scholarly journals The Emergence of Recovery: A Genealogical Exploration of the Forces of Power Shaping New Zealand's Mental Health Services in the 21st Century

2021 ◽  
Author(s):  
◽  
Darren Mills
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
21St Century ◽  
Mentally Ill ◽  
Health Service Delivery ◽  
Individual Responsibility ◽  
Significant Shift ◽  
Mental Health Service Delivery ◽  
Methods And Techniques ◽  
Psychiatric Discourse

<p>Recovery is a conceptual model that underpins New Zealand’s mental health service delivery in the 21st century. This thesis explores how recovery emerged historically as an influential philosophy and how representations of recovery have changed to meet the needs of different groups. An inquiry, based on Foucault’s genealogical method, investigates the historical and contemporary forces of power that have shaped the construction of mental illness, and the development of methods and techniques to support and manage persons labelled as mentally ill. The normalisation of knowledge developed during 19th century psychiatric practice provided a context for later critique and resistance from movements that highlighted the oppressive power of psychiatric discourse. Key to the critique were the antipsychiatry and service user movements, which provided the conditions for the possibility of the emergence of recovery as a dominant discourse. Since its emergence, recovery has moved through a number of representations as it was taken up by different groups. A significant shift in the 21st century has been the dominance of neo-liberal discourse based on consumerism, a rolling back of the state, and an emphasis on individual responsibility. The implications of this shift for users and providers of services and their effects on current representations of recovery conclude the inquiry.</p>

scholarly journals The Emergence of Recovery: A Genealogical Exploration of the Forces of Power Shaping New Zealand's Mental Health Services in the 21st Century

2021 ◽  
Author(s):  
◽  
Darren Mills
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
21St Century ◽  
Mentally Ill ◽  
Health Service Delivery ◽  
Individual Responsibility ◽  
Significant Shift ◽  
Mental Health Service Delivery ◽  
Methods And Techniques ◽  
Psychiatric Discourse

<p>Recovery is a conceptual model that underpins New Zealand’s mental health service delivery in the 21st century. This thesis explores how recovery emerged historically as an influential philosophy and how representations of recovery have changed to meet the needs of different groups. An inquiry, based on Foucault’s genealogical method, investigates the historical and contemporary forces of power that have shaped the construction of mental illness, and the development of methods and techniques to support and manage persons labelled as mentally ill. The normalisation of knowledge developed during 19th century psychiatric practice provided a context for later critique and resistance from movements that highlighted the oppressive power of psychiatric discourse. Key to the critique were the antipsychiatry and service user movements, which provided the conditions for the possibility of the emergence of recovery as a dominant discourse. Since its emergence, recovery has moved through a number of representations as it was taken up by different groups. A significant shift in the 21st century has been the dominance of neo-liberal discourse based on consumerism, a rolling back of the state, and an emphasis on individual responsibility. The implications of this shift for users and providers of services and their effects on current representations of recovery conclude the inquiry.</p>

The History of Unreason

2021 ◽  
pp. 1-19
Author(s):  
Samuel Teague ◽  
Peter Robinson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Construction ◽  
Mentally Ill ◽  
Historical Narrative ◽  
Individual Responsibility ◽  
Socially Constructed ◽  
The Social ◽  
Health And Illness ◽  
History Of

This chapter reflects on the importance of the historical narrative of mental illness, arguing that Western countries have sought new ways to confine the mentally ill in the post-asylum era, namely through the effects of stigma and medicalization. The walls are invisible, when once they were physical. The chapter outlines how health and illness can be understood as socially constructed illustrating how mental health has been constructed uniquely across cultures and over time. To understand this process more fully, it is necessary to consider the history of madness, a story of numerous social flashpoints. The trajectories of two primary mental health narratives are charted in this chapter. The authors argue that these narratives have played, and continue to play, an important role in the social construction of mental illness. These narratives are “confinement” and “individual responsibility.” Drawing on the work of Michel Foucault and Roy Porter, the authors describe how Western culture has come to consider the mentally ill as a distinct, abnormal other.

