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Understanding how context shapes citizen-user involvement in policy making.

Gayle Restall1, Joseph Kaufert

  • 1Associate Professor, Department of Occupational Therapy, School of Medical Rehabilitation, Faculty of Medicine, University of Manitoba, Winnipeg, MB.

Healthcare Policy = Politiques De Sante
|November 2, 2012
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Summary

Understanding context is key to including citizens with mental health and housing needs in policy development. Policy makers can reduce barriers by examining social, institutional, and participant factors.

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Area of Science:

  • Health Policy
  • Social Science Research
  • Qualitative Research Methods

Background:

  • Governments aim to increase citizen participation in policy-making.
  • Barriers to inclusion disproportionately affect vulnerable populations, including those with mental health and housing needs.
  • Contextual factors significantly influence citizen involvement in policy development.

Purpose of the Study:

  • To explore contextual influences on the involvement of individuals with mental health and housing needs in policy development.
  • To identify barriers and facilitators to their participation in policy-making processes.
  • To inform strategies for enhancing inclusive policy development.

Main Methods:

  • Qualitative, instrumental case study design.
  • Data collection from 21 purposively selected key informants across four policy actor groups.
  • Analysis of relevant documents and inductive qualitative methods.

Main Results:

  • Five key themes emerged regarding contextual influences: social environment, institutional characteristics, participant characteristics, opportunities for involvement, and ideas/formal policy structures.
  • These factors collectively shape the extent and nature of involvement for individuals with mental health and housing needs.
  • Specific contextual elements were identified as significant barriers or enablers to participation.

Conclusions:

  • Policy makers must consider contextual factors to effectively reduce barriers to inclusion.
  • Targeted strategies addressing social, institutional, and individual characteristics can promote meaningful participation.
  • Enhancing the involvement of people with lived experience is crucial for equitable health policy making.