Risks for re-hospitalization of persons with severe mental illness living in rehabilitation care settings

ConclusionFindings revealed that among the three Health Behavior Model factors, theneed factor best predicted re-hospitalization. Theenabling factor, comprised of personal relationships and social/vocational activities facilitated by interventions and services representing many of psychiatric rehabilitation ’s key goals, had the weakest association with reduced rates of re-hospitalization. Possible explanations may be inaccurate assessments of consumers' personal relationships and social/vocational activities by the mental healthcare professionals, problematic provider-consumer communication on the c onsumers' involvement in social/vocational activities, or ineffective methods of facilitating consumer participation in these activities. Clearly to reduce the wicked “revolving-door” phenomenon, there is a need for targeted interventions and a review of current psychiatric rehabilitation polici es to promote the comprehensive integration of community rehabilitation services by decreasing the fragmentation of care, facilitating continuity of care with other healthcare services, and utilizing effective personal reported outcomes and experiences of consumers with severe mental illness.
Source: Israel Journal of Health Policy Research - Category: International Medicine & Public Health Source Type: research