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Article
Publication date: 22 August 2023

Elizabeth Flanagan, Janis Tondora, Annie Harper, Patricia Benedict, Julienne Giard, Billy Bromage, Bridgett Williamson, Paul Acker, Cheri Bragg, Virginia Adams and Michael Rowe

This paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and…

Abstract

Purpose

This paper aims to describe the Recovering Citizenship Learning Collaborative (RCLC), a training, consultation and implementation effort for 13 local mental health authorities and two state hospitals.

Design/methodology/approach

The learning collaborative used a Recovering Citizenship approach, which holds that recovery occurs in the context of people’s lives in their communities and society, that is, their citizenship. The RCLC was implemented by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in the USA and the Yale Program for Recovery and Community Health along with lived experience leaders. The RCLC supported system change through training DMHAS staff on concepts of recovery and citizenship and developing agency action plans, with the long-term goal of improving citizenship-oriented care at the agency-level and recovery and citizenship-related outcomes for people receiving services.

Findings

Lessons learned include the importance of assessing organizational readiness for change, addressing leadership investment and attention to systemic barrier, and offering tools to promote structure and accountability. Next steps are supporting agency action plans through technical assistance, state-wide educational offerings and a resource library.

Research limitations/implications

Systemic barriers are considerable and must be addressed before system transformation is possible.

Practical implications

The authors are hopeful that the RCLC has been part of overcoming those challenges and can be a tool for building foundations for improving citizen practices and people’s citizenship-related outcomes.

Social implications

Next steps are sustaining agency action plans, ongoing agency-specific technical assistance, ongoing state-wide educational offerings and a resource library.

Originality/value

The RCLC has provided tools and supports to build the foundation for improved citizenship practices and client outcomes at the multiagency system level.

Details

Journal of Public Mental Health, vol. 22 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 7 May 2021

Linda Nesse, Geir Aamodt, Marianne Thorsen Gonzalez, Michael Rowe and Ruth Kjærsti Raanaas

Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and…

Abstract

Purpose

Engagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and quality of life. However, persons with co-occurring substance use and mental health problems experience extensive obstacles to engagement in occupations and citizenship. The relationship between objective measures of occupational status and subjective experiences of occupational meaningfulness, citizenship and recovery, is scarcely researched in the context of co-occurring problems. As such, the purpose of this study is to examine associations between occupational status, occupational meaningfulness, citizenship and recovery and quality of life and to examine the roles of occupational meaningfulness and citizenship as possible mediators between occupational status and recovery and quality of life.

Design/methodology/approach

The study used a cross-sectional design with a sample of 104 residents at supported housing sites across six Norwegian cities.

Findings

Linear regression analyzes indicated that occupational status was significantly associated with the citizenship domains caring for others and community participation and with the quality of life measure positive affect. Occupational meaningfulness and citizenship were significantly associated with different domains of recovery and quality of life. Furthermore, mediation analyzes showed that the relationship between occupational status and recovery and quality of life was mediated by caring for others and community participation.

Originality/value

The results suggest that emphasizing opportunities for occupational meaningfulness and citizenship in practice may have positive implications for recovery among persons with co-occurring problems.

Article
Publication date: 21 June 2019

Gillian MacIntyre, Nicola Ann Cogan, Ailsa Elizabeth Stewart, Neil Quinn, Michael Rowe and Maria O’Connell

People with lived experience of mental health problems (MHPs) are often marginalised and have difficulty achieving community inclusion. Citizenship, a relatively novel concept in…

Abstract

Purpose

People with lived experience of mental health problems (MHPs) are often marginalised and have difficulty achieving community inclusion. Citizenship, a relatively novel concept in mental health, provides a means of understanding what is necessary for marginalised individuals and groups to gain a sense of belonging within their communities. By exploring the “what, why, how and who” of citizenship, the purpose of this paper is to provide a rationale for the inclusion of citizenship as part of a person-centred and holistic mental health strategy.

Design/methodology/approach

A community-based participatory research (CBPR) approach, with peer researchers, was adopted to develop a model of citizenship within a Scottish context. The aim of the model is to link the concept of citizenship with specific strategies that systems, agencies and individuals can use within mental health policy and practice to promote greater inclusion and participation. Concept mapping was used as part of a mixed-methods participatory methodology and data were then analysed using multivariate statistical methods of multidimensional scaling and hierarchical cluster analysis.

Findings

It is argued that using a CBPR approach, utilising concept mapping, encourages the development of a model of citizenship that is entirely grounded in the perspectives and lived experiences of people with MHPs. The need for adequate resources, preparatory work, training, research management and reflexive practice are key to the success of a CBPR approach with peer researchers.

Originality/value

Working with peer researchers and key stakeholder groups is central to a CBPR approach and the implementation of a model of citizenship within mental health policy and practice. Developing a model of citizenship derived specifically from the experiences of people with lived experience is likely to promote their inclusion. It provides a means of challenging the structural deficits and inequalities that cause distress and prevent people with lived experience of MHPs of recovering their citizenship.

Details

Journal of Public Mental Health, vol. 18 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Open Access
Article
Publication date: 8 January 2018

Michael Rowe, Adele Irving and Sarah Soppitt

The purpose of this paper is to explore the under-considered perspectives of service users engaged in various community sentences based on a “strengths-based” approach to…

2337

Abstract

Purpose

The purpose of this paper is to explore the under-considered perspectives of service users engaged in various community sentences based on a “strengths-based” approach to desistance. Further to recent changes in the sector, the paper considers service user views for programmes delivered by combinations of agencies from private, public and third sectors.

