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Related Experiment Videos

Connectedness and citizenship: redefining social integration.

Norma C Ware1, Kim Hopper, Toni Tugenberg

  • 1Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts, USA. norma_ware@hms.harvard.edu

Psychiatric Services (Washington, D.C.)
|April 7, 2007
PubMed
Summary
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Social integration for individuals with psychiatric disabilities involves developing connectedness and citizenship. This new definition aims to combat social exclusion by setting higher expectations for mental health services.

Area of Science:

  • Psychiatry
  • Sociology
  • Social Work

Background:

  • Decades of deinstitutionalization have not fully resolved social exclusion for individuals with psychiatric disabilities.
  • Existing frameworks inadequately address the community integration of this population.
  • New conceptual tools are required to understand and promote social integration.

Purpose of the Study:

  • To propose a new, comprehensive definition of social integration for individuals with psychiatric disabilities.
  • To provide a conceptual framework for addressing social exclusion.
  • To establish a benchmark for effective community inclusion.

Main Methods:

  • Qualitative study utilizing individual, unstructured interviews (N=78) with 56 adults with psychiatric disabilities.

Related Experiment Videos

  • Ethnographic visits to five service sites focused on social integration (N=8).
  • Interpretive approach for data analysis.

    • Main Results:

    • Social integration is defined as a dynamic process of developing and exercising capacities for connectedness and citizenship.
    • Connectedness involves building and maintaining reciprocal interpersonal relationships, requiring social, moral, and emotional competencies.
    • Citizenship encompasses full rights, privileges, and responsibilities within a democratic society.

    Conclusions:

    • The proposed definition offers an aspirational yet attainable standard for social integration in psychiatric disability.
    • This framework encourages mental health professionals and policymakers to elevate expectations for services and outcomes.
    • It promotes a vision of enhanced connectedness and citizenship for individuals with a history of mental illness.