scholarly journals The Lived Experience of Recovery: The Role of Health Work in Addressing the Social Determinants of Mental Health

Author(s):  
Colleen Reid ◽  
Nancy Clark ◽  
Ania Landy ◽  
Maya Alonso

Recovery is a policy framework for mental health in Canada. Key challenges to the integration of recovery include a gap in knowledge about the work that people do to promote their health and well-being in the context of living with mental ill health. This study used Photovoice to explore the lived realities of people living with mental ill health and the impact of the social determinants on their recovery process. Findings from this study inform policy and practice on promoting health work as an important dimension of recovery and community inclusion.

Author(s):  
Michael Bennett

AbstractThis chapter draws on the author’s personal experience together with the findings from his qualitative research, to explore the cultural values driving problems of mental health and well-being among professional footballers. The study makes explicit the way in which players are expected to hide their experiences of being objectified—of being subject to gendered, racialised and other forms of dehumanisation—and denied a legitimate lived experience, an authentic heard voice. The chapter illustrates the importance in values-based practice of knowledge of values gained as in this instance by way of qualitative methods from the social sciences being used to fill out knowledge derived from individual personal experience.


2017 ◽  
Vol 30 (6) ◽  
pp. 791-805 ◽  
Author(s):  
Kirsty M. Patterson ◽  
Chris Clarke ◽  
Emma L. Wolverson ◽  
Esme D. Moniz-Cook

ABSTRACTBackground:Psychosocial models suggest that the lived experience of dementia is affected by interpersonal factors such as the ways in which others view, talk about, and behave toward the person with dementia. This review aimed to illuminate how informal, everyday interpersonal relationships are experienced by people with dementia within their social contexts.Method:A systematic review of qualitative literature published between 1989 and May 2016 was conducted, utilizing the electronic databases PsycINFO, MEDLINE, and CINAHL-Complete. This was followed by a critical interpretative synthesis to understand how people with dementia perceive the attitudes, views, and reactions of other people toward them, and the subjective impact that these have.Results:Four major themes were derived from the findings of the 23 included studies: being treated as an “other” rather than “one of us”; being treated as “lesser” rather than a full, valued member of society; the impact of others’ responses; and strategies to manage the responses of others. Thus, people with dementia can feel outcast and relegated, or indeed feel included and valued by others. These experiences impact upon emotional and psychological well-being, and are actively interpreted and managed by people with dementia.Conclusion:Experiences such as loss and diminishing identity have previously been understood as a direct result of dementia, with little consideration of interpersonal influences. This review notes that people with dementia actively engage with others, whose responses can foster or undermine social well-being. This dynamic relational aspect may contribute to emerging understandings of social health in dementia.


2018 ◽  
Vol 24 (3) ◽  
pp. 697-713 ◽  
Author(s):  
Katy Gordon ◽  
Juliette Wilson ◽  
Andrea Tonner ◽  
Eleanor Shaw

Purpose The purpose of this paper is to examine the impacts of social enterprise on individual and community health and well-being. It focusses on community food initiatives, their impact on the social determinants of health and the influence of structure on their outcomes. Design/methodology/approach Using an interpretive qualitative approach through case studies focussed on two community food social enterprises, the research team conducted observations, interviews and ad hoc conversations. Findings Researchers found that social enterprises impacted all layers of the social determinants of health model but that there was greater impact on individual lifestyle factors and social and community networks. Impact at the higher socio-economic, cultural and environmental layer was more constrained. There was also evidence of the structural factors both enabling and constraining impact at all levels. Practical implications This study helps to facilitate understanding on the role of social enterprises as a key way for individuals and communities to work together to build their capabilities and resilience when facing health inequalities. Building upon previous work, it provides insight into the practices, limitations and challenges of those engaged in encouraging and supporting behavioural changes. Originality/value The paper contributes to a deeper insight of the use, motivation and understanding of social enterprise as an operating model by community food initiatives. It provides evidence of the impact of such social enterprises on the social determinants of health and uses structuration theory (Giddens, 1984) to explore how structure both influences and constrains the impact of these enterprises.


2018 ◽  
Vol 52 (3) ◽  
pp. 305-339 ◽  
Author(s):  
Paula Hooper ◽  
Sarah Foster ◽  
Matthew Knuiman ◽  
Billie Giles-Corti

There is growing concern that the built forms resulting from conventional suburban design may be adversely affecting the social well-being, sense of community, and psychological health of its residents. This study tested the premise that suburban neighborhood developments ( n = 36) designed in accordance with a New Urbanist inspired planning policy in Perth, Western Australia, improved residents’ ( n = 644) sense of community and mental health. Findings revealed that with each 10% increase in policy compliance, residents odds of experiencing high sense of community increased by 21% ( OR = 1.21, 95% CI = [1.04, 1.41]) and low psychological distress increased by 14% ( OR = 1.14, 95% CI = [1.01, 1.28]). These results add empirical input to the debate surrounding the rhetoric and purported social goals and benefits of the New Urbanism, indicating that implementation of its neo-traditionalist neighborhood design principles may help create the conditions for positive neighborhood sense of community and mental health.


2021 ◽  
Author(s):  
Lara Beth Aknin ◽  
Jan Emmanuel De Neve ◽  
Elizabeth Warren Dunn ◽  
Daisy Fancourt ◽  
Elkhonon Goldberg ◽  
...  

