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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 1/2017

24.11.2015 | Original Article

Impact of Mental Health Services on Resilience in Youth with First Episode Psychosis: A Qualitative Study

verfasst von: S. Lal, M. Ungar, A. Malla, C. Leggo, M. Suto

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 1/2017

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Abstract

The purpose of this qualitative study is to understand how mental health and related services support and hinder resilience in young people diagnosed with first-episode psychosis. Seventeen youth between the ages of 18–24 were recruited and 31 in-depth interviews were conducted. Findings illustrated that informational and meaning making, instrumental, and emotional supports were experienced positively (i.e., resilience-enhancing); whereas services with ghettoizing, engulfing, regulating, and out of tune practices were experienced negatively (i.e., resilience-hindering). These results demonstrate how various types of service-related practices influence resilience in youth and can inform future planning of services for psychosis.
Literatur
Zurück zum Zitat Amminger, G., Harris, M., Conus, P., Lambert, M., Elkins, K. S., Yuen, H. P., & McGorry, P. D. (2006). Treated incidence of first-episode psychosis in the catchment area of EPPIC between 1997 and 2000. Acta Psychiatrica Scandinavica, 114(5), 337–345.CrossRefPubMed Amminger, G., Harris, M., Conus, P., Lambert, M., Elkins, K. S., Yuen, H. P., & McGorry, P. D. (2006). Treated incidence of first-episode psychosis in the catchment area of EPPIC between 1997 and 2000. Acta Psychiatrica Scandinavica, 114(5), 337–345.CrossRefPubMed
Zurück zum Zitat Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.CrossRefPubMed Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.CrossRefPubMed
Zurück zum Zitat Arnett, J. J. (2014). Emerging adulthood: The winding road from the late teens through the twenties. New York: Oxford University Press.CrossRef Arnett, J. J. (2014). Emerging adulthood: The winding road from the late teens through the twenties. New York: Oxford University Press.CrossRef
Zurück zum Zitat Barnett, E., & Casper, M. (2001). A definition of “social environment”. American Journal of Public Health, 91(3), 465.PubMedPubMedCentral Barnett, E., & Casper, M. (2001). A definition of “social environment”. American Journal of Public Health, 91(3), 465.PubMedPubMedCentral
Zurück zum Zitat Bottrell, D. (2009). Understanding ‘marginal’perspectives towards a social theory of resilience. Qualitative Social Work, 8(3), 321–339.CrossRef Bottrell, D. (2009). Understanding ‘marginal’perspectives towards a social theory of resilience. Qualitative Social Work, 8(3), 321–339.CrossRef
Zurück zum Zitat Bottrell, D., & Armstrong, D. (2012). The social ecology of resilience (pp. 247–264)., Local resources and distal decisions: The political ecology of resilience New York: Springer.CrossRef Bottrell, D., & Armstrong, D. (2012). The social ecology of resilience (pp. 247–264)., Local resources and distal decisions: The political ecology of resilience New York: Springer.CrossRef
Zurück zum Zitat Boydell, K. M., Stasiulis, E., Volpe, T., & Gladstone, B. (2010). A descriptive review of qualitative studies in first episode psychosis. Early Intervention in Psychiatry, 4(1), 7–24.CrossRefPubMed Boydell, K. M., Stasiulis, E., Volpe, T., & Gladstone, B. (2010). A descriptive review of qualitative studies in first episode psychosis. Early Intervention in Psychiatry, 4(1), 7–24.CrossRefPubMed
Zurück zum Zitat Boyden, J., & Mann, G. (2005). Children’s risk, resilience, and coping in extreme situations. In M. Ungar (Ed.), Handbook for working with children and youth: Pathways to resilience across cultures and contexts (pp. 3–26). Thousand Oaks, CA: Sage Publications.CrossRef Boyden, J., & Mann, G. (2005). Children’s risk, resilience, and coping in extreme situations. In M. Ungar (Ed.), Handbook for working with children and youth: Pathways to resilience across cultures and contexts (pp. 3–26). Thousand Oaks, CA: Sage Publications.CrossRef
Zurück zum Zitat Bruner, J. (1987). Actual minds, possible worlds. Cambridge, MA: Harvard University Press. Bruner, J. (1987). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.
Zurück zum Zitat Canadian Institutes of Health Research. (2006). Institute of human development, child and youth health, strategic plan 2006–2010. Montreal. Canadian Institutes of Health Research. (2006). Institute of human development, child and youth health, strategic plan 2006–2010. Montreal.