Are people with severe mental illness ready for online interventions? Access and use of the Internet in Australian mental health service users

2017 ◽  
Vol 25 (3) ◽  
pp. 257-261 ◽  
Author(s):  
Neil Thomas ◽  
Fiona Foley ◽  
Katrina Lindblom ◽  
Stuart Lee
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Severe Mental Illness ◽  
Social Networking Sites ◽  
Internet Access ◽  
Health Service Delivery ◽  
The Internet ◽  
Mental Health Service Delivery

Objectives: The Internet is increasingly used in mental health service delivery, but there are significant potential barriers to Internet access for persons with severe mental illness (SMI). There is a need to understand this group’s access to, and confidence with using, the Internet, and current views on using online resources as part of mental healthcare. Method: A survey was conducted of 100 consumers attending a specialist mental health service in Melbourne, Australia. Results: Approximately three-quarters of participants had regular access to the Internet, and two-thirds used the Internet weekly or more. Half of the sample used email at least weekly, and a third were regular users of social networking sites. Internet access was often via mobile devices. Only a minority of participants used the Internet for mental health information, with video streaming and general websites accessed more often than peer forums for mental health content. Most participants were positive about their mental health worker using tablet computers with them in appointments for delivery of mental health materials. Conclusion: Most people with SMI are active Internet users and, therefore, able to use interventions online.

Care and Treatment of the Mentally Ill in the United States: Historical Developments and Reforms

1986 ◽  
Vol 484 (1) ◽  
pp. 12-27 ◽  
Author(s):  
JOSEPH P. MORRISSEY ◽  
HOWARD H. GOLDMAN
Keyword(s):  
Mental Health ◽  
United States ◽  
Criminal Justice ◽  
Mentally Ill ◽  
Public Mental Health ◽  
Health Service Delivery ◽  
The United States ◽  
Mental Health Service Delivery ◽  
Public Mental Health Care ◽  
Historical Developments

Three major cycles of reform in public mental health care in the United States—the moral treatment, mental hygiene, and community mental health movements—are described as a basis for assessing the shifting boundaries between the mental health, social welfare, and criminal justice systems. Historical forces that led to the transinstitutionalization of the mentally ill from almshouses to the state mental hospitals in the nineteenth and twentieth centuries have now been reversed in the aftermath of recent deinstitutionalization policies. Evidence is suggestive that the mentally ill are also being caught up in the criminal justice system, a circumstance reminiscent of pre-asylum conditions in the early nineteenth century. These trends shape the current mental health service delivery system and the agenda for policy-relevant research on issues involving the legal and mental health fields.

scholarly journals “Tell Me When ‘Normal’ Stops”: How Parents Recognized Their Child’s Mental Illness

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Lori Salgado
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Change ◽  
Help Seeking ◽  
Health Service Delivery ◽  
Psychological Disorder ◽  
Developmental Phase ◽  
Mental Health Service Delivery ◽  
Parental Recognition ◽  
Positive Social Change

Many parents do not recognize psychological disorder, and current mental health service delivery programs are not sufficiently responsive to the early help-seeking dynamics of families. This mixed-methods study explored Colorado parents’ experiences of recognizing their child’s mental illness as a precursor to seeking treatment, revealing that the phenomenon of parental recognition was a process of “waiting to hear that ‘normal’ had stopped,” wherein parents miscategorized symptoms as typical behaviors in a passing developmental phase. Prior experience with mental illness appeared to significantly decrease both the length of time and the level of distress necessary for recognition. Ultimately, recognition did not occur until someone in the parents’ social network explicitly validated their concerns, which galvanized them to seek treatment. The results of this study can have wide applications for positive social change, because many chronic mental disorders manifest in childhood and benefit from early and sustained treatment. Further, mental health underscores many societal issues such as homelessness, school dropout rates, child abuse and neglect, foster care, and prison overpopulation. Positive social change and parental recognition can be promoted through public policies and programs such as universal mental health screening, mental health literacy, and school and health policies that are more supportive and responsive to the early help-seeking needs of children and families

scholarly journals Barriers and Drivers to Service Delivery in Global Mental Health Projects

2020 ◽  
Author(s):  
Onaiza Qureshi ◽  
Tarik Endale ◽  
Grace Ryan ◽  
Georgina Miguel-Esponda ◽  
Srividya N. Iyer ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Global Mental Health ◽  
Health Service Delivery ◽  
Screening Tools ◽  
Theory Of Change ◽  
Mental Health Service Delivery

