Granerud A, Severinsson E
Nordic School of Public Health, Göteborg, Sweden.
J Psychiatr Ment Health Nurs. 2006 Jun;13(3):288-93. doi: 10.1111/j.1365-2850.2006.00950.x.
The goal of social integration is part of the ideological motivation behind the transition from institutionalized to decentralized psychiatry. Modern community mental health care considers social integration as vital for improving mental health. However, reports suggest that efforts to socially integrate people who suffer from mental health problems have not been as successful as anticipated. The aim of this study was to explore how people with mental health problems experience their ability to integrate socially into a community in central Norway. Three multistage focus groups, consisting of 17 people with mental health problems, were set up in two counties of different sizes. In this explorative study, data were analysed using a qualitative content analysis method. The participants experienced shame and fear of exclusion in their struggle to become integrated in the community. They had a sense of loneliness, had to struggle for equality and experienced being neglected. The days passed very slowly and they reported a lack of financial resources. They wanted to work or take part in other daytime activities and sought reciprocal relationships. In conclusion, those working in community mental health care need to ensure that people suffering from mental health problems experience a sense of belonging in the community, thus enabling them to develop a network and achieve social integration.
社会融合的目标是从机构化精神病治疗向非机构化精神病治疗转变背后的部分思想动机。现代社区精神卫生保健认为社会融合对改善心理健康至关重要。然而，报告显示，让有心理健康问题的人融入社会的努力并未取得预期的成功。本研究的目的是探讨有心理健康问题的人如何体验他们融入挪威中部一个社区的社会能力。在两个不同规模的县设立了三个由17名有心理健康问题的人组成的多阶段焦点小组。在这项探索性研究中，使用定性内容分析法对数据进行了分析。参与者在努力融入社区的过程中感到羞耻和害怕被排斥。他们感到孤独，必须为平等而奋斗，并经历被忽视的情况。日子过得非常缓慢，他们报告说缺乏经济资源。他们想工作或参加其他日间活动，并寻求互惠关系。总之，社区精神卫生保健工作者需要确保有心理健康问题的人在社区中有一种归属感，从而使他们能够建立一个网络并实现社会融合。
