scholarly journals An Evaluation of the Effect of Community Rehabilitation Service for Youth with Mental Disorder in China

2019 ◽  
Author(s):  
Zhen Liu ◽  
Manman He
Keyword(s):  
Mental Disorder ◽  
Rehabilitation Service ◽  
Community Rehabilitation

scholarly journals Scalable modEls of Community rehAbilitation for Individuals Recovering From COVID:19 reLated illnEss: A Longitudinal Service Evaluation Protocol—“SeaCole Cohort Evaluation”

2021 ◽  
Vol 9 ◽  
Author(s):  
Benjamin Kelly ◽  
Aidan Innes ◽  
Marc Holl ◽  
Laura Mould ◽  
Susan Powell ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Outcome Measures ◽  
Well Being ◽  
Rehabilitation Programme ◽  
Secondary Outcome ◽  
Rehabilitation Service ◽  
Community Rehabilitation ◽  
Life Years ◽  
The Uk

Introduction: High levels of physical, cognitive, and psychosocial impairments are anticipated for those recovering from the COVID-19. In the UK, ~50% of survivors will require additional rehabilitation. Despite this, there is currently no evidence-based guideline available in England and Wales that addresses the identification, timing and nature of effective interventions to manage the morbidity associated following COVID-19. It is now timely to accelerate the development and evaluation of a rehabilitation service to support patients and healthcare services. Nuffield Health have responded by configuring a scalable rehabilitation pathway addressing the immediate requirements for those recovering from COVID-19 in the community.Methods and Analysis: This long-term evaluation will examine the effectiveness of a 12-week community rehabilitation programme for COVID-19 patients who have been discharged following in-patient treatment. Consisting of two distinct 6-week phases; Phase 1 is an entirely remote service, delivered via digital applications. Phase 2 sees the same patients transition into a gym-based setting for supervised group-based rehabilitation. Trained rehabilitation specialists will coach patients across areas such as goal setting, exercise prescription, symptom management and emotional well-being. Outcomes will be collected at 0, 6, and 12 weeks and at 6- and 12-months. Primary outcome measures will assess changes in health-related quality of life (HR-QOL) and COVID-19 symptoms using EuroQol Five Dimension Five Level Version (EQ-5D-5L) and Dyspnea-12, respectively. Secondary outcome measures of the Duke Activity Status Questionnaire (DASI), 30 s sit to stand test, General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Patient Experience Questionnaire (PEQ) and Quality Adjusted Life Years (QALY) will allow for the evaluation of outcomes, mediators and moderators of outcome, and cost-effectiveness of treatment.Discussion: This evaluation will investigate the immediate and long-term impact, as well as the cost effectiveness of a blended rehabilitation programme for COVID-19 survivors. This evaluation will provide a founding contribution to the literature, evaluating one of the first programmes of this type in the UK. The evaluation has international relevance, with the potential to show how a new model of service provision can support health services in the wake of COVID-19.Trial Registration: Current Trials ISRCTN ISRCTN14707226Web: http://www.isrctn.com/ISRCTN14707226

scholarly journals The market for a community rehabilitation service

1994 ◽  
Vol 18 (2) ◽  
pp. 75-76
Author(s):  
M.T. Spurrell ◽  
C.S. Thomas
Keyword(s):  
Mental Health ◽  
Negative Symptoms ◽  
Mental Health Problems ◽  
Health Workers ◽  
Mental Health Workers ◽  
Psychiatric Nurses ◽  
Rehabilitation Service ◽  
Professional Groups ◽  
Community Rehabilitation ◽  
Home Based

Fifty-two mental health workers in South Manchester were asked to complete a survey to try to identify patients with chronic mental health problems who would benefit from home-based rehabilitation. These patients were known to the services but were unwilling to attend activities in the day hospital or day centre or come into hospital for in-patient rehabilitation. Seventy per cent of the mental health workers who comprised psychiatrists, social workers and community psychiatric nurses completed the survey. Overall 68 patients were identified. Negative symptoms or defect state were the most frequently reported problems with difficulties with engaging or poor compliance being the next most frequently reported problem. There were some differences in the ranking of the order of problems by different professional groups.

