scholarly journals "Why I Stay in Community Psychiatric Rehabilitation" -A Semi-Structured Survey in Schizophrenic Patients

2021 ◽  
Author(s):  
Shan-Shan Zheng ◽  
Hui Zhang ◽  
Man-Hua Zhang ◽  
Xue Li ◽  
Kuo Chang ◽  
...  
Keyword(s):  
Social Communication ◽  
Sense Of Belonging ◽  
Social Inclusion ◽  
Psychiatric Rehabilitation ◽  
Social Needs ◽  
Telephone Interviews ◽  
Rehabilitation Centers ◽  
Community Psychiatric ◽  
Schizophrenic Patients ◽  
Social Prejudice

Abstract Aims: Although community psychiatric rehabilitation plays an important role in returning schizophrenic patients to the society, Many patients in China stay in rehabilitation centers for longer periods of time and subsequently fail to integrate. This study aimed is to explore the underlying causes of this trend and identify possible solutions.Methods: A total of 28 schizophrenic patients were enrolled in this study. We used semi-structured telephone interviews to obtain patients’ perceptions on the effectiveness and attraction of community mental rehabilitation, as well as the difficulties of social inclusion, then applied the grounded theory to analyze the responses. Investigation of interviews include effect of community rehabilitation, attractiveness, and difficulties in social communication.Results: Most patients believe that they have gained knowledge, improved skills, friendship and social circles through community mental rehabilitation, with the sense of belonging and enriched life strongly attracting them to the rehabilitation centers. They felt that the difficulty of further integration into society is mainly because of social prejudice and rejection. In addition, the activities of community mental rehabilitation meet the needs of social communication, which also hinder patients from further entering the society.Conclusions: Schizophrenic patients with long-term stay in community mental rehabilitation centers meet their friendship, sense of belonging and social needs by participating in rehabilitation activities. Providing special social opportunity for these patients can get them out of the rehabilitation center. Overall, it is possible for patients to gradually return to society in a collective form.

scholarly journals ‘We go for a homely feel … not the clinical dementia side’: care home managers’ experiences of supporting residents with dementia to orientate and navigate care environments

2020 ◽  
pp. 1-27
Author(s):  
Michelle Heward ◽  
Amanda Adams ◽  
Ben Hicks ◽  
Jan Wiener
Keyword(s):  
Social Inclusion ◽  
Care Home ◽  
Design Principles ◽  
Theory And Practice ◽  
Home Environments ◽  
Business Context ◽  
Telephone Interviews ◽  
Important Challenge ◽  
Past Experiences ◽  
Neuropsychological Theory

Abstract Living with dementia can adversely affect people's spatial (orientation and navigation) and reality (time, date and place) orientation, which can detrimentally impact on their sense of social inclusion and wellbeing. This is an important challenge to address within United Kingdom (UK) care homes where around 70 per cent of the residents are living with dementia or severe memory problems. Care home managers have some autonomy in decision-making that impacts on the daily functioning of residents and are key in enacting the orientation and navigation agenda within a care home environment. Yet a paucity of literature explores their understanding and experiences of this issue. Contributing to this knowledge gap, our exploratory study examined managers’ current practice of supporting residents with dementia to minimise disorientation and their knowledge of dementia-friendly design principles, guidelines and audit tools. Semi-structured telephone interviews with 12 UK care home managers were conducted. Questions started generally targeting residents’ orientation and navigation abilities, followed by specific questions to draw out strategies used to support residents. Thematic analysis identified three higher-order themes: aligning strategies with needs, intuitive learning and managing within the wider business context. The findings demonstrated that managers perceive dementia to impact on a person's spatial and reality orientation. Consequently, the strategies they chose to adopt were tailored towards alleviating both challenges. However, although managers were aware of some design principles, they frequently relied on intuitive learning and past experiences to inform their choice of interventions, reporting a lack of knowledge and/or time to seek out orientation-specific training and guidance, resulting in a low uptake of guidelines and audit tools in practice. This gap between theory and practice highlights a need for accessible guidelines that integrate strategies with neuropsychological theory, and appropriate training to improve orientation and navigation in care home environments. Managers, staff, business owners, architects and designers all play a key role in implementing orientation guidelines into practice and ensuring dementia-friendly care home environments for residents.

