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Factors Associated with Changes in Community Ability and Recovery After Psychiatric Rehabilitation: A Retrospective Study

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Abstract

One of the key goals of psychiatric rehabilitation is to return individuals with mental illnesses back into the community via restoration of the necessary skills. This retrospective study seeks to evaluate the factors associated with improvement in community functioning after a period of outpatient rehabilitation. 223 individuals enrolled into three broad rehabilitation groups—clinical, vocational and creative therapies/individual sessions—were included in this study. The Multnomah Community Ability Scale (MCAS) and Milestones of Recovery Scale (MORS) were used to evaluate each individual before and after the rehabilitation programme. Across all three groups, there were significant improvements in MCAS scores and MORS ratings. In multivariate models, clinical rehabilitation group was superior to creative therapies/individual sessions in predicting MORS change. The study also revealed a close relationship between recovery gains and improvement in community ability.

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Acknowledgements

Ms. Ng was supported by the Singapore Ministry of Health’s National Medical Research Council under the Centre Grant Programme (NMRC/CG/004/2013). Dr. Lee is further supported by the National Healthcare Group Clinician Scientist Career Scheme.

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Correspondence to Bhing-Leet Tan.

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The authors declare that they have no conflict of interest.

Ethics Approval

Ethics approval for this study was provided by the National Healthcare Group’s Domain Specific Review Board (Reference No. 2016/01020).

Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Tan, BL., Ng, WY., Sudhasan, J. et al. Factors Associated with Changes in Community Ability and Recovery After Psychiatric Rehabilitation: A Retrospective Study. Community Ment Health J 54, 1221–1227 (2018). https://doi.org/10.1007/s10597-018-0249-5

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  • DOI: https://doi.org/10.1007/s10597-018-0249-5

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