomized controlled trial in a second study.ConclusionsThe findings can be used by health organizations as a starting point for developing new and improved services for persons with a diagnosis of severe mental illness.Trial registration Clinical Trials Gov NCT03689296. Date registered September 28, 2018
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.