Effects of Community-Based Programs on Integration into the Mental Health and Non-Mental Health Communities

Abstract

Aims: The purpose of this study was to verify how integration into the mental health community, a subculture of persons with mental illness, affects the integration into the non-mental health community. Thus, we analyzed the effect of community-based mental health service programs on non-mental health community integration, mediated by mental health community integration. Methods: In total, 190 persons with mental illness (M age = 42.78; SD = 11.3; male, 54.7%; female, 45.3%), living in local communities and using community-based mental health programs, participated in the study. We measured their sociodemographic and clinical variables, the environmental variables of mental health service programs, and the level of integration of the mental health and non-mental health communities. The data collected were analyzed to test the proposed hypotheses using Structural Equation Modeling (SEM). Results: The common significant predictors affecting the two types of community integration were symptoms and resource accessibility: the more accessible the various community resources and the less severe the psychiatric symptoms were, the higher the level of the two types of community integration was. In path analysis, the program's atmosphere and the participation of people with mental illness (program involvement) significantly predicted the level of integration into the mental health community. This, in turn, had a positive effect on their physical integration, social contact frequency, and psychological integration into the non-mental health community, mediated by the integration of the mental health community. Conclusion: Based on the results, we emphasize the importance of mental health communities and suggest strategies to support the integration of mental health communities.

Keywords: mental health community integration; mental health service programs; non-mental health community integration; resource accessibility.

Figure 1

Standardized regression weights of the full measurement model. PA: program atmosphere; RP: relationships with patients; RS: relationships with staff; PI: program involvement; MHC: integration into the mental health community; PHI: physical integration; SN: social network size; CF: social contact frequency; PSI: psychological integration.

Figure 2

Standardized regression weights of the final research model. PA: program atmosphere; RP: relationships with patients; RS: relationships with staff; PI: program involvement; MHC: integration into the mental health community; PHI: physical integration; SN: social network size; CF: social contact frequency; PSI: psychological integration.