Exploring the Subjective Experiences of Reintegration into Society After Long-Term Psychiatric Hospitalization: A Qualitative Study

Abstract

This study aimed to explore the subjective experiences of reintegration into society among individuals with a history of long-term psychiatric hospitalization. This qualitative study employed an interpretive phenomenological approach. Data were collected through semi-structured interviews with 30 participants who had been discharged after extended psychiatric hospitalization and reintegrated into society. Participants were purposefully selected from Tehran. Thematic analysis was conducted using NVivo software, and data collection continued until theoretical saturation was achieved. Three major themes emerged: “Redefinition of the Self after Discharge,” “Interaction with the Social Environment,” and “Psychological Coping Mechanisms.” Participants reported identity disruption, efforts toward self-reconstruction, experiences of stigma, social withdrawal, and a variety of adaptive and maladaptive coping strategies. Key factors supporting recovery included hope, social support, outpatient therapy, and future-oriented goals. Reintegration into society following long-term psychiatric hospitalization is a multifaceted and complex experience that requires coordinated psychological, familial, and societal support. The findings underscore the need for culturally sensitive rehabilitation programs, public education to reduce stigma, and enhanced post-discharge mental health services.