Predictors of Participation and Effectiveness in Community-based Psychiatric Rehabilitation Program in People with Severe Mental Illness

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.

Keywords

• community-based psychiatric rehabilitation
• retrospective design
• severe mental disorder
• utilization of mental services
• outcome