Experiencing community: Perspectives of individuals diagnosed as having serious mental illness

Elizabeth Bromley, Sonya Gabrielian, Benjamin Brekke, Rohini Pahwa, Kathleen A. Daly, John S. Brekke, Joel T. Braslow

    Research output: Contribution to journalArticle

    Abstract

    Objective: Community integration is recognized as a crucial component of recovery from seriousmental illness. Although the construct of community integration can be measured with structured instruments, little is known about the subjective and experiential meaning of community and community involvement for persons with serious mental illness. Methods: In 2010, 30 individuals with seriousmental illness treated in two publicmental health clinics completed semistructured interviews that elicited the places and people that they associate with the experience of community and the larger meaning of community in their lives. Results: Participants described four experiences as integral to their concepts of community: receiving help, minimizing risk, avoiding stigma, and giving back. Participants looked for communities that provide reliable support, and they described the need to manage community contact in order to protect themselves and others from their symptoms and from discrimination. Most participants experienced communities centered on mental health treatment or mentally ill peers as providing opportunities for positive engagement. Conclusions: The experience of having a serious mental illness shapes preferences for and perceptions of community in pervasive ways. Participants described community involvement not as a means to move away from illness experiences and identities but as a process that is substantially influenced by them. Mental health communities may help individuals with serious mental illness to both manage their illness and recognize and enjoy a sense of community. The findings indicate the need for further research on the relationship between community integration and outcome in serious mental illness.

    Original languageEnglish (US)
    Pages (from-to)672-679
    Number of pages8
    JournalPsychiatric Services
    Volume64
    Issue number7
    DOIs
    StatePublished - Jul 1 2013

    Fingerprint

    Community Integration
    Mental Health
    Mentally Ill Persons
    Interviews
    Health
    Research
    Community Participation
    Therapeutics

    ASJC Scopus subject areas

    • Psychiatry and Mental health

    Cite this

    Bromley, E., Gabrielian, S., Brekke, B., Pahwa, R., Daly, K. A., Brekke, J. S., & Braslow, J. T. (2013). Experiencing community: Perspectives of individuals diagnosed as having serious mental illness. Psychiatric Services, 64(7), 672-679. https://doi.org/10.1176/appi.ps.201200235

    Experiencing community : Perspectives of individuals diagnosed as having serious mental illness. / Bromley, Elizabeth; Gabrielian, Sonya; Brekke, Benjamin; Pahwa, Rohini; Daly, Kathleen A.; Brekke, John S.; Braslow, Joel T.

    In: Psychiatric Services, Vol. 64, No. 7, 01.07.2013, p. 672-679.

    Research output: Contribution to journalArticle

    Bromley, E, Gabrielian, S, Brekke, B, Pahwa, R, Daly, KA, Brekke, JS & Braslow, JT 2013, 'Experiencing community: Perspectives of individuals diagnosed as having serious mental illness', Psychiatric Services, vol. 64, no. 7, pp. 672-679. https://doi.org/10.1176/appi.ps.201200235
    Bromley, Elizabeth ; Gabrielian, Sonya ; Brekke, Benjamin ; Pahwa, Rohini ; Daly, Kathleen A. ; Brekke, John S. ; Braslow, Joel T. / Experiencing community : Perspectives of individuals diagnosed as having serious mental illness. In: Psychiatric Services. 2013 ; Vol. 64, No. 7. pp. 672-679.
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