Finding citizenship: What works?

Finding citizenship: What works?
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DOI:
10.1080/15487768.2017.1338036
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发表时间:
2017-01-01
期刊:
AMERICAN JOURNAL OF PSYCHIATRIC REHABILITATION
影响因子:
--
通讯作者:
Gambino, Matthew
Gambino, Matthew
中科院分区:
其他
文献类型:
--
作者:
Harper, Annie;Kriegel, Liat;Gambino, Matthew

文献摘要

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公民身份是心理健康恢复和社区融合的基础。一个人在社区中实现完全的公民身份取决于他的社会环境,包括社会关系以及这些关系提供的支持和资本。本文介绍了定性结果的社区整合经验的个人与严重精神疾病(SMI)和详细的社会环境因素,他们确定为关键的整合。三个主要主题被确定为有助于参与者实现公民身份:(1)宏观社会互动,由公民意识和获得积极的社会认可来描述;(2)微观社会互动,包括与家人和朋友的亲密关系;(3)中间层次的互动,与公共空间路人的短暂关系。所有这三个都是以社会承认给予行为的重要性为基础的。被确定为成功获得公民身份的SMI患者表示,他们的社会环境在他们的成功中发挥了重要作用。这项研究的结果表明,对这一人群的社区干预应考虑(1)支持宏观层面的参与,包括对非精神健康问题的宣传;(2)支持家人,朋友和供应商提供的支持和资本以及SMI患者支持他人的能力;(3)重视和保护共享的公共空间,促进小的文明行为,作为对抗与耻辱相关的微攻击的有价值的手段。
Citizenship is a foundation for mental health recovery and community integration. Achievement of full citizenship in the community is curated by a person's social environment, including social connections and the support and capital offered by those connections. This article presents qualitative findings of community integration experiences of individuals with serious mental illness (SMI) and details social environment elements they identified as critical to integration. Three primary themes were identified as contributing to achievement of citizenship among participants: (1) macrosocial interactions, described by a civic consciousness and receipt of positive social recognition; (2) microsocial interactions, including intimate relationships with family and friends; and (3) interactions at an intermediate level, fleeting relationships with passersby in public spaces. All three were underlain by the importance of social recognition of acts of giving. Individuals with SMI who were identified as successful in their path to citizenship indicated that their social environment played a major contributing factor in their success. The findings of this study suggest community-based interventions with this population should consider (1) supporting engagement at a macrolevel, including advocacy on nonmental health issues; (2) supporting the support and capital provided by families, friends, and providers and the ability of a person with SMI to support others; and (3) valuing and protecting shared public spaces and promoting small acts of civility as valuable counters to stigma-related microaggressions.