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Published on: February 16, 2011
Challenges faced when living with schizophrenia in the community: A narrative inquiry
Jin Wei Gong1, Dan Luo1, Wen Jia Liu1,2
1School of Nursing, Wuhan University, China.
Background:
Schizophrenia is a chronic and severe mental disorder. People with schizophrenia have transferred from hospital-based care to community-based care with the support of mental health legal policies. Challenges faced in the community should be emphasized. Limited qualitative studies have explored the challenges of living with schizophrenia.
Aims:
To explore the challenges of people living with schizophrenia in the community.
Methods:
A narrative method was used, including semi-structured, face-to-face interviews. Thematic analysis approach was used to analyze data.
Results:
Ten clients and their family members participated in the study. Analysis revealed three main themes related to their challenges in the community: deficits in self-management of illness; insufficient community mental health care; and the influence of policy. These challenges prevent those with schizophrenia from effectively managing their illness, returning to a productive role in society, and improving their quality of life.
Conclusions:
There are challenges in mental health rehabilitation and social reintegration of individuals with schizophrenia. There is a need for continuous community mental rehabilitation services, appropriate policy support, and the need to educate the public to reduce social bias and discrimination which allows individuals with schizophrenia to assume a productive role in the community.
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