Division of Psychology and Applied Therapies, College of Liberal Arts and Sciences, Lesley University, Cambridge, MA, USA.
Center for Psychiatric Rehabilitation, Boston University, Boston, MA, USA.
Am J Community Psychol. 2019 Mar;63(1-2):32-45. doi: 10.1002/ajcp.12301. Epub 2019 Feb 6.
Decades after deinstitutionalization, individuals living with serious mental illnesses remain isolated, socially disengaged, and devalued members of communities. Burgeoning research and services need conceptual clarity to improve such social conditions. This qualitative inquiry used grounded theory and participatory approaches to conduct an in-depth exploration of community participation for individuals living with serious mental illnesses based on key stakeholder perspectives (n = 45). Results revealed that community participation is a multifaceted construct with layers of meaning for individuals living with serious mental illnesses. Overarching themes are contextualized in Self-Determination Theory and presented with deidentified illustrations. Implications for services, research, and policy are discussed.
去机构化几十年后，患有严重精神疾病的个体仍然处于孤立、社会脱节和被社区贬低的状态。新兴的研究和服务需要概念上的清晰，以改善这种社会状况。本定性研究使用扎根理论和参与式方法，从关键利益相关者的角度（n=45），对患有严重精神疾病的个体的社区参与进行了深入探讨。研究结果表明，社区参与是一个多方面的概念，对患有严重精神疾病的个体具有多层次的意义。首要主题以自我决定理论为背景，并附有匿名说明。讨论了对服务、研究和政策的影响。
