Impact of Mental Health Services on Resilience in Youth with First Episode Psychosis: A Qualitative Study
- 1.1k Downloads
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.
KeywordsMental health services Resilience Well-being Service engagement Youth mental health
The first author was partially supported by a Doctoral Scholarship Award from the Canadian Institutes of Health Research while conducting this research. The third author is supported by the Canada Research Chair Program. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
- Bruner, J. (1987). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.Google Scholar
- 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.Google Scholar
- Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.Google Scholar
- 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.Google Scholar
- Clandinin, D. J., & Connelly, F. M. (2000). Narrative inquiry. International encyclopedia of education, 1–23.Google Scholar
- Creswell, J. W. (2007). Qualitative inquiry and research method: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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., 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.
- 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.CrossRefPubMedGoogle Scholar
- Reich, J. W., Zautra, A. J., & Hall, J. S. (Eds.). (2010). Handbook of adult resilience. New York: Guilford Press.Google Scholar
- Riessman, C. K. (2008). Narrative methods for the human sciences. Thousand Oaks, CA: Sage.Google Scholar
- Ungar, M. (Ed.). (2012). The social ecology of resilience: A handbook of theory and practice. New York: Springer.Google Scholar
- 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.CrossRefPubMedGoogle Scholar