Occupational evaluation of community-based psychiatric rehabilitation outcomes in individuals with severe mental illnesses: A ten-year retrospective study

Yi-Chia Liu; Yen Kuang Yang; Yi-Chen Lee; Shih-Hsien Lin; Wei-Yun Hsu; Wen-Chen Su; Kao Chin Chen; Keh-Chung Lin

doi:10.1016/j.ajp.2023.103450

Occupational evaluation of community-based psychiatric rehabilitation outcomes in individuals with severe mental illnesses: A ten-year retrospective study

Asian J Psychiatr. 2023 Mar:81:103450. doi: 10.1016/j.ajp.2023.103450. Epub 2023 Jan 6.

Authors

Yi-Chia Liu¹, Yen Kuang Yang², Yi-Chen Lee³, Shih-Hsien Lin⁴, Wei-Yun Hsu⁴, Wen-Chen Su⁴, Kao Chin Chen⁴, Keh-Chung Lin⁵

Affiliations

¹ Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
² Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare, Tainan, Taiwan.
³ School of Occupational Therapy, College of Medicine, National Taiwan University, 17, F4, Xuzhou Road, Taipei, Taiwan.
⁴ Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
⁵ School of Occupational Therapy, College of Medicine, National Taiwan University, 17, F4, Xuzhou Road, Taipei, Taiwan; Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, 7 Chung-shan South Road, Taipei, Taiwan. Electronic address: kehchunglin@ntu.edu.tw.

PMID: 36630832
DOI: 10.1016/j.ajp.2023.103450

Abstract

Background: There is a lack of research on the effect of community-based psychiatric rehabilitation programs (CBPRs) in individuals with severe mental illness. This research used data from a retrospective study to examine the effect of a CBPR in a community rehabilitation center.

Materials and methods: Clinical outcomes measures from a retrospective study were collected. Outcome measures were the Allen Cognitive Level Screen assessment, Purdue Pegboard Test, Chu's Attention Test, and Activities of Daily Living Rating Scale-III (ADLRS-III) before and immediately after 12 months of intervention.

Results: The 141 participants with mental illness were an average age of 35.29 years (SD = 8.75). The retrospective review of medical records showed 46 people dropped out within 12 months, and 95 people continued to participate in the rehabilitation program for 1 year. After 1 year of community rehabilitation, there was a trend for the participants who completed the intervention to improve on the ADLRS-III, Purdue Pegboard Test, and Chu's Attention Test. Participants who performed better on the occupational assessment were more likely to transit to the employment status.

Conclusion: This study found the benefits of CBPR in work-related intervention for people with mental illness. Occupational assessments are relevant for studying changes in functional outcomes in people with mental illness receiving community-based rehabilitation.

Keywords: Community-based psychiatric rehabilitation; Outcome evaluation; Retrospective design; Severe mental disorder.

MeSH terms

Activities of Daily Living
Adult
Humans
Mental Disorders* / rehabilitation
Psychiatric Rehabilitation*
Retrospective Studies
Treatment Outcome