scholarly journals Impact of a diagnosis of psychosis: user-led qualitative study

2009 ◽  
Vol 33 (11) ◽  
pp. 419-423 ◽  
Author(s):  
Liz Pitt ◽  
Martina Kilbride ◽  
Mary Welford ◽  
Sarah Nothard ◽  
Anthony P. Morrison

Aims and MethodTo explore the impact of diagnosis on people who experience psychosis. Eight participants were interviewed about the impact that diagnosis had on them.ResultsThe research found that the impact of diagnosis can involve both positive and negative elements. It can be a ‘means of access’ as well as a ‘cause of disempowerment’. It can help by ‘naming the problem’ and hinder by ‘labelling the person’. It is a ‘cause of social exclusion’ for all, but despite this service users can be successful in ‘achieving social inclusion’.Clinical ImplicationsThe findings have implications for how diagnosis is imparted by psychiatrists if they are to help to facilitate recovery and social inclusion.

2013 ◽  
Vol 6 ◽  
pp. 25-48
Author(s):  
Chitra Bahadur Budhthoki

This paper examines the impact of social inequality and social exclusion on health. Social exclusion in health can be explained by socioeconomic inequality in health as socioeconomic position mediates access to resources including health services. Moreover, the impact of socioeconomic position on health is mediated by people's differential exposures to a very broad range of physical, chemical, biological, social, psychological and behavioral risk factors to health. People belong to upper strata of society in developed and developing countries have been experiencing higher level of life expectancy and better health status than those who are at the bottom of the society. There is evidence that societies that are more economically equal and socially cohesive have lower overall mortality than those that are more unequal. Interventions focusing on improving socioeconomic condition and increasing social inclusion and equity in social, economic and political dimensions can contribute to reduce inequities and social exclusion in health. DOI: http://dx.doi.org/10.3126/dsaj.v6i0.8477 Dhaulagiri Journal of Sociology and Anthropology Vol. 6, 2012 25-48


2021 ◽  
Author(s):  
M. Majella Skrinda

This exploratory research considers the way gender, racialized ethnicity, and disability, as markers of difference, contribute to the social exclusion experienced by immigrant mothers as primary caregivers of child(ren) with a disability. Interviews were held with eight immigrant mothers in the Greater Toronto Area exploring barriers to accessing informal, formal networks of support, and the resulting impact on their lives. The findings include a lack of ethno-specific and extended family support as well as a lack of accessible, transparent government, social service information, and service provision. Other issues concern language, equity and access to services, impact on personal health, caregiving for aging parents, and future concerns for their children’s short and long-term welfare. Recommendations are based on a social inclusion framework of principles, which are relevant to policy makers, service providers, educators, and members of society.


2010 ◽  
Vol 34 (5) ◽  
pp. 181-186 ◽  
Author(s):  
Ankush Singhal ◽  
Deepak Garg ◽  
Alok Kumar Rana ◽  
Miriam Naheed

Aims and methodTo investigate, through a semi-qualitative survey at three geographical sites, health professionals' and service users' opinion about the impact of providing separate consultants for in-patient and community settings. It looked at the perceived affect on various issues such as the course of the illness, service delivery, patients' satisfaction as well as the skills and training of psychiatrists.ResultsOpinion was divided about the level of satisfaction, advantages, consultants' skills and success of this model. The most consistent theme related to the problems with the continuation of care and therapeutic relationship. Most of the respondents were not fully informed about this change. An overwhelming majority believed that in-patient psychiatry is not a separate specialty.Clinical implicationsCommunication and the sharing of information between the two consultants is the key to success in this model.


2010 ◽  
Vol 50 (1) ◽  
pp. 44-59 ◽  
Author(s):  
Gyöngyi Földesi

Social Exclusion/Inclusion in the Context of Hungarian SportSimilar to international trends, this investigation of social exclusion/inclusion from sport was preceded by studying the impact of poverty on sport participation in Hungary. Research was made on inequality of chances and on the disadvantaged position of the lower classes in sport, even in state socialism. Following the transformation of the political regime in 1989-1990, there was a growing interest in exploring unequal social opportunities in sport, not only by marginal social groups, but also by the increasing number of lower middle class people dropping behind. However, Hungarian sport has never been studied in the context of social exclusion/inclusion. Theobjectiveof this paper is to approach sport in Hungary from these perspectives. Attempts are made to answer the following questions: in which fields of Hungarian sport can social exclusion be observed? How is social exclusion from sport linked to age, gender, dwelling place, socio-economic status and to the lack of cultural and social capital? How is the concept of social exclusion/inclusion understood by the actors in Hungarian sport? How can sport be used as a means to promote social inclusion for people marginalized by economic, social and cultural barriers? In order to answer the above questions, the followingmethodswere used: analyses of recent research findings on Hungarians' sport participation with a focus on deprivation; in-depth interviews with key persons (N= 15) in Hungarian sport with the aim to discover how the concept of social exclusion/inclusion is understood by them; and analyses of documents to explore which measures have been taken by sport policy to tackle social exclusion. Theresultsshow that exclusion from sport is widespread in Hungarian society. It is linked in a combined way to poverty, education, ethnicity, age, and settlements. It is established in early childhood and lasts the whole life cycle. Key excluded groups are in hopeless situations due to economic, social and cultural aspects, so they cannot overcome this problem alone. They receive assistance in several other areas, but they are left to their own resources in sport-related issues. Legally they should have access to sport, but they cannot claim their rights. The concept of combating social exclusion is generally not incorporated into the objectives and values of sport clubs and federations; it has not yet been an integral part of sport culture in Hungary. Government documents contain declarations in connection to tackling social exclusion, but very few actions are implemented to promote social inclusion. A majorconclusionof the paper is that a serious modification of sport policy does not mainly depend on the lack of financial recourses but on the lack of a strong determination of the Government. The involvement of the Hungarian population in sporting activity and the intention for their inclusion are much lower than it could be under the present economic circumstances.


