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Social Inclusion as Freedom for Persons Living with Mental Illness

Publication: Canadian Journal of Community Mental Health
7 August 2019

Abstract

This study describes the meaning of social inclusion to persons living with mental illness and poverty. Participants were recruited from health and social services where they completed the Community Integration Questionnaire (CIQ). From this sample, 46 participants attended one of three focus groups that corresponded with their self-reported CIQ scores. Thematic analysis showed that regardless of their CIQ scores, participants described freedom as both a liberating process for, and outcome of, social inclusion; freedom allows for the accumulation of health and social capital commensurate with one’s complex needs, and freedom represents success in the construction life surrounded by affirming others.

Résumé

La présente étude ethnographique avait pour objet de décrire le sens de l’inclusion sociale du point de vue de personnes pauvres et atteintes d’une maladie mentale. Ces dernières provenaient de divers programmes de santé et de services sociaux. Après avoir rempli le questionnaire d’intégration communautaire (CIQ), 46 participants ont assisté à l’un des trois groupes ciblés de discussion correspondant à la note qu’ils déclaraient avoir obtenue au CIQ. L’analyse thématique a révélé que peu importe leur note au CIQ, les participants ont décrit la liberté comme étant à la fois un processus libérateur d’inclusion sociale et le résultat de cette même inclusion. La liberté permet d’accumuler un capital santé et un capital social à la hauteur de ses besoins complexes. La liberté représente le fait de réussir à se bâtir une vie significative, entouré de personnes qui jettent sur soi un regard positif.

