Effects of Community-Based Programs on Integration into the Mental Health and Non-Mental Health Communities
Abstract
:1. Introduction
2. Method
2.1. Participants
2.2. Measures
2.2.1. Integration into the Mental Health Community
2.2.2. Integration into the Non-Mental Health Community
Physical Integration
Social Integration
Psychological Integration
2.2.3. Community-Based Program Environment
Program Atmosphere
Relationships with Patients and Staff
Program Involvement
2.2.4. Sociodemographic and Clinical Variables
2.3. Statistical Analysis
3. Results
3.1. Effects of Sociodemographic and Clinical Variables on Integration into the Mental Health and Non-Mental Health Communities
3.2. Confirmatory Factor Analysis
3.3. Research Model Verification
4. Discussion
5. Conclusions
6. Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | Category | Frequency | Percentage (%) |
---|---|---|---|
Gender | Male | 104 | 54.7 |
Female | 86 | 45.3 | |
Age | 20–29 | 33 | 17.4 |
30–39 | 40 | 21.1 | |
40–49 | 54 | 28.4 | |
50–59 | 53 | 27.9 | |
Over 60 | 10 | 5.3 | |
Education level | Middle school or below | 19 | 10.0 |
High school | 109 | 57.4 | |
University or over | 60 | 31.6 | |
Other | 2 | 1.0 | |
Diagnosis | Schizophrenia | 157 | 82.6 |
Major depression | 15 | 7.9 | |
Bipolar disorder | 13 | 6.8 | |
Other | 5 | 2.6 | |
Employment status | Vocational rehabilitation | 13 | 6.8 |
Part time | 26 | 13.7 | |
Full time | 12 | 6.3 | |
No job | 139 | 73.2 | |
City size | Large cities | 130 | 68.4 |
Small cities | 60 | 31.6 |
Variables | Mental Health Community Integration (1) | Non-Mental Health Community Integration | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Physical Integration (2) | Social Integration | Psychological Integration (5) | ||||||||||||||
Social Network Size (3) | Social Contact Frequency (4) | |||||||||||||||
β | t | p | β | t | p | β | t | p | β | t | p | β | t | p | ||
Sociodemographic | ||||||||||||||||
Gender | −0.030 | −0.512 | 0.609 | −0.101 | −1.656 | 0.099 | −0.032 | −0.470 | 0.639 | −0.055 | −0.768 | 0.443 | −0.095 | −1.446 | 0.150 | |
Age | 0.054 | 0.884 | 0.378 | 0.020 | 0.324 | 0.746 | 0.029 | 0.413 | 0.680 | −0.025 | −0.332 | 0.740 | 0.084 | 1.245 | 0.215 | |
Years of education | −0.034 | −0.558 | 0.577 | 0.072 | 1.158 | 0.248 | 0.212 | 3.036 | 0.003 | 0.135 | 1.840 | 0.067 | 0.068 | 1.019 | 0.310 | |
City size | 0.047 | 0.798 | 0.426 | 0.188 | 3.088 | 0.002 | 0.006 | 0.089 | 0.929 | 0.037 | 0.513 | 0.609 | 0.092 | 1.410 | 0.160 | |
Resource accessibility | 0.537 | 8.479 | <0.000 | 0.468 | 7.160 | <0.000 | 0.238 | 3.277 | 0.001 | 0.241 | 3.150 | 0.002 | 0.331 | 4.722 | <0.000 | |
Clinical | ||||||||||||||||
Diagnosis | −0.059 | −0.956 | 0.340 | 0.039 | 0.615 | 0.539 | 0.038 | 0.541 | 0.589 | 0.032 | 0.433 | 0.666 | 0.058 | 0.858 | 0.392 | |
Symptoms | −0.191 | −3.154 | 0.002 | −0.136 | −2.181 | 0.031 | −0.232 | −3.332 | 0.001 | −0.084 | −1.145 | 0.254 | −0.264 | −3.934 | <0.000 |
Goodness-of-Fit Measure | Level of Acceptable Fit | Fit Statistics | |
---|---|---|---|
Absolute fit | /df | <3 good | 1.619 |
GFI | >0.8 acceptable, >0.9 good | 0.858 | |
AGFI | >0.8 acceptable, >0.9 good | 0.810 | |
RMSEA | <0.08 good | 0.057 | |
Incremental fit | NFI | >0.9 good | 0.894 |
RFI | >0.9 good | 0.869 | |
IFI | >0.9 good | 0.957 | |
TLI | >0.9 good | 0.946 | |
CFI | >0.9 good | 0.956 |
Goodness-of-Fit Measure | Level of Acceptable Fit | Fit Statistics | |
---|---|---|---|
Absolute fit | /df | <3 good | 1.703 |
GFI | >0.8 acceptable, >0.9 good | 0.842 | |
AGFI | >0.8 acceptable, >0.9 good | 0.803 | |
RMSEA | <0.08 good | 0.061 | |
Incremental fit | NFI | >0.9 good | 0.881 |
RFI | >0.9 good | 0.863 | |
IFI | >0.9 good | 0.947 | |
TLI | >0.9 good | 0.938 | |
CFI | >0.9 good | 0.947 |
B | β | S.E. | C.R. | p | |||
---|---|---|---|---|---|---|---|
PA | → | MHC | 0.460 | 0.410 | 0.102 | 4.517 | <0.001 |
RP | → | MHC | −0.021 | −0.041 | 0.069 | −0.300 | 0.764 |
RS | → | MHC | 0.004 | 0.009 | 0.050 | 0.071 | 0.943 |
PI | → | MHC | 0.278 | 0.439 | 0.053 | 5.285 | <0.001 |
MHC | → | PHI | 0.624 | 0.441 | 0.118 | 5.282 | <0.001 |
MHC | → | SN | 0.508 | 0.045 | 0.884 | 0.575 | 0.566 |
MHC | → | CF | 0.843 | 0.260 | 0.340 | 2.483 | 0.013 |
MHC | → | PSI | 0.637 | 0.542 | 0.090 | 7.087 | <0.001 |
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Seo, M.K.; Lee, M.H. Effects of Community-Based Programs on Integration into the Mental Health and Non-Mental Health Communities. Healthcare 2021, 9, 1181. https://doi.org/10.3390/healthcare9091181
Seo MK, Lee MH. Effects of Community-Based Programs on Integration into the Mental Health and Non-Mental Health Communities. Healthcare. 2021; 9(9):1181. https://doi.org/10.3390/healthcare9091181
Chicago/Turabian StyleSeo, Mi Kyung, and Min Hwa Lee. 2021. "Effects of Community-Based Programs on Integration into the Mental Health and Non-Mental Health Communities" Healthcare 9, no. 9: 1181. https://doi.org/10.3390/healthcare9091181