1. Sante Ment Que. 2014 Spring;39(1):175-93.
[Public participation and civic participation of service users in relation to the
Mental Health Action Plan 2005-2010: their spokesperson function].
[Article in French]
Pelletier JF(1), D'Auteuil S(2), Ducasse C(3), Rodriguez Del Barrio L(4).
Author information:
(1)Département de psychiatrie, Université de Montréal; Centre de recherche de
l'Institut universitaire en santé mentale de Montréal; FRQ-S; Instituts de
recherche en santé du Canada.
(2)Portes-voix du Rétablissement.
(3)Centre de recherche de l'Institut universitaire en santé mentale de Montréal.
(4)École de service social, Université de Montréal; Alliance internationale de
recherche universités-communautés Santé mentale et citoyenneté
CONTEXT: Among the guiding principles of the Mental Health Action Plan 2005-2010
(MHAP) of the Quebec Ministère de la santé et des services sociaux (Health and
Social Services) is the recognition that persons who use mental health services
(consumers) can be active agents of their own individual and collective recovery
journey. In accordance with this principle, the MHAP called for greater
participation of consumers in local, regional and national decision-making bodies
within the network of health and social services in Quebec.
OBJECTIVE: The objectives of this article are to look back on the various forms
of consumers' participation in connection with the MHAP since its enactment, and
to better understand the complexities of being spokespersons through the Actor
Network Theory conceptual framework.
METHOD: A scientific literature review was conducted. Different angles of
analysis were used to highlight convergences and trends based on official
governmental publications and ongoing research on consumers' participation in
decision and policy making. It was thought that a vertical case study approach
would offer an historical perspective going back to the early 1960s to discuss
the foundations of an "ideology of participation." Another way of assessing
participation is through a horizontal approach that would compare the terms of
participation implemented from one regional authority to the other, in order to
cover most of the Quebec territory.
RESULTS: The MHAP did not provide clear indicators of how to assess progress made
with regards to greater consumer participation. In some regions of Quebec, this
participation was coordinated by community organizations that designated their
representatives. In other regions, local authorities included consumers on a more
individual basis to give their opinion. As all were not at the same stage in
their recovery process, some were in a position to speak using the "we," while
others still needed to express themselves using the "I." In either case, their
function as spokespersons proved to be a bi-directional function. In one
direction, the spokesperson informed the governmental and institutional
stakeholders about the expectations of consumers and about their daily life
realities. In the other way, they were able to explain and make more intelligible
the intricacies of the system with a lay language, which helped non specialists
they encountered to remain informed partners, even though indirectly. As they
shared their experience as spokespersons with their peers, their peers were able
to get a clearer understanding of the progress made to effectively promote active
and effective participation. The lack of clear expectations and dedicated means
to support participation, induced discrepancies from one region to another,
making it difficult, though, to assess progress made overall.
CONCLUSION: As the function of spokesperson got more professionalized with
increased opportunities to participate in policy and decision-making,
spokespersons spoke from an "us" rather than an "I" standpoint. The concept of
public participation evolved to one of civic participation, with the possibility
to transcend the "us" and "them" dichotomy, as members of a community are all
citizens to one another. Still, the terms and conditions of participation could
be better defined and more predictable for greater equity in terms of access to
different levels of policy and decision-making.
PMID: 25120121 [PubMed - indexed for MEDLINE]
1. Sante Ment Que. 2014 Spring;39(1):175-93.
[Public participation and civic participation of service users in relation to the
Mental Health Action Plan 2005-2010: their spokesperson function].
[Article in French]
Pelletier JF(1), D'Auteuil S(2), Ducasse C(3), Rodriguez Del Barrio L(4).
Author information:
(1)Département de psychiatrie, Université de Montréal; Centre de recherche de
l'Institut universitaire en santé mentale de Montréal; FRQ-S; Instituts de
recherche en santé du Canada.
(2)Portes-voix du Rétablissement.
(3)Centre de recherche de l'Institut universitaire en santé mentale de Montréal.
(4)École de service social, Université de Montréal; Alliance internationale de
recherche universités-communautés Santé mentale et citoyenneté
CONTEXT: Among the guiding principles of the Mental Health Action Plan 2005-2010
(MHAP) of the Quebec Ministère de la santé et des services sociaux (Health and
Social Services) is the recognition that persons who use mental health services
(consumers) can be active agents of their own individual and collective recovery
journey. In accordance with this principle, the MHAP called for greater
participation of consumers in local, regional and national decision-making bodies
within the network of health and social services in Quebec.
OBJECTIVE: The objectives of this article are to look back on the various forms
of consumers' participation in connection with the MHAP since its enactment, and
to better understand the complexities of being spokespersons through the Actor
Network Theory conceptual framework.
METHOD: A scientific literature review was conducted. Different angles of
analysis were used to highlight convergences and trends based on official
governmental publications and ongoing research on consumers' participation in
decision and policy making. It was thought that a vertical case study approach
would offer an historical perspective going back to the early 1960s to discuss
the foundations of an "ideology of participation." Another way of assessing
participation is through a horizontal approach that would compare the terms of
participation implemented from one regional authority to the other, in order to
cover most of the Quebec territory.
