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被遗忘的人:在 COVID-19 大流行期间患有严重精神疾病的社区心理健康中心客户的经历。

Left Behind: Experiences of Community Mental Health Center Clients with Serious Mental Illness During the COVID-19 Pandemic.

机构信息

Washington State University, 412 E Spokane Falls Blvd, Spokane, WA, 99202, USA.

Portland State University, 1721 SW Broadway, Portland, OR, 97201, USA.

出版信息

Community Ment Health J. 2024 Aug;60(6):1131-1140. doi: 10.1007/s10597-024-01264-9. Epub 2024 Mar 28.

DOI:10.1007/s10597-024-01264-9
PMID:38546909
Abstract

While some international qualitative research has interviewed people with serious mental illnesses (SMI) about their experiences in the initial months of the COVID-19 pandemic, few US studies have explored their experiences and perspectives as the pandemic has continued. Drawing from disability studies perspectives, this qualitative study conducted in 2022 explored the experiences of people with SMI seeking services at community mental health centers during the COVID-19 pandemic. Fifteen clients who identified as living with an SMI and were clients during March 2020 were interviewed. Using narrative analysis, we identified an overarching tenor of client experiences: feeling left behind by institutions and society. This feeling of being left behind was conceptualized as three themes. As the literature around the COVID-19 pandemic grows and we attempt to integrate it into community mental health policy and practice, it is essential to include the experiences and perspectives of clients with lived experience of SMI.

摘要

虽然一些国际定性研究采访了患有严重精神疾病 (SMI) 的人,了解他们在 COVID-19 大流行最初几个月的经历,但很少有美国研究探讨他们在大流行持续期间的经历和观点。本研究从残疾研究的角度出发,于 2022 年进行了一项定性研究,探讨了在 COVID-19 大流行期间在社区心理健康中心寻求服务的患有 SMI 的人的经历。采访了 15 名自认为患有 SMI 且在 2020 年 3 月期间是客户的客户。通过叙事分析,我们确定了客户经历的一个总体基调:感觉被机构和社会抛在后面。这种被抛弃的感觉被概念化为三个主题。随着围绕 COVID-19 大流行的文献不断增加,我们试图将其纳入社区心理健康政策和实践中,因此必须纳入有 SMI 生活经历的客户的经验和观点。

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本文引用的文献

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How did the Covid-19 pandemic affect individuals with schizophrenia from Turkey?新冠疫情如何影响土耳其的精神分裂症患者?
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What has changed in the experiences of people with mental health problems during the COVID-19 pandemic: a coproduced, qualitative interview study.在 COVID-19 大流行期间,心理健康问题患者的经历发生了哪些变化:一项共同制作的定性访谈研究。
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Keeping well in a COVID-19 crisis: a qualitative study formulating the perspectives of mental health service users and carers.在 COVID-19 危机中保持健康:一项制定心理健康服务使用者和照顾者观点的定性研究。
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JAMA Psychiatry. 2021 Apr 1;78(4):380-386. doi: 10.1001/jamapsychiatry.2020.4442.
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Clubhouses Response to COVID-19: Member Challenges and Clubhouse Adaptations.会所应对 COVID-19:会员挑战与会所调整。
Community Ment Health J. 2021 Apr;57(3):424-437. doi: 10.1007/s10597-020-00753-x. Epub 2021 Jan 2.
10
Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62 354 COVID-19 cases in the USA.新冠病毒与精神障碍之间的双向关联:美国 62354 例新冠病毒病例的回顾性队列研究。
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