scholarly journals Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260250
Author(s):  
A. Leet ◽  
S. Dennis ◽  
J. Muller ◽  
S. Walsh ◽  
H. Bowen-Salter ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Service Delivery ◽  
South Australia ◽  
Realist Evaluation ◽  
Rank Test ◽  
Rehabilitation Service ◽  
Structured Interviews ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

Background As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents. Aim To analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers. Methods A mixed method, realist evaluation approach was utilised. A purposive sample of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants’ perspectives of the service were gained via one staff focus group (n = 6) and individual semi-structured interviews (consumers n = 6; staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically. Results Significant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified. Conclusion Maintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes. Significance This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.

scholarly journals Occupational Therapy and Clinical Research in Mental Health Rehabilitation

2005 ◽  
Vol 68 (4) ◽  
pp. 172-176 ◽  
Author(s):  
Chris Lloyd ◽  
Robert King ◽  
Hazel Bassett
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Design Research ◽  
Mental Health Research ◽  
Rehabilitation Service ◽  
Evidence Based ◽  
Collaborative Partnership ◽  
Research Projects ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

Practitioners working in Australian mental health services are faced with the challenge of providing appropriate evidence-based interventions that lead to measurable improvement and good outcomes. Current government policy is committed to the development of strategic mental health research. One focus has been on under-researched practice areas, which include the development of psychosocial rehabilitation systems and models that facilitate recovery. To meet this challenge, an Australian rehabilitation service formed a collaborative partnership with a university. The purposes of the collaboration were to implement new forms of service delivery based on consumer need and evidence and to design research projects to evaluate components of the rehabilitation programme. This article examines the process of developing the collaboration and provides examples of how research projects have been used to inform practice and improve the effectiveness of service delivery. Challenges to the sustainability of this kind of collaboration are considered.

Adherence to treatment program in mental health rehabilitation service

2017 ◽  
Vol 41 (S1) ◽  
pp. S462-S462
Author(s):  
V. Martí Garnica ◽  
M.D. Ortega Garcia ◽  
M.C. García Pérez ◽  
C. Sánchez Carreño
Keyword(s):  
Mental Health ◽  
Antipsychotic Medication ◽  
Drug Prescription ◽  
Health Resources ◽  
Treatment Compliance ◽  
Rehabilitation Service ◽  
Adherence To Treatment ◽  
Program Adherence ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

AimsAfter several years of research to improve the action of antipsychotic medication and to reduce its side effects, we have realized the importance of an accurate intake of antipsychotic medication and because of it we started up a program in our Mental Health Rehabilitation Service. Therefore, we can affirm that outpatients behavior influence their intake medication and also the efficiency of the drug prescription. The main consequence of inadequate treatment compliance is an increase in relapses and hospital admission.The aim of this program is to improve adherence to pharmacological treatment, to promote the quality of life for a better social integration, to know the use of prescribed medication, to know the health resources of the network to acquire the medication and to acquire skills for greater autonomy in the management and management of medication.MethodWe analyzed a sample of 13 outpatient diagnosed with severe mental disorder that started up into our Program “Adherence to treatment” and their stabilization (less relapses and less admissions) in two years’ time.ResultsOne of the patients have completed the aims of the program and he is living on his own, nine of them continue the program without relapses or admissions, one dropped out the program because of relapse and an another one have also completed the program but he died because of somatic disease.ConclusionsThe experience of this program in group format is positive, since patients acquire skills, knowledge and strategies in their own treatment in line with the recovery model in psychosocial rehabilitation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Consumers' understanding and expectations of a community-based recovery-oriented mental health rehabilitation unit: a pragmatic grounded theory analysis

2017 ◽  
Vol 28 (04) ◽  
pp. 408-417 ◽  
Author(s):  
Stephen Parker ◽  
Frances Dark ◽  
Ellie Newman ◽  
Dominic Hanley ◽  
William McKinlay ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rehabilitation Services ◽  
Structured Interviews ◽  
Community Based ◽  
Rehabilitation Unit ◽  
Staffing Model ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

Aims.Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers’ expectations of mental health services, and what they hope to achieve, provides an opportunity to examine the alignment between existing services and the priorities and preferences of the people who use them. We explored consumer understandings and expectations of three recovery-oriented community-based residential mental-health rehabilitation units using semi-structured interviews; two of these units were trialling a staffing model integrating peer support with clinical care.Methods.Twenty-four consumers completed semi-structured interviews with an independent interviewer during the first 6 weeks of their stay at the rehabilitation unit. Most participants had a primary diagnosis of schizophrenia or a related psychotic disorder (87%). A pragmatic approach to grounded theory guided the analysis, facilitating identification of content and themes, and the development of an overarching conceptual map.Results.The rehabilitation units were considered to provide a transformational space and a transitional place. The most common reason given for engagement was housing insecurity or homelessness rather than the opportunity for rehabilitation engagement. Differences in expectations did not emerge between consumers entering the clinical and integrated staffing model sites.Conclusions.Consumers understand the function of the rehabilitation service they are entering. However, receiving rehabilitation support may not be the key driver of their attendance. This finding has implications for promoting consumer engagement with rehabilitation services. The absence of differences between the integrated and clinical staffing models may reflect the novelty of the rehabilitation context. The study highlights the need for staff to find better ways to increase consumer awareness of the potential relevance of evidence-based rehabilitation support to facilitating their recovery.

scholarly journals When knowing the answer is only half the solution: Introducing changes to a mental health rehabilitation service

1999 ◽  
Vol 22 (1) ◽  
pp. 33
Author(s):  
Margaret Tobin ◽  
Greg Aldridge ◽  
Luxin Chen
Keyword(s):  
Mental Health ◽  
Research Methodology ◽  
Rehabilitation Service ◽  
Professional Status ◽  
Review Committee ◽  
Client Outcome ◽  
Staff Morale ◽  
New Model ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

An Action Research methodology was used to revise the St George Mental Health Rehabilitation Service. A review committee found several limitations in the existing system, and a new model to address these problems was devised. During an 18-month period, the new model was implemented. Obstacles to change, such as staff resistance,were not systematically encountered due to the method of change used. The organisational changes that emerged concurrently improved the standard of service, raised staff morale, resulted in the routine use of standardised client outcome measures, enhanced the professional status of rehabilitation workers and led to empowerment of staff and consumers.

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