Combating the SOCIAL ISOLATION of Chronic Mental Illness

The psychological consequences of source isolation: a review of the literature

Source isolation can be an extremely frightening and anxiety provoking experience. With the many epidemiological changes that are prevalent in the UK today the need to care for individuals in source isolation is becoming increasingly important to prevent the spread of infection in hospitals. However, the psychological effects of source isolation are not well understood or researched. This review defines and examines the historical developments of source isolation and then discusses related research which suggests possible effects of source isolation on an individual's psychological well-being. Research which has determined the effects of sensory deprivation and social isolation are discussed, together with literature on the intensive care syndrome. This review highlights the lack of research on the psychological effects of source isolation. Furthermore, literature and research on related aspects of isolation suggests very serious effects are noted on the psychological well-being of individuals. Whilst a cessation of source isolation is not an option, urgent research is required to examine what nurse interventions can be implemented to ameliorate these negative effects.

Storytelling: Using an Ancient Art to Work With Groups

1. Storytelling can be used to reduce social isolation and lack of connection. 2. Group storytelling, in which group members create a story together, has therapeutic value in the psychiatric milieu. 3. The experienced therapist/nurse-therapist is the best person to conduct a storytelling group in the psychiatric setting.

A Discharge Group for Chronically Mentally Ill: Easing the way

1. Chronically mentally ill clients have unique needs for discharge planning due to their lack of resources and poor social skills. 2. A weekly group focused on discharge needs can assist patients in planning and solving problems. 3. A psychoeducational approach is used, including video tapes, role playing, group discussion, and guest speakers. 4. Topics for discussion include medication compliance, employment, housing, loneliness, aftercare, and fear of failure.