Work

Decision-making participation of people with mental health difficulties at a community rehabilitation center in Taiwan

Year: 2025

Type: article

Abstract: PURPOSE: This study employed institutional ethnography to analyse the experiences of individuals with mental health difficulties in a Taiwanese community rehabilitation centre. METHODS: This study applies the institutional ethnography method. Data were gathered through participatory observation; in-depth interviews with individuals with mental health difficulties and professionals; and textual analysis of policies, regulations, and practices within the centre. RESULTS: First, entrenched power dynamics persist, stifling discourse on the agency of individuals with mental health difficulties. The prevalent medical model continues to govern service provision, reinforcing professional hierarchies that impede collaboration. Second, community rehabilitation centres exacerbate disadvantages for case managers (who are muted in the presence of professionals) and service users (who lose autonomy in professional discussions). Third, compliance assessments overshadow individualized care. Fourth, the community rehabilitation model may inadvertently confine service users, prolonging institutionalization and conforming to societal norms. CONCLUSIONS: This study underscores the need for significant improvements in Taiwan's mental healthcare system to emphasize individuals' rights.

Source: International Journal of Qualitative Studies on Health and Well-Being

DOI: 10.1080/17482631.2025.2475566

Authors: Meng-Hsuan Hsieh, Heng-Hao Chang

Institution: National Taipei University

Language: English

Topic: Mental Health and Patient Involvement

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities, Peace, justice, and strong institutions

Open Access status: gold

Estimated APC paid: $1,790