Wellness characteristics in rehabilitation for people with mental disorders: a qualitative study
Keywords:
mental illness, recovery model, rehabilitation, wellnessAbstract
Objective: To explore the concept and dimensions of wellness in the context of rehabilitation for people with mental disorders in Thailand.
Methods: Semi-structured focus group interviews were conducted from March to April 2023 among Thai adults aged 18 - 59 years from four regions of Thailand. The participants from each region were divided into three groups: 1) people who had been diagnosed with schizophrenia, bipolar disorder, or major depressive disorder for at least two years and were living independently; 2) people without mental illness with income lower than the minimum wage; and 3) people without mental illness with income higher than the minimum wage. Data were analyzed using content analysis.
Results: A total of 115 participants with an average age of 41.1 years, mostly female (67.0%), were interviewed. Each interview group consisted of 6 - 10 participants. Most groups, with and without mental health conditions, consistently conceptualized wellness as a happy and satisfying living status where people are free to make decisions and part of the community. The content analysis suggested that wellness comprised eight dimensions; physical, mental, social, environmental, spiritual, financial, occupational, and welfare-state accessible.
Conclusion: The findings suggest that service providers should take into account the living status of people with mental disorders in all eight dimensions of wellness and collaborate with them to design and implement effective rehabilitation programs.
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