Comparison of Standard Locked-Ward Treatment Versus Open-Ward Rehabilitation Treatment for Chronic Schizophrenic Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 45-51 ◽  
Author(s):  
Zhanhuai Fan ◽  
Jingkang Huang ◽  
Qihui Wu ◽  
Shaxi Jiang
Keyword(s):  
Psychosocial Functioning ◽  
Psychiatric Rehabilitation ◽  
Good Method ◽  
Patient Treatment ◽  
Control Group ◽  
Open Door ◽  
Chronic Schizophrenic ◽  
Observation Scale ◽  
Schizophrenic Patients ◽  
Overall Functioning

A priority for psychiatric rehabilitation workers in China is to develop less-restrictive methods for managing the estimated 2500 chronically institutionalised patients who are symptomatically stable and have adequate psychosocial functioning but have no family members who are able or willing to take them home. We transferred 45 chronic schizophrenic male in-patients to an open-door rehabilitation ward where they were given as much freedom as possible and encouraged to take part in occupational, social, and recreational activities. The Nurses Observation Scale for Inpatient Evaluation (NOSIE) was used to compare the psychosocial functioning of the 43 patients who completed the year-long trial with that of 43 similar patients who received standard in-patient treatment on a locked ward. Over the year, the experimental group showed a significant improvement in overall functioning, whereas the control group showed no improvement. These findings suggest that open-door rehabilitation wards situated within the hospital can mobilise latent psychosocial functioning and may be a good method for re-introducing chronic schizophrenic patients in China back into the community.

scholarly journals Social Cognition and Sense of Belonging among Institutionalized Schizophrenic Patients

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Fatma N. Kotb
Keyword(s):  
Mental Health ◽  
Social Cognition ◽  
Cognitive Abilities ◽  
Sense Of Belonging ◽  
Addiction Treatment ◽  
Rating Scale ◽  
Mental Health Problems ◽  
Healthy Relationships ◽  
Descriptive Research ◽  
Schizophrenic Patients

Context: Schizophrenia is one of the perilous mental health problems. It hinders the patient’s capability of thinking clearly, making life decisions, managing their emotions, and building healthy relationships. Aim: This study aimed to explore the relationship between social cognition and sense of belonging among institutionalized schizophrenic patients. Methods: The study used a descriptive research design to achieve the aim of this study. This research carried out in the inpatient unit of Minia Hospital for Mental Health and Addiction Treatment. A convenient sample of 100 institutionalized schizophrenic patients recruited in the current study. Three tools used to collect data of this study include socio-demographic and medical data questionnaire, Observable Social Cognition Rating Scale, and Sense of Belonging scale. Results: The main findings of this study revealed that more than three fourth of schizophrenic patients had low levels of social cognition, and sense of belonging. There was a significant positive relationship between social cognition and sense of belonging of institutionalized schizophrenic patients. Conclusion: The current study concluded that institutionalized schizophrenic patients have a positive connection between their social cognition and a sense of belonging. Recommendations: The study recommended that, schizophrenic patient in a very high need for psycho-educational program for improving their cognitive abilities, which will improve their social cognition and interaction with others and enhance their sense of belonging.

Home and Belonging in an Ethno-Nationalist Society

2020 ◽  
pp. 126-153
Author(s):  
Gracia Liu-Farrer
Keyword(s):  
Social Relationships ◽  
Intimate Relationships ◽  
Sense Of Belonging ◽  
Social Inclusion ◽  
Japanese Society ◽  
Cultural Backgrounds ◽  
Master Narratives ◽  
Emotional Geography ◽  
Migration Experiences ◽  
Perceived Relationships

This chapter explores how cultural backgrounds, migration experiences, socioeconomic circumstances, and social relationships as well as master narratives of nationhood and concepts of personhood affect immigrants' conception of home and belonging, perceived relationships with Japan, and future mobility intentions. While Japan has become home to some, others either attach their belonging to their homeland or gravitate toward a more localized and deplaced narrative of belonging. Intimate relationships, degrees of acculturation, metacultural narratives, and racial and ethnic characteristics affect immigrants' emotional geography, especially their ability to foster a sense of belonging in Japan. These mechanisms are obviously not mutually exclusive. Rather, they sometimes overlap, and other times are mutually causal. For example, the degree of acculturation has a lot to do with how much immigrants can begin to have meaningful social relationships with Japanese society. Race may also shape patterns of social inclusion. These conditions shape not only where one feels one belongs but also whether a sense of belonging can be fostered.

