Finnish Institute for Health and Welfare (THL), Mental Health Unit, Helsinki, Finland.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Health Expect. 2021 May;24 Suppl 1(Suppl 1):174-184. doi: 10.1111/hex.13125. Epub 2020 Sep 9.
Psychiatric rehospitalization is a complex phenomenon in need of more person-centred approaches. The current paper aimed to explore how community-based actions and daily life influence mental health and rehospitalization.
DESIGN, SETTING AND PARTICIPANTS: The qualitative study included focus group data from six European countries including 59 participants. Data were thematically analysed following an inductive approach deriving themes and subthemes in relation to facilitators and barriers to mental health.
Barriers consisted of subthemes (financial difficulty, challenging family circumstances and stigma), and facilitators consisted of three subthemes (complementing services, signposting and recovery). The recovery subtheme consisted of a further five categories (family and friends, work and recreation, hope, using mental health experience and meaning).
Barriers to mental health largely related to social determinants of mental health, which may also have implications for psychiatric rehospitalization. Facilitators included community-based actions and aspects of daily life with ties to personal recovery. By articulating the value of these facilitators, we highlight benefits of a person-centred and recovery-focused approach also within the context of psychiatric rehospitalization.
This paper portrays how person-centred approaches and day-to-day community actions may impact psychiatric rehospitalization via barriers and facilitators, acknowledging the social determinants of mental health and personal recovery.
The current study included participants with experience of psychiatric rehospitalization from six different European countries. Furthermore, transcripts were read by several of the focus group participants, and a service user representative participated in the entire research process in the original study.
精神科再住院是一种复杂的现象，需要更多以人为本的方法。本文旨在探讨基于社区的行动和日常生活如何影响心理健康和再住院。
设计、地点和参与者：这项定性研究包括来自六个欧洲国家的焦点小组数据，共 59 名参与者。数据采用归纳法进行主题分析，根据促进和阻碍心理健康的因素提取主题和子主题。
障碍包括财务困难、具有挑战性的家庭环境和耻辱感三个子主题，促进因素包括补充服务、转介和康复三个子主题。康复子主题进一步包括五个类别（家人和朋友、工作和娱乐、希望、利用心理健康经验和意义）。
心理健康的障碍主要与心理健康的社会决定因素有关，这也可能对精神科再住院产生影响。促进因素包括基于社区的行动和日常生活方面，与个人康复有关。通过阐明这些促进因素的价值，我们突出了以人为本和以康复为重点的方法的好处，这也适用于精神科再住院的情况。
本文描述了以人为本的方法和日常社区行动如何通过障碍和促进因素影响精神科再住院，承认心理健康和个人康复的社会决定因素。
本研究包括来自六个不同欧洲国家有精神科再住院经历的参与者。此外，焦点小组的几位参与者阅读了转录本，一位服务使用者代表参与了原始研究的整个研究过程。
