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Observational Study
. 2021 Dec;92(4):1513-1530.
doi: 10.1007/s11126-021-09884-0. Epub 2021 May 25.

Structured Evaluation of Rehabilitation Programs Outcomes in Psychiatry: Application of a Recovery-Centered Model

Simone Vanzetto  1   2 , Matteo Zabotto  3 , Federica Fasciana  4   5 , Alberto Varinelli  4   5 , Giovanna Cirnigliaro  4   5 , Luca Ferrara  4   5 , Bernardo Dell'Osso  4   5   6   7   8 , Caterina Viganò  4   5
Affiliations
Observational Study

Structured Evaluation of Rehabilitation Programs Outcomes in Psychiatry: Application of a Recovery-Centered Model

Simone Vanzetto et al. Psychiatr Q. 2021 Dec.

Abstract

Rehabilitation is oriented to psychiatric patients' recovery through specific techniques and structured projects, not yet fully standardized, carried out in territorial services. This study aims to apply an operational structured outcome indicator model (hospitalizations, continuity of care, LAI treatment adherence, working support) through a recovery-centered model in a rehabilitation community in Milan. This observational-retrospective study included 111 patients from a University High Assistance Rehabilitation Community (C.R.A.) based in Milan. Psychopathological and psychosocial functioning was evaluated with Kennedy Axis V, Brief Psychiatric Rating Scale (BPRS), Life Skills Profile (LSP), AR module of the VADO scale. Statistical analyses were performed using SPSS software version 19. Student t test and Wilcoxon Test were used to analyze quantitative variables, while McNemar test for qualitative variables. The minimum level of significance was set at 0.05 (p <0.05). The results showed that CRA rehabilitation program led to significant improvement in global functioning in terms of hospitalization reduction; improved continuity of care; stable adherence to psychopharmacological treatment with Long Acting Injectable (LAI) antipsychotics; stable employment maintenance during the year following discharge from the CRA. This study confirmed the utility of a structured outcome indicator model and highlighted its feasibility in daily clinical context of a rehabilitative community. Our results supported the effectiveness of a community-based rehabilitation program to improve individual functioning and clinical stability. However, further studies are required to better achieve the development of a recovery-oriented rehabilitation model and rigorously define an outcomes evaluation model.

Keywords: High assistance rehabilitative community; Psychosocial functioning; Recovery; Rehabilitation; Structured outcome indicator model.

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Conflict of interest statement

All the authors certify responsibility for the integrity of the paper's content. All the authors also declare no conflict of interest.

Figures

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Number of hospitalizations
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Duration of hospitalizations days/year
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Continuity of care
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LAI therapy compliance
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Stable employment in 12 months
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BPRS values
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GAF values
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