Mental Health and Social Inclusion, 25(1), 2021, pp.32-40.
Publisher:
Emerald
Purpose: The purpose of this paper is to review the literature in terms of the conceptualization of the recovery concept among cultural and ethnic minorities drawing on the connectedness, hope and optimism about the future; Identity, meaning in life, empowerment (CHIME) framework; highlight the cultural adaptations of supported housing – a prominent recovery-oriented intervention, as it was implemented in a multicultural western country; and delineate the future implications for research, policy and practice in regard to mental health recovery interventions for cultural and ethnic minorities. Design/methodology/approach: An online search was performed to identify recent empirical studies published in English in peer-reviewed journals. Findings: Included studies confirmed what the authors of CHIME had initially reported: spirituality and support networks could act as enablers or inhibitors in the recovery process of mental health services users with diverse cultural backgrounds. The stigma surrounding mental illness is a key challenge that skews the recovery experience. Other cultural-specific factors include linguistic peculiarities of the maternal language and gender. The cultural adaptation of a recovery-oriented intervention was feasible and effective but also challenging. Originality/value: By studying the cultural variations of mental health recovery, the intention is to inform mental health practitioners and other key stakeholders of the distinct cultural components that influence the recovery process, thereby promoting the development of culturally sensitive, accessible
(Edited publisher abstract)
Purpose: The purpose of this paper is to review the literature in terms of the conceptualization of the recovery concept among cultural and ethnic minorities drawing on the connectedness, hope and optimism about the future; Identity, meaning in life, empowerment (CHIME) framework; highlight the cultural adaptations of supported housing – a prominent recovery-oriented intervention, as it was implemented in a multicultural western country; and delineate the future implications for research, policy and practice in regard to mental health recovery interventions for cultural and ethnic minorities. Design/methodology/approach: An online search was performed to identify recent empirical studies published in English in peer-reviewed journals. Findings: Included studies confirmed what the authors of CHIME had initially reported: spirituality and support networks could act as enablers or inhibitors in the recovery process of mental health services users with diverse cultural backgrounds. The stigma surrounding mental illness is a key challenge that skews the recovery experience. Other cultural-specific factors include linguistic peculiarities of the maternal language and gender. The cultural adaptation of a recovery-oriented intervention was feasible and effective but also challenging. Originality/value: By studying the cultural variations of mental health recovery, the intention is to inform mental health practitioners and other key stakeholders of the distinct cultural components that influence the recovery process, thereby promoting the development of culturally sensitive, accessible and effective recovery-oriented interventions. It is worth noting that providing culturally appropriate mental health services could be viewed as a human right issue for minority groups.
(Edited publisher abstract)
Subject terms:
mental health services, mental health problems, recovery, black and minority ethnic people, cultural identity, intervention;
This paper considers how the systems and services involved in substance misuse can better address the needs of people from black and minority ethnic (BME) communities, and ensure that the values of equality and diversity are upheld and enacted in drug and alcohol treatment and recovery. The briefing, which follows a discussion which took place at a Recovery Partnership roundtable in July 2015, highlights the value of partnership working between BME specialist and mainstream services, the importance of choice in treatment, the value of culturally competent treatment and recovery systems, and opportunities that arise from close links with the community. It reveals that BME communities can face additional barriers in accessing health services, including drug and alcohol treatment and recovery
(Edited publisher abstract)
This paper considers how the systems and services involved in substance misuse can better address the needs of people from black and minority ethnic (BME) communities, and ensure that the values of equality and diversity are upheld and enacted in drug and alcohol treatment and recovery. The briefing, which follows a discussion which took place at a Recovery Partnership roundtable in July 2015, highlights the value of partnership working between BME specialist and mainstream services, the importance of choice in treatment, the value of culturally competent treatment and recovery systems, and opportunities that arise from close links with the community. It reveals that BME communities can face additional barriers in accessing health services, including drug and alcohol treatment and recovery services for a wide range of reasons, ranging from language barriers to stigma. The paper suggests that community-based specialist BME services are well-positioned to develop relationships and pathways and can act as a ‘soft landing’ for BME service users but also argues that they should work productively together with mainstream drug and alcohol services, to produce a system that is stronger overall as a result of the partnership, with the added advantage of offering service users choice when accessing support.
(Edited publisher abstract)
Subject terms:
black and minority ethnic people, substance misuse, drug misuse, alcohol misuse, treatment, recovery;
Mental Health and Social Inclusion, 23(3), 2019, pp.136-144.
