Skip to main content
Erschienen in: Community Mental Health Journal 3/2012

01.06.2012 | Brief Report

“I Hope I Can Make it Out There”: Perceptions of Women with Severe Mental Illness on the Transition from Hospital to Community

verfasst von: Jennifer I. Manuel, Kinjia Hinterland, Sarah Conover, Daniel B. Herman

Erschienen in: Community Mental Health Journal | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Abstract

This study explores the experience of women with severe mental illness in transition from psychiatric hospital care to the community. Three focus groups were conducted among women with severe mental illness from transitional residences at two state psychiatric hospitals. Focus group transcripts and notes were coded according to women’s perceived challenges and facilitators of transition. Participants described several challenges including fear of insufficient treatment support, safety concerns, social isolation, stigma, and lack of resources to meet daily needs. The supports that women described as important were an orientation to the neighborhood and residence, access to treatment support with flexibility, and connection to social supports.
Literatur
Zurück zum Zitat Alexander, M., & Muenzenmaier, K. (1998). Trauma, addiction, and recovery: Addressing public health epidemics among women with severe mental illness. In B. Lubotski-Levin, A. Blanche, & A. Jennings (Eds.), Women’s mental health services: A public health perspective (pp. 215–239). Thousand Oaks, CA: Sage. Alexander, M., & Muenzenmaier, K. (1998). Trauma, addiction, and recovery: Addressing public health epidemics among women with severe mental illness. In B. Lubotski-Levin, A. Blanche, & A. Jennings (Eds.), Women’s mental health services: A public health perspective (pp. 215–239). Thousand Oaks, CA: Sage.
Zurück zum Zitat Bachrach, L. L. (1984). The homeless mentally ill and mental health services: An analytical review of the literature. In H. R. Lamb (Ed.), The homeless mentally ill (pp. 11–53). Washington, DC: American Psychiatric Press. Bachrach, L. L. (1984). The homeless mentally ill and mental health services: An analytical review of the literature. In H. R. Lamb (Ed.), The homeless mentally ill (pp. 11–53). Washington, DC: American Psychiatric Press.
Zurück zum Zitat Chernomas, W. M., Clarke, D. E., & Chisholm, F. A. (2000). Perspectives of women living with schizophrenia. Psychiatric Services, 51, 1517–1521.PubMedCrossRef Chernomas, W. M., Clarke, D. E., & Chisholm, F. A. (2000). Perspectives of women living with schizophrenia. Psychiatric Services, 51, 1517–1521.PubMedCrossRef
Zurück zum Zitat Cook, J. (1994). Independent community living among women with severe mental illness: A comparison with outcomes among men. Journal of Mental Health Administration, 21, 361–373.PubMedCrossRef Cook, J. (1994). Independent community living among women with severe mental illness: A comparison with outcomes among men. Journal of Mental Health Administration, 21, 361–373.PubMedCrossRef
Zurück zum Zitat Corrigan, P. W. (1998). The impact of stigma on severe mental illness. Cognitive and Behavioral Practice, 5, 201–222.CrossRef Corrigan, P. W. (1998). The impact of stigma on severe mental illness. Cognitive and Behavioral Practice, 5, 201–222.CrossRef
Zurück zum Zitat Corrigan, P. W., & Phelan, S. M. (2004). Social support and recovery in people with serious mental illness. Community Mental Health Journal, 40, 513–523.PubMedCrossRef Corrigan, P. W., & Phelan, S. M. (2004). Social support and recovery in people with serious mental illness. Community Mental Health Journal, 40, 513–523.PubMedCrossRef
Zurück zum Zitat Cuffel, B. J., Held, M., & Goldman, W. (2002). Predictive models and the effectiveness of strategies for improving outpatient follow-up under managed care. Psychiatric Services, 53, 1438–1443.PubMedCrossRef Cuffel, B. J., Held, M., & Goldman, W. (2002). Predictive models and the effectiveness of strategies for improving outpatient follow-up under managed care. Psychiatric Services, 53, 1438–1443.PubMedCrossRef
