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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 4/2016

01-04-2016 | Review

What does dependency on community mental health services mean? A conceptual review with a systematic search

Authors: Tommaso Bonavigo, Sima Sandhu, Elisabetta Pascolo-Fabrici, Stefan Priebe

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2016

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Abstract

Purpose

Although community mental health services aim to support patients’ autonomy and independence, they have repeatedly been criticised for making patients dependent. Yet, it remains often unclear what exactly is meant with dependency in this context. This review aimed to identify the meaning of the term dependency on community services in the literature.

Methods

A systematic search and conceptual review of papers where dependency is used in the context of community mental health services. Narrative synthesis was used to identify thematic concepts linked to dependency in these settings.

Results

Fifteen papers met the inclusion criteria. The analysis identified five different concepts of dependency on community mental health services: dislocation from the outside world; inflexibility and lack of freedom; obligation as resentment or appreciation; living with or without meaningful activities; and security.

Conclusions

The findings suggest that, distinct from the exclusively negative connotation of the term dependency in a conventional medical context, dependency on community mental health services contains both negative and positive aspects. The different aspects might guide the future evaluation of the care provided in such services.
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Metadata
Title
What does dependency on community mental health services mean? A conceptual review with a systematic search
Authors
Tommaso Bonavigo
Sima Sandhu
Elisabetta Pascolo-Fabrici
Stefan Priebe
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 4/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1180-0

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