A 10-year follow-up service evaluation of the treatment pathway outcomes for patients in nine in-patient psychiatric rehabilitation services

Author:

Edwards TomORCID,Meaden Alan,Commander Martin

Abstract

Aims and methodThis study examines the treatment pathway outcomes over a 10-year period for patients in nine rehabilitation wards at the beginning of this time period.ResultsData were obtained on 85 patients, of whom 59 were discharged during the 10-year period; 29 were readmitted, of whom 15 had further in-patient rehabilitation admissions. Nineteen patients remained in hospital throughout the period. Only nine patients were living independently at the time of follow-up or death, and 34 were in longer-term in-patient settings. Eighteen patients had died during the 10-year period.Clinical implicationsNew planning of rehabilitation services needs to ensure an integrated whole-systems approach, across in-patient and community settings, with specialist mental health rehabilitation teams to support people moving from hospital to the community, and for the small number remaining in hospital for very long periods, development of sufficient high-quality, local in-patient provision.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference20 articles.

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2. Clinical effectiveness of a staff training intervention in mental health inpatient rehabilitation units designed to increase patients' engagement in activities (the Rehabilitation Effectiveness for Activities for Life [REAL] study): single-blind, cluster-randomised controlled trial

3. 19 Rethink Mental Illness, Royal College of Psychiatrists. In Sight and in Mind: Making Good on the Promise of Mental Health Rehabilitation. Rethink Mental Illness and the Royal College of Psychiatrists, 2020 (www.rethink.org/media/3571/insightandinmind_rehabreport_rethinkmentalillness_rcpsych_february_2020.pdf).

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