Social Inclusion as Freedom for Persons Living with Mental Illness

2019 ◽  
Vol 38 (1) ◽  
pp. 23-35
Author(s):  
Phyllis Montgomery ◽  
Amy Wuest ◽  
Cheryl Forchuk ◽  
Tracy Smith-Carrier ◽  
Momodou S. Jeng (Mo) ◽  
...  
Keyword(s):  
Social Capital ◽  
Mental Illness ◽  
Focus Groups ◽  
Social Services ◽  
Thematic Analysis ◽  
Social Inclusion ◽  
Community Integration ◽  
Complex Needs ◽  
Health And Social Services

This study describes the meaning of social inclusion to persons living with mental illness and poverty. Participants were recruited from health and social services where they completed the Community Integration Questionnaire (CIQ). From this sample, 46 participants attended one of three focus groups that corresponded with their self-reported CIQ scores. Thematic analysis showed that regardless of their CIQ scores, participants described freedom as both a liberating process for, and outcome of, social inclusion; freedom allows for the accumulation of health and social capital commensurate with one’s complex needs, and freedom represents success in the construction life surrounded by affirming others.

Social Capital and Sustainable Health Care: An Analysis of Community Based Palliative Care Model of Kerala

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Abdul Azeez. E.P
Keyword(s):  
Social Capital ◽  
Palliative Care ◽  
Social Services ◽  
Social Inclusion ◽  
Well Being ◽  
Vital Role ◽  
Voluntary Organizations ◽  
Community Based ◽  
The Social ◽  
Palliative Care Units

Social Capital is the most crucial asset which significantly influence the efficacy and resilience of any community. Social capital is a dependent variable that depends upon the competence and coherence of the individuals in the community and mode of social relationships, trust and networks they maintain. It is one of the most sustainable social resources that originate from human relations and results on the mutual support of people. Utilization of Social capital has a wide applicability in the process of social inclusion, especially in dealing with the vulnerable and disadvantaged sections in the community itself. Voluntary organizations are very keen to utilize the social capital for community/social services and community development in a sustainable manner. Community based de-institutionalized Palliative Care is one of the foremost among such organizations that made social capital in a strategic way for social inclusion and community well being. This paper analyses the extent to which different elements of social capital helps in initiating the sustainable community based palliative care movement by assessing the unique intervention strategies carried out by the palliative care. This paper explores conceptual questions of how social capital and voluntary community based services are correlated. A case study method was adopted for the study in which ten palliative care units were analyzed. The results show that a number of social capital elements are playing a vital role in the sustainability of community palliative care movement in Kerala.

scholarly journals Care of older people with mental illness

1999 ◽  
Vol 23 (2) ◽  
pp. 117-120 ◽  
Author(s):  
D. J. Jolley
Keyword(s):  
Mental Illness ◽  
Older People ◽  
Social Services ◽  
Significant Proportion ◽  
Developed Countries ◽  
Major Health ◽  
Health And Social Services ◽  
People With Mental Illness ◽  
Social Difficulties ◽  
The Uk

Older people comprise an increasingly significant proportion of the population of the UK and other developed countries. Most remain fit and able to make continuing contributions to their families and society, but they are at risks of periods of ill health and other stresses. Dementia, especially Alzheimer's disease, is one of the major health problems of our times and particularly affects older people. Mental ill health, physical ill health and social difficulties are often intertwined, calling for close working between health and social services to provide appropriate help for patients and their carers.

Service use and recovery among currently and formerly homeless adults with mental illness

2020 ◽  
Vol 66 (4) ◽  
pp. 389-396 ◽  
Author(s):  
Nick Kerman ◽  
John Sylvestre
Keyword(s):  
Mental Illness ◽  
Social Services ◽  
Service Use ◽  
Homeless People ◽  
Health And Social Services ◽  
Recovery Processes ◽  
People With Mental Illness ◽  
Formerly Homeless ◽  
Perceived Impacts ◽  
The Many

