This article examines how mental health social work practice can move outside the hegemony of the medical model using approaches that honor the centering of social justice. By using the philosophical analysis of epistemic injustice and the ethics of knowing, I move out of the traditional psychiatric and psychological conceptual frameworks and discuss new guiding principles for practice. In the context of the radical tradition in social work and the impetus to blend theory with practice, I consider the use of narrative and anti-oppressive approaches to center social justice principles in individual dyadic work as well as in wider systems family and community work and policy advocacy. I evaluate these approaches through the principles of epistemic justice and discuss the importance of a relational collaborative approach where honoring the client and exploring lived experience are central to both the concepts of testimonial justice, hermeneutic justice and anti-oppressive practice.

本文研究了如何使用尊重社会正义中心的方法，将精神卫生社会工作实践转移到医疗模式的霸权之外。通过对认知不公正和认识伦理的哲学分析，我摆脱了传统的精神病学和心理概念框架，并讨论了新的实践指导原则。在社会工作的激进传统和将理论与实践融合的动力的背景下，我考虑使用叙述性和反压迫性方法将社会正义原则置于个人二元工作以及更广泛的家庭和社区工作中，以及政策倡导。