Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.

<h4>Background</h4>People with concurrent mental health and substance use problems are among the most socially excluded groups in our society, yet little attention has been paid to what socially excluded people see as central to promoting their social inclusion. The aim of this qualitati...

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Main Authors: Silje Nord-Baade, Ottar Ness, Camilla Bergsve Jensen, Michael Rowe, Elin Opheim, Anne Landheim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315758
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author Silje Nord-Baade
Ottar Ness
Camilla Bergsve Jensen
Michael Rowe
Elin Opheim
Anne Landheim
author_facet Silje Nord-Baade
Ottar Ness
Camilla Bergsve Jensen
Michael Rowe
Elin Opheim
Anne Landheim
author_sort Silje Nord-Baade
collection DOAJ
description <h4>Background</h4>People with concurrent mental health and substance use problems are among the most socially excluded groups in our society, yet little attention has been paid to what socially excluded people see as central to promoting their social inclusion. The aim of this qualitative scoping review is to provide an overview of barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems, based on first-person perspectives, to help guide future research, policies, and practice.<h4>Methods</h4>We explored first-person perspectives on social inclusion among people with concurrent mental health and substance use problems, employing Arksey and O'Malleys framework. We searched Medline, PsycINFO, Embase, Scopus, Cinahl, and other sources for studies published between January 2000 and September 2023. We employed content analysis and followed the PRISMA checklist.<h4>Results</h4>We included 55 articles included in our review and identified sub themes of: Intrapersonal baseline (identity, belonging), Components of social inclusion (relationships, meaningful activities, employment, economy), and Systemic failure or success (housing, public health and welfare services, the criminal justice system).<h4>Conclusion</h4>Social inclusion is rarely studied outside the context of direct services. Our results point to knowledge gaps in addressing social inclusion in a broad, societal context; implementing gaps in services; and developing policies to assure the fundamental needs and human rights of socially excluded persons.
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spelling doaj-art-2d8dba57d1c0476abbca8f45ee2627bc2025-02-05T05:32:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031575810.1371/journal.pone.0315758Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.Silje Nord-BaadeOttar NessCamilla Bergsve JensenMichael RoweElin OpheimAnne Landheim<h4>Background</h4>People with concurrent mental health and substance use problems are among the most socially excluded groups in our society, yet little attention has been paid to what socially excluded people see as central to promoting their social inclusion. The aim of this qualitative scoping review is to provide an overview of barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems, based on first-person perspectives, to help guide future research, policies, and practice.<h4>Methods</h4>We explored first-person perspectives on social inclusion among people with concurrent mental health and substance use problems, employing Arksey and O'Malleys framework. We searched Medline, PsycINFO, Embase, Scopus, Cinahl, and other sources for studies published between January 2000 and September 2023. We employed content analysis and followed the PRISMA checklist.<h4>Results</h4>We included 55 articles included in our review and identified sub themes of: Intrapersonal baseline (identity, belonging), Components of social inclusion (relationships, meaningful activities, employment, economy), and Systemic failure or success (housing, public health and welfare services, the criminal justice system).<h4>Conclusion</h4>Social inclusion is rarely studied outside the context of direct services. Our results point to knowledge gaps in addressing social inclusion in a broad, societal context; implementing gaps in services; and developing policies to assure the fundamental needs and human rights of socially excluded persons.https://doi.org/10.1371/journal.pone.0315758
spellingShingle Silje Nord-Baade
Ottar Ness
Camilla Bergsve Jensen
Michael Rowe
Elin Opheim
Anne Landheim
Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
PLoS ONE
title Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
title_full Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
title_fullStr Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
title_full_unstemmed Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
title_short Barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems. A qualitative scoping review.
title_sort barriers and facilitators for social inclusion among people with concurrent mental health and substance use problems a qualitative scoping review
url https://doi.org/10.1371/journal.pone.0315758
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