Everyday life, culture, and recovery: carer experiences in care homes for individuals with severe mental illness

Cult Med Psychiatry. 2012 Sep;36(3):422-41. doi: 10.1007/s11013-012-9263-1.

Abstract

Supported homes or Care Homes (CHs) have become in-services that play a fundamental role in social-health systems, particularly in mental health systems in Europe and the United States. They provide settings where residents' day-to-day routines are supervised by in-house non-clinician professional carers. Ten semi-structured in-depth interviews were conducted by expert professional carers of persons with schizophrenia to explore interactions and activities between carers and users living in special "Care Homes". Analysis focused primarily on the functions of everyday life and daily routines in the recovery process. Social positioning analysis was used to investigate meanings and subjective experiences of professionals. The analysis revealed the importance of personal interactions in daily routines for recovery. We identified two main concerns guiding professionals' interactions with users: "Bring [users] to the here and now" and "give them the initiative to start actions". We suggest that CHs promote the construction of privileged identity in western urban societies, forming part of the process towards recovery and better social integration.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Attitude of Health Personnel
  • Caregivers / psychology*
  • Culture
  • Female
  • Humans
  • Male
  • Middle Aged
  • Professional-Patient Relations*
  • Qualitative Research
  • Residential Facilities*
  • Schizophrenia / nursing*
  • Schizophrenia / rehabilitation