{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T18:44:39Z","timestamp":1774723479939,"version":"3.50.1"},"reference-count":55,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,20]],"date-time":"2020-04-20T00:00:00Z","timestamp":1587340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005847","name":"Health and Medical Research Fund","doi-asserted-by":"publisher","award":["12131631"],"award-info":[{"award-number":["12131631"]}],"id":[{"id":"10.13039\/501100005847","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Accessible summary<\/jats:title><jats:sec><jats:title>What is known on the subject?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>There have been some studies on the experience and community life of mental health clients receiving integrated community mental health service (ICMHS).<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Evaluation of ICMHS suggests that the service could have positive clinical and social outcomes, but the results are inconclusive.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What does the paper add to existing knowledge?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Research studies have focused on clients and\/or staff of the ICMHS, while in this study, the experiences and perspectives of family members are also explored. More comprehensive knowledge about the work for, and community life of, people previously under the services of ICMHS is added to the existing knowledge.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>This study found that with \u201ctimely support\u201d and \u201cfamily presence,\u201d people who had received the services of ICMHS continued to engage in more social activities (\u201cexpanding social networks\u201d), had \u201cbetter family relationships,\u201d were \u201cletting go\u201d of thinking too much and more able to relax, and had \u201cbetter self\u2010efficacy and self\u2010caring\u201d in the community.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Professional contact after ICMHS through continuous conversations (e.g. home visits and follow\u2010up calls) and social activities are essential for both clients and their families to carry on living with the illness.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Timely support, family presence, support to family members in the community and better social networks are key experiences of ICMHS clients.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications for practice?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Although the ICMHS\u2019 resources are limited, better promotion is urgently needed for the public to realize the services and to support mental health clients.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Mental health professionals may develop practice models through exploratory and confirmatory factors analyses of the themes identified from this study as the outcome measures. The cost\u2010effectiveness of services and relapse rates over time should also be evaluated for future practice development.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Further studies for practice on the difference that family support can make to the community life of former ICMHS clients are warranted. This may be achieved through research designs that compare people with, and without, family members.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>More comprehensive understanding, from the experiences and multiple perspectives of the clients, families and staff, about the community life of former clients of the integrated community mental health service (ICMHS) is scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the community life experiences of people after their discharge from the ICMHS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A qualitative approach with an interpretative phenomenological analysis was utilized for this study. Data were collected through individual semi\u2010structured interviews of 37 participants, including people discharged from an Integrated Community Centre of Mental Wellness, their family members and staff members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six themes emerged from the analysis: \u201ctimely support,\u201d \u201cfamily presence,\u201d \u201cbetter family relationships,\u201d \u201cexpanding social networks,\u201d \u201cletting go\u201d and \u201cbetter self\u2010efficacy and self\u2010care,\u201d under the main theme of \u201cwalking with the illness and life.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Over and after the ICHMS, with timely support and family presence, there was a positive trend in the experiences of clients in expanding social networks, having better family relationships, letting go of thinking too much and being more able to relax, and improving self\u2010efficacy and self\u2010caring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>The study provides a more comprehensive understanding of the experiences of clients, family and staff about the community life of people post\u2010ICMHS, providing insights and clearer directions for research and practice development.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12632","type":"journal-article","created":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T11:32:20Z","timestamp":1586172740000},"page":"728-741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Walking with the illness and life: Experience of the community life of people previously under the services of an integrated community mental health service"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6973-7241","authenticated-orcid":false,"given":"Vico Chung Lim","family":"Chiang","sequence":"first","affiliation":[{"name":"School of Nursing Faculty of Health and Social Sciences The Hong Kong Polytechnic University Hung Hom Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5321-5791","authenticated-orcid":false,"given":"Wai Tong","family":"Chien","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing Faculty of Medicine The Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming Chi","family":"Wan","sequence":"additional","affiliation":[{"name":"New Life Psychiatric Rehabilitation Association Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally Yuen Ha","family":"Cheung","sequence":"additional","affiliation":[{"name":"Christian Family Service Centre Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/car.904"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","volume-title":"Integrated care","author":"American Psychological Association","year":"2013"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2100"},{"key":"e_1_2_10_6_1","volume-title":"Asia\u2010Pacific Community Mental Health Development Project: Summary report 2011 partnerships","author":"Asia Australia Mental Health","year":"2011"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6163.2002.tb00658.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705420801997989"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-010-9367-4"},{"key":"e_1_2_10_10_1","volume-title":"Hong Kong needs a fresh look at mental health services. ejinsight on the Pulse","author":"Chan C. 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