Background: A range of health and social services exist to address the many life adversities experienced by people with mental illness. However, the effects of services on their recovery in the context of ongoing homelessness and poverty have been minimally examined. Aims: This qualitative study sought to better understand the role of health and social services in the recovery processes of people with mental illness and histories of homelessness. Similarities and differences in the perceived impacts of services on recovery between currently and formerly homeless participants were also explored. Method: In-depth interviews were conducted with 52 currently and formerly homeless people with mental illness. Informed by a recovery framework, qualitative data were analyzed using two cycles of coding. Results: Services were perceived to affect recovery by (1) finding ways to cope and get by, (2) feeling less alone, (3) giving back, (4) being dehumanized or seen as someone and (5) encountering restrictions when getting help. Experiences of discrimination, fewer opportunities to give back and limited service options were heightened among participants experiencing homelessness compared to the housed group. Conclusion: Health and social services can promote and hinder recovery among currently and formerly homeless people with mental illness. Despite several differences between the two groups, the relationship between recovery and service use was similar for currently and formerly homeless participants, suggesting that both groups access services to address needs related to social connection, health and functioning and meaningful activities.

scholarly journals Veteran families with complex needs: a qualitative study of the veterans’ support system

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Angela M. Maguire ◽  
Julieann Keyser ◽  
Kelly Brown ◽  
Daniel Kivlahan ◽  
Madeline Romaniuk ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Social Services ◽  
Support System ◽  
Care Coordination ◽  
Service Providers ◽  
Systems Of Care ◽  
Full Time ◽  
Complex Needs ◽  
Health And Wellbeing

Abstract Background Families with complex needs face significant challenges accessing and navigating health and social services. For veteran families, these challenges are exacerbated by interactions between military and civilian systems of care, and the density of the veterans’ non-profit sector. This qualitative study was designed to gather rich, detailed information on complex needs in veteran families; and explore service providers’ and families’ experiences of accessing and navigating the veterans’ support system. Methods The study comprised participant background questionnaires (n = 34), focus groups with frontline service providers (n = 18), and one-on-one interviews with veteran families (n = 16) in Australia. The semi-structured focus groups and interviews were designed to gather rich, detailed information on four study topics: (i) health and wellbeing needs in veteran families; (ii) service-access barriers and facilitators; (iii) unmet needs and gaps in service provision; and (iv) practical solutions for improving service delivery. The study recruited participants who could best address the focus on veteran families with complex needs. The questionnaire data was used to describe relevant characteristics of the participant sample. The focus groups and interviews were audio-recorded, transcribed, and a reflexive thematic analysis was conducted to identify patterns of shared meaning in the qualitative data. Results Both service providers and families found the veterans’ support system difficult to access and navigate. System fragmentation was perceived to impede care coordination, and delay access to holistic care for veteran families with complex needs. The medico-legal aspects of compensation and rehabilitation processes were perceived to harm veteran identity, and undermine health and wellbeing outcomes. Recovery-oriented practice was viewed as a way to promote veteran independence and self-management. Participants expressed a strong preference for family-centred care that was informed by an understanding of military lifestyle and culture. Conclusion The health and wellbeing needs of veteran families intensify during the transition from full-time military service to civilian environments, and service- or reintegration-related difficulties may emerge (or persist) for a significant period of time thereafter. Veteran families with complex needs are unduly burdened by care coordination demands. There is a pressing need for high-quality implementation studies that evaluate initiatives for integrating fragmented systems of care.

Camberwell Reception Centre: a consideration of the need for health and social services of homeless, single men

1976 ◽  
Vol 5 (4) ◽  
pp. 389-399 ◽  
Author(s):  
Susanne Macgregor Wood
Keyword(s):  
Social Support ◽  
Health Care ◽  
Mental Illness ◽  
Social Services ◽  
Absolute Number ◽  
Health And Social Services ◽  
The Absolute ◽  
One Year ◽  
Reception Centre ◽  
Single Men

SUMMARYThis article casts some light on a neglected area of the health and social services in Britain, namely provision for homeless, single men. It is shown that the services available are grossly inadequate to meet their needs. The paper uses results from a study of Camberwell reception centre which demonstrate that the absolute number of men having either a physical or mental illness who use the centre in any one year is much higher than had previously been calculated. The reception centre is unable to meet their needs which are principally for low-rent accommodation for single people and appropriate health care and social support.

scholarly journals Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS)

2020 ◽  
pp. 002076402093484
Author(s):  
Tonje Fyhn ◽  
Simon Øverland ◽  
Silje E Reme
Keyword(s):  
Social Support ◽  
Clinical Trial ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Services ◽  
Involuntary Hospitalization ◽  
Individual Placement And Support ◽  
Health And Social Services ◽  
Individual Placement ◽  
Group Allocation