Publisher:
Emerald
Purpose: The purpose of this paper is to explore whether one Recovery College reflects its community. Design/methodology/approach: Recovery College students’ demographics and protected characteristics were compared with the general population and the population of people using local mental health services. Findings: Recovery College students were representative of the local community in terms of ethnicity, religion or belief and sexual orientation. Fewer Recovery College students were over 60 years old or men. Practical implications: Recovery Colleges may be more accessible to people who are often under-served and under-represented in mainstream mental health services, including people from BAME backgrounds and people who identify as LGBT. Recovery Colleges may need to engage more men and more older people. Recovery Colleges aim to be inclusive and open to all but need to ensure that this is a reality in practice. Originality/value: This is the first study to explore who accesses Recovery Colleges and whether they are inclusive and open to all.
(Edited publisher abstract)
Purpose: The purpose of this paper is to explore whether one Recovery College reflects its community. Design/methodology/approach: Recovery College students’ demographics and protected characteristics were compared with the general population and the population of people using local mental health services. Findings: Recovery College students were representative of the local community in terms of ethnicity, religion or belief and sexual orientation. Fewer Recovery College students were over 60 years old or men. Practical implications: Recovery Colleges may be more accessible to people who are often under-served and under-represented in mainstream mental health services, including people from BAME backgrounds and people who identify as LGBT. Recovery Colleges may need to engage more men and more older people. Recovery Colleges aim to be inclusive and open to all but need to ensure that this is a reality in practice. Originality/value: This is the first study to explore who accesses Recovery Colleges and whether they are inclusive and open to all.
(Edited publisher abstract)
Subject terms:
recovery, recovery approach, social inclusion, black and minority ethnic people, mental health services, education, diversity, mental health, equal opportunities;
Journal of Mental Health, 27(4), 2018, pp.345-351.
Publisher:
Taylor and Francis
Place of publication:
London
Background: Current models of user participation in mental health services were developed within Western culture and thus may not be applicable to Chinese communities. Aims: To present a new model of user participation, which emerged from research within a Chinese community, for understanding the processes of and factors influencing user participation in a non-Western culture.Method: Multiple qualitative methods, including focus groups, individual in-depth interviews, and photovoice, were applied within the framework of constructivist grounded theory and collaborative research. Results: Diverging from conceptualizations of user participation with emphasis on civil rights and the individual as a central agent, participants in the study highlighted the interpersonal dynamics between service users and different players affecting the participation intensity and outcomes. They valued a reciprocal relationship with their caregivers in making treatment decisions, cooperated with staff to observe power hierarchies and social harmony, identified the importance of peer support in enabling service engagement and delivery, and emphasized professional facilitation in advancing involvement at the policy level. Conclusions: User participation in Chinese culture embeds dynamic interdependence. The proposed model adds this new dimension to the existing frameworks and calls for attention to the complex local ecology and cultural consistency in realizing user participation.
(Publisher abstract)
Background: Current models of user participation in mental health services were developed within Western culture and thus may not be applicable to Chinese communities. Aims: To present a new model of user participation, which emerged from research within a Chinese community, for understanding the processes of and factors influencing user participation in a non-Western culture.Method: Multiple qualitative methods, including focus groups, individual in-depth interviews, and photovoice, were applied within the framework of constructivist grounded theory and collaborative research. Results: Diverging from conceptualizations of user participation with emphasis on civil rights and the individual as a central agent, participants in the study highlighted the interpersonal dynamics between service users and different players affecting the participation intensity and outcomes. They valued a reciprocal relationship with their caregivers in making treatment decisions, cooperated with staff to observe power hierarchies and social harmony, identified the importance of peer support in enabling service engagement and delivery, and emphasized professional facilitation in advancing involvement at the policy level. Conclusions: User participation in Chinese culture embeds dynamic interdependence. The proposed model adds this new dimension to the existing frameworks and calls for attention to the complex local ecology and cultural consistency in realizing user participation.
(Publisher abstract)
Subject terms:
mental health care, service users, Chinese people, recovery approach, user participation, models, staff-user relationships, black and minority ethnic people, recovery;
MOORLEY Calvin R., CAHILL Sharon, CORCORAN Nova T.
Journal article citation:
Health and Social Care in the Community, 24(6), 2016, p.769–778.