Sense of Belonging and Commitment as Mediators of the Effect of Community Features on Active Involvement in the Community

2020 ◽  
Vol 19 (3) ◽  
pp. 617-637
Author(s):  
Lea Zanbar
Keyword(s):  
Community Involvement ◽  
Sense Of Belonging ◽  
Social Needs ◽  
Self Report ◽  
Three Dimensions ◽  
Theoretical Assumption ◽  
Active Involvement ◽  
Community Belonging ◽  
Urban Issues ◽  
Practical Implications

Citizens’ active involvement in the community is aimed at improving their welfare and addressing social needs and other urban issues. The current study investigated factors that contribute to such involvement, and empirically examined the theoretical assumption that community belonging and commitment mediate their effect on community involvement. The sample consisted of 1,014 Israeli respondents who completed a self–report questionnaire tapping community features (size, social support, three dimensions of citizens’ perceptions of local services, and leaders), mediating variables representing the individual's attitudes toward the community (belonging, commitment), and the outcome of active involvement in the community. Path analysis supported by indirect effect examination indicated that the effect of some variables was fully mediated by community belonging and commitment. Elsewhere, the mediation reversed the direction of the effect, changing it from negative to positive. Theoretical and practical implications are discussed, including operative suggestions for professionals in the field of community interventions.

Understanding the Inclusiveness of Integrated Physical Education From the Perspectives of Adults With Visual Impairments

2020 ◽  
Vol 37 (2) ◽  
pp. 141-159 ◽  
Author(s):  
Justin A. Haegele ◽  
Samuel R. Hodge ◽  
Xihe Zhu ◽  
Steven K. Holland ◽  
Wesley J. Wilson
Keyword(s):  
Physical Education ◽  
Visual Impairment ◽  
Thematic Analysis ◽  
Sense Of Belonging ◽  
Visual Impairments ◽  
Qualitative Description ◽  
Data Sources ◽  
Research Approach ◽  
Telephone Interviews ◽  
Perceived Importance

The purpose of this study was to examine the perspectives of individuals with visual impairment toward inclusion and the inclusiveness of their integrated physical education experiences. A retrospective, qualitative-description research approach was used, and 10 adults (age 20–35 years) with visual impairments acted as the participants. The data sources included one-on-one telephone interviews and reflective interview notes. A theoretical thematic analysis approach was used to analyze the data. Three interrelated themes were identified: “I always felt like a misfit”: a missing sense of belonging, acceptance, and value; “I felt very excluded, very pushed to the side”: lack of access to activity participation; and “Even though it sucked, I do agree with it”: preference for integrated settings. Collectively, the participants recalled that experiencing feelings of inclusion during physical education were rare. Despite this, they expressed a perceived importance of being integrated in contexts with their peers.

Birds of a Feather Do Not Always Flock Together: A Critical Analysis of Latina Engineers and Their Involvement in Student Organizations

2016 ◽  
Vol 16 (4) ◽  
pp. 359-374 ◽  
Author(s):  
Rosa M. Banda ◽  
Alonzo M. Flowers
Keyword(s):  
Undergraduate Students ◽  
Sense Of Belonging ◽  
Qualitative Method ◽  
Student Organizations ◽  
Social Needs ◽  
Engineering Majors ◽  
Engineering Programs ◽  
Undergraduate Engineering ◽  
Minority Females ◽  
Insight Into

While an abundance of literature addresses undergraduate students’ lack of success in engineering programs, fewer studies examine the persistence of minority females, especially of Latinas. This study employed a qualitative method of inquiry to gain insight into the reasons why Latina undergraduate engineering majors sought membership in student organizations. Data analysis emerged the following findings: (a) fulfilling academic and social needs, (b) seeking a sense of belonging, and (c) choosing not to coalesce on the basis of race. The categorization of the aforementioned broad themes provides greater insight into the reasons why Latinas sought membership in certain student organizations.

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