John N Trainor

John N Trainor
University of Toronto | U of T · Department of Psychiatry

Master of Social Work

About

41
Publications
3,357
Reads
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735
Citations
Citations since 2016
3 Research Items
232 Citations
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2016201720182019202020212022010203040
2016201720182019202020212022010203040
Introduction
Working with colleagues to build Mental Health Research Canada, a new research organization focusing on innovative projects with high levels of stakeholder input. www.mhrc.ca

Publications

Publications (41)
Article
Full-text available
People experiencing mental illness and homelessness face numerous barriers to becoming housed. Service providers who work with this population also encounter challenges to meeting service users' needs, yet their perspectives have been only minimally studied. Using survey data from a pan-Canadian study, this article explores the barriers and facilit...
Article
Full-text available
This study explored mental health consumers’ preferences regarding the support services needed to find, access, and maintain housing, and compared their views with the preferences of family members of consumers. A total of 354 consumers and 187 family members from across Canada completed questionnaires assessing their past and present experiences w...
Chapter
Full-text available
In deciding whether or not to collaborate with one another in a research partnership, researchers and members of mental health self-help (MHSH) initiatives should address several questions. What values will underlie the partnership? How will power be shared? What will the focus of the research be? What type of knowledge will be sought? How will the...
Article
Many disciplines, including Public Health, have recognized the importance of participatory research methods in creating change in communities. The ability of participatory research to create change- particularly in behaviors- is what makes it such a promising area of research in health promotion. Whereas the value of participatory research is recog...
Article
Housing programs are complex social interventions. Research on housing for people with mental illness has proceeded without a framework for integrating emerging findings and guiding new research directions. This paper describes a definition and model of housing stability developed with stakeholders in 3 local housing systems for people with mental...
Article
The purpose of the paper is to reflect on value dilemmas in mental health consumer-run organizations and to discuss implications for research, policy, and practice. We review the roots of consumer-run organizations in the self-help movement and the psychiatric survivor liberation movement, focusing on the distinctive values espoused by consumer-run...
Article
The objective of this study was to evaluate the impacts of participation in mental health Consumer/Survivor Initiatives (CSIs), organizations run by and for people with mental illness. A nonequivalent comparison group design was used to compare three groups of participants: (a) those who were continually active in CSIs over a 36-month period (n = 2...
Article
This article describes recent work to support recommendations for improving Ontario’s system of housing for people with serious mental illness. This multifaceted project engaged stakeholders in discussions concerning strategies for improving the system based on (a) values that underlie housing programs, (b) evidence of effective housing practices,...
Article
This research examined two premises of supported housing: (a) that consumer choice/control over housing and support and the quality of housing are important contributors to the subjective quality of life and adaptation to community living of people with mental illness, and (b) that apartments provide mental health consumers with more choice/control...
Article
This paper describes a participatory research project conducted to document good practice in the delivery of supportive housing programs. Stakeholders in a local mental health housing system in Toronto, Ontario worked collaboratively to develop 40 service benchmarks for supportive housing programs and to recommend practices for achieving these benc...
Article
Full-text available
Mental health consumer-run organizations are alternatives to mainstream mental health services, and they have the dual focus of supporting members and creating systems change. The existing literature suggests that these organizations have beneficial impacts on social support, community integration, personal empowerment, subjective quality of life,...
Article
The purpose of this article is to report on the system-level findings of a longitudinal study of four mental health consumerñrun self-help organizations. Quantitative and qualitative data revealed that staff and members of the four Consumer/Survivor Initiatives (CSIs) participated actively in system-level activities, including community planning, p...
Article
This article examines the outcomes of participation in mental health Consumer/Survivor Initiatives (CSIs) and identifies helpful qualities of CSIs through a longitudinal, qualitative study that involved in-depth interviews of people who experienced severe mental health challenges in Ontario, Canada. We used a nonequivalent control group design in w...
Article
To evaluate the impacts of participation in mental health Consumer/Survivor Initiatives (CSIs), we used a nonequivalent control group design to compare new, active participants in CSIs ( n = 61) with nonactive participants ( n = 57) at baseline, 9-month, and 18-month follow-up intervals. The two groups were comparable at baseline on a wide range of...
