Structural Barriers to Citizenship: A Mental Health Provider Perspective

Clayton, Ashley; Miller, Rebecca; Gambino, Matthew; Rowe, Michael; Ponce, Allison N.

doi:10.1007/s10597-019-00490-w

Cited by 13 publications

(10 citation statements)

References 55 publications

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“…The focus was on determining which events, descriptions, and words were linked to a single plot ( [39], pp. [55][56][57][58][59][60]. This procedure was also used for other central themes.…”

Section: Discussionmentioning

confidence: 99%

“…The two narratives are similar in that they both describe young adults who must deal with certain mechanisms creating inequality in order to find a sense of community belonging. This raises questions regarding how service providers relate to such mechanisms and what kinds of knowledge they may have about these mechanisms [51,56,57]. The mechanisms can be expressed as practices within health and social services, and they often become implicit parts of service providers' bases for evaluation [35,58,59].…”

Section: Negotiating Belonging When Facing Structural Barriersmentioning

confidence: 99%

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Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

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Borg

2021

J. Psychosoc. Rehabil. Ment. Health

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The article explores how young adults with co-occurring substance use and mental health problems experience and describe their own and others’ contributions to their sense of community belonging. This article is part of a larger qualitative interview study of young adults. The data for this report were the individual interviews with two study participants. These participants were chosen because they offered in-depth understandings relating to various aspects of community belonging. A thematic narrative analysis of the interview data was carried out. Central to this model of analysis is to transform unstructured qualitative interview data into a unified narrative for each participant, structured around a thematic plot. The analysis revealed two plots: ‘Having to go against yourself to be an insider', and ‘You have to realize that you have problems and try to do something about them'. We interpreted the first narrative as an expression of marginalized people feeling they deserve recognition from society, while the second narrative reflected the idea that each person has a personal responsibility for being valued. We conclude that the narratives expressed the importance of helping young adults to place their lived experiences in a larger social context.

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Section: Discussionmentioning

confidence: 99%

Section: Negotiating Belonging When Facing Structural Barriersmentioning

confidence: 99%

Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

Semb

Sælør

Borg

2021

J. Psychosoc. Rehabil. Ment. Health

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“…The social constructionist philosophy (e.g., Gergen, 1985 ) underpinning this approach also specifically recognizes that people construct their reality individually and that there are multiple, yet equally valid, socially constructed perspectives on such “realities.” Indeed, ground rules for Trialogue Meetings dictate the mutual appreciation that everyone in the conversation brings their own expertise to a given situation (see MacGabhann et al, 2012 ), thereby redistributing power in a favorable fashion in contexts where power differentials may exist. In this way, Trialogue Meetings are tailor-made for citizen engagement in contexts such as public health and social policy as a means to include the general public and individuals from minority contexts, who often feel excluded from considerations of citizenship ( Vervliet et al, 2019 ; Clayton et al, 2020 ). Another feature of Trialogue Meetings which supports its potential as an approach to citizen engagement is its focus on establishing collective dialogue through suspension of our normal preconceived assumptions and exploration of how these preconceived assumptions may differ.…”

Section: Discussionmentioning

confidence: 99%

Trialogue Meetings: Engaging Citizens and Fostering Communities of Wellbeing Through Collective Dialogue

Gabhann

Dunne

2021

Front. Psychol.

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Community-based participatory approaches are widely recognized as valuable methods for improving mental health and well-being by enabling a greater sense of liberty among participants, through the development of equitable policies and practices, which accommodate a range of diverse perspectives. One such approach, “Trialogue Meetings,” has been found to encourage disclosure and dialogue surrounding mental health, facilitate the growth and development of communities in relation to people’s experience of mental health difficulties, service provider and community response. Emerging in the 1990s because of perceived and felt inequitable relations between people with lived experience of mental health difficulties, family members of people with mental health difficulties and professionals providing mental health service provision. This approach has been shown to successfully reduce stigma and discrimination and improve relations between stakeholders in community and mental health care settings. Trialogue Meetings incorporate Open Dialogue methods to allow multiple stakeholder groups to participate in conversations around a given topic and enable the creation of a common language and mutual understanding. Trialogue Meetings have added benefits of allowing individuals to express themselves better, gain a sense of relationality and community with others and address predetermined power hierarchies with prescribed responses to people’s experiences. In this perspective, we present an outline for Trialogue Meetings as a medium for enhancing wellbeing, providing a transformative empowering process for deliberate discursive practice and engaging citizens through sustained collective dialogue.

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“…To measure current and desired levels of citizenship-oriented care, participants will complete questionnaires assessing demographic and identity-based characteristics; the extent that their current mental healthcare providers have addressed citizenship (focusing on 12 core aspects of citizenship-oriented care); and the extent to which participants desire their mental healthcare providers address these 12 aspects ( 16 ). Participants will be given the choice to enter their email address in a raffle for a $50.00 gift card for completing this component.…”

Section: Methodsmentioning

confidence: 99%

“…Barriers and facilitators of citizenship among adults with mental health challenges have been examined in four qualitative and one quantitative study. Barriers to citizenship include having limited choices; experiencing poverty; experiencing internalized and structural stigma, sanism and other forms of discrimination; feeling unsafe in one’s community; and not having legal citizenship ( 16 – 18 ). In contrast, facilitators of citizenship include following the hidden scripts and rules of one’s community; not having a criminal record and/or experience of oppression under carceral law; being satisfied with social relations and health; and feeling a sense of community social connectedness ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

A Mixed Methods Study Examining Citizenship Among Youth With Mental Health Challenges

et al. 2022

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IntroductionMultiple stakeholders have recently called for greater research on the barriers to citizenship and community belonging faced by people with mental health challenges. Citizenship has been defined as a person’s access to the rights, roles, responsibilities, resources and relationships that help people feel a sense of belonging. Factors that may impact citizenship include financial precarity; intersecting forms of marginalization and oppression (e.g., racism); and the mental health care people receive. Research has yet to examine experiences of citizenship among youth with mental health challenges. To address this gap, this study will examine how youth experience citizenship; predictors of citizenship; how citizenship shapes recovery; and the degree to which youth are receiving citizenship-oriented care.MethodsThe research objectives will be evaluated using a multiphase mixed methods research design. Quantitative data will be collected cross-sectionally using validated self-report questionnaires. Qualitative data will be collected using a hermeneutic phenomenological method using semi-structured interviews and focus groups.AnalysesMultiple stepwise regression analyses will be used to determine predictors of citizenship and if of citizenship predict recovery. Pearson correlations will be computed to determine the relationship between participants’ perceived desire for, and receipt of citizenship-oriented care. Phenomenological analysis will be used to analyze qualitative data. Findings will then be mixed using a weaving method in the final paper discussion section.ConclusionFindings from this study may support the development of citizenship-oriented healthcare in Canada.

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Structural Barriers to Citizenship: A Mental Health Provider Perspective

Cited by 13 publications

References 55 publications

Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

Trialogue Meetings: Engaging Citizens and Fostering Communities of Wellbeing Through Collective Dialogue

A Mixed Methods Study Examining Citizenship Among Youth With Mental Health Challenges

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