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<p>Reintegration following discharge from psychiatric hospitalization represents a crucial yet insufficiently examined phase within the recovery continuum for individuals with Severe Mental Illness (SMI). With social technologies becoming deeply embedded in daily life, understanding their contribution to post-discharge adjustment is essential. This study aimed to characterize reintegration dynamics, resilience trajectories, and coping strategies over one year while examining the influence of social technology use on recovery outcomes. A longitudinal cohort of 92 adults (18–65&#xa0;years) discharged from inpatient psychiatric care with schizophrenia spectrum disorders, bipolar disorder, major depressive disorder with psychotic features, or borderline personality disorder was assessed at baseline, 3, 6, and 12&#xa0;months. Standardized tools included the Social Functioning Scale, Community Integration Questionnaire, Brief COPE, CD-RISC 10, ISMI, and a study-specific social technology usage inventory. Analyses involved repeated-measures ANOVA, Cox regression, and hierarchical linear modelling. Progressive improvements were noted in reintegration scores, resilience, and coping flexibility. Medication non-adherence and internalized stigma emerged as significant predictors of relapse, whereas higher baseline resilience, structured social technology use, and active coping strategies were associated with enhanced reintegration trajectories. Reintegration is a dynamic, multifactorial process shaped by psychological strengths, adaptive coping, and constructive digital engagement. Targeted stigma reduction and tailored internet-based supports may substantially improve long-term recovery in SMI populations.</p>

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Digital and Social Technology-Enabled Pathways for Reintegration Following Discharge in Individuals with Severe Mental Illness

  • 期刊论文

  • 发表日期：

    2026年4月1日

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  • Ritika Ritika,
  • Sabah Younis Bhat

摘要

Reintegration following discharge from psychiatric hospitalization represents a crucial yet insufficiently examined phase within the recovery continuum for individuals with Severe Mental Illness (SMI). With social technologies becoming deeply embedded in daily life, understanding their contribution to post-discharge adjustment is essential. This study aimed to characterize reintegration dynamics, resilience trajectories, and coping strategies over one year while examining the influence of social technology use on recovery outcomes. A longitudinal cohort of 92 adults (18–65 years) discharged from inpatient psychiatric care with schizophrenia spectrum disorders, bipolar disorder, major depressive disorder with psychotic features, or borderline personality disorder was assessed at baseline, 3, 6, and 12 months. Standardized tools included the Social Functioning Scale, Community Integration Questionnaire, Brief COPE, CD-RISC 10, ISMI, and a study-specific social technology usage inventory. Analyses involved repeated-measures ANOVA, Cox regression, and hierarchical linear modelling. Progressive improvements were noted in reintegration scores, resilience, and coping flexibility. Medication non-adherence and internalized stigma emerged as significant predictors of relapse, whereas higher baseline resilience, structured social technology use, and active coping strategies were associated with enhanced reintegration trajectories. Reintegration is a dynamic, multifactorial process shaped by psychological strengths, adaptive coping, and constructive digital engagement. Targeted stigma reduction and tailored internet-based supports may substantially improve long-term recovery in SMI populations.