Social Isolation and Psychosis: Perspectives from People with Psychosis, Family Caregivers and Mental Health Professionals

This paper explores the subjective experiences of mental health practitioners, people with psychosis and carers, on social isolation and community integration of people with psychosis. Focus groups and one-to-one interviews with 80 adult participants across three sites in the UK were conducted. Audio recordings were transcribed and analysed using thematic analysis. Participants commented on various aspects that may cause social isolation or enable community integration, including institutional factors (lack of resources, hospitalisation impact), illness symptoms (e.g., paranoia; over-pathologising vs individual choice), stigma (particularly the psychosis label), and the importance of communities that foster agency and embrace change. Hospitalisation maybe be a cause for isolation and psychiatric wards should consider allowing for socialisation as a therapeutic tool. Initiatives should consider the social fabric of our communities, socioeconomic inequalities and stigmatisation. Building communities that are accepting, kind and flexible can create opportunities that could lead to independence from mental health services.

Automated summary

This paper explores the subjective experiences of mental health practitioners, people with psychosis, and carers regarding social isolation and community integration of people with psychosis. Factors such as institutional factors, illness symptoms, stigma, and the importance of fostering communities that embrace change were identified. Hospitalization was found to contribute to social isolation, and psychiatric wards should consider incorporating socialization as a therapeutic tool. Initiatives should address socioeconomic inequalities and stigmatization. Building accepting and flexible communities can create opportunities for independence from mental health services.