Zurück zum Zitat Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage. Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
Zurück zum Zitat Chase, S. E. (2005). Narrative inquiry: Multiple lenses, approaches, voices. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed., pp. 651–679). Thousand Oaks, CA: Sage. Chase, S. E. (2005). Narrative inquiry: Multiple lenses, approaches, voices. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed., pp. 651–679). Thousand Oaks, CA: Sage.
Zurück zum Zitat Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry. International encyclopedia of education, 1–23. Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry. International encyclopedia of education, 1–23.
Zurück zum Zitat Creswell, J. W. (2007). Qualitative inquiry and research method: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage. Creswell, J. W. (2007). Qualitative inquiry and research method: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage.
Zurück zum Zitat Darbyshire, P., Muir-Cochrane, E., Fereday, J., Jureidini, J., & Drummond, A. (2006). Engagement with health and social care services: Perceptions of homeless young people with mental health problems. Health and Social Care in the Community, 14(6), 553–562.CrossRefPubMed Darbyshire, P., Muir-Cochrane, E., Fereday, J., Jureidini, J., & Drummond, A. (2006). Engagement with health and social care services: Perceptions of homeless young people with mental health problems. Health and Social Care in the Community, 14(6), 553–562.CrossRefPubMed
Zurück zum Zitat Denzin, N. K., & Lincoln, Y. S. (2005). Introduction: The discipline and practice of qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed., pp. 1–32). Thousand Oaks, CA: Sage. Denzin, N. K., & Lincoln, Y. S. (2005). Introduction: The discipline and practice of qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed., pp. 1–32). Thousand Oaks, CA: Sage.
Zurück zum Zitat Human Resources and Skills Development Canada, Policy Research Directorate (2009). Resilience among at-risk groups in Canada: Qualitative analysis. (Research Opportunities, Volume 4, Number 19). Gatineau, QC. Human Resources and Skills Development Canada, Policy Research Directorate (2009). Resilience among at-risk groups in Canada: Qualitative analysis. (Research Opportunities, Volume 4, Number 19). Gatineau, QC.
Zurück zum Zitat Lal, S., & Malla, A. (2015). Service engagement in first-episode psychosis: Current issues and future directions. Canadian Journal of Psychiatry, 60, 341–345.PubMedPubMedCentral Lal, S., & Malla, A. (2015). Service engagement in first-episode psychosis: Current issues and future directions. Canadian Journal of Psychiatry, 60, 341–345.PubMedPubMedCentral
Zurück zum Zitat Lysaker, P., & Buck, K. (2006). Moving toward recovery within clients’ personal narratives: Directions for a recovery-focused therapy. Journal of Psychosocial Nursing and Mental Health Services, 44(1), 28–35.PubMed Lysaker, P., & Buck, K. (2006). Moving toward recovery within clients’ personal narratives: Directions for a recovery-focused therapy. Journal of Psychosocial Nursing and Mental Health Services, 44(1), 28–35.PubMed
Zurück zum Zitat McCay, E., Beanlands, H., Leszcz, M., Goering, P., Seeman, M. V., Ryan, K., et al. (2006). A group intervention to promote healthy self-concepts and guide recovery in first episode schizophrenia: A pilot study. Psychiatric Rehabilitation Journal, 30, 105–111. doi:10.2975/30.2006.105.111.CrossRefPubMed McCay, E., Beanlands, H., Leszcz, M., Goering, P., Seeman, M. V., Ryan, K., et al. (2006). A group intervention to promote healthy self-concepts and guide recovery in first episode schizophrenia: A pilot study. Psychiatric Rehabilitation Journal, 30, 105–111. doi:10.​2975/​30.​2006.​105.​111.CrossRefPubMed
Zurück zum Zitat O’Brien, A., Fahmy, R., & Singh, S. P. (2009). Disengagement from mental health services. Social Psychiatry and Psychiatric Epidemiology, 44(7), 558–568.CrossRefPubMed O’Brien, A., Fahmy, R., & Singh, S. P. (2009). Disengagement from mental health services. Social Psychiatry and Psychiatric Epidemiology, 44(7), 558–568.CrossRefPubMed
