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Current insights of community mental healthcare for people with severe mental illness: A scoping review
van Genk,Caroline Roeg,Diana van Vugt,Maaike van Weeghel,Jaap van Regenmortel,Tine
van Genk,Caroline
Roeg,Diana
van Vugt,Maaike
van Weeghel,Jaap
van Regenmortel,Tine
Abstract
Background: For the last four decades, there has been a shift in mental healthcare toward more rehabilitation and following a more humanistic and comprehensive vision on recovery for persons with severe mental illness (SMI). Consequently, many community-based mental healthcare programs and services have been developed internationally. Currently, community mental healthcare is still under development, with a focus on further inclusion of persons with enduring mental health problems. In this review, we aim to provide a comprehensive overview of existing and upcoming community mental healthcare approaches to discover the current vision on the ingredients of community mental healthcare. Methods: We conducted a scoping review by systematically searching four databases, supplemented with the results of Research Rabbit, a hand-search in reference lists and 10 volumes of two leading journals. We included studies on adults with SMI focusing on stimulating independent living, integrated care, recovery, and social inclusion published in English between January 2011 and December 2022 in peer-reviewed journals. Results: The search resulted in 56 papers that met the inclusion criteria. Thematic analysis revealed ingredients in 12 areas: multidisciplinary teams; collaboration within and outside the organization; attention to several aspects of health; supporting full citizenship; attention to the recovery of daily life; collaboration with the social network; tailored support; well-trained staff; using digital technologies; housing and living environment; sustainable policies and funding; and reciprocity in relationships. Conclusion: We found 12 areas of ingredients, including some innovative topics about reciprocity and sustainable policies and funding. There is much attention to individual ingredients for good community-based mental healthcare, but very little is known about their integration and implementation in contemporary, fragmented mental healthcare services. For future studies, we recommend more empirical research on community mental healthcare, as well as further investigation(s) from the social service perspective, and solid research on general terminology about SMI and outpatient support.
Description
This scoping review belongs to a broader project which received ethical approval from the Ethics Review Board Tilburg School of Social and Behavioral Sciences and was funded by three organizations for supported housing and shelter in Netherlands: Kwintes, Leviaan, and HVO Querido.
Date
2023
Journal Title
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Volume Title
Publisher
Research Projects
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Keywords
Community care, Current insights, Human rights, Independent living, Recovery, Scoping review, Severe mental illness, Social inclusion, SDG 10 - Reduced Inequalities, SDG 16 - Peace, Justice and Strong Institutions, SDG 17 - Partnerships for the Goals
Citation
van Genk, C, Roeg, D, van Vugt, M, van Weeghel, J & van Regenmortel, T 2023, 'Current insights of community mental healthcare for people with severe mental illness : A scoping review', Frontiers in Psychiatry, vol. 14, 1156235. https://doi.org/10.3389/fpsyt.2023.1156235