An equality of condition framework for user involvement in mental health policy and planning: evidence from participatory action research

Discussions about user involvement in the mental health services tend to throw up four major areas of concern: the capacity of service users to participate, their lack of participation skills, the need for a positive organisational culture and the need for arenas of participation. This article presents evidence from participatory action research with Irish mental health service users which explored how they could more equally participate in advisory committees. Participants identified barriers to their equal participation due to unequal cultural, physical, mental and economic resources, time, power, ‘stigma’(prejudice) and lack of respect for their experiential knowledge and emotional expression. These barriers fall within the ‘equality of condition framework’ developed by Baker and colleagues. Enabling equal user involvement in strategic decision‐making requires more than arenas of participation – it requires comprehensively addressing service users’ structural disadvantages throughout the process of involvement.     

城市老年人社会活动参与对其健康的影响--基于CHARLS 2011年数据

基于2011年“中国健康与养老追踪调查”全国基线调查数据,研究城市老年人社会活动参与对其健康的影响。研究结果发现社会活动参与对老年人日常生活活动能力、抑郁情绪均有显著影响。社会活动参与越多的老年人,在日常生活活动能力方面表现得越好;抑郁情绪也越少。可见,社会活动参与能有效改善老年人的健康水平。本文的研究结论支持了活动理论的观点,即老年人参与社会活动,可以增进他们的身体和心理健康水平。此外,本文还发现性别、年龄、婚姻状况、医疗保险、吸烟、喝酒等变量均对老年人健康有显著影响。     

“Post-Gay” Yet? The Relevance of the Lesbian and Gay Scene to Same-Sex Attracted Young People in Contemporary Australia

In recent years, the lesbian and gay “scene” of bars, nightclubs, and dance parties has been undergoing a structural decline in many Western cities. This article aimed to examine the relevance of the scene to same-sex attracted young adults amid these changes. An online survey was conducted with 572 same-sex attracted young women and men in Sydney. Only a minority of respondents participated in the scene at least weekly (16%), and the majority did not regard the scene as important to their leisure time (60%). However, respondents valued the scene as a space to connect with other same-sex attracted people and display same-sex affection without fear of hostility. Lesbian and gay identified respondents tended to be more socially engaged with the scene compared to other same-sex attracted respondents. The findings suggest that while the scene continues to be valued by many same-sex attracted young people, improved social attitudes have made participating in the scene less of an imperative.     

The relationship between Black and gay community involvement and HIV-related risk behaviors among Black men who have sex with men

Black gay men must navigate identities and stigmas related to being gay and Black, and report higher HIV incidence relative to their White male counterparts although they report lower rates of drug use and risky sexual behaviors. This study examined whether closeness to the gay or Black community correlated with HIV-related risk and protective behaviors. Data were drawn from uConnect, a population-based cohort study of young Black men who have sex with men (YBMSM) on Chicago's South Side. The sample consists of 618 Black MSM ranging in age from 16 to 29. Cross-sectional measures for this study include Black and gay community closeness, drug use, sexual risk behaviors, HIV testing, and health promotion behaviors. Closeness with the gay community was associated with greater pre-exposure prophylaxis (PrEP) knowledge as well as participating in health promotion programs along with higher rates of transactional sex and having sex under the influence of substances, and increased odds of self-reported HIV seropositivity. Involvement in the Black community was associated with lower odds of reporting being HIV positive. Findings suggest that programs and initiatives are needed to help promote the positive aspects of the Black and gay communities, while minimizing the negative correlates of such involvements.     

Postmigration Living Difficulties,Help-Seeking and Community Resilience in the Initial Stages of Migration: Coproducing Community Practice with Recent Irish Migrants to London

This article describes a community-based participatory action research (CBPAR) project that examined the postmigration living difficulties (PMLD), help-seeking and community resilience of recent Irish migrants to London (n = 176). The majority of respondents were young adults, in managerial or professional occupations and in good or very good health. Mixed methods indicate inadequate planning for relocation and poor social support as the main difficulties in the initial stages of migration. Community factors promoting resilience included employment opportunities, local and transnational supports, and cultural familiarity and acceptance. Community participation in the action orientated phase of this CBPAR is discussed.     

