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Participation for mental health service development in China

Conditions, challenges, facilitators, and outcomes

Bibliographic Data

ID11054850
AuthorsZhiying Ma (0000-0002-8210-7551, Crown Family School of Social Work, Policy, and Practice University of Chicago Chicago Illinois USA, corresponding author), Yu Fan (0000-0001-6813-6797, The Affiliated Brain Hospital of Guangzhou Medical University Guangzhou Guangdong China), Xiyuan Chen (0000-0002-1770-8529, The Affiliated Brain Hospital of Guangzhou Medical University Guangzhou Guangdong China), Lindsay Sheehan (0000-0001-8028-8021, Department of Psychology Illinois Institute of Technology Chicago Illinois USA), Sang Qin (0000-0003-0499-3858, Department of Rehabilitation Psychology and Special Education, School of Education University of Wisconsin ‐ Madison Madison Wisconsin USA), Aoxuan Cao (Crown Family School of Social Work, Policy, and Practice University of Chicago Chicago Illinois USA), Liang Zhou (0000-0003-4374-2242, The Affiliated Brain Hospital of Guangzhou Medical University Guangzhou Guangdong China)
Year2026
Volume77
Issue1-2
Pages261-272
Publication date2026-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Community Psychology (JOURNAL)
Journal identifiersISSN: 0091-0562 • E-ISSN: 1573-2770
PublisherWiley (PUBLISHER • GB)
DOI10.1002/ajcp.70026
PMID41236079
OpenAlexW4416227169
LanguageEN
References cited40

This study analyzes a participatory project to develop peer support services for people with serious mental illnesses (SMIs) in China. Drawing on interviews with psychiatrists, social workers, service users, and a family caregiver, it examines the conditions, challenges, facilitators, and outcomes of participation in a paternalistic context unfamiliar with such approaches. Participation was made possible by local calls for change, personal trust, and institutional endorsements. Challenges included service users' difficulties understanding technical materials, reticence in group settings, technology barriers, and limited institutional support. To address these, professionals adjusted meeting formats and communication styles, offered emotional and material support, and helped service users engage with project content. Participants recommended including government officials and expanding the team's diversity in future efforts. The process produced a culturally responsive manual integrating diverse stakeholder perspectives, particularly those of service users. It also fostered emerging shifts in professional reflexivity, service user empowerment, and mutual relationships, setting the stage for second‐order change. However, participation remained shaped by structural inequalities and lacked sufficient institutional backing for long‐term transformation. This case highlights the potential and limits of participatory processes in hierarchical systems and offers strategies to make them more inclusive and transformative for disabled populations in China and beyond

Context (archaeology) · Diversity (politics) · Government (linguistics) · Interpersonal communication · Mental health · Paternalism · Service (business) · Stakeholder · Transformative learning · Disability Rights and Representation · Healthcare innovation and challenges · Mental Health and Patient Involvement

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