Stanković Biljana, Lukić Petar, Stojadinović Irena, Bogdanović Jasmina, Vukčević Marković Maša
Faculty of Philosophy, Department of Psychology, University of Belgrade, Serbia.
Faculty of Philosophy, LIRA Lab, University of Belgrade, Serbia.
Glob Ment Health (Camb). 2024 Oct 17;11:e81. doi: 10.1017/gmh.2024.81. eCollection 2024.
Mental health (MH) system in Serbia still relies heavily on the medical model with very restricted availability of community-based support. The aim of this study was to provide insight into the everyday experiences and unmet needs of psychiatric users suffering from schizophrenia spectrum disorders in Serbia who are also users of community MH services.
We recruited the participants ( = 11; 9 males; aged 26-65, = 48.5), long-term psychiatric users (11-57 years, = 29.4) diagnosed with a schizophrenia spectrum disorder, from a community MH centre. We conducted in-depth semi-structured interviews with them, which we analysed relying on the principles of thematic analysis.
Three broad themes relevant to participants' well-being and quality of life were identified: leading a meaningful and fulfilled life; the importance of continuity of socialisation and support; and maintaining control and a sense of agency. Community MH services have markedly figured in facilitating all three dimensions.
Findings suggest that providing continuous services that address the users' need to engage in activities that give them meaning and purpose, provide socialisation and peer support, and promote their autonomy and agency can play a vital role in advancing the process of recovery and well-being of long-term psychiatric users.
塞尔维亚的心理健康（MH）系统仍然严重依赖医学模式，基于社区的支持非常有限。本研究的目的是深入了解塞尔维亚同时使用社区MH服务的精神分裂症谱系障碍患者的日常经历和未满足的需求。
我们从一个社区MH中心招募了参与者（n = 11；9名男性；年龄26 - 65岁，平均年龄 = 48.5岁），他们是被诊断患有精神分裂症谱系障碍的长期精神科患者（11 - 57岁，平均年龄 = 29.4岁）。我们对他们进行了深入的半结构化访谈，并依据主题分析原则进行分析。
确定了与参与者的幸福感和生活质量相关的三个广泛主题：过有意义且充实的生活；社交和支持连续性的重要性；保持控制感和自主感。社区MH服务在促进所有这三个方面都发挥了显著作用。
研究结果表明，提供持续的服务，满足使用者参与赋予其意义和目的的活动、提供社交和同伴支持以及促进其自主性和自主感的需求，对于推进长期精神科使用者的康复和幸福进程可发挥至关重要的作用。