Abstract Background: Research within global mental health (GMH) has extensively documented how contextual factors like political instability, poverty and poorly-funded health infrastructures continue to compromise effective and equitable mental health service delivery. There is a need to develop more feasible and evidence-based solutions through implementation research. This paper, one in a series pertaining to implementation in GMH projects worldwide, focuses on implementation factors influencing mental health service delivery.Methods: This is a qualitative study carried out as part of a Theory of Change-driven evaluation of Grand Challenges Canada’s (GCC’s) global mental health portfolio. Purposive sampling was used to recruit twenty-nine GCC grantees for interviews. A semi-structured interview schedule was used to guide the interviews which were recorded and subsequently transcribed. Transcripts were double-coded and analyzed in NVIVO 11 using framework analysis. This paper reports results related to detection and treatment of mental illness, mental health promotion and prevention of mental illness.Results: Key barriers included: lack of appropriate human resources and expertise for service delivery; lack of culturally appropriate screening tools and interventions; and difficulties integrating services with the existing mental health system. Formative research was a key driver facilitating the cultural adaptation of mental health detection, treatment, promotion and preventative approaches. Recruiting local providers and utilizing mHealth for improving screening, monitoring and data management were also found to be successful approaches in reducing workforce burden, improving sustainability, mental health literacy, participant engagement and uptake.Conclusions: The study identifies a number of key barriers to and drivers of successful service delivery from the perspective of grantees implementing GMH projects. Findings highlight several opportunities to mitigate common challenges, providing recommendations for strengthening systems- and project-level approaches for delivering mental health services. Further, more inclusive research is required to inform guidance around service delivery for successful implementation, better utilization of funding and improving mental health outcomes among vulnerable populations in low-resource settings.

Integrated staffing model for residential mental health rehabilitation

2016 ◽  
Vol 20 (2) ◽  
pp. 92-100 ◽  
Author(s):  
Stephen Parker ◽  
Frances Dark ◽  
Gabrielle Vilic ◽  
Karen McCann ◽  
Ruth O'Sullivan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Peer Support ◽  
Public Mental Health ◽  
Health Service Delivery ◽  
Evidence Base ◽  
Organizational Setting ◽  
Content Type ◽  
Mental Health Service Delivery ◽  
Staffing Model

Purpose – A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through meaningful integration of peer support and clinical workers within rehabilitation teams. Key features include the majority of roles within the team being held by persons with a lived experience of mental illness, the active collaboration between peer and clinical workers throughout all stages of a consumer’s rehabilitation journey, and an organizational structure that legitimizes and emphasizes the importance of peer work within public mental health service delivery. This staffing model is not anticipated to alter the core rehabilitation function and service models. Design/methodology/approach – The emergence of the integrated staffing model is described with reference to the policy and planning context, the evidence base for peer support, and the organizational setting. A conceptual and contextualized description of the staffing model in practice as compared to a traditional clinical staffing model is provided. Findings – There is a potential for synergistic benefits through the direct collaboration between horizontally integrated peer and clinical specialists within a unified team working toward a common goal. This staffing model is novel and untested, and will be subjected to ongoing evaluation. Originality/value – The integrated staffing model may provide a pathway to achieving valued and valuable roles for peer workers working alongside clinical staff in providing rehabilitation support to people affected by serious mental illness.

The History of Unreason

2019 ◽  
pp. 1-19
Author(s):  
Samuel Teague ◽  
Peter Robinson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Construction ◽  
Mentally Ill ◽  
Historical Narrative ◽  
Individual Responsibility ◽  
Socially Constructed ◽  
The Social ◽  
Health And Illness ◽  
History Of

This chapter reflects on the importance of the historical narrative of mental illness, arguing that Western countries have sought new ways to confine the mentally ill in the post-asylum era, namely through the effects of stigma and medicalization. The walls are invisible, when once they were physical. The chapter outlines how health and illness can be understood as socially constructed illustrating how mental health has been constructed uniquely across cultures and over time. To understand this process more fully, it is necessary to consider the history of madness, a story of numerous social flashpoints. The trajectories of two primary mental health narratives are charted in this chapter. The authors argue that these narratives have played, and continue to play, an important role in the social construction of mental illness. These narratives are “confinement” and “individual responsibility.” Drawing on the work of Michel Foucault and Roy Porter, the authors describe how Western culture has come to consider the mentally ill as a distinct, abnormal other.

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