[Community life for all: mental health, participation and autonomy. SESPAS Report 2020]

Gac Sanit. 2020:34 Suppl 1:34-38. doi: 10.1016/j.gaceta.2020.08.001. Epub 2020 Sep 10.
[Article in Spanish]

Abstract

The objective of this article is to critically reflect on the participation in community of people with a diagnosis of mental disorder from a human rights and community health perspective. Firstly, we review basic concepts such as community mental health and the meaning of participation, which is understood as an end and not as a mean. It is important to increase the participation of people with a diagnosis in community spaces beyond the classic circuit of mental health care. This implies to create and share knowledge in a collective, horizontal and consensual way among all the people involved, especially the diagnosed people themselves. Secondly, the experience of the group of women of Radio Nikosia is narrated in first person by the participants themselves. The main highlights of the group are its horizontality, flexibility, and that is a self-organized space outside the health system where it is possible to express oneself without fear of being judged. Processes of trust, recognition, joy, social support and health are generated. Members of the group meet fortnightly and discuss on different topics chosen by them, and take part in political actions for women's own rights such as participation in the media, in feminist calls, in training and talks. We exemplify that other ways of doing community mental health are possible. The challenges are to make them visible, to systemize them and to be able to assess the impact they have on the health not only of the participants, but also the community.

Keywords: Community health; Derechos humanos; Human rights; Mental health; Movimientos sociales; Participación; Participation; Salud comunitaria; Salud mental; Social movements.

Publication types

  • Review

MeSH terms

  • Community Participation
  • Female
  • Humans
  • Mental Disorders*
  • Mental Health*
  • Public Health
  • Research Report
  • Social Support