nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

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

Einloggen, um Zugang zu erhalten

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.

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

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. (2014). Emerging adulthood: The winding road from the late teens through the twenties. New York: Oxford University Press.CrossRef

Barnett, E., & Casper, M. (2001). A definition of “social environment”. American Journal of Public Health, 91(3), 465.PubMedPubMedCentral

Bottrell, D. (2009). Understanding ‘marginal’perspectives towards a social theory of resilience. Qualitative Social Work, 8(3), 321–339.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

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

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

Bruner, J. (1987). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.

Bruner, J. (1991). The narrative construction of reality. Critical Inquiry, 18(1), 1–21. http://www.jstor.org/.

Canadian Institutes of Health Research. (2006). Institute of human development, child and youth health, strategic plan 2006–2010. Montreal.

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: 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.

Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry. International encyclopedia of education, 1–23.

Creswell, J. W. (2007). Qualitative inquiry and research method: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage.

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

Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32, 443–450. doi:10.1093/schbul/sbj043.CrossRefPubMedPubMedCentral

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.

Fisher, A., & Savin-Baden, M. (2001). The benefits to young people experiencing psychosis, and their families, of an early intervention programme: Evaluating a service from the consumers’ and the providers’ perspectives. British Journal of Occupational Therapy, 64, 58–65. Retrieved August 2, 2012 from http://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy.

Frankish, C. J., Hwang, S. W., & Quantz, D. (2005). Homelessness and health in Canada: Research lessons and priorities. Canadian Journal of Public Health, 96, S23–S29. http://journal.cpha.ca/index.php/cjph.

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.

Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73, 539–548. doi:10.1037/0022-006X.73.3.539.CrossRefPubMed

Kralik, D., van Loon, A., & Visentin, K. (2006). Resilience in the chronic illness experience. Educational Action Research, 14, 187–201. doi:10.1080/09650790600718035.CrossRef

Lal, S. (2012). Resilience in youth recently diagnosed with psychosis: A qualitative inquiry (Doctoral dissertation). Retrieved from UBC Circle https://circle.ubc.ca/handle/2429/43435.

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., Suto, M., & Ungar, M. (2012). Examining the potential of combining the methods of grounded theory and narrative inquiry: A comparative analysis. The Qualitative Report, 17(41), 1–22. Retrieved from http://www.nova.edu/ssss/QR/QR17/lal.pdf.

Lal, S., Ungar, M., Malla, A., Frankish, J., & Suto, M. (2014). Meanings of well-being from the perspectives of youth recently diagnosed with psychosis. Journal of Mental Health, 23(1), 25–30. doi:10.3109/09638237.2013.841866.CrossRefPubMed

Larsen, J. A. (2007). Understanding a complex intervention: Person-centred ethnography in early psychosis. Journal of Mental Health, 16, 333–345. doi:10.1080/09638230701299186.CrossRef

Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562. doi:10.1111/1467-8624.00164.CrossRefPubMedPubMedCentral

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

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

O’Brien, A., Fahmy, R., & Singh, S. P. (2009). Disengagement from mental health services. Social Psychiatry and Psychiatric Epidemiology, 44(7), 558–568.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

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

Reich, J. W., Zautra, A. J., & Hall, J. S. (Eds.). (2010). Handbook of adult resilience. New York: Guilford Press.

Riessman, C. K. (2008). Narrative methods for the human sciences. Thousand Oaks, CA: Sage.

Roe, D., & Davidson, L. (2005). Self and narrative in schizophrenia: Time to author a new story. Medical Humanities, 31, 89–94. doi:10.1136/jmh.2005.000214.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

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

Ungar, M. (2003). Qualitative contributions to resilience research. Qualitative social Work, 2(1), 85–102.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

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. (Ed.). (2012). The social ecology of resilience: A handbook of theory and practice. New York: Springer.

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

White, B., Driver, S., & Warren, A. (2008). Considering resilience in the rehabilitation of people with traumatic disabilities. Rehabilitation Psychology, 53, 9–17. doi:10.1037/0090-5550.53.1.9.CrossRef

Windell, D., & Norman, M. G. (2013). A qualitative analysis of influences on recovery following a first episode of psychosis. International Journal of Social Psychiatry, 59, 493–500. doi:10.1177/0020764012443751.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

Yanos, P. T., Roe, D., Markus, K., & Lysaker, P. H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatric Services, 59, 1437–1442. doi:10.1176/appi.ps.59.12.1437.CrossRefPubMedPubMedCentral

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

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

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

Abstract

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

Wartezeit nicht kürzer, aber Arbeit flexibler

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Psychiatrie

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2017

“We Always Think You’re Here Permanently”: The Paradox of “Permanent” Housing and Other Barriers to Recovery-Oriented Practice in Supportive Housing Services

Community-Sourced Intervention Programs: Review of Submissions in Response to a Statewide Call for “Promising Practices”

Post-training Beliefs, Intentions, and Use of Prolonged Exposure Therapy by Clinicians in the Veterans Health Administration

Community Engagement Strategies for Implementation of a Policy Supporting Evidence-Based Practices: A Case Study of Washington State

A Non-randomized Comparison of Strategies for Consultation in a Community-Academic Training Program to Implement an Evidence-Based Psychotherapy

The Consistencies and Vagaries of the Washington State Inventory of Evidence-Based Practice: The Definition of “Evidence-Based” in a Policy Context

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

Wartezeit nicht kürzer, aber Arbeit flexibler

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Psychiatrie