Design/methodology/approach

The paper is based on analysis of 64 semi-structured interviews with users of four programmes, accompanied with informal fieldwork observations by the researchers as they carried out the research at the premises of service providers.

Findings

The research finds that service user perceptions of the legitimacy of programmes are closely related to their understanding of three key dimensions: first, the “authenticity” of those delivering the service; second, the instrumental (in broad terms) gains they expect from engagement; and third, their understanding of the identity and ethos of the programme.

Originality/value

The paper adds important understanding based on service user perceptions in a period when service provision is being diversified. Further directions for other research are identified and it is recognised that a limitation of the current study is that it incorporates a sample drawn from one area.

Details

Safer Communities, vol. 17 no. 2
Type: Research Article
ISSN: 1757-8043

Keywords

Article
Publication date: 24 September 2018

Michael Rowe and Michael Macauley

The purpose of this paper is to evaluate a long-term programme within a police service that sought to transform the policing of adult sexual assault cases through reforming case…

2006

Abstract

Purpose

The purpose of this paper is to evaluate a long-term programme within a police service that sought to transform the policing of adult sexual assault cases through reforming case management and investigation practices, as well as cultural perspectives among staff.

Design/methodology/approach

The study is based on a case-study approach of change and reform within a single police service. Fieldwork consisted of more than 240 semi-structured interviews and focus groups with police officers, civilian staff, victim advocates, crown prosecutors, defence lawyers, doctors and staff from victim specialist support agencies. Extensive documentary analysis supplemented the primary findings.

Findings

Changes to investigations of sexual assault were perceived to be wide-ranging and deeply embedded, and were regarded positively by police officers, staff and external agencies. These are identified in terms of improvements to initial reporting of offences, the development of more rigorous case management and investigations, and enhanced relations with external support agencies.

Research limitations/implications

The study is necessarily limited to one case study and the analysis would be usefully developed through further application to other police services.

Social implications

The findings have considerable implications for police leaders and managers and wider society. Victim support and recovery agencies benefit from the reforms outlined, and there are considerable consequences for wider criminal justice that continues to disadvantage victims.

Originality/value

The paper has considerable originality since it offers a “deep” and “thick” understanding of reform within a particular context. The programme of reform was highly unusual since it was designed and delivered over a ten-year period and addressed many aspects of police organisation.

Details

Policing: An International Journal, vol. 42 no. 3
Type: Research Article
ISSN: 1363-951X

Keywords

Article
Publication date: 2 March 2023

Gerald Jordan, Christina Mutschler, Sean A. Kidd, Michael Rowe and Srividya N. Iyer

Varying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual…

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.

Details

Journal of Public Mental Health, vol. 22 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Content available
Article
Publication date: 10 July 2017

Bagga Bjerge and Mike Rowe

Abstract

Details

Journal of Organizational Ethnography, vol. 6 no. 2
Type: Research Article
ISSN: 2046-6749

Article
Publication date: 2 May 2017

Stefanie Mauksch, Pascal Dey, Mike Rowe and Simon Teasdale

As a critical and intimate form of inquiry, ethnography remains close to lived realities and equips scholars with a unique methodological angle on social phenomena. This paper…

4171

Abstract

Purpose

As a critical and intimate form of inquiry, ethnography remains close to lived realities and equips scholars with a unique methodological angle on social phenomena. This paper aims to explore the potential gains from an increased use of ethnography in social enterprise studies.

Design/methodology/approach

The authors develop the argument through a set of dualistic themes, namely, the socio-economic dichotomy and the discourse/practice divide as predominant critical lenses through which social enterprise is currently examined, and suggest shifts from visible leaders to invisible collectives and from case study-based monologues to dialogic ethnography.

Findings

Ethnography sheds new light on at least four neglected aspects. Studying social enterprises ethnographically complicates simple reductions to socio-economic tensions, by enriching the set of differences through which practitioners make sense of their work-world. Ethnography provides a tool for unravelling how practitioners engage with discourse(s) of power, thus marking the concrete results of intervention (to some degree at least) as unplannable, and yet effective. Ethnographic examples signal the merits of moving beyond leaders towards more collective representations and in-depth accounts of (self-)development. Reflexive ethnographies demonstrate the heuristic value of accepting the self as an inevitable part of research and exemplify insights won through a thoroughly bodily and emotional commitment to sharing the life world of others.

Originality/value

The present volume collects original ethnographic research of social enterprises. The editorial develops the first consistent account of the merits of studying social enterprises ethnographically.

Details

Social Enterprise Journal, vol. 13 no. 02
Type: Research Article
ISSN: 1750-8614

Keywords

Content available
Article
Publication date: 2 November 2015

Bob Doherty

940

Abstract

Details

Social Enterprise Journal, vol. 11 no. 3
Type: Research Article
ISSN: 1750-8614

Article
Publication date: 1 September 2006

Michael Calnan, Rosemary Rowe and Vikki Entwistle

The aim of this paper is to draw together suggestions for future research from the papers and from the discussion that took place at the workshop.

1733

Abstract

Purpose

The aim of this paper is to draw together suggestions for future research from the papers and from the discussion that took place at the workshop.

Design/methodology/approach

The suggestions are summarised under four broad themes.

Findings

At an international workshop on trust organised by the UK MRC Health Services Research Collaboration there was broad agreement that trust was still a salient issue in diverse health care contexts. The workshop proceedings identified a number of important questions for empirical research and several key conceptual, theoretical and methodological questions relating to trust that need to be addressed in support of or alongside this. The collection of papers in this volume starts to address some of these questions.

Originality/value

Considers trust relations in health care from patient, clinical, organisational and policy perspectives.

Details

Journal of Health Organization and Management, vol. 20 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

1 – 10 of 503