Publisher:
Wiley
... (church) or spiritual support (i.e. prayer), individual motivation or resignation to life with a disability. This study explored these areas through the coping mechanisms that African Caribbean women utilised post stroke in the context of stroke recovery and lifestyle modification efforts needed to promote healthy living post stroke. A qualitative approach using interpretative phenomenological analysis of religion and faith to cope with life after stroke. These findings illustrate both a tension between religious beliefs and the medical approach to stroke and highlight the potential benefits that religion and the church can play in stroke recovery. Implications for practice include acknowledgement and inclusion of religion- and church-based health promotion in post-stroke recovery.
(Publisher abstract)
In the UK, stroke is the third most common cause of death for women and the incidence in African Caribbean women is higher than that in the general population. Stroke burden has major consequences for the physical, mental and social health of African Caribbean women. In order to adjust to life after stroke, individuals affected employ a range of strategies which may include personal, religious (church) or spiritual support (i.e. prayer), individual motivation or resignation to life with a disability. This study explored these areas through the coping mechanisms that African Caribbean women utilised post stroke in the context of stroke recovery and lifestyle modification efforts needed to promote healthy living post stroke. A qualitative approach using interpretative phenomenological analysis was adopted. Seven women were recruited into the study. Semi-structured, in-depth interviews were audio recorded and were transcribed verbatim. Data were analysed using a four-stage framework: familiarisation, sense making, developing themes, and data refinement and analysis. Three main themes on coping emerged: the need to follow medical rules to manage stroke, strength and determination, and the use of religion and faith to cope with life after stroke. These findings illustrate both a tension between religious beliefs and the medical approach to stroke and highlight the potential benefits that religion and the church can play in stroke recovery. Implications for practice include acknowledgement and inclusion of religion- and church-based health promotion in post-stroke recovery.
(Publisher abstract)
Subject terms:
stroke, quality of life, African Caribbean people, black and minority ethnic people, women, attitudes, religious beliefs, recovery, coping behaviour, life style;
The note of a study day which brought together different social perspectives to better understand mental distress and the social and personal issues that may connect with it. It looks models and frameworks to help move beyond just treating symptoms, providing frameworks that may be useful in giving meaning to experience, and enabling and supporting recovery. Specific areas discussed include:
(Edited publisher abstract)
The note of a study day which brought together different social perspectives to better understand mental distress and the social and personal issues that may connect with it. It looks models and frameworks to help move beyond just treating symptoms, providing frameworks that may be useful in giving meaning to experience, and enabling and supporting recovery. Specific areas discussed include: the social/trauma model; a Black perspective on social model approaches to mental health services; women: a social inequalities perspective; and Lesbian and gay perspectives on mental distress.
(Edited publisher abstract)
Subject terms:
models, mental health problems, recovery, black and minority ethnic people, social model, traumas, lesbians, gay men;
British Journal of Social Work, 45(S1), 2015, pp.i135-i152.
Publisher:
Oxford University Press
Although a recovery approach is relevant to older adults, a significant gap exists in social work literature regarding mental health recovery among ethnic/racial minority older adults. This paper explores the meaning of ‘recovery’ and the applicability of the Wellness Recovery Action Plan (WRAP), a recovery-based programme, to Japanese-Canadian older adults through qualitative data collected to facilitate the programme. Qualitative data analysis identified key themes of the participants' workshop experiences, including reaffirming self-worth, being positive (hope), being self-reflective and mindful, supporting each other and advocating for themselves. The participants experienced positive changes in line with Jacobson and Greenley's (2001) internal and external conditions for recovery; in particular, it found an unexpected long-term outcome: the formation of a peer support group by participants. Social work practice in recovery is discussed.
(Publisher abstract)
Although a recovery approach is relevant to older adults, a significant gap exists in social work literature regarding mental health recovery among ethnic/racial minority older adults. This paper explores the meaning of ‘recovery’ and the applicability of the Wellness Recovery Action Plan (WRAP), a recovery-based programme, to Japanese-Canadian older adults through qualitative data collected as part of an evaluation of two WRAP workshop series in a metropolitan city in Canada, 2010–12. All eight workshop participants (two male and six female, all Japanese speakers, aged sixty-four to eighty-nine years) took part in the study. A strength-based critical social work approach, which incorporates the understanding of resilience and hope and the intersectionality of oppression, was used to facilitate the programme. Qualitative data analysis identified key themes of the participants' workshop experiences, including reaffirming self-worth, being positive (hope), being self-reflective and mindful, supporting each other and advocating for themselves. The participants experienced positive changes in line with Jacobson and Greenley's (2001) internal and external conditions for recovery; in particular, it found an unexpected long-term outcome: the formation of a peer support group by participants. Social work practice in recovery is discussed.
