Predictors of Participation and Effectiveness in Community-based Psychiatric Rehabilitation Program in People with Severe Mental Illness psychiatric rehabilitation utilization
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Abstract
The effectiveness of a community-based psychiatric rehabilitation
(CBPR) program had been proven for people with severe mental illness (SMI),
but a high discontinuation rate was also noted. The aim of this study was to
explore predictors of utilization and outcome of the CBPR program. This
retrospective design explored predictors of the program utilization.
The data of demographics, illness history, and occupational functioning
were collected during an 8-year period and after 2 years follow-up. 162
participants were referred. Forty nine participants (30.25%) refused to
participate in (non-attendance group) and 113 (69.75%) attendance in the
program (rehabilitation utilizing group). Compared to the non-attendance
group, the rehabilitation utilizing group had single status, higher education
level, younger age of onset, lived during the hospital-based day center
services, a higher proportion of day center services referral, work experience
prior to onset, and less than 3 months consecutive work experience prior to
onset. Furthermore, the individuals in the rehabilitation utilizing group had
higher successfully return to the community and significantly lower acute
hospitalization at 1 and 2 years follow-up. In addition to the demographic
factors, that individuals’ previous and current occupational functioning
were potential factors for those who successfully attended CBPR service.
CBPR may be beneficial to people with SMI in prompted occupational
functioning and reduced relapse. We should consider the factors, and make
corresponding plans to support engagement in recovery and wellness for
people with mental illness.
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