Fostering Capabilities and Integration of People with Mental Illness: The role of a Community-based Organization

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Organizational Unit

Publications

“What’s wrong with the seed?” A comparative examination of an empowering community-centered approach to recovery in community mental health

Publication . Monteiro, Maria Fátima Jorge; Ornelas, José

This cross-sectional group comparison aimed to examine whether personal empowerment, recovery and community integration were associated with the individual's participation in an empowering community-centered model of intervention. Ninety-three participants from an empowering community-centered community mental health organization were compared with a matched group of individuals from standard interventions of four equivalent organizations. Results showed that participants taking advantage of the empowering community-centered approach were more involved in high recovery-oriented programs; and attained higher levels of personal goals and hope, empowerment, and of community integration. An involvement in high recovery-oriented programs (supported employment or independent housing) revealed improved outcomes for the individual. In conclusion, the findings suggested a transformative impact of the empowering community-centered model both at the individual and the program level by altering the resource accessibility and social conditions for people who experience mental illness. The implications of findings for transforming community mental health practice are discussed in detail.

2016Journal article

Restricted access

What transformation? A qualitative study of empowering settings and community mental health organizations

Publication . Monteiro, Maria Fátima Jorge; Aguiar, Rita; Sacchetto, Beatrice; Moniz, Maria João Vargas; Ornelas, José

This article is based on empowering settings research and has a two-fold objective: to propose an adaptation of the empowering community settings framework to community mental health organizations practice to foster recovery and community integration; and to discuss how the adapted framework is a relevant tool to challenge community mental health transformation at multiple levels of analysis. The current study was anchored in a larger qualitative research project. It used a case study approach, with 8 in-depth interviews with diverse participants from one community mental health organization. The adapted model proved useful to guide transformational practice in community mental health programs and for evaluation of organizational empowerment and multilevel community-oriented interventions. Suggestions and implications for future research are also presented.

2014Journal article

Open access

Recovery assessment scale : Testing validity with portuguese community-based mental health organization users

Publication . Monteiro, Maria Fátima Jorge; Ornelas, José

The aim of the present study was to develop the Portuguese version of the Recovery Assessment Scale (RAS-P), and to assess the validity of the findings using the revised test, with 213 users from 5 nonprofit community-based mental health organizations. Participants in the assessment completed a self-reported survey investigating their sense of personal recovery, personal empowerment, capabilities achievement, psychiatric symptoms’ frequency, and demographic data. Evidence from exploratory and confirmatory factor analyses using the 24-item version of the test, validated a 4-factor structure for the RAS-P model based on the dimensions of Personal Goals and Hope, Managing Help Needs, Supportive Interpersonal Relationships, and Life Beyond Symptoms, consistent with components of the recovery process. Convergent and discriminant validity was also achieved using bivariate correlation coefficients among the 4 subscales’ scores, between the overall scale and the subscales, and in relation to external variables. Findings allowed for the interpretation that the RAS-P is measuring a particular psychological construct, which is different from symptoms of the mental illness. A hypothesized significant association with personal empowerment and with capabilities achievement was demonstrated. Positive association was also found between participants’ use of recovery-oriented services such as independent housing or supported employment programs. The RAS-P scores also revealed excellent internal consistency for the overall scale ( .90), and good consistency for the subscales ( .75), which attest to its precision in measurement. In conclusion, the study proved the RAS-P a reliable and useful tool in the context of the community mental health practice.

2015Journal article

Open access

Empowerment promotion through competitive employment for people with psychiatric disabilities

Publication . Fernandes, Luis Maria Garcia Rolo Sá; Monteiro, Maria Fátima Jorge; Ornelas, José

BACKGROUND: Despite ample research about empowerment or supported employment in the mental health field, research about people with psychiatric disabilities in competitive employment and its impact on personal empowerment using standardized measurements needs to be expanded. OBJECTIVE: This study examined if competitive employment contributes to a positive impact on personal empowerment among 55 people with psychiatric disabilities who participate in community based mental health organizations. METHODS: The current sample was created from a larger study with the purpose of obtaining a homogenous set of participants based on the employment status criteria. Participants filled out the Portuguese version of the empowerment scale and hierarchical regression analysis was used to study if participants’ employment status was a predictor of personal empowerment. RESULTS: The conducted analyses demonstrated that competitive employmentwas related to higher levels of empowerment, and that the empowerment dimension of power-based interpersonal relationships was significantly associated with being at work. CONCLUSIONS: Our results suggest that addressing consumers’ working needs through supported employment services has the potential to enhance consumers’ personal empowerment and improve community life.

2018Journal article

Restricted access