2021 ◽  
pp. 103985622110361
Author(s):  
Mathew Coleman ◽  
Michael Taran ◽  
Beatriz Cuesta-Briand

Objective This study reports on the impact of the COVID-19 pandemic on the lived experiences of people with substance use problems in accessing services in the Southwest region of Western Australia, and its implications for preparedness in a context of rural adversity. Method This was a qualitative study informed by the principles of phenomenology. Data were collected through semi-structured interviews and subjected to thematic analysis. Results Twenty-two participants were interviewed. Two main themes were identified: disruption to supportive connections; and bridging the connection gap: local service response to the COVID-19 pandemic. Conclusions The COVID-19 pandemic restrictions exacerbated social isolation and mental health issues, and disrupted services and treatment in the Southwest. Our results demonstrate that local alcohol and other drug services in rural areas can successfully respond to crises by assertively and flexibly adapting their service provision.


BJPsych Open ◽  
2019 ◽  
Vol 5 (04) ◽  
Author(s):  
Rachel H. Tribe ◽  
Abigail M. Freeman ◽  
Steven Livingstone ◽  
Joshua C. H. Stott ◽  
Stephen Pilling

BackgroundOpen dialogue is an integrative approach to the organisation of specialist mental health services and therapeutic meetings.AimsThis qualitative study sought to explore service users' and clinicians’ experiences of network meetings during the implementation of open dialogue in a modified version, for a UK-based mental health service.MethodIn total 19 participants were interviewed (8 service users and 11 clinicians) and an inductive thematic analysis of the data was conducted.ResultsFour dominant themes were identified: (1) open dialogue delivery, (2) the impact of open dialogue principles; (3) intense interactions and enhanced communication, and (4) organisational challenges. Clinicians considered open dialogue as a preferred, but challenging way of working, while being therapeutic. The data indicated that service users' experiences of network meetings were mixed. There was a wide variety of service user views as to what the purpose of a network meeting was and for some witnessing reflective conversations felt strange. However, the majority described feeling listened to and understood, excluding one service user who described their experience as distressing. Clinicians expressed an authentic self in their interactions with service users and both service users and clinicians described network meetings as emotionally expressive, although this was described as overwhelming at times.ConclusionsThe results of this thematic analysis indicate that service users' and clinicians’ experiences of open dialogue warrant further investigation. The intensity of interactions in network meetings should be carefully considered with service users before gaining consent to commence treatment. Implementation of open dialogue should be monitored to assess clinician- and service-level adherence to the principles of the approach.Declaration of interestNone.


2020 ◽  
Vol 2 (2) ◽  
pp. 28
Author(s):  
Javier Arza Porras ◽  
Diana Gil-González ◽  
Lluis Catalá Oltra ◽  
Francisco Francés García ◽  
María Eugenia González Angulo ◽  
...  

The aim of this study is to analyse the impact that COVID-19 has had on the Roma population, showing results of a telephone interview on a sample of 592 Roma households in phase 0 of confinement. This study has been developed by means of an alliance in which researchers from the public universities of Alicante and Navarre and the Health Institute Carlos III have participated, as well as several Roma associations. The results reflect the significant impact that the pandemic has caused in households that were already affected by social exclusion and inequality. This impact goes beyond health and affects all dimensions of social inclusion, from employment to education, including income, meeting basic needs and discrimination.


Europa XXI ◽  
2019 ◽  
Vol 37 ◽  
pp. 105-124
Author(s):  
Dionyssis Balourdos ◽  
Maria Petraki

This paper represents an empirical investigation into the risk of poverty or social exclusion facing immigrants across Europe. The methodological approach is based on the set of ‘Zaragoza indicators’, in the domain of social inclusion, together with some proposed additional ones: income distribution and monetary poverty, material deprivation, in-work poverty, child poverty and risk of poverty or social exclusion. The main research question concerns whether immigrants/third-country nationals and nationals constitute two rather distinct groups in terms of exposure to poverty or social exclusion. Mainly using data from the EU-SILC Survey, we find that third-country nationals are severely disadvantaged in most countries, and are occasionally exposed to risks multiple times higher than nationals. There are European countries with similar immigrant populations in which these immigrants experience less favorable outcomes compared to other populations in other countries. Comparative analysis allows us to test the significance of different welfare systems in protecting vulnerable groups such as immigrants, using Eurostat statistics and the Migrant Integration Policy Index (MIPEX). In a cross-country analysis, taking demographic and macro-economic differences into account, results show that the impact of social expenditure on poverty is not significant when it comes to protecting third-country nationals.


2006 ◽  
Vol 30 (12) ◽  
pp. 444-446 ◽  
Author(s):  
Robert Chaplin ◽  
Maureen McGeorge ◽  
Paul Lelliott

Aims and MethodWe audited 184 psychiatric wards against clinical practice guidelines for the management of violence. Staff and service users completed anonymous questionnaires. Environmental inspections were performed by two teams.ResultsThere were 4460 questionnaires returned. Nurses (78%) were significantly more likely to report the experience of violence than service users (37%). Drugs were reported by 72% of nurses and alcohol by 61% as causing problems. Other standards frequently not met included staffing levels, training, provision of activities, ward design and ambience.Clinical ImplicationsSpecific issues are identified that must be addressed by national and local action. A baseline is set against which the impact of this action can be judged. Priorities must include tackling drug and alcohol use in psychiatric wards.


Sign in / Sign up

Export Citation Format

Share Document