Mental health, by the masses and for the masses

Montenegro, Cristián

doi:10.1016/s0140-6736(23)00906-6

Cited by 6 publications

(1 citation statement)

References 2 publications

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“…In this sense, another limitation of the study consists in the difficulty of analysing multisectoral action in community actions for mental health, which is essential for these interventions to work. 40 Although it is recognized as a strength of this study that the core components and benefits indicated by the people in the groups coincide with approaches to global community strategies, 3,5 long-term recoveries can only be achieved if programs address the multiple challenges (e.g., clinical, social and economic) faced by people with mental disorders. 41,42 The proposed models with the MAS also promote the integration of health services with autonomous community strategies.…”

Section: Discussionmentioning

confidence: 94%

Design and validation of a scale of core components of community interventions in mental health

Agudelo‐Hernández,

Rojas‐Andrade

2023

Health Planning & Management

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AimsTo develop and validate an instrument to identify the core components of community strategies for mental health, especially mutual aid groups: The Mutual Aid Scale .Methods135 community strategies leaders participated in the study. The core components are active agency, coping strategies, recognition, and management of emotions, problem‐solving strategies, supportive interaction, trust, self‐identity construction, and strengthening of social networks. With these components a scale was designed. Content validity was carried out in addition to an exploratory factor analysis.ResultsTwo dimensions resulted, strengthening of agency capacity and Coping strategies, and the internal consistency of both factors was acceptable, with a Cronbach's alpha of 0.722 and 0.727, respectively. The Kaiser‐Meyer‐Olkin (KMO) statistic was used with a score of 0.831 and the Barlett Sphericity Test, with a significant value of 265.175.ConclusionThis scale identifies the components of community interventions for mental health and can contribute to a better implementation of these strategies. It also articulates autonomous community processes with strategies developed in health services.

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Section: Discussionmentioning

confidence: 94%

Design and validation of a scale of core components of community interventions in mental health

Agudelo‐Hernández,

Rojas‐Andrade

2023

Health Planning & Management

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Psychiatric Experiments with “Community” Under Dictatorship and Authoritarianism: The Case of the Protected Commune Experience, 1980–1989

Montenegro

2024

Cult Med Psychiatry

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In Chile, a long and oppressive military regime (1973–1990) dismantled emergent initiatives for the deinstitutionalisation of psychiatric care, imposing a neoliberal constitution that opened public services to market forces and limited the state's role in health and social care. After being associated with communism and socialism, community-based mental health work was banned, and socialist psychiatrists were silenced through torture or exile. However, some therapeutic initiatives persisted, such as the “Protected Commune” (PC) initiative within the El Peral psychiatric asylum. The PC attempted to mimic a real town inside the asylum's gated perimeter. It featured an ecumenical chapel, a school, and various “council” departments like recreation, education, waste, economy, and health. Paths received names, wards became districts, and patients and workers were assigned new, democratic roles, all while the authoritarian regime entirely controlled the “outside” world. The initiative ceased with the return of democracy in 1990. Deemed an eccentric and negligible episode, the PC is often seen as an interruption to the radical community-based experiences of the pre-dictatorial era. Drawing on archival research and oral history interviews with participants, this paper examines how the PC harnessed the notion of community to navigate the complex socio-political landscape of the dictatorship. Differing from established accounts of the political uses of psychiatry under authoritarianism, the study positions the PC as a prism for understanding the contradictory ways in which the idea of 'community' has been able to transcend radically opposed social and political regimes, becoming a core feature in the vocabulary of mental health reform, despite its ambiguities.

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