Predictors of unplanned discharge from community-based residential mental health rehabilitation for people affected by severe and persistent mental illness.
J Ment Health
; 30(4): 500-508, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-32310701
ABSTRACT
BACKGROUND:
Little is known about what predicts disengagement from rehabilitation treatment for people affected by severe and persistent mental illness (SPMI).AIMS:
To identify predictors of unplanned discharge among consumers admitted to community-based residential rehabilitation units in Australia.METHOD:
Secondary analysis of data from a prospective cohort study of consumers admitted to three Community Care Units (CCUs) between 2014 and 2017 (n = 139). CCUs provide transitional residential rehabilitation support to people affected by SPMI. Demographic, treatment-related and clinical predictors of unplanned discharge were identified using binomial regression models controlling for site-level variability. Factors associated with self- vs staff-initiated unplanned discharge were also examined.RESULTS:
38.8% of consumers experienced unplanned discharge. Significant predictors of unplanned discharge were younger age, higher alcohol consumption and disability associated with mental illness, as well as recovery stage indicating a sense of growth and higher competence in daily task performance. 63.0% of unplanned discharges were initiated by staff, mostly for substance-related reasons (55.9%). History of trauma was more likely among consumers with self-initiated discharge than those with staff-initiated unplanned and planned discharge.CONCLUSIONS:
Assertive intervention to address alcohol-use, and ensuring care is trauma-informed, may assist in reducing rates of unplanned discharge from rehabilitation care.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reabilitação Psiquiátrica
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
J Ment Health
Assunto da revista:
PSICOLOGIA
/
PSIQUIATRIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Austrália