“On the Streets, We Don’t Have Time to Get Treated as We are Trying to Survive”: The Stories of Mentally Ill Homeless Persons Residing in a Community-based Health Centre in the City of Tshwane

IF 0.5 Q4 SOCIOLOGY
R. S. Mooa, M. Moagi, J. Hugo
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引用次数: 0

Abstract

ABSTRACT Globally, one of the main causes of street homelessness is the reality of chronic mental illness. In societies where mental illness is misunderstood, stigmatized, or sparsely treated, or where treatment is inaccessible for the poor, the link between street homelessness and chronic mental illness becomes even greater. This article considers the stories of specific individuals living with chronic mental illness in the City of Tshwane, South Africa, which caused them to be homeless. It also reflects on the infrastructure available to persons with chronic mental illness who are homeless, and recommends ways to scale up and replicate good practices, while transforming unutilized or ineffective infrastructure. Data were collected through drawings and naïve sketches from participants housed at a community-based health centre in Tshwane which acts as a “bridge” between mental health institutions, home and/or even the street. Ten participants voluntarily participated in the study and five in-depth interviews were held with the staff members at the centre. The insights indicated that the ripple effects of a deinstitutionalization plan for a sustainable policy package, could improve the quality of life for mentally ill homeless persons while housed in such community-based centres.
“在街上,我们没有时间接受治疗,因为我们在努力生存”:居住在茨瓦内市社区卫生中心的精神病无家可归者的故事
在全球范围内,导致街头无家可归的主要原因之一是慢性精神疾病的现实。在精神疾病被误解、污名化或治疗稀少的社会中,或穷人无法获得治疗的社会中,街头无家可归与慢性精神疾病之间的联系变得更加紧密。这篇文章考虑了生活在南非Tshwane市的慢性精神疾病患者的故事,这导致他们无家可归。它还反映了无家可归的慢性精神疾病患者可获得的基础设施,并建议了扩大和复制良好做法的方法,同时改造未利用或无效的基础设施。数据是通过绘图和naïve速写从住在茨瓦内社区卫生中心的参与者那里收集的,该中心是精神卫生机构、家庭和/或甚至街道之间的"桥梁"。10名参与者自愿参加了这项研究,并与该中心的工作人员进行了五次深入访谈。这些见解表明,一项可持续一揽子政策的去机构化计划的涟漪效应可以改善住在这种社区中心的精神病无家可归者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
25.00%
发文量
26
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