Zurück zum Zitat Or, S. E. B., Hasson-Ohayon, I., Feingold, D., Vahab, K., Amiaz, R., Weiser, M., & Lysaker, P. H. (2013). Meaning in life, insight and self-stigma among people with severe mental illness. Comprehensive Psychiatry, 54(2), 195–200.CrossRefPubMed Or, S. E. B., Hasson-Ohayon, I., Feingold, D., Vahab, K., Amiaz, R., Weiser, M., & Lysaker, P. H. (2013). Meaning in life, insight and self-stigma among people with severe mental illness. Comprehensive Psychiatry, 54(2), 195–200.CrossRefPubMed
Zurück zum Zitat Plaistow, J., Masson, K., Koch, D., Wilson, J., Stark, R. M., Jones, P. B., & Lennox, B. R. (2014). Young people’s views of UK mental health services. Early Intervention in Psychiatry, 8(1), 12–23.CrossRefPubMed Plaistow, J., Masson, K., Koch, D., Wilson, J., Stark, R. M., Jones, P. B., & Lennox, B. R. (2014). Young people’s views of UK mental health services. Early Intervention in Psychiatry, 8(1), 12–23.CrossRefPubMed
Zurück zum Zitat Reich, J. W., Zautra, A. J., & Hall, J. S. (Eds.). (2010). Handbook of adult resilience. New York: Guilford Press. Reich, J. W., Zautra, A. J., & Hall, J. S. (Eds.). (2010). Handbook of adult resilience. New York: Guilford Press.
Zurück zum Zitat Riessman, C. K. (2008). Narrative methods for the human sciences. Thousand Oaks, CA: Sage. Riessman, C. K. (2008). Narrative methods for the human sciences. Thousand Oaks, CA: Sage.
Zurück zum Zitat Roe, D., Hasson-Ohayon, I., Mashiach-Eizenberg, M., Derhy, O., Lysaker, P. H., & Yanos, P. T. (2014). Narrative enhancement and cognitive therapy (NECT) effectiveness: A quasi-experimental study. Journal of Clinical Psychology, 70, 303–312. doi:10.1002/jclp.22050.CrossRefPubMed Roe, D., Hasson-Ohayon, I., Mashiach-Eizenberg, M., Derhy, O., Lysaker, P. H., & Yanos, P. T. (2014). Narrative enhancement and cognitive therapy (NECT) effectiveness: A quasi-experimental study. Journal of Clinical Psychology, 70, 303–312. doi:10.​1002/​jclp.​22050.CrossRefPubMed
Zurück zum Zitat Tsemberis, S., Kent, D., & Respress, C. (2012). Housing stability and recovery among chronically homeless persons with co-occuring disorders in Washington, DC. American Journal of Public Health, 102(1), 13–16.CrossRefPubMedPubMedCentral Tsemberis, S., Kent, D., & Respress, C. (2012). Housing stability and recovery among chronically homeless persons with co-occuring disorders in Washington, DC. American Journal of Public Health, 102(1), 13–16.CrossRefPubMedPubMedCentral
Zurück zum Zitat Ungar, M. (2003). Qualitative contributions to resilience research. Qualitative social Work, 2(1), 85–102.CrossRef Ungar, M. (2003). Qualitative contributions to resilience research. Qualitative social Work, 2(1), 85–102.CrossRef
Zurück zum Zitat Ungar, M. (2004). A constructionist discourse on resilience multiple contexts, multiple realities among at-risk children and youth. Youth & Society, 35(3), 341–365.CrossRef Ungar, M. (2004). A constructionist discourse on resilience multiple contexts, multiple realities among at-risk children and youth. Youth & Society, 35(3), 341–365.CrossRef
Zurück zum Zitat Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81(1), 1–17.CrossRefPubMed Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81(1), 1–17.CrossRefPubMed
Zurück zum Zitat Ungar, M. (Ed.). (2012). The social ecology of resilience: A handbook of theory and practice. New York: Springer. Ungar, M. (Ed.). (2012). The social ecology of resilience: A handbook of theory and practice. New York: Springer.
Zurück zum Zitat Ungar, M., Liebenberg, L., Dudding, P., Armstrong, M., & van de Vijver, F. J. (2013). Patterns of service use, individual and contextual risk factors, and resilience among adolescents using multiple psychosocial services. Child Abuse and Neglect, 37(2), 150–159. doi:10.1016/j.chiabu.2012.05.007.CrossRefPubMed Ungar, M., Liebenberg, L., Dudding, P., Armstrong, M., & van de Vijver, F. J. (2013). Patterns of service use, individual and contextual risk factors, and resilience among adolescents using multiple psychosocial services. Child Abuse and Neglect, 37(2), 150–159. doi:10.​1016/​j.​chiabu.​2012.​05.​007.CrossRefPubMed
Zurück zum Zitat Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal, 38, 171–178. doi:10.1037/prj0000100.CrossRefPubMed Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal, 38, 171–178. doi:10.​1037/​prj0000100.CrossRefPubMed
Metadaten
Titel
Impact of Mental Health Services on Resilience in Youth with First Episode Psychosis: A Qualitative Study
verfasst von
S. Lal
M. Ungar
A. Malla
C. Leggo
M. Suto
Publikationsdatum
24.11.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 1/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0703-4

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