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加纳 Nsawam 社区成员对有精神疾病的无家可归者的看法。

Perspectives of community members on homeless people with mental illness in Nsawam, Ghana.

机构信息

Department of Social Work, University of Ghana, Legon, Accra, Ghana.

出版信息

Int J Soc Psychiatry. 2022 Feb;68(1):196-202. doi: 10.1177/0020764020984195. Epub 2020 Dec 24.

Abstract

BACKGROUND

Homelessness among people with mental illness has grown to become a common phenomenon in many developed and developing countries. Just like in any other country, the living conditions of homeless people with mental illness in Ghana are unwholesome. Despite the increased population of these vulnerable individuals on the streets, not much is known about the perspectives of the general public towards this phenomenon in Ghana.

AIM

This research was conducted to explore the perspectives of community members on homeless people with mental illness. The main study objectives were (a) to find out the impacts of the presence of persons with mental illness on the streets and (b) to ascertain the reasons accounting for homelessness among persons with mental illness.

METHOD

Utilizing a qualitative research design, twenty community members were sampled from selected suburbs in Nsawam and interviewed with the use of a semi-structured interview guide. The audio data gathered from the interviews were transcribed verbatim and analysed thematically.

RESULTS

Majority of the participants asserted that homeless people with mental illness had no access to good food, shelter, and health care. They further stated that some homeless people with mental illness perpetrated physical and sexual violence against the residents. Moreover, the participants believed that persons with mental illness remained on the streets due to neglect by their family members, and limited access to psychiatric services.

CONCLUSION

This paper concludes by recommending to government to make mental health services accessible and affordable to homeless persons with mental illness nationwide.

摘要

背景

精神疾病患者无家可归的现象在许多发达国家和发展中国家已变得十分普遍。与其他国家一样,加纳无家可归的精神病患者的生活条件也很恶劣。尽管这些弱势群体在街上的人数不断增加,但加纳公众对这一现象的看法却鲜为人知。

目的

本研究旨在探讨社区成员对无家可归的精神病患者的看法。主要研究目的是(a)了解精神疾病患者在街头存在的影响,以及(b)确定导致精神疾病患者无家可归的原因。

方法

采用定性研究设计,从 Nsawam 选定的郊区抽取了 20 名社区成员作为样本,并使用半结构式访谈指南对他们进行了访谈。从访谈中收集的音频数据被逐字转录,并进行了主题分析。

结果

大多数参与者认为,无家可归的精神病患者无法获得良好的食物、住所和医疗保健。他们还指出,一些无家可归的精神病患者对居民实施了身体和性暴力。此外,参与者认为,精神疾病患者留在街上是因为他们的家庭成员忽视了他们,以及获得精神科服务的机会有限。

结论

本文最后建议政府使精神卫生服务在全国范围内对无家可归的精神病患者可及且负担得起。

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