scholarly journals Trend of community rehabilitation activity.

1988 ◽  
Vol 25 (2) ◽  
pp. 115-121
Author(s):  
HIRAKU IMADA
Keyword(s):  
Community Rehabilitation ◽  
Rehabilitation Activity

A Community-based Addiction Rehabilitation Electronic System to Improve Recovery Outcomes in Patients with Drug Use Disorder: Protocol for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Zhe WANG ◽  
Shujuan CHEN ◽  
Junning CHEN ◽  
Chunfeng XU ◽  
Zhikang CHEN ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Drug Use ◽  
Illicit Drug ◽  
Service Providers ◽  
Controlled Trial ◽  
Electronic System ◽  
Community Based ◽  
Randomized Controlled ◽  
Community Rehabilitation ◽  
Drug Use Disorder

BACKGROUND Relapse is very common in patients with illicit drug use disorder and contributes to a series of bad consequences that substantially impact their physical and social functions. Due to the limited existence of effective addiction treatment, the majority of patients with drug use disorder could not access help when needing. Mobile health (mHealth) offers a potential solution to improving recovery outcome for patients in community. OBJECTIVE This paper is a protocol for a randomized controlled trial (RCT) of a smart phone application called community-based addiction rehabilitation electronic system (CAREs). This interactive system consists of an APP for clients and a webpage for service providers, with the aim of teaching clients craving and emergency coping skills and helping service providers to improve their work efficiency and effectiveness in community. METHODS A randomized controlled trial (RCT) will be conducted. Sixty drug illicit users who are newly ordered to undergo community rehabilitation will be recruited from the community in Shanghai. Participants will be 1:1 randomly assigned to receive integrated community rehabilitation by using CAREs or only receiving routine community rehabilitation for 6 months. Corresponding anti-drug social workers will provide service and monitor their drug use behavior in accordance with the routine work-flow. Outcomes will be assessed at baseline and in the 6th month. The primary study outcome is the performance on illicit drug urine test which will be carried on regularly twice per week during the study period. Secondary study outcomes include longest duration of sustained abstinence, days that participants interact with anti-drug social workers, and the decrease rate of addiction-related issues severity index. RESULTS Recruitment is currently underway with the aim of recruiting 60 subjects with drug use disorder. Recruitment will continue until the end of 2018. CONCLUSIONS This is the first known trial of a smartphone-based psychotherapy program for improving recovery outcomes in illicit drug users in community. The study provides evidence for the feasibility and effectiveness of the "CAREs" system through comparing the results of the intervention group with the control group. This paper describes the design and methodology of the study. CLINICALTRIAL ClinicalTrials.gov NCT03451344, https://clinicaltrials.gov/ct2/show/NCT03451344

scholarly journals Professionalism, Payment by Results and the Probation Service: A Qualitative Study of the Impact of Marketisation on Professional Autonomy

2021 ◽  
pp. 095001702110038
Author(s):  
Matt Tidmarsh
Keyword(s):  
Public Sector ◽  
Qualitative Study ◽  
Professional Autonomy ◽  
Ethnographic Study ◽  
Community Rehabilitation ◽  
Probation Office ◽  
Probation Service ◽  
The Impact ◽  
Privately Owned

This article utilises Foucauldian understandings of the sociology of the professions to explore how marketising reforms to probation services in England and Wales, and the implementation of a ‘Payment by Results’ (PbR) mechanism in particular, have impacted professional autonomy. Drawing on an ethnographic study of a probation office within a privately owned Community Rehabilitation Company, it argues that an inability to control the socio-economic organisation of probation work has rendered the service susceptible to challenges to autonomy over technique. PbR was proffered as a means to restore practitioner discretion; however, the article demonstrates that probation staff have been compelled to economise their autonomy, adapting their conduct to conform to market-related forms of accountability. In this sense, it presents the Transforming Rehabilitation reforms to probation as a case study of the impact of marketisation on the autonomy of practitioners working within a public sector profession.

Achieving Community Membership Through Community Rehabilitation Provider Services: Are We There Yet?

2007 ◽  
Vol 45 (3) ◽  
pp. 149-160 ◽  
Author(s):  
Deborah S. Metzel ◽  
Heike Boeltzig ◽  
John Butterworth ◽  
Jennifer Sullivan Sulewski ◽  
Dana Scott Gilmore
Keyword(s):  
Community Membership ◽  
Community Rehabilitation

Wellmet: Halfway to Community Rehabilitation

1962 ◽  
Vol 13 (3) ◽  
pp. 146-152
Author(s):  
David Kantor ◽  
Milton Greenblatt
Keyword(s):  
Community Rehabilitation

Assessment of Contributions to Disability in People with Schizophrenia during Rehabilitation

1993 ◽  
Vol 27 (4) ◽  
pp. 595-600 ◽  
Author(s):  
Russ O'connor ◽  
Helen Herrman
Keyword(s):  
Frontal Lobe ◽  
Emotional Distress ◽  
Global Assessment ◽  
Functional Disability ◽  
Positive Symptoms ◽  
Treatment Resistant ◽  
Rehabilitation Programs ◽  
Community Rehabilitation ◽  
Frontal Lobe Impairment ◽  
Community Rehabilitation Programs

The aim of this study was to assess a number of the components of disability in patients diagnosed with DSM-IIIR residual schizophrenia. Forty-one patients undergoing hospital and community rehabilitation programs were tested. A range of disability levels was defined with a measure of global assessment of function. A large proportion of the patients also had poor results on frontal lobe testing, persistent positive symptoms, and high levels of emotional distress. There was a trend for higher levels of positive symptoms to be associated with increases in global levels of disability, frontal lobe impairment and emotional distress. The work suggests that rehabilitation programs could be more focused if patients were assessed not only for their overall level of functional disability but also for the level of treatment resistant positive symptoms, frontal lobe impairment and the amount and type of emotional distress and insight.

It takes two to tango: The therapeutic alliance in community brain injury rehabilitation

2021 ◽  
pp. 1-18
Author(s):  
Liz M. Williams ◽  
Jacinta M. Douglas
Keyword(s):  
Brain Injury ◽  
Pilot Study ◽  
Therapeutic Alliance ◽  
Qualitative Methodology ◽  
Rehabilitation Programme ◽  
Injury Rehabilitation ◽  
Community Rehabilitation ◽  
Purposeful Sampling ◽  
Study Results ◽  
Working Together

Abstract Objective: A positive therapeutic (or working) alliance has been associated with better outcomes for clients in the psychotherapeutic and traumatic brain injury (TBI) rehabilitation literature. The aim of this pilot study was to gain an understanding of the therapeutic alliance in community rehabilitation from the perspectives of adults with TBI and their close others who have completed a community rehabilitation programme. Method: This study used a constructivist, qualitative methodology which applied grounded theory analysis techniques. Using purposeful sampling, three pairs of participants (adults with TBI and close others) who had finished a community rehabilitation programme completed separate in-depth interviews which were transcribed verbatim and progressively analysed using a process of constant comparison. Results: A preliminary framework illustrating participants’ experience of a therapeutic alliance was generated, comprising three interconnected themes: being recognised as an individual, working together and feeling personally connected. All participants viewed being able to work together as important in their experience of community rehabilitation and described features that helped and hindered the alliance. Conclusion: These pilot study results demonstrate the importance of the therapeutic alliance to the rehabilitation experience of individuals with TBI and those close to them.

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