An Uphill Struggle, a Lifetime Battle: Experiences of Individuals with Mental Illness and Substance Abuse

2.50
Hdl Handle:
http://hdl.handle.net/10755/153315
Type:
Presentation
Title:
An Uphill Struggle, a Lifetime Battle: Experiences of Individuals with Mental Illness and Substance Abuse
Abstract:
An Uphill Struggle, a Lifetime Battle: Experiences of Individuals with Mental Illness and Substance Abuse
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Villena, Anna, MSN, RN
P.I. Institution Name:University of California San Francisco
Title:Doctoral Candidate
Purpose/Aims: The purpose of this interpretive study is to understand and describe: (a) how individuals with co-occurring disorders of mental illness, substance abuse, and other chronic medical illnesses (COD) construct the meanings of health and illness; (b) how individuals with COD manage their illnesses; and, (c) the perceived impact of multiple illnesses within the lives of individuals with COD. Background/Significance: Approximately 20 million people suffer from substance abuse disorder in a given year and approximately 7-10 million of them will have co-occurring disorders of both mental illness and substance abuse.  Moreover, 61 percent of those who have co-occurring disorders have not received treatment for either illness.  To complicate matters, individuals with co-occurring disorders (COD) have higher rates of other chronic health problems (i.e. diabetes), multiple re-hospitalizations, and over utilizes emergent services.  Despite their elevated risk for physical morbidities, there is a dearth of literature that focuses on the impact for those with COD of having multiple physical health disorders. Of concern is how this population copes with medical health issues while at the same time living with a psychiatric illness and substance abuse or dependence.  Methods/Analysis: Six individuals with COD were recruited from community-based residential treatment facilities. Narrative interviews, focused on meanings of health and management of illnesses, were conducted. All interviews were audio-taped and transcribed.  Interpretive narrative analysis was employed to examine common and distinct experiences of participants. Results: Findings suggest that safety, spirituality, familial and medical support each played a significant role in health perceptions and management of illnesses by persons with COD. All identified turning points in the history of their condition that made their participation in structured care acceptable.  Life threatening experiences and loss of family members constituted such turning points. Positive self-esteem enabled participants to maintain a balance in their physical, emotional and mental health.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Uphill Struggle, a Lifetime Battle: Experiences of Individuals with Mental Illness and Substance Abuseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153315-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Uphill Struggle, a Lifetime Battle: Experiences of Individuals with Mental Illness and Substance Abuse</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Villena, Anna, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California San Francisco</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">annaliza.villena@ucsf.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: The purpose of this interpretive study is to understand and describe: (a) how individuals with co-occurring disorders of mental illness, substance abuse, and other chronic medical illnesses (COD) construct the meanings of health and illness; (b) how individuals with COD manage their illnesses; and, (c) the perceived impact of multiple illnesses within the lives of individuals with COD. Background/Significance: Approximately 20 million people suffer from substance abuse disorder in a given year and approximately 7-10 million of them will have co-occurring disorders of both mental illness and substance abuse.&nbsp; Moreover, 61 percent of those who have co-occurring disorders have not received treatment for either illness.&nbsp; To complicate matters, individuals with co-occurring disorders (COD) have higher rates of other chronic health problems (i.e. diabetes), multiple re-hospitalizations, and over utilizes emergent services.&nbsp; Despite their elevated risk for physical morbidities, there is a dearth of literature that focuses on the impact for those with COD of having multiple physical health disorders. Of concern is how this population copes with medical health issues while at the same time living with a psychiatric illness and substance abuse or dependence.&nbsp; Methods/Analysis: Six individuals with COD were recruited from community-based residential treatment facilities. Narrative interviews, focused on meanings of health and management of illnesses, were conducted. All interviews were audio-taped and transcribed.&nbsp; Interpretive narrative analysis was employed to examine common and distinct experiences of participants. Results: Findings suggest that safety, spirituality, familial and medical support each played a significant role in health perceptions and management of illnesses by persons with COD. All identified turning points in the history of their condition that made their participation in structured care acceptable.&nbsp; Life threatening experiences and loss of family members constituted such turning points. Positive self-esteem enabled participants to maintain a balance in their physical, emotional and mental health.</td></tr></table>en_GB
dc.date.available2011-10-26T12:11:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:11:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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