Individuals with severe mental illness need to be engaged in defining their own vision of wellness to promote equity and reduce disparities. This photovoice study helps define what wellness is and how it is achieved in mental health Clubhouses in Hawai‘i. Results from a photovoice study with 43 members and staff were analyzed using Pilinahā, a Native Hawaiian framework for health. Pilinahā envisions health through connection to place, community, past and future, and one’s better self. Within Clubhouses, connection to place included connection to ‘āina (land) and the access to a safe space. Connection to community occurred through reciprocal social support, which developed kuleana (responsibility), and a sense of ‘ohana (family) for many members who were previously isolated. Connection to one’s better self‐involved positive identity change, development of hope, and pursuing opportunities within and outside the Clubhouse. Connection to past and future was described through individual narratives, remembering members who had died, and connection to cultural traditions. Overall, wellness was conceptualized as the ability to work toward dreams, engage in cultural practice, and feel accepted, respected, and valued—to be treated with aloha. Findings provide a culturally responsive perspective on wellness and illustrate the value of Clubhouses as a space for mental health recovery and transformative change.

中文翻译：

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了解心理健康会所在使用 Pilinahā-一个本土健康框架促进健康和健康公平方面的作用。

患有严重精神疾病的人需要参与定义自己的健康愿景，以促进公平并减少差异。这项 photovoice 研究有助于定义什么是健康以及如何在夏威夷的心理健康会所中实现。使用夏威夷原住民健康框架 Pilinahā 分析了一项由 43 名成员和工作人员参与的 photovoice 研究的结果。Pilinahā 通过与地方、社区、过去和未来以及更好的自我的联系来设想健康。在会所内，与场所的联系包括与'āina（土地）的联系以及通往安全空间的通道。与社区的联系是通过互惠的社会支持产生的，这发展了kuleana（责任感）和“ ohana ”感（家庭）对于许多以前被隔离的成员。与更好的自我联系涉及积极的身份改变、希望的发展以及在会所内外寻求机会。与过去和未来的联系是通过个人叙述来描述的，记住已故的成员，以及与文化传统的联系。总体而言，健康被概念化为实现梦想、参与文化实践以及感到被接受、尊重和重视的能力——用阿罗哈来对待。调查结果提供了一个关于健康的文化响应视角，并说明了会所作为心理健康恢复和变革性变革空间的价值。