COVID-19 has infected millions of people and upended the lives of most humans on the planet. Researchers from across the psychological sciences have sought to document and investigate the impact of COVID-19 in myriad ways, causing an explosion of research that is broad in scope, varied in methods, and challenging to consolidate. Because policy and practice aimed at helping people live healthier and happier lives requires insight from robust patterns of evidence, this paper provides a rapid and thorough summary of high-quality studies published in 2020 addressing two overarching questions. First, what are the mental health consequences of living through the COVID-19 pandemic? Second, what are the neurological sequelae of contracting COVID-19? Our review of the evidence indicates that some facets of mental health suffered greatly during the early months of the pandemic (e.g., anxiety and depression increased), while other facets (life satisfaction) and correlates (social connection, loneliness) notably displayed resilience. In addition, early neurological data indicate several consequences of contracting COVID-19, both during infection and after recovery. In response to these insights, we present seven recommendations (1 urgent, 2 short-term, 4 ongoing) to support mental health and well-being during the pandemic and beyond.


2020 ◽  
Vol 3-4 (213-214) ◽  
pp. 82-87
Author(s):  
Dariya Doskabulova ◽  
◽  
Arstan Mamyrbaev ◽  
Artashes Tadevosyan ◽  
Aiman Kaldybaeva ◽  
...  

The formation of the health of adolescent children is carried out under the influence of many risk factors, including non-medical determinants: lifestyle, socio-economic, household factors and living conditions. Conducting epidemiological studies to identify the leading risk factors for the lifestyle and quality of life of adolescents is currently consistent with the basic directions of development of preventive medicine. Aim. Analysis of literature data, leading factors, the impact of social determinants on the health and well-being of children and adolescents. Material and methods. The choice of publications was made according to keywords that reflected between the indicators of the health of children and adolescents and the factors that influence them. Assessment of the influence of social determinants on the health of children and adolescents made it possible to prepare comprehensive measures to improve the health and health of children and adolescents. Conclusions. In the literature review, the social conditions studied have a decisive influence on the formation of the lifestyle, health and well-being of children and adolescents. Keywords: сhildren, adolescents, social determinant.


Author(s):  
Dimitar Karadzhov

Despite its seeming breadth and diversity, the bulk of the personal (mental health) recovery literature has remained strangely ‘silent’ about the impact of various socio-structural inequalities on the recovery process. Such an inadequacy of the empirical literature is not without consequences since the systematic omission or downplaying, at best, of the socio-structural conditions of living for persons with lived experience of mental health difficulties may inadvertently reinforce a reductionist view of recovery as an atomised, individualised phenomenon. Motivated by those limitations in extant scholarship, a critical literature review was conducted to identify and critique relevant research to problematise the notion of personal recovery in the context of socio-structural disadvantage such as poverty, homelessness, discrimination and inequalities. The review illuminates the scarcity of empirical research and the paucity of sociologically-informed theorisation regarding how recovery is shaped by the socio-structural conditions of living. Those inadequacies are especially pertinent to homelessness research, whereby empirical investigations of personal recovery have remained few and undertheorised. The gaps in the research and theorising about the relational, contextual and socio-structural embeddedness of recovery are distilled. The critical review concludes that personal recovery has remained underresearched, underproblematised and undertheorised, especially in the context of homelessness and other forms of socio-structural disadvantage. Understanding how exclusionary social arrangements affect individuals’ recovery, and the coping strategies that they deploy to negotiate those, is likely to inform anti-oppressive interventions that could eventually remove the structural constraints to human emancipation and flourishing.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Rebekah Pratt ◽  
Andy MacGregor ◽  
Susan Reid ◽  
Lisa Given

The main aim of this research was to assess the relevance and impact of wellness recovery action planning (WRAP) as a tool for self-management and wellness planning by individuals with mental health problems from pre-existing and newly formed groups, where the possibilities for continued mutual support in the development of WRAPs could be explored. Interviews and focus groups were conducted and pre-post recovery outcome measures completed (Recovery Assessment Scale and Warwick Edinburgh Mental Well Being Scale). 21 WRAP group participants took part in the research. The WRAP approach, used in groups and delivered by trained facilitators who could also share their lived experience, was very relevant and appeared to have a positive impact on many of the participants. The impact on participants varied from learning more about recovery and developing improved self-awareness to integrating a WRAP approach into daily life. The apparent positive impact of WRAP delivered in the context of mutual support groups indicates that it should be given serious consideration as a unique and worthwhile option for improving mental health. WRAP groups could make a significant contribution to the range of self-management options that are available for improving mental health and well-being.


2019 ◽  
Vol 49 (2) ◽  
pp. 141-161 ◽  
Author(s):  
Kasia Tolwinski

In this article, I examine how a subfield of researchers studying the impact of poverty and adversity on the developing brain, cognitive abilities and mental health respond to criticism that their research is racist and eugenicist, and implies that affected children are broken on a biological level. My interviewees use a number of strategies to respond to these resurfacing criticisms. They maintain that the controversy rests upon a fundamental misunderstanding of their work. In addition, they use what I term ‘plasticity talk’, a form of anti-determinist discourse, to put forth what they believe is a hopeful conception of body and brain as fundamentally malleable. They draw attention to their explicit intentions to use scientific inquiry to mitigate inequality and further social justice – in fact, they believe their studies are powerful evidence that add to the literature on the social determinants of health. Though they may be interested in improving lives, they argue that their aims and means have little in common with programs trying to ‘improve’ the genetic stock of the population. I argue that theirs is a fraught research terrain, where any claims-making is potentially treacherous. Just as their studies of development refuse dualistic models, so too do their responses defy dichotomous categorization.


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