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ObjectivesTo lay the groundwork for the arrival of Recovery Mentors (RMs) in some of its multidisciplinary teams, a Continuing Professional Development (CPD) conference was organized in a large public agency in the province of Quebec, Canada. The aim was to come up collectively with recommendations to improve access to recovery-oriented care and services for this vulnerable population by recognizing the epistemic value of their lived experience.MethodsA series of workshops were organized among health professionals to reflect on their practice and to discuss the role of RMs for improving epistemic equity and recognition of the experiential knowledge. In preparation for these workshops participants completed the Recovery Self-Assessment (RSA). The RSA is a 32-item questionnaire designed to gauge the degree to which programs implement recovery-oriented practices, which should notably include RMs in multidisciplinary teams (five-point Likert scale: 1= strongly disagree ; 5 = strongly agree). The interactive workshops were hosted by RMs as trainers who first shared their lived experience and understanding of recovery.ResultsEighty-height of the 105 participants completed the RSA. The highest score on the RSA was for the item Staff believe in the ability of program participants to recover (mean = 4.2/5). The lowest score was for the item People in recovery are encouraged to attend agency advisory boards and management meetings (mean = 2.2/5). Based on the average inter-item correlation, a reliability test confirmed an excellent internal consistency for the French RSA scale, with a Cronbach's Alpha of .9. Means and standard deviation for each item of the RSA questionnaires were calculated. The results did not differ by participant characteristics. Results to the RSA and results from the workshops that were co-hosted by RMs were reported in the plenary session and further discussed. The workshops, the RSA and the whole CPD conference raised awareness among health professionals about stigmatizing attitudes and epistemic inequity in actual service provision.ConclusionRMs could be invited to actively participate and attend advisory boards and management meetings more frequently and on a more regular basis for ongoing quality improvement towards better access to recovery-oriented practices. This CPD conference has shown the acceptability and feasibility of including RMs as trainers for better recognition of the epistemic value of the experiential knowledge of recovery. They can help health professionals to recognize and better appreciate service users as knowers and potential contributors to knowledge.
ObjectivesTo lay the groundwork for the arrival of Recovery Mentors (RMs) in some of its multidisciplinary teams, a Continuing Professional Development (CPD) conference was organized in a large public agency in the province of Quebec, Canada. The aim was to come up collectively with recommendations to improve access to recovery-oriented care and services for this vulnerable population by recognizing the epistemic value of their lived experience.MethodsA series of workshops were organized among health professionals to reflect on their practice and to discuss the role of RMs for improving epistemic equity and recognition of the experiential knowledge. In preparation for these workshops participants completed the Recovery Self-Assessment (RSA). The RSA is a 32-item questionnaire designed to gauge the degree to which programs implement recovery-oriented practices, which should notably include RMs in multidisciplinary teams (five-point Likert scale: 1= strongly disagree ; 5 = strongly agree). The interactive workshops were hosted by RMs as trainers who first shared their lived experience and understanding of recovery.ResultsEighty-height of the 105 participants completed the RSA. The highest score on the RSA was for the item Staff believe in the ability of program participants to recover (mean = 4.2/5). The lowest score was for the item People in recovery are encouraged to attend agency advisory boards and management meetings (mean = 2.2/5). Based on the average inter-item correlation, a reliability test confirmed an excellent internal consistency for the French RSA scale, with a Cronbach's Alpha of .9. Means and standard deviation for each item of the RSA questionnaires were calculated. The results did not differ by participant characteristics. Results to the RSA and results from the workshops that were co-hosted by RMs were reported in the plenary session and further discussed. The workshops, the RSA and the whole CPD conference raised awareness among health professionals about stigmatizing attitudes and epistemic inequity in actual service provision.ConclusionRMs could be invited to actively participate and attend advisory boards and management meetings more frequently and on a more regular basis for ongoing quality improvement towards better access to recovery-oriented practices. This CPD conference has shown the acceptability and feasibility of including RMs as trainers for better recognition of the epistemic value of the experiential knowledge of recovery. They can help health professionals to recognize and better appreciate service users as knowers and potential contributors to knowledge.
Le Plan d’action en santé mentale 2015-2020, du ministère de la Santé et des services sociaux du Québec, comprend des mesures « favorisant le plein exercice de la citoyenneté ». Il mise sur la mobilisation de tous les partenaires. Participation aux instances et citoyenneté vont de pair, mais jusqu’à récemment il n’existait pas de mesure de la citoyenneté qui aurait permis d’observer empiriquement d’éventuelles avancées en cette matière. Nous avons utilisé les résultats d’une nouvelle mesure de la citoyenneté validée pour structurer des groupes de discussion avec 18 usagers de services de santé mentale québécois ; ils ont ainsi commenté les résultats à la mesure administrée auprès de 800 autres répondants. Pour mener l’évaluation, deux types de données ont été mis à contribution de manière croisée, soit dans le cadre d’une méthode mixte. En effet, des données quantitatives ont été générées à partir des résultats à la mesure de la citoyenneté, tandis que des entrevues de groupe ont permis de produire des données qualitatives ici présentées sous forme d’extraits de ces entrevues. Avec 57,9 %, c’est pour la dimension « implication dans la communauté » que le résultat est le plus faible. Les participants aux entrevues de groupe ont commenté ce résultat en suggérant que l’implication dans la communauté se manifeste souvent d’abord par l’exercice d’un travail ; c’est d’ailleurs pour la question « Vous avez accès à du travail » que le score est le plus faible d’entre tous les 23 items, à égalité avec la possibilité d’influencer la communauté (50,3 %). D’autre part, le fait que ce soit pour l’item « Vous êtes traités avec dignité et respect » que le résultat soit le plus élevé s’explique peut-être par la possibilité que, en prenant davantage conscience de l’influence des déterminants sociaux (ce n’est donc pas volontairement que nous serions malades ou sans-emploi), les participants se regardent eux-mêmes avec plus de dignité et de respect. Ils sentent que le système public les considère davantage comme citoyens à part entière puisqu’il sollicite leur participation. La mesure de la citoyenneté s’est avérée pertinente pour soulever de tels enjeux.Objectives The Global Model of Public Mental Health is “global” not only in the sense of having an international perspective, but in regarding service users as actors at all levels of public mental health exerting collective and organized influence on the social determinants of health, in addition to being recipients of care. Having access to appropriate health and mental health care when needed is a fundamental human right. Having a say over the manner in which care is provided, including partnership in decision making in care planning and ongoing care, has gained increasing support among recipients and providers of care. Over the past ...
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