Jordan Gerald, Burke Laura, Bailey Julia, Kreidstein Sof, Iftikhar Myera, Plamondon Lauren, Young Courtney, Davidson Larry, Rowe Michael, Bellamy Chyrell, Abdel-Baki Amal, Iyer Srividya N
Department of Psychiatry, McGill University, Montreal, QC, Canada.
Yale Program for Recovery and Community Health, Department of Psychiatry, Yale University, New Haven, CT, United States.
Front Psychiatry. 2022 May 18;13:852947. doi: 10.3389/fpsyt.2022.852947. eCollection 2022.
Multiple stakeholders have recently called for greater research on the barriers to citizenship and community belonging faced by people with mental health challenges. Citizenship has been defined as a person's access to the rights, roles, responsibilities, resources and relationships that help people feel a sense of belonging. Factors that may impact citizenship include financial precarity; intersecting forms of marginalization and oppression (e.g., racism); and the mental health care people receive. Research has yet to examine experiences of citizenship among youth with mental health challenges. To address this gap, this study will examine how youth experience citizenship; predictors of citizenship; how citizenship shapes recovery; and the degree to which youth are receiving citizenship-oriented care.
The research objectives will be evaluated using a multiphase mixed methods research design. Quantitative data will be collected cross-sectionally using validated self-report questionnaires. Qualitative data will be collected using a hermeneutic phenomenological method using semi-structured interviews and focus groups.
Multiple stepwise regression analyses will be used to determine predictors of citizenship and if of citizenship predict recovery. Pearson correlations will be computed to determine the relationship between participants' perceived desire for, and receipt of citizenship-oriented care. Phenomenological analysis will be used to analyze qualitative data. Findings will then be mixed using a weaving method in the final paper discussion section.
Findings from this study may support the development of citizenship-oriented healthcare in Canada.
最近,多个利益相关方呼吁对心理健康有挑战的人群在获得公民身份和社区归属感方面所面临的障碍展开更多研究。公民身份被定义为个人获得有助于人们产生归属感的权利、角色、责任、资源和关系。可能影响公民身份的因素包括经济不稳定;多种形式的边缘化和压迫(如种族主义);以及人们接受的心理健康护理。目前尚未有研究考察有心理健康挑战的青少年的公民身份体验。为填补这一空白,本研究将考察青少年如何体验公民身份;公民身份的预测因素;公民身份如何影响康复;以及青少年接受以公民身份为导向的护理的程度。
研究目标将采用多阶段混合方法研究设计进行评估。定量数据将通过经过验证的自我报告问卷进行横断面收集。定性数据将采用诠释现象学方法,通过半结构化访谈和焦点小组收集。
将使用多个逐步回归分析来确定公民身份的预测因素以及公民身份是否能预测康复。将计算皮尔逊相关性以确定参与者对以公民身份为导向的护理的感知需求与接受情况之间的关系。将使用现象学分析来分析定性数据。然后在论文的最终讨论部分采用编织法对研究结果进行整合。
本研究的结果可能会支持加拿大以公民身份为导向的医疗保健的发展。