Faculty of Health and Social Care, Anglia Ruskin University, Cambridge, UK.
Int J Soc Psychiatry. 2011 May;57(3):211-23. doi: 10.1177/0020764009354943. Epub 2010 Jan 12.
The application of formal lifelong learning to enhance social inclusion in mental health is rarely investigated in terms of change in the lives of service users on a cross-country comparative scale.
This study was aimed at examining changes in key areas of the lives of mental health service users across eight European mental health sites.
A before and after case study design was applied. Users of mental health services who participated in the lifelong leaning interventions reviewed the changes in key areas of their lives at baseline and 10 months later, through the thematic analysis of qualitative data collected in semi-structured interviews (27 and 21, respectively) and self-reports (138 and 99, respectively). In-depth examples from one site are provided.
Most users reported positive changes in the areas of training and social networks, with a sizeable minority moving onto unpaid and paid employment. In addition most users reported active planning for job search and other goals. Obstacles that were highlighted included the negative effects of having a mental illness, difficulties in close relationships and economic disadvantages.
The lifelong learning intervention offered within an EU Framework 6 project to mental health service users in eight demonstration sites had a largely positive impact on key areas of their lives at 10 months, though obstacles remained which may be less amenable to change by social interventions.
从跨国比较的角度来看，很少有研究将正式的终身学习应用于增强心理健康服务使用者的社会包容性方面，以考察服务使用者生活的变化。
本研究旨在考察 8 个欧洲心理健康地点的心理健康服务使用者在关键生活领域的变化。
采用前后案例研究设计。参与终身学习干预的心理健康服务使用者通过半结构化访谈（分别为 27 次和 21 次）和自我报告（分别为 138 次和 99 次）收集定性数据的主题分析，在基线和 10 个月后回顾他们生活中关键领域的变化。提供了一个地点的深入示例。
大多数用户报告在培训和社交网络领域有积极的变化，相当一部分人开始从事无薪和带薪工作。此外，大多数用户报告积极规划求职和其他目标。突出的障碍包括精神疾病的负面影响、亲密关系困难和经济劣势。
在欧盟第六框架项目内为 8 个示范地点的心理健康服务使用者提供的终身学习干预措施，在 10 个月后对他们生活的关键领域产生了很大的积极影响，但仍存在一些障碍，这些障碍可能不太容易通过社会干预来改变。
