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. 2022 Feb 18;19(4):2351.
doi: 10.3390/ijerph19042351.

Development and Poverty Dynamics in Severe Mental Illness: A Modified Capability Approach in the Chinese Context

Yue-Hui Yu  1 , Man-Man Peng  2
Affiliations

Development and Poverty Dynamics in Severe Mental Illness: A Modified Capability Approach in the Chinese Context

Yue-Hui Yu et al. Int J Environ Res Public Health. .

Abstract

Albeit poverty reduction has been listed as an overarching objective in many countries' development plans, little is known about how development could shape poverty dynamics in disadvantaged groups. Guided by a modified capability framework, this study aimed to explore the long-term experiences of poverty dynamics in severe mental illness. Semi-structured interviews were carried out with 20 caregivers who provided care for persons with severe mental illness in Chengdu, China. Their perceptions on development, the illness, and social security were addressed. Content analysis was employed to analyze data. Participants experienced an overall improvement of life quality due to changes on urban infrastructure and transformed lifestyle. However, they were more disadvantaged while facing ability-based opportunities. These families were hindered from transferring opportunities into incomes. Negative impacts of the illness were also reflected in multiple stigma and conversion difficulties. Additionally, the high threshold for payment made those inclusive social security policies not inclusive for them. Poverty associated with severe mental illness was unlikely to be alleviated automatically within the process of development. Social isolation and high caregiving burden had aggravated poverty for those disadvantaged families. Poverty alleviation should be closely linked to the improvement in social policies in China.

Keywords: capability approach; development; severe mental illness; social protection.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
A modified capability approach to interpret poverty dynamics in SMI.
Figure 2
Figure 2
Procedures of the qualitative data collection.
Figure 3
Figure 3
Process of falling into poverty for the No. 1 household.
Figure 4
Figure 4
Process of escaping poverty for the No. 19 household.
See this image and copyright information in PMC

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