Mental Health Reform, Economic Globalization and the Practice of Citizenship

MorrowMarina,

doi:10.7870/cjcmh-2004-0012

Cited by 17 publications

(13 citation statements)

References 32 publications

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“…Crabtree and Chong () place citizenship at the center of a dialog between individuals and the state, with mental health of individuals and society sharing the center as imperative to the health of democratic societies. Morrow () employs citizenship to identify between mental health reform on one hand and cost containment on the other and argues for the voices and participation of mental health‐care recipients in this debate. Finally, Prior () links theories of citizenship and human rights to confronting the stigmatization of persons with mental illness and to activism for their access to housing, employment, and family life.…”

Section: Citizenship: Origins and Definitionmentioning

confidence: 99%

“…Of Janoski's () four citizenship rights, it may be tilted toward social and participation rights, but only as a balance to the more traditionally citizenship‐identified Rs of rights and responsibilities. Like Duffy (), Mouffe (), and Morrow (), our citizenship framework also emphasizes the participation of peers—persons with lived experience of mental illness—in its production and processes. Peers, in fact, have been centrally involved in citizenship community‐building efforts (Rowe, ; Rowe et al., ).…”

Section: Citizenship: Origins and Definitionmentioning

confidence: 99%

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Citizenship and Community Mental Health Care

Ponce

Rowe

2018

American J of Comm Psychol

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Citizenship is an approach to supporting the social inclusion and participation in society of people with mental illnesses. It is receiving greater attention in community mental health discourse and literature in parallel with increased awareness of social determinants of health and concern over the continued marginalization of persons with mental illness in the United States. In this article, we review the definition and principles of our citizenship framework with attention to social participation and access to resources as well as rights and responsibilities that society confers on its members. We then discuss our citizenship research at both individual and social-environmental levels, including previous, current, and planned efforts. We also discuss the role of community psychology and psychologists in advancing citizenship and other themes relevant to a citizenship perspective on mental health care and persons with mental illness.

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Section: Citizenship: Origins and Definitionmentioning

confidence: 99%

Section: Citizenship: Origins and Definitionmentioning

confidence: 99%

Citizenship and Community Mental Health Care

Ponce

Rowe

2018

American J of Comm Psychol

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“…Indeed, mental health care services, be they clinical housing, disabilitybased income support, or treatment services, are all directed towards the reproduction of labelled people. As a set of services for social reproduction, mental health care is shaped by the prevailing economic ideology and dominant understandings of mental illness communicated through social policy (Morrow, 2004) as well as through processes of service provisioning. Together, economic ideology and the dominant understandings of mental illness define who is targeted by or has access to the system, what kind of services are provided, and, importantly, what goals are informing this system of 'care.'…”

Section: Methodsmentioning

confidence: 99%

Intimate constraints: a feminist political economy analysis of biological reproduction and parenting in high-support housing in Ontario

Haley¹

2017

Palgrave Commun

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To date there has been little consideration of the role of housing programs in conditioning the intimate lives of people living with mental illness labels. This article employs a Feminist Political Economy lens with insights from Mad & Disability Studies to interrogate the intimate constraints experienced by some residents in high-support mental health housing in Ontario, Canada. It demonstrates that long-standing medicalized notions of mental illness and system-wide anxiety over the social and financial costs of the reproduction of disabled bodies give rise to these intimate constraints, specifically limitations and control over biological reproduction and parenting practices. In this way, the mechanisms of intimate constraint within high-support housing are not merely holdovers from a time gone by, but are rather part of a mental health care system guided by the principles of neoliberalism under which neo-eugenics is regularly enacted. This is a timely contribution, as the province of Ontario is currently planning to expand the supportive housing system within which highsupport housing is situated and because high-support housing in Ontario is rarely studied in relation to feminist political economy and/or mental health care. This article draws on documentary review of governmental and third-sector materials and 38 semi-structured interviews with service providers and residents in the high-support housing system in Ontario. It situates intimate constraints within the long history of eugenics and neo-eugenics in Ontario and Canada, and the classed, raced, and gendered hierarchy of human bodies that is taking on new forms under neoliberalism.

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“…Deinstitutionalization of mental health services began in Canada and other countries in the 1960s-70s with the rapid closure of psychiatric hospitals followed by further reductions in general hospital admissions for mental health in the 1990s (85). In most countries, the motivations for this change included breakthroughs in pharmaceutical treatments (86) combined with an emphasis on human rights and social inclusion of persons with mental illness (87), and the expectation of better outcomes in the community (88).…”

Section: Trans-institutionalization and The Criminal Justice Systemmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Mental Health Reform, Economic Globalization and the Practice of Citizenship

Cited by 17 publications

References 32 publications

Citizenship and Community Mental Health Care

Citizenship and Community Mental Health Care

Intimate constraints: a feminist political economy analysis of biological reproduction and parenting in high-support housing in Ontario

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

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