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Improving Mental Health Services in the Jane and Finch Community

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(7) Lack of awareness <strong>and</strong> underst<strong>and</strong><strong>in</strong>gParticipants <strong>in</strong> most of <strong>the</strong> focus groups reported a lack of awareness about access<strong>in</strong>g mentalhealth professionals, <strong>in</strong> part because of confusion about <strong>the</strong> differences between serviceproviders—i.e., physicians, psychiatrists, psychologists <strong>and</strong> social workers. Eligibility for servicesvaries across sectors, age groups <strong>and</strong> catchment areas, which <strong>in</strong>dividuals f<strong>in</strong>d difficult to navigate.An additional issue relates to <strong>the</strong> normalization of some of <strong>the</strong> challenges encountered with<strong>in</strong> <strong>the</strong>community. In one focus group, for example, participants spoke about how experienc<strong>in</strong>g violenceis normalized <strong>in</strong> <strong>the</strong> community, <strong>and</strong> that, as a result, community members sometimes do not seek16help when experienc<strong>in</strong>g or witness<strong>in</strong>g violence.17<strong>Improv<strong>in</strong>g</strong> mental health services <strong>in</strong> <strong>the</strong> <strong>Jane</strong> <strong>and</strong> F<strong>in</strong>ch communityDef<strong>in</strong>itions of mental health <strong>and</strong> mental illnessParticipants were asked what mental health <strong>and</strong> mental illness meant to <strong>the</strong>m. Responses tothis question varied greatly both with<strong>in</strong> <strong>and</strong> across focus groups. Participants <strong>in</strong> a few of <strong>the</strong>community focus groups spoke only of illness <strong>and</strong> <strong>the</strong> signs of illness, whereas o<strong>the</strong>rs placed moreemphasis on <strong>the</strong> overall well-be<strong>in</strong>g of an <strong>in</strong>dividual. Some participants seemed unsure how todist<strong>in</strong>guish mental health from mental illness, <strong>and</strong> expressed some confusion about <strong>the</strong>se terms.These variations <strong>and</strong> po<strong>in</strong>ts of confusion may have been a result, <strong>in</strong> part, of how <strong>the</strong> term “mentalhealth” was presented <strong>and</strong> translated by <strong>the</strong> different focus group facilitators. Indeed, even <strong>in</strong>English, <strong>the</strong>se terms can be used confus<strong>in</strong>gly, with people us<strong>in</strong>g <strong>the</strong> term “mental health” to referto “mental illness.” For example, it is not uncommon for someone to say that an <strong>in</strong>dividual “hasmental health,” when <strong>in</strong> fact <strong>the</strong>y mean that this <strong>in</strong>dividual is liv<strong>in</strong>g with a mental health concern or a“mental illness.”Sources of supportFocus group participants were asked about <strong>the</strong> types of supports <strong>the</strong>y turned to for mental healthissues. Two categories for sources of support came to light <strong>in</strong> this discussion: (1) formal <strong>and</strong> (2)<strong>in</strong>formal sources of support.F<strong>in</strong>d<strong>in</strong>gs

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