On Mental Health Services Research Masahiro Minami, Ph.D., R.C.C. - - PowerPoint PPT Presentation

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On Mental Health Services Research Masahiro Minami, Ph.D., R.C.C. - - PowerPoint PPT Presentation

Mar 27, 2024 235 likes •736 views

On Mental Health Services Research Masahiro Minami, Ph.D., R.C.C. Assistant Professor Faculty of Education Simon Fraser University mminamia@sfu.ca My Scholarship Mental Health Services Research Philosophical & Theoretical Psychology

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On Mental Health Services Research

Masahiro Minami, Ph.D., R.C.C.

Assistant Professor Faculty of Education Simon Fraser University mminamia@sfu.ca
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My Scholarship

Philosophical & Theoretical Psychology Measurement, Evaluation & Research Methods Health Services Research & Implementation Science Counselling Psychology Japanese Zen & Morita Therapy Psychosocial Reconciliation

Mental Health Services Research

Experimental Clinical Psychology Multicultural Counselling Family therapy & mediation

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On Services Research

1. An applied area, where interdisciplinary teams of professionals join together with the members of the community and approach issues within the community with a goal to make the lives of people better. 2. Research agenda or needs are often generated/sourced “from the ground up” (Pigeon, 2018) from communities in partnerships with the very people in the communities with various challenges. 3. MHSR then is an applied are of psychological practice-research, where various types of issues related to psychological or psychosocial well-being of individuals in communities are identified and addressed through either existing or new services and paralleling research evaluations, together with the members of the communities. 4. MHSR is wed to field-engaged, community-nested, interdisciplinary, holistic, systemic, and evidence-based/research informed approaches to approach complex issues of our communities today.

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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Common Activities under the MHSR

1. Community needs assessment 2. User-stakeholder consultation 3. Intervention and program development 4. Services systems engineering 5. Training of service/research professionals 6. Program piloting and implementation 7. Routine outcome monitoring and evaluation 8. Process evaluation 9. Impact assessment and cost- effectiveness evaluation

  • 10. Continuous quality enhancement
  • 11. Policy revisions, changes, and

development

  • 12. Improving access/removing barriers

to services

  • 13. Public education in mental health

literacy

  • 14. Publishing
  • 15. Clinical education and training
  • 16. Ongoing consultations
Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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Counselling Psychology as an applied psychological practice

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Research as Praxeology

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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“Research” & the Branches of Philosophy

  • 1. Ontology
  • 2. Epistemology
  • 3. Axiology
  • 4. Praxeology

Research as Ontology Research as epistemology Research as axiology Research as praxeology

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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SLIDE 8 Theory Research Practice Service

Knowledge translation Knowledge operationalization Knowledge dissemination/mobilization

Research as Epistemology

Community Needs

LINEAR

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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SLIDE 9 Theory Research Practice Service

Knowledge translation Knowledge operationalization Knowledge dissemination/mobilization

Research as Praxeology

Community Needs

Theory Research Practice Service

ORCHAESTRATED

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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Research as Praxeology (cont.)

Research Service

&

Research Service

then

Research = Service Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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Research as Praxeology (cont.)

Community Academy Academy Community

Minami, M. (2018). Research as praxeology: Spirit of mental health services research. Unpublished manuscript, Faculty of Education, Simon Fraser University, Burnaby, Canada.
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Why bother?

  • Prof. Ken Stein (2016)

Driving force Mental Health Services Research

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Child and Youths Residential Care Support Family Counselling & Mediation Depression Anxiety Refugee Support Trauma & Psychosocial reconciliation Education for Orphan Women w HIV+

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An example of current services-research project The case of Rwanda

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Ub Ubwiy iyunge nge Mu Mubikorwa

Reconciliation in ‘Action’ Rural Community Psychosocial Reconciliation Project in Rwanda Since 2012~

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1994 Genocide against the Tutsi, RWANDA 2003 Presidential Decree Release of perpetrators back to communities

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The Observer Magazine (2013)

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Perpetrator Survivor

How do we reconcile?

