Health Care Professional’s Opinions on Culture and Rehabilitation Services for Youth Experiencing Early Psychosis
DOI:
https://doi.org/10.61841/mgb68t64Keywords:
Early intervention in psychosis, occupational therapy,, cultural sensitivity,, person-environment- occupation,, familyAbstract
Background. Early intervention programs for youth experiencing early psychosis aim to facilitate access and community reintegration. Yet, the Mental Health Commission of Canada has identified stigma and discrimination in accessing and receiving mental health services as one of the primary obstacles to the community participation of persons with mental illness.
Purpose. To explore the opinions of expert health care professionals on the service barriers to community integration for youth with psychosis, in order to inform the improvement of a rehabilitation program.
Methods. Interview-based qualitative descriptive study (n=6) analyzed within the person-environment- occupation template.
Findings. The primary barriers to community participation are described within sociocultural environments. Specifically, the lack of culturally informed practices within clinical and rehabilitation care significantly contribute to client access and involvement in rehabilitation programs.
Implications. Cultural sensitivity and competency training for therapists can help to move policy into action for family-focused, values-based, early intervention rehabilitation practices.
Downloads
References
Bertolote, J. & McGorry, P. (2005). Early intervention and recovery for young people with early psychosis: consensus statement. British Journal of Psychiatry, 48, s116-s119. doi:10.1192/bjp.187.48.s116
Bruce, M. & Borg, B. (2002). Psychosocial Frames of Reference. Core for Occupation-Based Practice. 3rd Ed. New Jersey : Slack Inc.
Galarneau, D., Morissette, R. & Usalcas, J. (2013). What has changed for young people in Canada? Retrieved from http://www.statcan.gc.ca/pub/75-006-x/2013001/article/11847-eng.htm
Canadian Association of Occupational Therapists. (2007). Profile for Occupational Therapy Practice in Canada. Ottawa, ON : CAOT Publications, ACE. http://www.caot.ca/pdfs/otprofile.pdf
Hunt, M. (2007). Taking culture seriously : Considerations for physiotherapists. Physiotherapy, 93, 229-232. doi:10.1016/j.physio.2007.01.007
Immigration in Canada: A Portrait of the Foreign-born Population, 2006 Census: Portraits of major metropolitan centres. (2006). Retrieved from http://www12.statcan.gc.ca/census-recensement/2006/as-sa/97-557/p29-eng.cfm
Jackson, C. & Birchwood, M. (1996). Early intervention in psychosis: Opportunities for secondary prevention. British Journal of Clinical Psychology, 35, 487-502. doi:10.1111/j.2044-8260.1996.tb01206.x
Kirby, M. J. L., & Keon, W. J. (2006). Out of the shadows at last. Transforming mental health, mental illness and addiction services in Canada. Ottawa, ON: Canadian Senate: Committee on Social Affairs Science and Technology. Retrieved from http://www.parl.gc.ca.
Mattingly, C. (2010). The paradox of hope. Journeys through a clinical borderland. Los Angeles, CA: University of California Press
Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB. http://www.mentalhealthcommission.ca
Metzl, J.M. (2010). The Protest Psychosis: How Schizophrenia Became a Black Disease. Boston, MA: Beacon Press. Miles, M., Huberman, M. (1994) Qualitative data analysis. 2nd ed. London: Sage.
Robinson, D.G., Woerner, M.G., McMeniman, M., Mendeloqitz, A., & Bilder, R.M. (2004). Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder. American Journal of Psychiatry, 161, 473-479.
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing and Health, 23, 334-340. doi: 10.1002/1098-240X
Tohen, M., Strakowski, S.M., Zarate Jr., C., Hennen, J., Stoll, A.L., Suppes, T… Baldessarini, R.J. (2000). The McLean-Harvard first-episode project: 6-month symptomatic and functional outcome in affective and nonaffective psychosis. Biological Psychiatry, 48, 467-476.
Zafran, H., & Laporta, M. (2008). What are the key ingredients in early psychosis intervention? Program evaluation of a Montreal initiative: 1997-2007. . Paper presented at the 6th International Conference on Early Psychosis, Melbourne, Australia.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.