1 UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
2 DETECT Early Intervention Psychosis Services, Cluain Mhuire Community Mental Health Services, Dublin, Ireland.
Int J Soc Psychiatry. 2018 Jun;64(4):326-334. doi: 10.1177/0020764018763692. Epub 2018 Mar 14.
Social opportunities can be limited in the lives of people with enduring mental illness (EMI) due to psychiatric stigma, restricted home environments and employment barriers. Supported socialisation programmes have the potential to redress the impact of social isolation.
To explore the experiences of service users with EMI taking part in a supported socialisation programme, using written diary entries.
This article reports on the qualitative component of a randomised controlled trial of supported socialisation for people with EMI (published previously in this journal). Trial participation involved (1) being matched with a volunteer partner and engaging in social/leisure activities while receiving a stipend of €20 or (2) receiving this stipend only and engaging in self-driven socialisation. Participants completed written diaries documenting their perspectives on their experiences of supported socialisation. Data were analysed using Thematic Analysis.
Experiences of participation were characterised by involvement 'normalising' life, fostering a sense of connectedness, improving physical health, and facilitating engagement with culture. Taking part helped participants integrate socialising into their identity, enhanced their perceived capacity to be social, and cemented/expanded social networks. Participants also experienced significant obstacles to socialisation.
Supported socialisation can increase confidence, social competence and self-agency; buffer against psychiatric stigma; build social capital; and afford opportunities to enhance social integration, inclusion and belonging.
由于精神疾病污名化、家庭环境受限以及就业障碍,精神障碍患者(EMI)的社交机会可能受到限制。支持性社交计划有潜力减轻社交孤立的影响。
通过书面日记条目,探讨参加支持性社交计划的 EMI 服务使用者的体验。
本文报告了一项针对 EMI 患者支持性社交的随机对照试验的定性部分(此前在该期刊上发表)。试验参与包括(1)与志愿者伙伴配对并在获得 20 欧元津贴的同时参与社交/休闲活动,或(2)仅获得这笔津贴并自行参与社交活动。参与者完成了记录他们对支持性社交体验的看法的书面日记。使用主题分析对数据进行分析。
参与的体验特点是参与“正常化”生活、培养联系感、改善身体健康和促进文化参与。参与帮助参与者将社交融入自己的身份认同,增强他们的社交能力,并巩固/扩大社交网络。参与者还经历了社交的重大障碍。
支持性社交可以增强信心、社交能力和自我代理能力;减轻精神疾病污名化的影响;建立社会资本;并提供机会,促进社交融合、包容和归属感。