The Rise of “Autosoins”: Empowering Individuals Through Self-Managed Mental Healthcare
A growing movement is gaining traction as a vital complement to traditional mental health services: “autosoins,” a French term gaining prominence for its emphasis on self-managed healthcare. As mental health systems become increasingly strained, this approach offers an accessible and proactive path toward well-being, empowering individuals to take control of their mental and physical health.
The concept of self-care has exploded in popularity in recent years, fueled by social media and a broader cultural focus on personal growth. But “autosoins” represents a more deliberate and structured approach. It’s defined as the principle of taking care of one’s own health – with or without guidance – to maintain or improve overall well-being, and even to manage symptoms of illness.
A Historical Perspective on Self-Care
The roots of “autosoins” stretch back to the 1970s, coinciding with a significant shift in mental healthcare known as deinstitutionalization. This period saw a gradual move away from large, often isolating, psychiatric hospitals – sometimes referred to as asylums – toward community-based treatment. This change was driven by growing criticisms of institutional psychiatry, advancements in human rights, and public health initiatives. The goal was to foster autonomy for individuals living with mental health conditions, reintegrate them into society, and reduce the financial burden of maintaining large institutions.
However, the concept also emerged as a crucial survival strategy, particularly within marginalized communities. During a period of social upheaval, “autosoins” provided a means of preserving balance in the face of both illness and systemic inequalities. The African-American poet Audre Lorde powerfully articulated this connection, stating that self-care “is not self-indulgence, it is self-preservation, and it is an act of political war.” This quote, often interpreted through a political lens, also highlights the proactive strategies individuals employ to navigate illness and find ways to live comfortably despite challenges. These strategies can include joining support groups, actively learning about treatment options, and prioritizing activities that promote well-being.
Mental Health “Autosoins” in Practice
In the context of mental health, “autosoins” is understood as an intervention approach centered on the individual, their support network, and their community. It emphasizes integrating care into a person’s everyday environment in a holistic and ecological manner. This can be practiced independently or with the support of loved ones, community members, or healthcare professionals, with or without specialized tools. Increasingly, guided “autosoins” programs are being recognized as effective care options for those living with mental health conditions.
Despite its promise, “autosoins” is still a relatively new practice and carries potential risks. One concern is that it may not be suitable for individuals who require more intensive support. Critics also raise questions about the individual responsibility it places on patients, emphasizing the need for well-managed interventions and integrated care systems.
Beyond Self-Indulgence: A Transformative Approach
It’s crucial to understand that mental health is far more than fleeting trends or the latest wellness fads. It’s a transformative practice with the potential to improve lives, regardless of whether someone lives with a diagnosed mental health condition. As a recent article from the national ACSM reminds us, “taking care of oneself is a proactive and thoughtful approach, essential to our mental and physical well-being.” For individuals navigating mental health challenges, self-examination and proactive care can be a powerful way to reclaim agency and feel valued.
This article was written by Fanny Gravel-Patry, PHD, Mental Health Promotion Advisor for Montreal ACSM.
