‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization
Abstract Background Psychiatric rehospitalization is a complex phenomenon in need of more person‐centred approaches. The current paper aimed to explore how community‐based actions and daily life influence mental health and rehospitalization. Design, setting and participants The qualitative study inc...
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doaj-f9949ce0b60e4af19d5ea04baa6f1a2e2021-05-21T02:45:14ZengWileyHealth Expectations1369-65131369-76252021-05-0124S117418410.1111/hex.13125‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalizationJohanna Cresswell‐Smith0Valeria Donisi1Laura Rabbi2Raluca Sfetcu3Lilijana Šprah4Christa Straßmayr5Kristian Wahlbeck6Marian Ådnanes7Finnish Institute for Health and Welfare (THL) Mental Health Unit Helsinki FinlandDepartment of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona ItalyDepartment of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona ItalyNational School of Public Health, Management and Professional Development Bucharest RomaniaResearch Centre of the Slovenian Academy of Sciences and Arts Sociomedical Institute Ljubljana SloveniaIMEHPS.research – Forschungsinstitut für Sozialpsychiatrie Vienna AustriaFinnish Institute for Health and Welfare (THL) Mental Health Unit Helsinki FinlandDepartment of Health Research SINTEF Digital Trondheim NorwayAbstract Background Psychiatric rehospitalization is a complex phenomenon in need of more person‐centred approaches. The current paper aimed to explore how community‐based actions and daily life influence mental health and rehospitalization. Design, setting and participants The qualitative study included focus group data from six European countries including 59 participants. Data were thematically analysed following an inductive approach deriving themes and subthemes in relation to facilitators and barriers to mental health. Results Barriers consisted of subthemes (financial difficulty, challenging family circumstances and stigma), and facilitators consisted of three subthemes (complementing services, signposting and recovery). The recovery subtheme consisted of a further five categories (family and friends, work and recreation, hope, using mental health experience and meaning). Discussion Barriers to mental health largely related to social determinants of mental health, which may also have implications for psychiatric rehospitalization. Facilitators included community‐based actions and aspects of daily life with ties to personal recovery. By articulating the value of these facilitators, we highlight benefits of a person‐centred and recovery‐focused approach also within the context of psychiatric rehospitalization. Conclusions This paper portrays how person‐centred approaches and day‐to‐day community actions may impact psychiatric rehospitalization via barriers and facilitators, acknowledging the social determinants of mental health and personal recovery. Patient or public contribution The current study included participants with experience of psychiatric rehospitalization from six different European countries. Furthermore, transcripts were read by several of the focus group participants, and a service user representative participated in the entire research process in the original study.https://doi.org/10.1111/hex.13125mental health servicespatient‐centred approachespsychiatric rehospitalizationqualitative researchrecoverysocial determinants of mental health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Johanna Cresswell‐Smith Valeria Donisi Laura Rabbi Raluca Sfetcu Lilijana Šprah Christa Straßmayr Kristian Wahlbeck Marian Ådnanes |
spellingShingle |
Johanna Cresswell‐Smith Valeria Donisi Laura Rabbi Raluca Sfetcu Lilijana Šprah Christa Straßmayr Kristian Wahlbeck Marian Ådnanes ‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization Health Expectations mental health services patient‐centred approaches psychiatric rehospitalization qualitative research recovery social determinants of mental health |
author_facet |
Johanna Cresswell‐Smith Valeria Donisi Laura Rabbi Raluca Sfetcu Lilijana Šprah Christa Straßmayr Kristian Wahlbeck Marian Ådnanes |
author_sort |
Johanna Cresswell‐Smith |
title |
‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization |
title_short |
‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization |
title_full |
‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization |
title_fullStr |
‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization |
title_full_unstemmed |
‘If we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: A focus group study on psychiatric rehospitalization |
title_sort |
‘if we would change things outside we wouldn’t even need to go in…’ supporting recovery via community‐based actions: a focus group study on psychiatric rehospitalization |
publisher |
Wiley |
series |
Health Expectations |
issn |
1369-6513 1369-7625 |
publishDate |
2021-05-01 |
description |
Abstract Background Psychiatric rehospitalization is a complex phenomenon in need of more person‐centred approaches. The current paper aimed to explore how community‐based actions and daily life influence mental health and rehospitalization. Design, setting and participants The qualitative study included focus group data from six European countries including 59 participants. Data were thematically analysed following an inductive approach deriving themes and subthemes in relation to facilitators and barriers to mental health. Results Barriers consisted of subthemes (financial difficulty, challenging family circumstances and stigma), and facilitators consisted of three subthemes (complementing services, signposting and recovery). The recovery subtheme consisted of a further five categories (family and friends, work and recreation, hope, using mental health experience and meaning). Discussion Barriers to mental health largely related to social determinants of mental health, which may also have implications for psychiatric rehospitalization. Facilitators included community‐based actions and aspects of daily life with ties to personal recovery. By articulating the value of these facilitators, we highlight benefits of a person‐centred and recovery‐focused approach also within the context of psychiatric rehospitalization. Conclusions This paper portrays how person‐centred approaches and day‐to‐day community actions may impact psychiatric rehospitalization via barriers and facilitators, acknowledging the social determinants of mental health and personal recovery. Patient or public contribution The current study included participants with experience of psychiatric rehospitalization from six different European countries. Furthermore, transcripts were read by several of the focus group participants, and a service user representative participated in the entire research process in the original study. |
topic |
mental health services patient‐centred approaches psychiatric rehospitalization qualitative research recovery social determinants of mental health |
url |
https://doi.org/10.1111/hex.13125 |
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