| چکیده انگلیسی مقاله |
Objective: Individuals with chronic mental disorders face various challenges, which are not solely confined to the individual but also involve family caregivers and specialists in the field. Psychological and social rehabilitation assists in improving the functioning of individuals with mental disorders and facilitates their return to mainstream life. This study aims to investigate the challenges encountered in the rehabilitation process of these individuals.
Materials and Methods: This study employed a qualitative method using directional content analysis. This study engaged 22 participants, including individuals with chronic mental disorders, family caregivers, and experts in the field. The sample consisted of 13 individuals with chronic mental illnesses, 3 family members, and 6 specialists with experience in patient care. Following ethical approval and informed consent, in-depth, unstructured interviews were conducted, aligning with the research objectives. Purposeful sampling and maximum diversity strategies were utilized to select and invite participants, who were then subjected to in-depth, semi-structured interviews. Data analysis followed Granheim and Lundman's approach.
Results: The analysis of participant interviews revealed that the core essence of this study is "striving to respond to weakened identity." The categories and subcategories extracted in this study include: 1. Social limitations (social exclusion, societal negligence), 2. Instability (turbulent lifestyle, family as an overlooked entity, and economic pressures), 3. Therapeutic challenges (treatment inconsistency, therapist-related challenges, the complex nature of the illness, and post-discharge concerns), 4. Structural and macro challenges (social media neglect, incomplete perspectives, financial and credibility challenges), 5. Loss of agency and volition(identity weakening, lack of balance between independence and support).
Conclusion: The rehabilitation of individuals with chronic mental disorders faces various challenges. These challenges exist at individual, interpersonal, familial, organizational, and structural levels. Strengthening the psychological and social aspects of rehabilitation can provide a better and more sustainable basis for treatment for these patients. Enhancing the roles and interventions of psychological and social rehabilitation teams, coordinating therapeutic interventions, supporting the families of patients, socializing behaviors toward these patients and their families, and paying more attention to the psychological and social rehabilitation of patients can lead to better short-term and long-term outcomes for various stakeholders involved in the rehabilitation process. |
| نویسندگان مقاله |
فردین علیپور | Fardin Alipour
Department of Social Work, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
گروه آموزشی مددکاری اجتماعی، مرکز تحقیقات مدیریت رفاه اجتماعی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران.
زلیخا عربکری | Zoleikha Arabgari
Department of Social Work, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
گروه آموزشی مددکاری اجتماعی، مرکز تحقیقات مدیریت رفاه اجتماعی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران.
مصطفی مردانی | Mostafa Mardani
Department of Social Work, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
گروه آموزشی مددکاری اجتماعی، مرکز تحقیقات مدیریت رفاه اجتماعی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران.
شکوفه احمدی | Shokoufeh Ahmadi
Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
مرکز تحقیقات سلامت در حوادث و بالایا، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران.
حسین افشارپویا | Hosein Afsharpouya
Department of Social Work, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
گروه آموزشی مددکاری اجتماعی، مرکز تحقیقات مدیریت رفاه اجتماعی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران.
مهرانگیز شعاع کاظمی | Mehrangiz Shoaa Kazemi
Department of Women’s and Family Studies, Faculty of Social Sciences and Economics, Alzahra University, Tehran, Iran.
گروه مطالعات زنان و خانواده، دانشکده علوم اجتماعی و اقتصاد، دانشگاه الزهرا، تهران، ایران.
|