Urban influences on the development, perpetuation and mitigation of psychosis
Intended for healthcare professionals
Evidence and practice    

Urban influences on the development, perpetuation and mitigation of psychosis

Mark Batterham Mental health nurse, Avon and Wiltshire Mental Health Partnership NHS Trust, Bath and North East Somerset Early Intervention in Psychosis Service, Bath, England
Kris Deering Senior lecturer/researcher in mental health nursing, University of Exeter, Exeter, England
Aled Mark Singleton Research officer, Swansea University, Swansea, Wales

Why you should read this article:
  • To recognise the link between living in urban environments and the development of non-affective psychosis

  • To enhance your understanding of how service users experiencing or recovering from psychosis engage with urban environments

  • To consider how mental health practitioners could use urban spaces to support service users’ recovery

The urban environment has long been recognised as a risk factor in the development of non-affective psychosis. While epidemiological studies dominate this field, the scoping review detailed in this article aimed to capture service users’ experiences and perspectives of urban environments in relation to their mental health, particularly in the context of recovery. A total of 12 participatory studies were reviewed. Analysis of the findings suggests that childhood urban upbringing may be associated with a dampened emotional reactivity response to stress and that residential instability in childhood may hasten the onset of mental health issues.

As symptoms of psychosis emerged, sensory overload and perceived challenges with interpersonal interactions often fuelled service users’ avoidance of urban areas. However, green spaces and community places provided service users with opportunities for relief from symptoms and distress, and community places offered opportunities for connection with others. The authors suggest that practitioners may consider assessing the lived geographies of service users and that mental health service providers may undertake a local geographical survey to identify urban stressors and supportive resources.

Mental Health Practice. doi: 10.7748/mhp.2023.e1653

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

m.batterham@nhs.net

Conflict of interest

Mark Batterham is an integrated clinical academic pre-doctoral clinical and practitioner academic fellow supported by Health Education England and the National Institute for Health and Care Research. The views expressed in this article are those of the authors and not necessarily those of the NHS, the National Institute for Health and Care Research or the Department of Health and Social Care

Batterham M, Deering K, Singleton AM (2023) Urban influences on the development, perpetuation and mitigation of psychosis. Mental Health Practice. doi: 10.7748/mhp.2023.e1653

Acknowledgements

The authors would like to thank Avon and Wiltshire Mental Health Partnership NHS Trust for supporting this review through its Research Capability Fund

Published online: 06 June 2023

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