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References

Ammeraal M., Kantartzis S., Burger M., Bogeas T., van der Molen C., and Vercruysse L. 2013 ELSiTO: A collaborative European initiative to foster social inclusion with persons experiencing mental illness Occupational Therapy International 20 2 65 -74
Arboleda-Florez J. and Stuart H. 2012 From sin to science: Fighting the stigmatization of mental illness Canadian Journal of Psychiatry 57 8 457 -63
Austalian Social Inclusion Board. (2012). Social Inclusion in Australia: How Australia is faring. 2nd ed. Canberra (Australia). www.socialinclusion.gov.au
Belle-Isle L., Benoit C., and Pauly B. 2014 Addressing health inequities through social inclusion: The role of community organizations Action Research 12 2 177 -93
Braun V. and Clarke V. 2006 Using thematic analysis in psychology Qualitative Research in Psychology 3 2 77 -101
Buhariwala P., Wilton R., and Evans J. 2015 Social enterprises as enabling workplaces for people with psychiatric disabilities Disability & Society 30 6 865 -79
Capponi, P. (1997). Dispatches from the Poverty Line. Toronto (ON): Penguin.
Clifton A., Repper J., Banks D., and Remnant J. 2013 Co-producing social inclusion: The structure/agency conundrum Journal of Psychiatric and Mental Health Nursing 20 514 -24
Cobigo V. and Stuart H. 2010 Social inclusion and mental health Current Opinion in Psychiatry 23 453 -57
Doherty J., Wright A., Forchuk C., and Edwards B. 2014 A Canadian community–university research alliance: Focus on poverty and social inclusion for psychiatric consumer–survivors World Medical & Health Policy 6 2 150 -57
Farone D. W. 2006 Schizophrenia, community integration, and recovery: Implications for social work practice Social Work in Mental Health 4 4 21 -36
Forchuk, C., Ward-Griffin, C., Csiernik, R., & Turner, K. (2011). Surviving the tornado of mental illness: Psychiatric survivor experiences of getting, losing, and keeping housing. In C. Forchuk, R. Csiernik, & E. Jensen (Eds.), Homelessness, housing, and mental health: Finding truths, creating change (pp. 48–58). Toronto, Ontario: Canadian Scholars’ Press.
Hamer H. P., Finlayson M., and Warren W. 2014 Insiders or outsiders? Mental health service users’ journeys towards full citizenship International Journal of Mental Health Nursing 23 203 -11
Killapsy H., White S., Lalvani N., Berg R., Thachil A., Kallumpuram S., Nasiruddin O., and Mezey G. 2014 The impact of psychosis on social inclusion and associated factors International Journal of Social Psychiatry 60 2 148 -54
Kirsh B., Krupa T., Cockburn L., and Gewurtz R. 2010 A Canadian model of work integration for persons with mental illness Disability & Rehabilitation 32 22 1833 -1846
Labonte R. 2004 Social inclusion/exclusion: Dancing the dialectic Health Promotion International 19 1 115 -21
Livingston J. D. and Boyd J. E. 2010 Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis Social Science & Medicine 71 12 2150 -61
Lloyd S. and Moreau N. 2011 Pursuit of a ‘normal life’: Mood, anxiety, and their disordering Medical Anthropology 30 6 591 -609
Mandiberg J. M. 2012 The failure of social inclusion: An alternative approach through community development Psychiatric Services 63 5 458 -60
Mental Health Commission of Canada. (2010). Roundtable #6: Social Inclusion and Mental Health - Highlights Report. http://www.mentalhealthcommission.ca/English/system/files/private/ FamilyCaregivers_2010RoundtableFrancophoneMH_ENG_0.pdf
Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. www.mentalhealthcommission.ca
Millier A., Schmidt U., Angermeyer M. C., Chauhan D., Murthy V., Toumi M., and Cadi-Soussi N. 2014 Humanistic burden in schizophrenia: A literature review Journal of Psychiatric Research 54 85 -93
Minkler, M. (2012). Community organizing and community building for health and welfare (3rd ed.). New Brunswick (NJ): Rutgers University Press.
Morgan C., Burns T., Fitzpatrick R., Pinfold V., Brugha T., and Jenkins R. 2007 Social exclusion and mental health: Conceptual and methodological review British Journal of Psychiatry 191 477 -83
Richards, L., & Morse, J. M. (2013). Read me first for a user’s guide to qualitative methods (3rd ed.). Los Angeles, CA: SAGE.
Risjord M. 2014 Nursing and human freedom Nursing Philosophy 15 35 -45
Robinson S. G. 2013 The relevancy of ethnography to nursing research Nursing Science Quarterly 26 1 14 -9
Roy M. J., Donaldson C., Baker R., and Kerr S. 2014 The potential of social enterprise to enhance health and well-being: A model and systematic review Social Science & Medicine 123 182 -93
Stain H. J., Galletly C. A., Clark S., Wilson J., Killen E. A., Anthes L., and Harvey C. 2012 Understanding the social costs of psychosis: The experience of adults affected by psychosis identified within the second Australian national survey of psychosis Australian & New Zealand Journal of Psychiatry 46 9 897 -89
Stylianos S. and Kehyayan V. 2012 Advocacy: Critical Component in a Comprehensive Mental Health System American Journal of Orthopsychiatry 82 1 115 -20
Wharne S. J., Langdridge D., and Motzkau J. 2012 Decision-making in mental healthcare: A phenomenological investigation of service user perspectives The Humanistic Psychologist 40 153 -65
Willer B., Ottenbacher K. J., and Coad M. L. 1994 The community integration questionnaire: A comparative examination American Journal of Physical Medicine & Rehabilitation 73 2 103 -11
Willig, C. (2014). Interpretation and analysis. In U. Flick (Ed.), The SAGE Handbook of qualitative data analysis (pp. 136–149). Los Angeles, CA: SAGE.
Wong Y. L. I., Stanton M. C., and Sands R. G. 2014 Rethinking social inclusion: Experiences of persons in recovery from mental illness American Journal of Orthopsychiatry 84 6 685 -95
Wright N. and Stickley T. 2013 Concepts of social inclusion, exclusion and mental health: A review of the international literature Journal of Psychiatric & Mental Health Nursing 20 1 71 -81

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 38Number 1January 2019
Pages: 23 - 35

History

Version of record online: 7 August 2019

Key Words

  1. community integration
  2. freedom
  3. mental health
  4. social inclusion

Mots-clés

  1. intégration communautaire
  2. liberté
  3. santé mentale
  4. inclusion sociale

Authors

Affiliations

Phyllis Montgomery [email protected]
Amy Wuest
Cheryl Forchuk
Lawson Health Research Institute
Tracy Smith-Carrier
Momodou S. Jeng (Mo)
Abraham (Rami) Rudnick
Thunder Bay Regional Health Research Institute

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