Zurück zum Zitat Dewees, M., Pulice, R. T., & McCormick, L. L. (1996). Community integration of former state hospital patients: Outcomes of a policy shift in Vermont. Psychiatric Services, 47, 1088–1092.PubMed Dewees, M., Pulice, R. T., & McCormick, L. L. (1996). Community integration of former state hospital patients: Outcomes of a policy shift in Vermont. Psychiatric Services, 47, 1088–1092.PubMed
Zurück zum Zitat Evert, H., Harvey, C., Trauer, T., & Herrman, H. (2003). The relationship between social networks and occupational and self-care functioning in people with psychosis. Social Psychiatry and Psychiatric Epidemiology, 38, 180–188.PubMedCrossRef Evert, H., Harvey, C., Trauer, T., & Herrman, H. (2003). The relationship between social networks and occupational and self-care functioning in people with psychosis. Social Psychiatry and Psychiatric Epidemiology, 38, 180–188.PubMedCrossRef
Zurück zum Zitat Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Doubleday Anchor. Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Doubleday Anchor.
Zurück zum Zitat Herman, D. B., Conover, S., Gorroochurn, P., Hinterland, K., Hoepner, L., & Susser, E. S. (2011). Randomized trial of critical time intervention to prevent homelessness after hospital discharge. Psychiatric Services, 62, 713–719.PubMedCrossRef Herman, D. B., Conover, S., Gorroochurn, P., Hinterland, K., Hoepner, L., & Susser, E. S. (2011). Randomized trial of critical time intervention to prevent homelessness after hospital discharge. Psychiatric Services, 62, 713–719.PubMedCrossRef
Zurück zum Zitat Hinshaw, S. P., & Stier, A. (2008). Stigma as related to mental disorders. Annual Review of Clinical Psychology, 4, 367–393.PubMedCrossRef Hinshaw, S. P., & Stier, A. (2008). Stigma as related to mental disorders. Annual Review of Clinical Psychology, 4, 367–393.PubMedCrossRef
Zurück zum Zitat Hopper, K. (2007). Rethinking social recovery in schizophrenia: What a capabilities approach might offer? Social Science and Medicine, 65, 868–879.PubMedCrossRef Hopper, K. (2007). Rethinking social recovery in schizophrenia: What a capabilities approach might offer? Social Science and Medicine, 65, 868–879.PubMedCrossRef
Zurück zum Zitat Lawrence, D. M., Holman, C. D. A. J., Jablensky, A. V., & Fuller, S. A. (1999). Suicide rates in psychiatric in-patients: An application of record linkage to mental health research. Australian and New Zealand Journal of Public Health, 23(5), 468–470.PubMedCrossRef Lawrence, D. M., Holman, C. D. A. J., Jablensky, A. V., & Fuller, S. A. (1999). Suicide rates in psychiatric in-patients: An application of record linkage to mental health research. Australian and New Zealand Journal of Public Health, 23(5), 468–470.PubMedCrossRef
Zurück zum Zitat Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. (2001). The consequences of stigma for the self esteem of people with mental illnesses. Psychiatric Services, 52, 1621–1626.PubMedCrossRef Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. (2001). The consequences of stigma for the self esteem of people with mental illnesses. Psychiatric Services, 52, 1621–1626.PubMedCrossRef
Zurück zum Zitat Lipton, F. R., Siegel, C., Hannigan, A., Samuels, J., & Baker, S. (2000). Tenure in supportive housing for homeless persons with severe mental illness. Psychiatric Services, 51, 479–486.PubMedCrossRef Lipton, F. R., Siegel, C., Hannigan, A., Samuels, J., & Baker, S. (2000). Tenure in supportive housing for homeless persons with severe mental illness. Psychiatric Services, 51, 479–486.PubMedCrossRef