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Forgiveness-Seeking as an approach to

interpersonal reconciliation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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2 Different Paths to Interpersonal Reconciliation

Assumption “It’s not OK if you cannot forgive.” “You must forgive.” “It’s healthier for you to forgive.” Assumption “That is OK/It makes sense that you cannot forgive.” Harmful psychological/psychosocial consequences of not being able to forgive -Moral/Dignity Injury

Purposeful Action-Taking for Her/Us Purposeful InterAction-Taking for Her/Us Verbal Forgiveness-Seeking Morita Action-Based “I cannot forgive you.” “Your words don’t mean anything”

Stagnation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Arugamama

  • It, be…
  • What is, as it is
  • Don’t push
  • Don’t force
  • Allow
  • Create a space for
  • Honor and
  • Purposeful action-taking
  • Dr. Shoma Morita
Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Action as an alternative approach to

interpersonal reconciliation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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“Please forGIVE ME”

to

“Would you RECEIVE my labour?”

as concrete expression of my apology to you

Offering rather than asking for…

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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“Please forgive me”

Reconciliation Pair RECONCILIATION Product Medium Start FORGIVENESS Verbal FORGIVENESS Seeking

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Ubwiyunge Mubikorwa – Reconciliation in Action

Reconciliation Pair FORGIVENESS RECONCILIATION +

ACTION/INTERACTION

Start New experiences with each other Product Medium

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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ABPRA

Action- Based Psychosocial Reconciliation Approach Ubwiyunge Mubikorwa

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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SLIDE 27 Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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2 Empirical Foundations of ABPRA as a reconciliation approach

  • 1. Japanese Morita therapy
  • Systematic review of therapeutic benefits (Minami, 2011)
  • Conclusion: Therapeutic benefits of Action/interaction taking
  • 2. Contact theory
  • Meta-analysis (Pettigrew & Tropp, 2006)
  • 515 studies covering 713 independent samples
  • Conclusion: Interactions meeting particular contact conditions are likely to reduce inter-group

prejudice.

  • ABPRA as a practical synthesis
Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Ubwiyunge Mubikorwa (ABPRA) Reconciliation ‘in action’ Dyad-Chosen Activities

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Processing Corn Kernel

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Harvesting Ground Nuts

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Harvesting Corn

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Processing Corn Kernel

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Taking Seeds from Tomatoes

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Making Clay-Bricks for House Renovation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Processing Ground Nuts

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Weeding Cassava Plantation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Weeding Cassava Plantation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Weeding Cassava Plantation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Weeding Cassava Plantation

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Data Collection Methods

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Semi-Structured Post-Session Interviews

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Video Recordings

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Interpersonal Process Recall

(Kagan & Kagan, 1997, as cited in Bernard & Goodyear, 2009 ) Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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Piloting Phase Data Summary

  • 8 pairs (N=16)
  • 9600 min. of interview data (audio & video recorded)
  • 15000 photos
  • TCA (Krippendorff, 2014 ) - over 4000 meaning units
  • Properties of the ABPRA
Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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TCA Data Analysis Procedure

(Krippendorff, 2014 )

1. Interview data recording and transcription 2. Translation of the interview data 3. Thematic content analysis (Krippendorff, 2014 ) a) Data familiarization b) Initial coding trial: Inclusive coding c) The second coding d) The final coding check e) Meaning unit tabulation f) Cross-coding and cultural/contextual validation g) Cross coding h) ‘Decomposition’ of double-barreled units

Minami, M. (2018). ABPRA – Intervention Protocol. Simon Fraser University.
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SLIDE 47 Attitude change Healing Reconciling Relationship building Psychosocial development ABPRA
  • 1. Nurtures Arugamama
  • 2. Facilitates therapeutic “flow”
  • 3. Reactivates the desire for life
  • 4. Fosters purposeful action/interaction taking
  • 1. Growth of pleasant affect towards the other
  • 2. Extinction of unpleasant affect towards the other
  • 3. Growth of pleasant view of the other
  • 4. Extinction of unpleasant view of the other
  • 5. Emergence of behavioural evidence
  • 1. Fosters forgiveness (Decisional, Emotional)
  • 2. Fosters truth sharing
  • 3. Nurtures sense of unity
  • 1. Mends relationship
  • 2. Facilitates ‘receiving’
  • 3. Facilitates ‘sharing’
  • 4. Facilitates ‘mutual support’
  • 1. ‘Proof’ and witnessing
  • 2. Contribution to community
  • 3. Contribution to family members
  • 4. Contribution to peace
  • 5. Contribution to culture and Rwanda
  • 6. Contribution to God
Main Effects Elements of the Main Effect Minami, M. (2018). Reconciliation beyond Dialogue ―Supporting alongside Nurturance of a New Relationship between Genocide Survivors and Perpetrators in Rwanda ― Japanese Journal of Clinical Psychology, 18(5), 584-589.
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Nation-Wide Expansion (2018-2020)

2018 Visit

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Thank you