Social Isolation and Psychosis: Perspectives from People with Psychosis, Family Caregivers and Mental Health Professionals.

Autor: Xanthopoulou PD; College of Medicine and Health, University of Exeter, Exeter, EX1 2LU, UK. P.D.Xanthopoulou@exeter.ac.uk., Mbanu J; Devon Partnership NHS Trust, Dryden Road, Exeter, EX2 5AF, UK., Chevalier A; Unit for Social and Community Psychiatry, (WHO Collaborating Centre for Mental Health Service Development), Barts and the London School of Medicine, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK., Webber M; International Centre for Mental Health Social Research, Department of Social Policy and Social Work, University of York, York, YO10 5DD, UK., Giacco D; Unit for Social and Community Psychiatry, (WHO Collaborating Centre for Mental Health Service Development), Barts and the London School of Medicine, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK.; Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Jazyk: angličtina
Zdroj: Community mental health journal [Community Ment Health J] 2022 Oct; Vol. 58 (7), pp. 1338-1345. Date of Electronic Publication: 2022 Jan 25.
DOI: 10.1007/s10597-022-00941-x
Abstrakt: This paper explores the subjective experiences of mental health practitioners, people with psychosis and carers, on social isolation and community integration of people with psychosis. Focus groups and one-to-one interviews with 80 adult participants across three sites in the UK were conducted. Audio recordings were transcribed and analysed using thematic analysis. Participants commented on various aspects that may cause social isolation or enable community integration, including institutional factors (lack of resources, hospitalisation impact), illness symptoms (e.g., paranoia; over-pathologising vs individual choice), stigma (particularly the psychosis label), and the importance of communities that foster agency and embrace change. Hospitalisation maybe be a cause for isolation and psychiatric wards should consider allowing for socialisation as a therapeutic tool. Initiatives should consider the social fabric of our communities, socioeconomic inequalities and stigmatisation. Building communities that are accepting, kind and flexible can create opportunities that could lead to independence from mental health services.
(© 2022. The Author(s).)
Databáze: MEDLINE
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