Zurück zum Zitat Moriarity, P. J., Lieber, D., Bennett, A., White, L., Parrella, M., Harvey, P. D., et al. (2001). Gender differences in poor outcome patients with lifelong schizophrenia. Schizophrenia Bulletin, 27, 103–113.CrossRef Moriarity, P. J., Lieber, D., Bennett, A., White, L., Parrella, M., Harvey, P. D., et al. (2001). Gender differences in poor outcome patients with lifelong schizophrenia. Schizophrenia Bulletin, 27, 103–113.CrossRef
Zurück zum Zitat McCorkle, B. H., Rogers, S. E., Dunn, E. C., Lyass, A., & Wan, Y. M. (2008). Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Mental Health Journal, 44, 359–366.PubMedCrossRef McCorkle, B. H., Rogers, S. E., Dunn, E. C., Lyass, A., & Wan, Y. M. (2008). Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Mental Health Journal, 44, 359–366.PubMedCrossRef
Zurück zum Zitat Mowbray, C. T., Herman, S. E., & Hazel, K. L. (1992). Gender and serious mental illness. Psychology of Women Quarterly, 16, 107–126.CrossRef Mowbray, C. T., Herman, S. E., & Hazel, K. L. (1992). Gender and serious mental illness. Psychology of Women Quarterly, 16, 107–126.CrossRef
Zurück zum Zitat Newton, L., Rosen, A., Tennant, C., & Hobbs, C. (2001). Moving out and moving on: Some ethnographic observations of deinstitutionalization in an Australian community. Psychiatric Rehabilitation Journal, 25, 152–162.PubMed Newton, L., Rosen, A., Tennant, C., & Hobbs, C. (2001). Moving out and moving on: Some ethnographic observations of deinstitutionalization in an Australian community. Psychiatric Rehabilitation Journal, 25, 152–162.PubMed
Zurück zum Zitat Olfson, M., Mechanic, D., Boyer, C. A., & Hansell, S. (1998). Linking inpatients with schizophrenia to outpatient care. Psychiatric Services, 49(7), 911–917.PubMed Olfson, M., Mechanic, D., Boyer, C. A., & Hansell, S. (1998). Linking inpatients with schizophrenia to outpatient care. Psychiatric Services, 49(7), 911–917.PubMed
Zurück zum Zitat Perese, E. F., & Wolf, M. (2005). Combating loneliness among persons with severe mental illness: Social network interventions’ characteristics, effectiveness, and applicability. Issues in Mental Health Nursing, 26, 591–609.PubMedCrossRef Perese, E. F., & Wolf, M. (2005). Combating loneliness among persons with severe mental illness: Social network interventions’ characteristics, effectiveness, and applicability. Issues in Mental Health Nursing, 26, 591–609.PubMedCrossRef
Zurück zum Zitat Ritsher, J., Coursey, R., & Farrell, E. (1997). A survey on issues in the lives of women with severe mental illness. Psychiatric Services, 48, 1273–1282.PubMed Ritsher, J., Coursey, R., & Farrell, E. (1997). A survey on issues in the lives of women with severe mental illness. Psychiatric Services, 48, 1273–1282.PubMed
Zurück zum Zitat Rosenheck, R. A., & Seibyl, C. (1998). Costs of homelessness: Health service use and cost. Medical Care, 36, 1256–1264.PubMedCrossRef Rosenheck, R. A., & Seibyl, C. (1998). Costs of homelessness: Health service use and cost. Medical Care, 36, 1256–1264.PubMedCrossRef
Zurück zum Zitat Scheyett, A. M., & McCarthy, E. (2006). Women and men with mental illness: Voicing different service needs. Affilia: Journal of Women and Social Work, 21, 407–418.CrossRef Scheyett, A. M., & McCarthy, E. (2006). Women and men with mental illness: Voicing different service needs. Affilia: Journal of Women and Social Work, 21, 407–418.CrossRef
Zurück zum Zitat Solomon, P., & Stanhope, V. (2004). Recovery: Expanding the vision of evidence-based practice. Brief Treatment and Crisis Intervention, 4, 311–321.CrossRef Solomon, P., & Stanhope, V. (2004). Recovery: Expanding the vision of evidence-based practice. Brief Treatment and Crisis Intervention, 4, 311–321.CrossRef
Zurück zum Zitat Steadman, H. J., Mulvey, E. P., Monahan, J., Robbins, P. C., Appelbaum, P. S., Grisso, T., et al. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.PubMedCrossRef Steadman, H. J., Mulvey, E. P., Monahan, J., Robbins, P. C., Appelbaum, P. S., Grisso, T., et al. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.PubMedCrossRef