Exploring the Ebbs and Flows of Community Engagement: The Pyramid of Engagement and Water Activism in Two Canadian Communities

In this article, we share results from a comparative study exploring the dynamics of community engagement surrounding local water advocacy organizations in two Canadian communities. Although emergent local issues and the perception of crisis triggered some short-term community engagement, social factors such as collective identity, a sense of community, and sense of efficacy appear to be more important for sustaining and deepening engagement. Drawing on the results, we show how the pyramid of engagement, by depicting activist engagement as a multilevel, developmental process, can serve as a useful tool for community engagement scholars and practitioners alike.     

Interwoven migration narratives: identity and social representations in the Lusophone world

This article provides an exploratory analysis of the life narratives of migrants in the Portuguese-speaking world. By interweaving the life experiences of eight participants in three thematic clusters – ‘shared past’, language and sense of community – we propose a critique of the deep-seated idea of the Lusophone space as a community constructed by the harmonious conviviality of different countries and people. Drawing on contributions from cultural studies, social psychology, anthropology and sociology, we first aim to give voice to the human subjects who embark on migrations and then to understand how the engendered process of identity construction is framed by their social world, simultaneously reframing it. Thus, we aim at shedding light on the ways in which aspects of the political discourses on Lusophony are used (and are instrumental) to the migrants’ identity narrative (re)construction.     

Young people’s perceptions of power and influence as a basis for understanding contemporary citizenship

Persistent simplistic binary discourses of young people’s citizenship portray them either as civically deficit and disengaged citizens or the creators of new democratic modes and approaches. This paper draws on field research with two groups of young people in Australia to better recognise the nuance of young people’s experiences of citizenship, power and influence. The study investigated the extent to which different groups of young people believe that they have the power to influence society; the ways in which they seek this influence; the current barriers to their influence; and what would enable them to have greater influence. Our analysis in this paper draws on Lukes’ concepts of power [2005. Power: A Radical View. 2nd ed. London: Palgrave Macmillan] and Arvanitakis’ framework of citizenship engagement and empowerment [in Arvanitakis, J., and E. Sidoti. 2011. “The Politics of Change: Where to for Young People and Politics.” In Their Own Hands: Can Young People Change Australia?, edited by L. Walsh and R. Black, 11–20. Melbourne: ACER Press], but also builds on an emerging scholarship concerned with the geographic dimensions of young people’s citizenship engagement and action, as well as with the affective, relational and temporal dimensions of this engagement and action. Our findings suggest that power works in different ways to both constrain and liberate young people as citizens – sometimes at the same time. The paper concludes with an argument for the continuing need to understand young people’s lived and located experiences of engagement, power and influence in more nuanced and sophisticated ways. This includes reframing the discussion about young people’s experiences in terms of the nature of their democratic engagement and action rather than simply their citizenship.     

Toward a genealogy of the liberal government of youth

While discourses that define and demarcate young people such that they become legitimate targets of negative practices of marginalisation and exclusion have not disappeared, these are no longer the dominant discourses and modes of governing youth. Constructions of youth as self-determining subjects and empowerment polices of youth participation increasingly animate contemporary approaches to governing young people throughout the West and beyond. Until recently, the dominant critique of such developments consisted of accusations of failed attempts to realise certain principles in practice or of their ideological functions. There is however an emerging critical youth studies literature that analyses such developments drawing on the work of Beck and Foucault’s notion of ‘governmentality’. In this paper, I argue that while these studies challenge some of the assumptions upon which such developments rest, they are yet to challenge the extent to which these contemporary ways of constructing and governing youth are new. Using Foucault’s genealogical method my research traces an unacknowledged nineteenth century history of these common ways of constituting and governing youth today. To conclude I consider the strategic usefulness and ramifications of these findings for critical youth studies and policies of youth participation.     

Does compassion go viral? Social media,caring, and the Fort McMurray wildfire

ABSTRACT

In May 2016, an enormous wildfire threatened the city of Fort McMurray, Alberta and forced the evacuation of all of the city’s residents. Outpourings of support teemed in from all across Canada and over the world, prompting the largest charitable response in Canadian Red Cross history. This paper examines Albertans’ response to the wildfire by exploring caring and helping behaviors as well as the role of social media in facilitating these remarkable charitable efforts. The paper uses mixed methods including an analysis of the most popular Tweets related to the wildfire and an Alberta survey collected months after the disaster. The analysis of tweets reveals that care, concern, and invitations to help were prominent in social media discourse about the wildfire. The analysis of survey data demonstrates that those who followed news about the wildfire on social media express higher overall levels of care and concern for those affected, which led to helping those impacted by the wildfire. The findings provide important insights about the role of social media in disaster relief and recovery as well as citizens’ civic engagement.