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Making the case for citizenship-oriented mental healthcare for youth in Canada

Gerald Jordan (Centre for Urban Wellbeing, School of Psychology, College of Life and Environmental Science, University of Birmingham, Birmingham, UK)
Christina Mutschler (Department of Psychology, Ryerson University, Toronto, Canada)
Sean A. Kidd (Centre for Addiction and Mental Health, Toronto, Canada)
Michael Rowe (Department of Psychiatry, Yale University, New Haven, Connecticut, USA)
Srividya N. Iyer (Department of Psychiatry, Douglas Research Centre, Montreal, Canada)

Journal of Public Mental Health

ISSN: 1746-5729

Article publication date: 2 March 2023

Issue publication date: 27 March 2023

78

Abstract

Purpose

Varying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual resources to promote recovery (e.g., agency) to the exclusion of addressing structural issues that influence recovery (e.g. poverty). One response to this criticism has been work helping people with mental health problems recover a sense of citizenship and sense of belonging in their communities. Work on citizenship has yet to influence youth mental healthcare in Canada’s provinces and territories. This paper aims to highlight ways that youth mental healthcare can better help youth recover a sense of citizenship.

Design/methodology/approach

The arguments described in this paper were established through discussion and consensus among authors based on clinical experience in youth mental health and an understanding of Canada’s healthcare policy landscape, including current best practices as well as guidelines for recovery-oriented care by the Mental Health Commission of Canada.

Findings

Here, this study proposes several recommendations that can help young with mental health problems recover their sense of citizenship at the social, systems and service levels. These include addressing the social determinants of health; developing a citizenship-based system of care; addressing identity-related disparities; employing youth community health workers within services; adapting and delivering citizenship-based interventions; and connecting youth in care to civic-oriented organizations.

Originality/value

This paper provides the first discussion of how the concept of citizenship can be applied to youth mental health in Canada in multiple ways. The authors hope that this work provides momentum for adopting policies and practices that can help youth in Canada recover a sense of citizenship following a mental health crisis.

Keywords

Acknowledgements

The authors would like to thank Megan Pope for providing editorial feedback on this paper. Gerald Jordan has received funding to support his doctoral and postdoctoral research from the McGill Department of Psychiatry; the Franke Program in Science and the Humanities; the Fonds de recherche du Québec – Santé Doctoral and Postdoctoral Fellowship programs; as well as the Canadian Institutes of Health Research Fellowship and Strategies for Patient Oriented Research – Transition to Leadership Programmes. These funding bodies played no role in the current paper.

Citation

Jordan, G., Mutschler, C., Kidd, S.A., Rowe, M. and Iyer, S.N. (2023), "Making the case for citizenship-oriented mental healthcare for youth in Canada", Journal of Public Mental Health, Vol. 22 No. 1, pp. 3-11. https://doi.org/10.1108/JPMH-06-2022-0055

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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