College of Medicine and Health, University of Exeter, Exeter, EX1 2LU, UK.
Devon Partnership NHS Trust, Dryden Road, Exeter, EX2 5AF, UK.
Community Ment Health J. 2022 Oct;58(7):1338-1345. doi: 10.1007/s10597-022-00941-x. Epub 2022 Jan 25.
This paper explores the subjective experiences of mental health practitioners, people with psychosis and carers, on social isolation and community integration of people with psychosis. Focus groups and one-to-one interviews with 80 adult participants across three sites in the UK were conducted. Audio recordings were transcribed and analysed using thematic analysis. Participants commented on various aspects that may cause social isolation or enable community integration, including institutional factors (lack of resources, hospitalisation impact), illness symptoms (e.g., paranoia; over-pathologising vs individual choice), stigma (particularly the psychosis label), and the importance of communities that foster agency and embrace change. Hospitalisation maybe be a cause for isolation and psychiatric wards should consider allowing for socialisation as a therapeutic tool. Initiatives should consider the social fabric of our communities, socioeconomic inequalities and stigmatisation. Building communities that are accepting, kind and flexible can create opportunities that could lead to independence from mental health services.
本文探讨了心理健康从业者、精神病患者和照顾者对精神病患者的社会隔离和社区融合的主观体验。在英国的三个地点，对 80 名成年参与者进行了焦点小组和一对一访谈。使用主题分析对音频记录进行了转录和分析。参与者评论了可能导致社会隔离或促进社区融合的各个方面，包括制度因素（资源匮乏、住院治疗的影响）、疾病症状（例如，偏执；过度病理化与个人选择）、耻辱感（特别是精神病标签），以及培养能动性和接受变革的社区的重要性。住院治疗可能是导致隔离的一个原因，精神病院应该考虑允许社交作为一种治疗工具。各项举措应考虑到我们社区的社会结构、社会经济不平等和耻辱感。建设包容、友善和灵活的社区可以创造机会，使患者能够独立于精神卫生服务。
