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Review
. 2021 Aug;18(3):E9.
doi: 10.1192/bji.2021.18.

Challenges of implementing psychiatric rehabilitation services: a low- and middle-income country case example

Maryam Tabatabaee  1 , Zahra Mirsepassi  1 , Vandad Sharifi  1 , Yasaman Mottaghipour  1
Affiliations
Review

Challenges of implementing psychiatric rehabilitation services: a low- and middle-income country case example

Maryam Tabatabaee et al. BJPsych Int. 2021 Aug.

Abstract

This article aims to explore the barriers and challenges of implementing psychiatric rehabilitation services at a psychiatric hospital in Iran. We performed an internal mixed-methods evaluation by adopting a multi-method approach. The data were organised, analysed and interpreted by the evaluation team. A low participation rate, administrative issues, low fidelity to protocols and incomplete documentation were the main findings. Implementing and maintaining rehabilitation services in low- and middle-income country settings requires more than a mere transfer of models of psychiatric rehabilitation; it needs adaptation to the local context as well as continuous evaluation and quality improvement in an iterative fashion, given the rapidly changing contexts with scarce resources.

Keywords: Rehabilitation; after care services; implementation; low- and middle-income countries; psychosocial interventions.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Recruitment process and participation rate of clients at Roozbeh Day Centre.
See this image and copyright information in PMC

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