RESULTS: The MHAP did not provide clear indicators of how to assess progress made
with regards to greater consumer participation. In some regions of Quebec, this
participation was coordinated by community organizations that designated their
representatives. In other regions, local authorities included consumers on a more
individual basis to give their opinion. As all were not at the same stage in
their recovery process, some were in a position to speak using the "we," while
others still needed to express themselves using the "I." In either case, their
function as spokespersons proved to be a bi-directional function. In one
direction, the spokesperson informed the governmental and institutional
stakeholders about the expectations of consumers and about their daily life
realities. In the other way, they were able to explain and make more intelligible
the intricacies of the system with a lay language, which helped non specialists
they encountered to remain informed partners, even though indirectly. As they
shared their experience as spokespersons with their peers, their peers were able
to get a clearer understanding of the progress made to effectively promote active
and effective participation. The lack of clear expectations and dedicated means
to support participation, induced discrepancies from one region to another,
making it difficult, though, to assess progress made overall.
CONCLUSION: As the function of spokesperson got more professionalized with
increased opportunities to participate in policy and decision-making,
spokespersons spoke from an "us" rather than an "I" standpoint. The concept of
public participation evolved to one of civic participation, with the possibility
to transcend the "us" and "them" dichotomy, as members of a community are all
citizens to one another. Still, the terms and conditions of participation could
be better defined and more predictable for greater equity in terms of access to
different levels of policy and decision-making.
PMID: 25120121 [PubMed - indexed for MEDLINE]
การแปล กรุณารอสักครู่..
1. Sante Ment Que. 2014 Spring;39(1):175-93.
[Public participation and civic participation of service users in relation to the
Mental Health Action Plan 2005-2010: their spokesperson function].
[Article in French]
Pelletier JF(1), D'Auteuil S(2), Ducasse C(3), Rodriguez Del Barrio L(4).
Author information:
(1)Département de psychiatrie, Université de Montréal; Centre de recherche de
l'Institut universitaire en santé mentale de Montréal; FRQ-S; Instituts de
recherche en santé du Canada.
(2)Portes-voix du Rétablissement.
(3)Centre de recherche de l'Institut universitaire en santé mentale de Montréal.
(4)École de service social, Université de Montréal; Alliance internationale de
recherche universités-communautés Santé mentale et citoyenneté
CONTEXT: Among the guiding principles of the Mental Health Action Plan 2005-2010
(MHAP) of the Quebec Ministère de la santé et des services sociaux (Health and
Social Services) is the recognition that persons who use mental health services
(consumers) can be active agents of their own individual and collective recovery
journey. In accordance with this principle, the MHAP called for greater
participation of consumers in local, regional and national decision-making bodies
within the network of health and social services in Quebec.
OBJECTIVE: The objectives of this article are to look back on the various forms
of consumers' participation in connection with the MHAP since its enactment, and
to better understand the complexities of being spokespersons through the Actor
Network Theory conceptual framework.
METHOD: A scientific literature review was conducted. Different angles of
analysis were used to highlight convergences and trends based on official
governmental publications and ongoing research on consumers' participation in
decision and policy making. It was thought that a vertical case study approach
would offer an historical perspective going back to the early 1960s to discuss
the foundations of an "ideology of participation." Another way of assessing
participation is through a horizontal approach that would compare the terms of
participation implemented from one regional authority to the other, in order to
cover most of the Quebec territory.
RESULTS: The MHAP did not provide clear indicators of how to assess progress made
with regards to greater consumer participation. In some regions of Quebec, this
participation was coordinated by community organizations that designated their
representatives. In other regions, local authorities included consumers on a more
individual basis to give their opinion. As all were not at the same stage in
their recovery process, some were in a position to speak using the "we," while
others still needed to express themselves using the "I." In either case, their
function as spokespersons proved to be a bi-directional function. In one
direction, the spokesperson informed the governmental and institutional
stakeholders about the expectations of consumers and about their daily life
realities. In the other way, they were able to explain and make more intelligible
the intricacies of the system with a lay language, which helped non specialists
they encountered to remain informed partners, even though indirectly. As they
shared their experience as spokespersons with their peers, their peers were able
to get a clearer understanding of the progress made to effectively promote active
and effective participation. The lack of clear expectations and dedicated means
to support participation, induced discrepancies from one region to another,
making it difficult, though, to assess progress made overall.
CONCLUSION: As the function of spokesperson got more professionalized with
increased opportunities to participate in policy and decision-making,
spokespersons spoke from an "us" rather than an "I" standpoint. The concept of
public participation evolved to one of civic participation, with the possibility
to transcend the "us" and "them" dichotomy, as members of a community are all
citizens to one another. Still, the terms and conditions of participation could
be better defined and more predictable for greater equity in terms of access to
different levels of policy and decision-making.
PMID: 25120121 [PubMed - indexed for MEDLINE]
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