Combined antipsychotic use in a community rehabilitation psychiatric service

2010 ◽  
Vol 27 (3) ◽  
pp. 138-140
Author(s):  
Tunde Apantaku-Olajide ◽  
Abid Khattak ◽  
Peter Whitty
Keyword(s):  
Psychiatric Rehabilitation ◽  
Psychiatric Service ◽  
Total Sample ◽  
Rehabilitation Service ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Case Record ◽  
Psychiatric Illnesses ◽  
Community Rehabilitation ◽  
Antipsychotic Prescribing

AbstractObjectives:Despite the clinical guidelines regarding the use of combined antipsychotics and the limited evidence for its benefits, use remains high in psychiatric practice. The aim of this study was to examine prescribing practices and investigate reasons for initiating and continuing combined antipsychotics in stable psychiatric illnesses.Method:A cross-sectional case record survey of antipsychotic prescribing practices in a community psychiatric rehabilitation service. A total sample (n = 75) of patients with chronic and enduring psychiatric illnesses was studied. The age, gender, diagnosis and prescribed antipsychotics were examined. The proportional prevalence and documented reasons for combined antipsychotic prescribing were analysed.Results:Seventy-three of the 75 patients were prescribed antipsychotic mediations. Of these, 44 (60%) received a combination of two or more antipsychotics. The most common reason for combined prescribing was a switch of antipsychotic (n = 18; 41%). No reason was documented in 19 cases (43%).Conclusions:In this study, slow cross-tapering or incomplete switch process of antipsychotics contributed to the prolonged period of combined antipsychotics treatment. Adequate documentation regarding indication and review of medications cannot be overemphasized.

scholarly journals A longitudinal, multicentre, cohort study of community rehabilitation service delivery in long-term neurological conditions

BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004231 ◽  
Author(s):  
Richard J Siegert ◽  
Diana M Jackson ◽  
E Diane Playford ◽  
Simon Fleminger ◽  
Lynne Turner-Stokes
Keyword(s):  
Cohort Study ◽  
Service Delivery ◽  
Rehabilitation Service ◽  
Community Rehabilitation ◽  
Multicentre Cohort Study ◽  
Neurological Conditions ◽  
Multicentre Cohort

scholarly journals An Exploration of Quality of Life Contributors for Stroke Survivors: Potential Implications for Service Delivery Within the Community Rehabilitation Context

2020 ◽  
Author(s):  
Gaylea Fritsch ◽  
Sarah Patterson ◽  
Anita Blight ◽  
Renaye Daniells
Keyword(s):  
Quality Of Life ◽  
Service Delivery ◽  
World Health ◽  
Rehabilitation Service ◽  
Personality Factors ◽  
Stroke Survivors ◽  
Life Questionnaire ◽  
Personal Factors ◽  
Community Rehabilitation

Purpose: Community rehabilitation services typically assist stroke survivors with function, participation, and quality of life. Many factors have been found to influence the overall quality of life including self-identity, control, social supports, personality, and participation in valued activities. This review explored the possible contributing quality of life factors for stroke survivors within a community rehabilitation context to assist with further development of service delivery within this clinical area. Method: A purposive sample of clients with stroke (n=20) was selected based on their overall quality of life change during their rehabilitation program as measured on the World Health Organisation Quality of Life Questionnaire. Clients with the largest positive and negative quality of life changes were included. A clinical record review of client medical records was undertaken of these stroke survivors to identify and describe common themes that may be related to quality of life. Results: Five general themes emerged relating to possible contributing factors to quality of life for clients participating in this community stroke rehabilitation setting including transiting between hospital and community, flexibility of service delivery model, strength of family and household relationships, acceptance and expectation of both service delivery and functional levels, and ongoing co-morbid medical issues. Conclusions: This review suggests that community rehabilitation service models of care should be flexible and tailored to client needs and goals to enable a true “client-centered” approach. Social and behavioural paradigms should be incorporated within the community rehabilitation settings. Services should focus on personal factors such as the stroke survivor's adjustment to their situation, personality factors, and outcome expectations. Consideration also needs to be given to the overall continuum of care of health care services.

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