Background: Many people with moderate to severe mental illness have a desire to obtain ordinary employment. To aid further development of health and social services for this group, the aim of this study was to examine candidate modifiable and prognostic markers of employment, and moderating effects of group allocation in a clinical trial. Method: The sample consists of 327 patients in treatment for mental illness, randomized to Individual Placement and Support (IPS) or treatment as usual (TAU) as part of a clinical trial. Psychosocial and demographic baseline characteristics were included as predictors in log binary regression analyses with employment 18 months after inclusion as the outcome, and group allocation as the moderator (IPS or TAU). Results: Directive emotional support and non-directive instrumental support seemed to positively predict employment, but effects were small. Involuntary hospitalization seemed to be a strong negative predictor of employment. Group allocation did not moderate any main effects. Conclusion: Interpretation of the findings suggest that attention should be given to certain aspects of health and social services provided to this target group, and in particular the effect of receiving appropriate types of social support. The findings are novel because social support and involuntary hospitalization do not seem to have been included in previous predictor studies. The results from this study identify new topics for research on employment outcomes for this population.

scholarly journals Influence of past trauma and health interactions on homeless women’s views of perinatal care: a qualitative study

2019 ◽  
Vol 69 (688) ◽  
pp. e760-e767 ◽  
Author(s):  
Anna CT Gordon ◽  
David Lehane ◽  
Jennifer Burr ◽  
Caroline Mitchell
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Qualitative Study ◽  
Social Services ◽  
Perinatal Care ◽  
Homeless Women ◽  
Structured Interviews ◽  
Child Loss ◽  
Complex Needs ◽  
Data Saturation

BackgroundHomeless women are twice as likely to become pregnant and are less likely to receive antenatal care than women who are not homeless. Prevalent biopsychosocial complexity and comorbidities, including substance use and mental illness, increase the risk of obstetric complications, postnatal depression, and child loss to social services.AimTo explore the perspectives of women who have experienced pregnancy and homelessness to ascertain how to improve perinatal care.Design and settingA qualitative study with a purposive sample of women who had experienced pregnancy and homelessness, recruited from three community settings.MethodSemi-structured interviews continued to data saturation and were recorded, transcribed, and analysed thematically using a self-conscious approach, with independent verification of emergent themes.ResultsEleven women, diverse in age (18–40 years) and parity (one to five children), participated. Most women had experienced childhood trauma, grief, mental illness, and substance use. Overarching themes of ‘mistrust‘ and ‘fear of child loss to social services’ (CLSS) influenced their interactions with practitioners. The women experienced stigma from practitioners, and lacked effective support networks. Women who mistrusted practitioners attended appointments but concealed their needs, preventing necessary care. Further themes were being seen to do ‘the best for the baby’; pregnancy-enabled access to necessary holistic biopsychosocial care; and lack of postnatal support for CLSS or parenting.ConclusionPregnancy offered a pivotal opportunity for homeless women to engage with care for their complex needs and improve self-care, despite mistrust of practitioners. Poor postnatal support and the distress of CLSS reinforced an ongoing cycle of grief, mental health crises, substance use relapse, and homelessness.

scholarly journals A New Model for Inclusive Sports? An Evaluation of Participants’ Experiences of Mixed Ability Rugby

2017 ◽  
Vol 5 (2) ◽  
pp. 130-140 ◽  
Author(s):  
Martino Corazza ◽  
Jen Dyer
Keyword(s):  
Social Capital ◽  
Social Networks ◽  
Focus Groups ◽  
Empirical Data ◽  
Personal Development ◽  
Social Inclusion ◽  
Qualitative Data ◽  
Self Advocacy ◽  
New Model ◽  
The Uk

Sport has been recognised as a potential catalyst for social inclusion. The Mixed Ability Model represents an innovative approach to inclusive sport by encouraging disabled and non-disabled players to interact in a mainstream club environment. However, research around the impacts of the Model is currently lacking. This paper aims to contribute empirical data to this gap by evaluating participants’ experiences of Mixed Ability Rugby and highlighting implications for future initiatives. Primary qualitative data were collected within two Mixed Ability Rugby teams in the UK and Italy through online questionnaires and focus groups. Data were analysed using Simplican et al.’s (2015) model of social inclusion. Data show that Mixed Ability Rugby has significant potential for achieving inclusionary outcomes. Positive social impacts, reported by all participants, regardless of (dis)ability, include enhanced social networks, an increase in social capital, personal development and fundamental perception shifts. Factors relevant to the Mixed Ability Model are identified that enhance these impacts and inclusionary outcomes. The mainstream setting was reportedly the most important, with further aspects including a supportive club environment and promotion of self-advocacy. A ‘Wheel of Inclusion’ is developed that provides a useful basis for evaluating current inclusive sport initiatives and for designing new ones.

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