Social Services and Health Services Day Care in Mental Health: The Social                 Networks and Care Needs of their Users

Catty, Jocelyn; Goddard, Kim; Burns, Tom

doi:10.1177/0020764005053267

Cited by 20 publications

(32 citation statements)

References 23 publications

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“…Although psychosocial functioning showed a bivariate association with social network in the present study it was not significant in any of the regression analyses, which indicates that other predictors were more important. The main explanation may instead be that participants in consumer-run community mental health programmes tend to report larger and more diverse social networks as opposed to users of DCs and day hospitals (Catty et al, 2005a;Hardiman & Segal, 2003). Although the clubhouses are not consumer-run they are strongly consumer-centred (Bellamy at al., 2006) and this approach and the emphasis on peer support probably facilitate the making of friends and strengthen one's network.…”

Section: Discussionmentioning

confidence: 99%

“…Research comparing users of day centres with those attending day hospitals has shown, however, that the former reported more social interaction (Catty, Goddard, & Burns, 2005a) and were more likely to confide in friends and neighbours than in professionals (Catty, Goddard, White, & Burns, 2005b). A Swedish study showed that social support was mainly provided by informal caregivers, for example, family members.…”

Section: Social Network Among Users Of Clubhouses and Day Centresmentioning

confidence: 99%

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Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Hultqvist

Markström

Tjörnstrand

et al. 2016

GJHS

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Objective: The aim of the study was to compare users of community-based mental health day centres (DCs) and clubhouses in Sweden regarding reported social networks and social interaction and the stability of these over time. A further aim was to investigate social network predictors both cross-sectionally and longitudinally.Methods: People regularly attending DCs (n=128) or clubhouses (n=57) completed questionnaires about social network and social interaction (social engagement and social functioning), self-esteem and socio-demographics at baseline and a nine-month follow-up.Results: Perceived social engagement and social functioning did not differ between the groups and remained stable over time. Fewer in the DC reported having a close friend but there was no difference regarding having recently (the past week) seen a friend. When naming "someone with whom you can share your innermost thoughts and feelings", the DC group named more professional contacts, fewer friends and more often "nobody" compared to the clubhouse group. Finally, on both occasions the DC group scored significantly lower on size of the social network compared to the clubhouse users. Self-esteem and having recently seen a friend could predict size of the social network in the cross-sectional perspective. Strong indicators of belonging to the group with a larger social network at follow-up were being a woman, attending a clubhouse programme and having scored high on social network at baseline. Conclusion and Implication for Practice:Having friends and strengthening one's self-esteem may be essential factors for the social network of people with psychiatric disabilities in a short-term perspective. Visiting clubhouses seems advantageous in a longer-term perspective.

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Section: Discussionmentioning

confidence: 99%

Section: Social Network Among Users Of Clubhouses and Day Centresmentioning

confidence: 99%

Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Hultqvist

Markström

Tjörnstrand

et al. 2016

GJHS

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“…44,45 Other research acknowledged that the nature of networks and their quality were as crucial as size. 46 While there may be potential benefits from larger social networks, we note the potential for negative effects of social relationships. We need to treat with caution the idea that larger social networks are a desirable and manageable outcome for all individuals.…”

Section: Approach To Literature Reviewingmentioning

confidence: 99%

“…This finding has been replicated in studies which had also reported a lack of social support, and unmet needs around social interaction and community belonging. 82,83 Studies which examined composition of social networks of individuals with psychosis had found them to contain fewer friends 46 and more service practitioners 84 than the general population, and the onset of psychosis can involve changes in social networks and the loss of friends. 85 It is the multifaceted and dynamic nature of social networks that this study explores, looking beneath a map of connections to understand the negotiated meaning, sets of choices, capacity for growth and qualities such as reciprocity.…”

Section: The Recovery Approachmentioning

confidence: 99%

Improving community health networks for people with severe mental illness: a case study investigation

Pinfold

Sweet

Porter³

et al. 2015

Health Services and Delivery Research

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IntroductionPolicy drivers in mental health to address personal recovery, stigma and poor physical health indicate that new service solutions are required. This study aimed to understand how connections to people, places and activities were utilised by individuals with severe mental illness (SMI) to benefit health and wellbeing.MethodsA five-module mixed-methods design was undertaken in two study sites. Data were collected from 150 network-mapping interviews and 41 in-depth follow-up interviews with people with SMI; in-depth interviews with 30 organisation stakeholders and 12 organisation leaders; and 44 telephone interviews with practitioners. We undertook a three-stage synthesis process including independent lived experience feedback, and a patient and public involvement team participated in tool design, data collection, analysis and write-up.ResultsThree personal network types were found in our study using the community health network approach: diverse and active; family and stable; formal and sparse. Controlled for other factors we found only four variables significantly associated with which network type a participant had: living alone or not; housing status; formal education; long-term sickness or disability. Diagnosis was not a factor. These variables are challenging to address but they do point to potential for network change. The qualitative interviews with people with SMI provided further understanding of connection-building and resource utilisation. We explored individual agency across each network type, and identified recognition of the importance and value of social support and active connection management alongside the risks of isolation, even for those most affected by mental illness. We identified tensions in personal networks, be that relationships with practitioners or families, dealing with the impact of stigma, or frustrations of not being in employment, which all impact on network resources and well-being. The value of connectedness within personal networks of people, place and activity for supporting recovery was evident in shaping identity, providing meaning to life and sense of belonging, gaining access to new resources, structuring routines and helping individuals ‘move on’ in their recovery journey.Health-care practitioners recognised that social factors were important in recovery but reported system-level barriers (workload, administrative bureaucracy, limited contact time with clients) in addressing these issues fully. Even practitioners working in third-sector services whose remit involved increasing clients’ social connection faced restrictions due to being evaluated by outcome criteria that limited holistic recovery-focused practices. Service providers were keen to promote recovery-focused approaches. We found contrasts between recovery ideology within mental health policy and recovery practice on the ground. In particular, the social aspects of supporting people with SMI are often underprioritised in the health-care system. In a demanding and changing context, strategic multiagency working was seen as crucial but we found few examples of embedded multisector organisation partnerships.ConclusionWhile our exploratory study has limitations, findings suggest potential for people with SMI to be supported to become more active managers of their personal networks to support well-being regardless of current network type. The health and social care system does not currently deliver multiagency integrated solutions to support SMI and social recovery.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…Community-based day centers (DCs) form a common alternative for people with psychiatric disabilities in order to break isolation due to mental illness and become more engaged in occupations (Bejerholm & Eklund, 2006;Bryant, 2009;Catty, Goddard, & Burns, 2005a).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Occupational Engagement in Day Centers for People with Psychiatric Disabilities

Tjörnstrand

Bejerholm

Eklund

2014

Community Ment Health J

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Social Services and Health Services Day Care in Mental Health: The Social Networks and Care Needs of their Users

Cited by 20 publications

References 23 publications

Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Social Networks and Social Interaction among People with Psychiatric Disabilities-Comparison of Users of Day Centres and Clubhouses

Improving community health networks for people with severe mental illness: a case study investigation

Factors Influencing Occupational Engagement in Day Centers for People with Psychiatric Disabilities

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