Article
Full-text available
This article provides a framework for the evaluation of mental health consumer/ survivor organizations that consists of four main components: (a) participatory processes, (b) conceptualization of the activities and outcomes at the individual and systems levels of these organizations, (c) the combination of quantitative and qualitative methods for e...
Article
Mental health services in the Baltic States of Estonia, Latvia, and Lithuania are in transition from highly institutional to community-focused systems of care. Despite a shared history, the three countries are reforming their service infrastructures at different rates and with different areas of focus. Working in partnership with consumers, familie...
Article
Fifteen plus years of work in mental health policy development from a community development perspective under the aegis of the Canadian Mental Health Association are described. The evolution of a model de-emphasizing formal mental health services and emphasizing partnerships between consumers, family members, the community at large, and mental heal...
Article
Résumé Cet article traite du concept de stabilité du logement1. Bien que le terme « stabilité du logement » soit fréquemment utilisé dans la littérature scientifique, le concept n’a pas encore été défini de manière appropriée. Les auteurs montrent d’abord comment il a été précédemment défini et comment notre compréhension peut en être enrichie. Ens...
Article
Full-text available
Little attention is given to what people with psychiatric disabilities think about their neighborhoods as desirable places to live. Much of the literature focuses on what community residents think of people who are marginalized. This qualitative study examined the perceptions of consumers of psychiatric services about their neighborhoods and highli...
Article
Full-text available
The purpose of this paper is to examine three key aspects of consumer/survivor controlled organizations: the range of activities carried out by these groups; the impact of involvement as reported by participants; and the relative importance consumer/survivors attach to these organizations as components of the mental health system. The implications...
Article
This is the inaugural article in a series devoted to the concept of the Knowledge Resource Base (KRB). The KRB concept is an attempt to categorize, map, and integrate the wide range of knowledge available about mental illness. The basic concept of the KRB will be examined and its potential use in shaping our thinking about mental illness will be di...
Article
The decrease over the past three decades in institutional care for people with mental illness has not been matched by the adequate development of specialized housing in the community. Broadly speaking, two major models of housing have emerged in the past 30 years: custodial and alternative. Large custodial settings, including boarding houses, nursi...
Article
In recent years the field of vocational programming for people with serious mental health problems has been undergoing major changes. This paper examines one of the new approaches which has emerged: consumer/survivor-run businesses. These models typically feature as key players people who have used the mental health system themselves. Cooperative b...
Article
Gathered data for a project to develop long-term housing and support services for homeless women by interviewing experts on supportive housing and 38 single homeless women in hostels and drop-in centers to learn about their housing needs and preferences. Innovative housing programs were observed. Critical issues that emerged are (1) need for consum...
Article
Interest in developing support services for the long-term mentally ill has increased in recent years. One of the most important aspects of support essential to the basic community survival of the chronic patient is income maintenance. Unfortunately, support in this area has been declining for this population. The purpose of this paper is to briefly...
Article
This paper outlines the development of the Supportive Housing Coalition of Metropolitan Toronto, an organization which co-ordinates the efforts of housing agencies, consumers, and treatment facilities in the provision of psychiatric residential programs. An assessment of the organization's impact to date on housing policy, municipal by-laws, progra...
Article
The relationship between economic change and mental disorder has been examined by several investigators over the past century. The purpose of this paper is to explore this basic relationship and determine its direction in a large Metropolitan area. A time series analysis was undertaken to investigate whether or not unemployment and indicators of me...
Article
The concept of normalization is an influential paradigm in mental health. However, little attention has been paid to how the psychiatrically disabled fare in the competition for generic services. Four psychiatric aftercare areas were examined: income maintenance, housing, vocational-educational, social-recreational. Results indicate that generic se...
Article
Resistance by clinical staff is a problem frequently encountered in the course of implementing an evaluation. This paper examines the process of developing a comprehensive evaluation for a case management program for the long-term mentally ill in Metropolitan Toronto. A participatory approach was used in the design and implementation of this evalua...

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