Zurück zum Zitat Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage. Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage.
Zurück zum Zitat Tetzlaff, B. T., Kahn, J. H., Godley, S. H., Godley, M. D., Diamond, G. S., & Funk, R. R. (2005). Working alliance, treatment satisfaction, and patterns of posttreatment use among adolescent substance users. Psychology of Addictive Behaviors, 19, 199–207.PubMedCrossRef Tetzlaff, B. T., Kahn, J. H., Godley, S. H., Godley, M. D., Diamond, G. S., & Funk, R. R. (2005). Working alliance, treatment satisfaction, and patterns of posttreatment use among adolescent substance users. Psychology of Addictive Behaviors, 19, 199–207.PubMedCrossRef
Zurück zum Zitat Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to housing: Supported housing for street-dwelling individuals with psychiatric disabilities. Psychiatric Services, 51, 487–493.PubMedCrossRef Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to housing: Supported housing for street-dwelling individuals with psychiatric disabilities. Psychiatric Services, 51, 487–493.PubMedCrossRef
Zurück zum Zitat U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General. Rockville, MD: Author. U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General. Rockville, MD: Author.
Zurück zum Zitat Valencia, E., Susser, E., & McQuiston, H. (1996). Critical time points in the clinical care of homeless mentally ill individuals. In J. Vaccaro & G. Clark (Eds.), Practicing psychiatry in the community: A manual (pp. 259–276). Washington, DC: American Psychiatric Press. Valencia, E., Susser, E., & McQuiston, H. (1996). Critical time points in the clinical care of homeless mentally ill individuals. In J. Vaccaro & G. Clark (Eds.), Practicing psychiatry in the community: A manual (pp. 259–276). Washington, DC: American Psychiatric Press.
Zurück zum Zitat Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2008). A theory of social integration as quality of life. Psychiatric Services, 59, 27–33.PubMedCrossRef Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2008). A theory of social integration as quality of life. Psychiatric Services, 59, 27–33.PubMedCrossRef
Zurück zum Zitat Whitley, R., Harris, M., & Drake, R. E. (2008). Safety and security in small-scale recovery housing for people with severe mental illness: An inner-city case study. Psychiatric Services, 59, 165–169.PubMedCrossRef Whitley, R., Harris, M., & Drake, R. E. (2008). Safety and security in small-scale recovery housing for people with severe mental illness: An inner-city case study. Psychiatric Services, 59, 165–169.PubMedCrossRef
Zurück zum Zitat Yanos, P. T., Barrow, S. M., & Tsemberis, S. (2004). Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: Successes and challenges. Community Mental Health Journal, 40, 133–150.PubMedCrossRef Yanos, P. T., Barrow, S. M., & Tsemberis, S. (2004). Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: Successes and challenges. Community Mental Health Journal, 40, 133–150.PubMedCrossRef
Zurück zum Zitat Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression. Journal of Consulting and Clinical Psychology, 74, 130–140.PubMedCrossRef Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression. Journal of Consulting and Clinical Psychology, 74, 130–140.PubMedCrossRef
Metadaten
Titel
“I Hope I Can Make it Out There”: Perceptions of Women with Severe Mental Illness on the Transition from Hospital to Community
verfasst von
Jennifer I. Manuel
Kinjia Hinterland
Sarah Conover
Daniel B. Herman
Publikationsdatum
01.06.2012
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 3/2012
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-011-9442-5

Weitere Artikel der Ausgabe 3/2012

Community Mental Health Journal 3/2012 Zur Ausgabe

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.