Analyzing and management of three levels of Behavioral Health Rehabilitation Services (Wrap Around) for children: Building order out of chaos.

2000 ◽  
Vol 1 (4) ◽  
pp. 76-81
Author(s):  
C. A. Thomas ◽  
Joseph Cautilli
Keyword(s):  
Behavioral Health ◽  
Rehabilitation Services ◽  
Health Rehabilitation ◽  
Behavioral Health Rehabilitation Services

Mental health rehabilitation services in Ireland: vision and reality

2011 ◽  
Vol 28 (2) ◽  
pp. 69-75
Author(s):  
Atif Ijaz ◽  
Helen Killaspy ◽  
Frank Holloway ◽  
Fiona Keogh ◽  
Ena Lavelle
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
National Survey ◽  
Service Provision ◽  
Rehabilitation Services ◽  
Assertive Outreach ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation ◽  
Specialist Rehabilitation

AbstractObjectives: The Irish national mental health policy document, A Vision for Change, included recommendations to develop specialist rehabilitation mental health services. This survey was conducted as part of a multicentre study to investigate current provision of mental health rehabilitation services in Ireland and factors associated with better clinical outcomes for users of these services. The aim was to carry out a detailed national survey of specialist rehabilitation services in order to describe current service provision.Method: A structured questionnaire was sent to consultant rehabilitation psychiatrists in all mental health catchment areas of Ireland that had any rehabilitation services to gather data on various aspects of service provision.Results: Twenty-six of the 31 mental health areas of Ireland had some form of rehabilitation service. Sixteen teams working in 15 of these areas fulfilled A Vision for Change criteria to be defined as specialist rehabilitation services and all 16 responded to the survey. The overall response rate was 73% (19/26). Most services lacked a full multidisciplinary team. Only one service had an assertive outreach team with acceptable fidelity to the assertive outreach model. Urban services were less well resourced than rural services.Conclusion: This is the first national survey to describe the provision of mental health rehabilitation services in Ireland. Although there has been an increase in the provision of consultant-led specialist rehabilitation services nationally, these services lack multidisciplinary input. There also appears to be a lack of planned provision of the facilities required to provide comprehensive rehabilitation services with unequal distribution of resources between urban and rural areas. This has potential cost implications for local mental health services in relation to ‘out of area treatment’ placements and perhaps more importantly to the overall quality of patient care.

scholarly journals The Effectiveness of Mental Health Rehabilitation Services: A Systematic Review and Narrative Synthesis

2021 ◽  
Vol 11 ◽  
Author(s):  
Christian Dalton-Locke ◽  
Louise Marston ◽  
Peter McPherson ◽  
Helen Killaspy
Keyword(s):  
Mental Health ◽  
Service Use ◽  
Mental Health Problems ◽  
Homeless People ◽  
Rehabilitation Services ◽  
Inpatient Service ◽  
Supported Accommodation ◽  
Community Rehabilitation ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

Introduction: Mental health rehabilitation services provide essential support to people with complex and longer term mental health problems. They include inpatient services and community teams providing clinical input to people living in supported accommodation services. This systematic review included international studies evaluating the effectiveness of inpatient and community rehabilitation services.Methods: We searched six online databases for quantitative studies evaluating mental health rehabilitation services that reported on one or both of two outcomes: move-on to a more independent setting (i.e. discharge from an inpatient unit to the community or from a higher to lower level of supported accommodation); inpatient service use. The search was further expanded by screening references and citations of included studies. Heterogeneity between studies was too great to allow meta-analysis and therefore a narrative synthesis was carried out.Results: We included a total of 65 studies, grouped as: contemporary mental health rehabilitation services (n = 34); services for homeless people with severe mental health problems (n = 13); deinstitutionalization programmes (n = 18). The strongest evidence was for services for homeless people. Access to inpatient rehabilitation services was associated with a reduction in acute inpatient service use post discharge. Fewer than one half of people moved on from higher to lower levels of supported accommodation within expected timeframes.Conclusions: Inpatient and community rehabilitation services may reduce the need for inpatient service use over the long term but more high quality research of contemporary rehabilitation services with comparison groups is required.Review registration: This review was prospectively registered on PROSPERO (ID: CRD42019133579).

The integration of psychiatric rehabilitation services in behavioral health care structures: A state example

2002 ◽  
Vol 29 (4) ◽  
pp. 381-393 ◽  
Author(s):  
Marsha Langer Ellison ◽  
William A. Anthony ◽  
John L. Sheets ◽  
William Dodds ◽  
William J. Barker ◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Psychiatric Rehabilitation ◽  
Behavioral Health Care ◽  
Rehabilitation Services

scholarly journals Understanding the current discourse of rehabilitation: With reference to disability models and rehabilitation policies for evaluation research in the South African Setting

2013 ◽  
Vol 69 (2) ◽  
Author(s):  
G. Mji ◽  
P. Chappell ◽  
S. Statham ◽  
N. Mlenzana ◽  
C. Goliath ◽  
...  
Keyword(s):  
Public Health ◽  
South Africa ◽  
South African ◽  
Empirical Research ◽  
National Health ◽  
Evaluation Research ◽  
Narrative Review ◽  
Rehabilitation Services ◽  
Health Rehabilitation ◽  
African Setting

Evaluation of rehabilitation programmes is essentialin order to monitor its effectiveness and relevance. There is howevera need to consider policies when conducting evaluation researchin rehabilitation. The aim of this paper is to present the theoreticaland legislative underpinnings of rehabilitation in South Africa.A narrative review of national and international disability legislationand empirical research in context of rehabilitation was conducted.The findings of this review reveals that as a fluid construct, thediscourse of rehabilitation has been underpinned by the changingtheoretical and socio-political understandings of disability. This inturn has influenced various international and national health anddisability policies and legislations that oversee the implementation ofrehabilitation practice. Despite this, there has been little evaluationof public health rehabilitation services in context of these policies and legislations in South Africa. The fluidity of rehabilitationneed to be considered when conducting evaluation research in rehabilitation.

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