(Publisher abstract)
Subject terms:
older people, ageing, Japanese people, recovery, strengths-based approach, mental health problems, intervention, black and minority ethnic people;
Journal of Social Work Practice in the Addictions, 15(2), 2015, pp.165-184.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
... with schizophrenia, alcohol, and drug use disorders demonstrated the greatest psychosocial deficits compared to all other groups observed. These findings underscore the need for social workers to optimise community services for this population, paying particular attention to the effects of race and its impact on recovery.
(Publisher abstract)
Few studies have examined the effects of race on community outcomes in cooccurring schizophrenia and substance use disorders. Such effects were examined among 1,370 Black and White persons classified as having schizophrenia; schizophrenia and alcohol use disorders; schizophrenia and drug use disorders; or schizophrenia, alcohol, and drug use disorders. Results revealed that Black individuals with schizophrenia, alcohol, and drug use disorders demonstrated the greatest psychosocial deficits compared to all other groups observed. These findings underscore the need for social workers to optimise community services for this population, paying particular attention to the effects of race and its impact on recovery.
(Publisher abstract)
Subject terms:
communities, black and minority ethnic people, schizophrenia, substance misuse, outcomes, drug misuse, alcohol misuse, recovery, comparative studies, psychosocial approach;
Sheffield Hallam University. Centre for Regional Economic and Social Research
Publication year:
2019
Pagination:
44
Place of publication:
Sheffield
A report of the qualitative findings from research with ten Black, Asian, and Minority Ethnic (BAME) people accessing a culturally sensitive, peer-led, drug and alcohol recovery support service in Nottingham. The service, the BAC-IN model, is based on the principle of being supported through addiction by those who have experienced addiction and offers therapeutic support, one-to-one, as a family or in a group. The research included repeat interviews with 10 individuals every six weeks to track their progress, understand their life experiences, histories of substance use and recovery pathways. By exploring the relationship between addiction, recovery, personal identity and cultural belonging, the research provides an insight into the multiple and complex factors shaping participants
(Edited publisher abstract)
A report of the qualitative findings from research with ten Black, Asian, and Minority Ethnic (BAME) people accessing a culturally sensitive, peer-led, drug and alcohol recovery support service in Nottingham. The service, the BAC-IN model, is based on the principle of being supported through addiction by those who have experienced addiction and offers therapeutic support, one-to-one, as a family or in a group. The research included repeat interviews with 10 individuals every six weeks to track their progress, understand their life experiences, histories of substance use and recovery pathways. By exploring the relationship between addiction, recovery, personal identity and cultural belonging, the research provides an insight into the multiple and complex factors shaping participants lives. The research also examines the key components of BAC-IN’s culturally responsive support model and compares them with interviewees’ experiences of other services. Direct quotations are included to highlight the voices of BAME people with addiction. Research participants identified a number of factors which led to their addiction, including racism, trauma, neglect and other adverse childhood experiences, and severe and multiple disadvantage. The research also highlights the value of peer-led services, combined with cultural responses where people’s values, beliefs and experiences are widely understood from the point of initial contact.
(Edited publisher abstract)
Subject terms:
black and minority ethnic people, recovery, addiction, ethnicity, cultural identity, peer support, substance misuse, user views, service provision, religious beliefs, counselling, group therapy;
Community Development Journal, 53(2), 2018, p.358–374.
Publisher:
Oxford University Press
Community development (CD) has been argued to be important in challenging discrimination and social exclusion faced by mental health service-users. This article focuses on the experience of Chinese mental health service-users in the United Kingdom and discusses what a CD approach might entail for their recovery. Based on a qualitative research, it was found that Chinese users look
(Edited publisher abstract)
Community development (CD) has been argued to be important in challenging discrimination and social exclusion faced by mental health service-users. This article focuses on the experience of Chinese mental health service-users in the United Kingdom and discusses what a CD approach might entail for their recovery. Based on a qualitative research, it was found that Chinese users look for self-determination in living arrangements and community participation as well as economic participation. The barriers that hindered the development of these capabilities suggests the problematic of ‘community control’ discourses, the importance for practitioners to understand cultural fluidity and the necessity for a transformative CD approach to tackle the intersecting structural inequalities that limit the life chances of Chinese service-users.
(Edited publisher abstract)
Subject terms:
Chinese people, black and minority ethnic people, service development, discrimination, community development, social exclusion, mental health problems, mental health services, self-determination, user views, service users, recovery, inequalities, multicultural approach;