title: Leisure as a context for active living, recovery, health and life quality for persons with mental illness in a global context.
abstract: Globally, the mental health system is being transformed into a strengths-based, recovery-oriented system of care, to which the concept of active living is central. Based on an integrative review of the literature, this paper presents a heuristic conceptual framework of the potential contribution that enjoyable and meaningful leisure experiences can have in active living, recovery, health and life quality among persons with mental illness. This framework is holistic and reflects the humanistic approach to mental illness endorsed by the United Nations and the World Health Organization. It also includes ecological factors such as health care systems and environmental factors as well as cultural influences that can facilitate and/or hamper recovery, active living and health/life quality. Unique to this framework is our conceptualization of active living from a broad-based and meaning-oriented perspective rather than the traditional, narrower conceptualization which focuses on physical activity and exercise. Conceptualizing active living in this manner suggests a unique and culturally sensitive potential for leisure experiences to contribute to recovery, health and life quality. In particular, this paper highlights the potential of leisure engagements as a positive, strengths-based and potentially cost-effective means for helping people better deal with the challenges of living with mental illness.
authors.affiliation: Department of Therapeutic Recreation, College of HealthProfessions, Temple UniversitySuite 313, 1700 North Broad Street, Philadelphia, PA 19121, USA. yiwasaki@temple.edu
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: Catherine P
authors.initials: CP
authors.lastname: Coyle
authors.forename: John W
authors.initials: JW
authors.lastname: Shank
mesh_terms: D003466:Cultural Characteristics; D015444:Exercise; D006293:Health Promotion / Q000379:methods; D006694:Holistic Health; D006801:Humans; D007899:Leisure Activities / Q000523:psychology*; D001523:Mental Disorders / Q000523:psychology* / Q000534:rehabilitation*; D018802:Patient-Centered Care; D011788:Quality of Life; D012649:Self Concept; D012931:Social Environment