Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review

Objective To explore ways in which occupational justice and social inclusion are conceptualised, defined and operationalised in highly stigmatised and chronic conditions of mental illness and HIV.Design This scoping review protocol followed Arksey and O’Malley’s (2005) Scoping Review Framework.Data...

Full description

Saved in:
Bibliographic Details
Main Authors: Clement Nhunzvi, Lisa Langhaug, Edwin Mavindidze, Roshan Galvaan
Format: Article
Language:English
Published: BMJ Publishing Group 2020-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/8/e036916.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850180353211236352
author Clement Nhunzvi
Lisa Langhaug
Edwin Mavindidze
Roshan Galvaan
author_facet Clement Nhunzvi
Lisa Langhaug
Edwin Mavindidze
Roshan Galvaan
author_sort Clement Nhunzvi
collection DOAJ
description Objective To explore ways in which occupational justice and social inclusion are conceptualised, defined and operationalised in highly stigmatised and chronic conditions of mental illness and HIV.Design This scoping review protocol followed Arksey and O’Malley’s (2005) Scoping Review Framework.Data sources and eligibility The following databases were searched for the period January 1997 to January 2019: Medline via PubMed, Scopus, Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Africa-Wide Information, Humanities International Complete, Web of Science, PsychInfo, SocINDEX and grey literature.Eligible articles were primary studies, reviews or theoretical papers which conceptualised, defined and/or operationalised social inclusion or occupational justice in mental illness or HIV.Study appraisal and synthesis We undertook a three-part article screening process. Screening and data extraction were undertaken independently by two researchers. Arksey’s framework and thematic analysis informed the collation and synthesis of included papers.Results From 3352 records, we reviewed 139 full articles and retained 27 for this scoping review. Definitions of social inclusion and occupational justice in the domains of mental illness and HIV were heterogeneous and lacked definitional clarity. The two concepts were conceptualised as either processes or personal experiences, with key features of community participation, respect for human rights and establishment and maintenance of healthy relationships. Conceptual commonalities between social inclusion and occupational justice were premised on social justice.Conclusions To address lack of clarity, we propose further and concurrent exploration of these concepts, specifically with reference to persons with comorbid mental health disorders such as substance use disorders and HIV living in low-income countries. This should reflect contextual realities influencing community participation, respect for human rights and meaningful occupational participation. From this broadened understanding, quantitative measures should be applied to improve the standardisation of measurements for occupational justice and social inclusion in policy, research and practice.
format Article
id doaj-art-d2ac21a54de54eada0eed703c3949d68
institution OA Journals
issn 2044-6055
language English
publishDate 2020-08-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-d2ac21a54de54eada0eed703c3949d682025-08-20T02:18:14ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-036916Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping reviewClement Nhunzvi0Lisa Langhaug1Edwin Mavindidze2Roshan Galvaan31 Department of Rehabilitation Sciences, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, ZimbabweDepartment of Psychiatry, College of Health Sciences, University of Zimbabwe, African Mental Health Research Initiative (AMARI), Harare, Zimbabwe1 Department of Rehabilitation Sciences, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, ZimbabweDivision of Occupational Therapy, Department of Health and Rehabilitation Sciences, University of Cape Town Faculty of Health Sciences, Observatory, Western Cape, South AfricaObjective To explore ways in which occupational justice and social inclusion are conceptualised, defined and operationalised in highly stigmatised and chronic conditions of mental illness and HIV.Design This scoping review protocol followed Arksey and O’Malley’s (2005) Scoping Review Framework.Data sources and eligibility The following databases were searched for the period January 1997 to January 2019: Medline via PubMed, Scopus, Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Africa-Wide Information, Humanities International Complete, Web of Science, PsychInfo, SocINDEX and grey literature.Eligible articles were primary studies, reviews or theoretical papers which conceptualised, defined and/or operationalised social inclusion or occupational justice in mental illness or HIV.Study appraisal and synthesis We undertook a three-part article screening process. Screening and data extraction were undertaken independently by two researchers. Arksey’s framework and thematic analysis informed the collation and synthesis of included papers.Results From 3352 records, we reviewed 139 full articles and retained 27 for this scoping review. Definitions of social inclusion and occupational justice in the domains of mental illness and HIV were heterogeneous and lacked definitional clarity. The two concepts were conceptualised as either processes or personal experiences, with key features of community participation, respect for human rights and establishment and maintenance of healthy relationships. Conceptual commonalities between social inclusion and occupational justice were premised on social justice.Conclusions To address lack of clarity, we propose further and concurrent exploration of these concepts, specifically with reference to persons with comorbid mental health disorders such as substance use disorders and HIV living in low-income countries. This should reflect contextual realities influencing community participation, respect for human rights and meaningful occupational participation. From this broadened understanding, quantitative measures should be applied to improve the standardisation of measurements for occupational justice and social inclusion in policy, research and practice.https://bmjopen.bmj.com/content/10/8/e036916.full
spellingShingle Clement Nhunzvi
Lisa Langhaug
Edwin Mavindidze
Roshan Galvaan
Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
BMJ Open
title Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
title_full Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
title_fullStr Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
title_full_unstemmed Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
title_short Occupational justice and social inclusion among people living with HIV and people with mental illness: a scoping review
title_sort occupational justice and social inclusion among people living with hiv and people with mental illness a scoping review
url https://bmjopen.bmj.com/content/10/8/e036916.full
work_keys_str_mv AT clementnhunzvi occupationaljusticeandsocialinclusionamongpeoplelivingwithhivandpeoplewithmentalillnessascopingreview
AT lisalanghaug occupationaljusticeandsocialinclusionamongpeoplelivingwithhivandpeoplewithmentalillnessascopingreview
AT edwinmavindidze occupationaljusticeandsocialinclusionamongpeoplelivingwithhivandpeoplewithmentalillnessascopingreview
AT roshangalvaan occupationaljusticeandsocialinclusionamongpeoplelivingwithhivandpeoplewithmentalillnessascopingreview