University of Worcester Worcester Research and Publications

Experiences of Mental Health Services For ‘Black’ Men With Schizophrenia and a History of Disengagement: A Qualitative Study

Wagstaff, C., Graham, H., Farrell, Derek ORCID:, Larkin, M. and Nettle, Mary (2018) Experiences of Mental Health Services For ‘Black’ Men With Schizophrenia and a History of Disengagement: A Qualitative Study. International Journal of Mental Health Nursing, 27 (1). pp. 158-167. ISSN Print: 1445-8330 Online: 1447-0349

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Whilst mental disorders can be disabling they are also treatable, yet engagement with services is often poor and disengagement from treatment is a major concern for mental health nurses. Participants were service users typically perceived as the most disengaged from mental health services, yet they were willing to engage in the research interviews. The seven participants were all male with a diagnosis of schizophrenia, a history of disengagement from mental health services and described their ethnicity as ‘black’. Participants were under the care of Assertive Outreach Teams and were recruited after the researcher was introduced to them by clinicians who were working with them. After ethical approval, in‐depth, semi‐structured interviews were used to elicit the experiences of participants. Through interpretative phenomenological analysis, themes were developed. Interpretative Phenomenological analysis generated four themes: (i) “People just keep hounding me”, (ii) Antipathy to Medication, (iii) Choice and the value of services, (iv) Stigmatisation and identity. By rigorously examining how service users with schizophrenia make sense of their experience of their relationship with mental health services, there is potential to give voice to the experiences of the recipients of mental health services. This study uncovered the complex nature of disengagement and in view of this there may never be a straightforward mechanism developed to engage all people with schizophrenia with mental health services. When the participants’ experiences are considered in a broader social context it may be possible to reflect on how services can be adapted to facilitate better engagement.

Item Type: Article
Additional Information:

This is the peer reviewed version of the following article: Wagstaff, C. , Graham, H. , Farrell, D. , Larkin, M. and Nettle, M. (2018), Experiences of mental health services for ‘black’ men with schizophrenia and a history of disengagement: A qualitative study. International Journal of Mental Health Nursing, 27: 158-167, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Staff and students at the University of Worcester can access the full-text of the publised version via the UW online library search. External users should check availability with their local library or Interlibrary Requests Service.

Uncontrolled Discrete Keywords: disengagement, ethnicity, interpretative, mental health services, phenomenological analysis, qualitative, schizophrenia, service user
Subjects: R Medicine > RT Nursing
Divisions: College of Business, Psychology and Sport > School of Psychology
Related URLs:
Depositing User: Derek Farrell
Date Deposited: 11 Mar 2019 12:08
Last Modified: 17 Jun 2020 17:27

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