Links between social network and quality of life: an epidemiologically representative study of psychotic patients in south London.
ABSTRACT Quality of life has been found to be associated with social networks in patients with psychiatric disorders. We aimed to determine whether quality of life was related to social network size in group of severely mentally ill subjects living in the community. In a population-based, prospective controlled study of two sector mental health teams in South London, a random sample of representative 1-year prevalent cases of non-organic psychosis was identified. Patients were interviewed at baseline, and associations between quality of life and social network size were analyzed cross-sectionally. For average quality of life there was increase up to a certain level of social network size (about 20 social contacts). For the quality of life subscore on social relations there appeared to be an optimal middle level of network size (10-12), with lower subscores for smaller and larger networks. Multivariate analysis confirmed the associations between quality of life and social network size. In analyses of network subgroups the importance of confiding contacts was underlined.
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ABSTRACT: Among all medical disorders, schizophrenia is one of the costliest and most severe, creating nearly continuous disability for a lifetime in the great majority of cases. 1% of the population suffers from this disorder, even though the incidence is low, about 1/10,000 per year. It is a devastating disorder for families, who often assume major caretaking and psychological burdens secondary to the functional deficits that this and other psychotic disorders impose. While often not as severe, the major mood disorders exact a significant toll on persons who have the disorders and those who attempt to care for, support and, sometimes, control them. It has been estimated that the total lifetime cost for a single case of schizophrenia is greater than $10,000,000 . The functional disability that is particularly devastating in schizophrenia appears to be secondary to deficit processes that usually begin prior to the psychotic symptoms, but often persist in spite of treatment and usually get worse with time and with each subsequent episode.
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ABSTRACT: To understand whether and how Family Group Conferencing might contribute to the social embedding of clients with mental illness. Ensuring the social integration of psychiatric clients is a key aspect of community mental health nursing. Family Group Conferencing has potency to create conditions for clients' social embedding and subsequently can prevent coercive measures. A naturalistic qualitative case study on the process of one conference that was part of 41 conferences that had been organized and studied from January 2011-September 2013 in a public mental health care setting in the north of the Netherlands. Semi-structured interviews (N = 20) were conducted with four stakeholder groups (N = 13) involved in a conference on liveability problems in a local neighbourhood wherein a man with schizophrenia resides. To prevent an involuntary admission to a psychiatric ward of a man with schizophrenia, neighbourhood residents requested a family group conference between themselves, the sister of the man and the mental health organization. As a possible conference aggravated psychotic problems, it was decided to organize it without the client. Nine months after the conference, liveability problems in the neighbourhood had been reduced and coercive measures adverted. The conference strengthened the community and resulted in a plan countering liveability problems. The case indicates that social embedding of clients with severe psychiatric problems can be strengthened by Family Group Conferencing and that hence coercive measures can be prevented. A shift is required from working with the individual client to a community driven approach.Journal of Advanced Nursing 05/2014; · 1.69 Impact Factor