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Urban remediation : a new recovery-oriented strategy to manage urban stress after first-episode psychosis
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Baumann, Philipp S., Söderström, Ola, Abrahamyan Empson, Lilith, Söderström, Dag, Codeluppi, Zoe, Golay, Philippe, Birchwood, Max and Conus, Philippe (2020) Urban remediation : a new recovery-oriented strategy to manage urban stress after first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 55 . pp. 273-283. doi:10.1007/s00127-019-01795-7 ISSN 0933-7954.
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WRAP-urban-remediation-recovery-oriented-stress-episode-Birchwood-2019.pdf - Accepted Version - Requires a PDF viewer. Download (1707Kb) | Preview |
Official URL: https://doi.org/10.1007/s00127-019-01795-7
Abstract
Urban living is a major risk factor for psychosis. Considering worldwide increasing rates of urbanization, new approaches are needed to enhance patients' wellbeing in cities. Recent data suggest that once psychosis has emerged, patients struggle to adapt to urban milieu and that they lose access to city centers, which contributes to isolation and reduced social contacts. While it is acknowledged that there are promising initiatives to improve mental health in cities, concrete therapeutic strategies to help patients with psychosis to better handle urban stress are lacking. We believe that we should no longer wait to develop and test new therapeutic approaches. In this review, we first focus on the role of urban planning, policies, and design, and second on possible novel therapeutic strategies at the individual level. We review how patients with psychosis may experience stress in the urban environment. We then review and describe a set of possible strategies, which could be proposed to patients with the first-episode psychosis. We propose to group these strategies under the umbrella term of 'urban remediation' and discuss how this novel approach could help patients to recover from their first psychotic episode. The concepts developed in this paper are speculative and a lot of work remains to be done before it can be usefully proposed to patients. However, considering the high prevalence of social withdrawal and its detrimental impact on the recovery process, we strongly believe that researchers should invest this new domain to help patients regain access to city centers.
| Item Type: | Journal Article | |||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HT Communities. Classes. Races R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Urbanization -- Mental health -- Treatment, Urbanization -- Psychological aspects, Cognitive maps (Psychology) , Urban health, City planning -- Health aspects | |||||||||
| Journal or Publication Title: | Social Psychiatry and Psychiatric Epidemiology | |||||||||
| Publisher: | Springer | |||||||||
| ISSN: | 0933-7954 | |||||||||
| Official Date: | March 2020 | |||||||||
| Dates: |
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| Volume: | 55 | |||||||||
| Page Range: | pp. 273-283 | |||||||||
| DOI: | 10.1007/s00127-019-01795-7 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Reuse Statement (publisher, data, author rights): | This is a post-peer-review, pre-copyedit version of an article published in Social Psychiatry and Psychiatric Epidemiology. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00127-019-01795-7 | |||||||||
| Access rights to Published version: | Restricted or Subscription Access | |||||||||
| Date of first compliant deposit: | 20 November 2019 | |||||||||
| Date of first compliant Open Access: | 30 October 2020 | |||||||||
| RIOXX Funder/Project Grant: |
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