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Understanding the Role of Mental Health Clubhouses in Promoting Wellness and Health Equity Using Pilinahā—An Indigenous Framework for Health
Author(s) -
Agner Joy,
Barile John P.,
Botero Adriana,
Cha Tiffany,
Herrera Nikolas,
Kaukau Tyra M.,
Nakamura Lisa,
Inada Megan
Publication year - 2020
Publication title -
american journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.113
H-Index - 112
eISSN - 1573-2770
pISSN - 0091-0562
DOI - 10.1002/ajcp.12457
Subject(s) - photovoice , mental health , health equity , indigenous , transformative learning , psychology , sociology , public relations , social psychology , public health , medicine , nursing , political science , psychotherapist , economic growth , developmental psychology , ecology , economics , biology
Individuals with severe mental illness need to be engaged in defining their own vision of wellness to promote equity and reduce disparities. This photovoice study helps define what wellness is and how it is achieved in mental health Clubhouses in Hawai‘i. Results from a photovoice study with 43 members and staff were analyzed using Pilinahā, a Native Hawaiian framework for health. Pilinahā envisions health through connection to place, community, past and future, and one’s better self. Within Clubhouses, connection to place included connection to ‘āina (land) and the access to a safe space. Connection to community occurred through reciprocal social support, which developed kuleana (responsibility), and a sense of ‘ohana (family) for many members who were previously isolated. Connection to one’s better self‐involved positive identity change, development of hope, and pursuing opportunities within and outside the Clubhouse. Connection to past and future was described through individual narratives, remembering members who had died, and connection to cultural traditions. Overall, wellness was conceptualized as the ability to work toward dreams, engage in cultural practice, and feel accepted, respected, and valued—to be treated with aloha . Findings provide a culturally responsive perspective on wellness and illustrate the value of Clubhouses as a space for mental health recovery and transformative change.