Beyond conventional healthcare for mental health problems: Experiences of existential group conversations.

Background: Mental health problems (MHP) are a major public health challenge. Conventional healthcare has shown limitation on reducing MHP and there is a call for offering methods beyond healthcare as well as improve access to healthcare. Aims: To explore experiences among people having MHP of (i) t...

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Published in:Scandinavian Journal of Occupational Therapy Vol. 31; no. 1; pp. 1 - 15
Main Authors: Jansson, Inger, Thörne, Karin, Masterson, Daniel
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2024
Online Access:View this record in EBSCOhost
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      dt: Dec2024
      vid: 31
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/11038128.2023.2244547
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        atl: Beyond conventional healthcare for mental health problems: Experiences of existential group conversations.
      aug:
        au:
          Jansson, Inger
          Thörne, Karin
          Masterson, Daniel
        affil: Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping, Sweden
      sug:
        subj:
          Mental Disorders Therapy
          Psychotherapy, Group Methods
          Integrative Medicine
          Mental Health
          Adaptation, Psychological
          Communication
          Patient Attitudes Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Qualitative Studies
          Focus Groups
          Thematic Analysis
          Health Services Accessibility
          Attitude to Life Evaluation
          Attitude to Health Evaluation
          Reflection
          Health Care Delivery
          Occupational Therapy
          Stigma
          Hardiness
          Coping
          Quality of Life
          Patient Satisfaction
          Activities of Daily Living
          Self Concept
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Mental health problems (MHP) are a major public health challenge. Conventional healthcare has shown limitation on reducing MHP and there is a call for offering methods beyond healthcare as well as improve access to healthcare. Aims: To explore experiences among people having MHP of (i) taking part in existential conversations in groups beyond conventional healthcare and (ii) seeking and receiving conventional healthcare. Materials and methods: Four focus group interviews were conducted after finishing existential conversations in groups. Data was analyzed following thematic analysis. Results: The theme Access to a community for exploration and acceptance describes communication through impressions and expressions together with others. A reflective perspective on everyday life, describes re-evaluation through reflection. Within the theme Experiences of healthcare related encounters, referring to the second aim, participants recollected feelings of disconnectedness, difficulties verbalizing MHP and dealing with rigid, standardized measures. Conclusion: Existential conversations in group may contribute to a more reflected doing in accordance with one's own values as well as improved mental health literacy. Design and measures within healthcare need to explicitly address MHP and consider individual's own preferences. Significance: This study contributes to understanding of coping with MHP in everyday life from an existential perspective.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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