Data Analytics, Research and Evaluation Department, Canadian Mental Health Association, Toronto Branch, 700 Lawrence Ave. West, Ste 480, Toronto, ON, M6A 3B4, Canada.
Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St. West, Toronto, ON, M5S 1V4, Canada.
Community Ment Health J. 2023 Oct;59(7):1352-1363. doi: 10.1007/s10597-023-01122-0. Epub 2023 Apr 25.
Across jurisdictions, the use of 'leverage' to promote adherence to mental health treatment is widespread. However, little research exists on the possible association between the application of leverage and personal recovery. We examined the prevalence of various forms of leverage in a Canadian context and compared these rates with those in other jurisdictions. Additionally, we examined the relationship between two prominent forms of leverage (financial and housing) and the experience of personal recovery. Structured interviews were conducted with people receiving community-based mental health care in Toronto, Canada. Rates of overall leverage in our sample were similar to rates reported in other jurisdictions. Personal recovery was negatively associated with financial leverage but was not associated with housing leverage. Our results highlight the importance of separately examining the relationship of specific forms of leverage and personal recovery and raise questions for future research about the possible effect of financial leverage on recovery.
在不同司法管辖区，利用“杠杆作用”来促进精神健康治疗的依从性已较为普遍。然而，关于应用杠杆作用与个人康复之间可能存在的关联的研究却很少。我们在加拿大背景下检查了各种形式的杠杆作用的流行程度，并将这些比率与其他司法管辖区的比率进行了比较。此外，我们还研究了两种突出的杠杆作用形式（财务和住房）与个人康复体验之间的关系。我们在加拿大多伦多对接受社区为基础的精神卫生保健的人员进行了结构式访谈。我们样本中的总体杠杆作用比率与其他司法管辖区报告的比率相似。个人康复与财务杠杆作用呈负相关，但与住房杠杆作用无关。我们的研究结果强调了分别检查特定形式的杠杆作用与个人康复之间的关系的重要性，并为未来研究关于财务杠杆作用对康复的可能影响提出了问题。
