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The purpose of this study is to assess if the new community-enhanced rehabilitation team reduced anxiety and readmissions in service users discharged from an inpatient rehabilitation setting.

The study used both qualitative and quantitative methodology. Service user’s anxiety level was measured before being discharged and at the end of the Community Enhanced Rehabilitation Team (CERT) transition intervention. Six service users were interviewed to gain further understanding of their experiences of anxiety.

Findings showed the anxiety score was significantly lower (M = 1.5, 95% CI [0.051,2.99], t(20) = 2.159, p = 0.043) following the CERT intervention (M = 8.6, SD = 6.4) compared to before (M = 10.1, SD = 7.0). No service user receiving the CERT intervention was readmitted to hospital within 12 weeks of discharge from the inpatient setting, compared to three service users (15% of those discharged) who were discharged to other community services.

Community rehabilitation pathways would benefit from having interventions to aid patient transitions from inpatient to the community. The National Health Service (NHS) trusts develop community rehabilitation teams as recommended by the National Institute for Health and Care Excellence (NICE), and they should consider including transitional support as part of their model.

It is recommended that as NHS trusts design and implement community mental health teams, they should consider including transition support as part of their model.

People with severe and enduring mental health difficulties who have been in an inpatient rehabilitation setting would benefit from community transitional support. This study suggests that such support helps reduce anxiety and readmission.

Community rehabilitation teams are currently being developed across the NHS as part of the NHS long-term plan. These teams are new, and as such, there is a dearth of information regarding their effectiveness. To the best of the authors’ knowledge, this is one of the first studies to evaluate outcomes in these new teams.

The purpose of this paper is to review evidence for the importance of the wider society to combat mental health, long-term effects of TBI and the stigma and discrimination within the western society in particular.

In favour of the neurobehavioural framework, studies included in this review are those conducted under such settings.

Literature shows evidence of significant progress made under the neurobehavioural framework particularly, and, other intense rehabilitation schemes. Community rehabilitation is important for meeting emotional needs and furthering progress in this area, along side physical difficulties.

Access to all journal search engines was not possible in this case and thus there may be more research which may be useful in this paper. It is not based on any strict empirical evidence, however – it is based on experience and work in the field. More empirical research is needed in this area.

Implications of this paper are to stress the importance of social rehabilitation, the documentation of behaviour and rehabilitation outcomes including measurements of success.

Social implications are infinite. Increasing the knowledge of TBI is necessary to allow survivors to live in the community with dignity, understanding and support. Awareness of such social disabilities may increase tolerance and patience among those least experienced in this aspect of disability. Communities may become more accepting and thus accommodate more for those living with TBI and ABI.

There is less research on the qualitative data within services for rehabilitation in this field. A population whereby TBI/ABI symptoms and specific mental health sequelae coexist is less common and therefore can provide unique insight into the importance of community during rehabilitation.

The focus of this paper is the Transformational Model of Rehabilitation. The paper outlines key elements of rehabilitation therapy models before proceeding to describe the Transformational Model and the interpretive case study of Jean Varnier which produced this unique approach therapy to rehabilitation. In particular it is argued that its unique contribution to mental health is in its requirement that the professional engage with his/her own transformational process, which ensures reflexivity and supports the expression of maturity as agency and authenticity in clients.

This article describes efforts to develop a joint health and social services strategy for rehabilitation in one local authority area in response to national policy. It notes the effects of competing policy initiatives, of the shift in hospital provision to providing only acute care, and of failure to agree joint responsibility for the future development of such services.

Tackling the social exclusion of people with mental health problems is a primary concern for contemporary mental health services. A social inclusion network was developed to co‐ordinate a small participatory project arising as part of a practice development initiative. It aimed to examine the experiences of involvement in the community from the perspectives of those using and working in rehabilitation adult mental health services.To gather information three different approaches were used. Networks between rehabilitation services and community resources were identified using a mapping tool whilst focus groups were used to gain more in‐depth perceptions from rehabilitation staff. Finally, a participatory photo project was conducted which involved working with people who use services to capture images of their involvement in their local community. This article reports on the outcomes of the focus groups and photography project.Findings suggested that services reported some success at developing partnerships within the community, but discrimination still remained a significant obstacle. For those people living in the units, social inclusion was an acutely subjective experience in which people continued to experience acceptance and inclusion within mental health services and had made active choices in defining this as their community.

Needs of people following acquired brain injury vary over their life-course presenting challenges for community services, especially for those with “hidden” neuropsychological needs. Characterisation of subtypes of rehabilitation service user may help improve service design towards optimal targeting of resources. This paper aims to characterise a neuropsychologically complex group of service users.

Preliminary data from 35 participants accepted for a holistic neuropsychological rehabilitation day programme were subject to cluster analysis using self-ratings of mood, executive function and brain injury symptomatology.

Analysis identified three clusters significantly differentiated in terms of symptom severity (Cluster 1 least and Cluster 2 most severe), self-esteem (Clusters 2 and 3 low self-esteem) and mood (Cluster 2 more anxious and depressed). The three clusters were then compared on characteristics including age at injury, type of injury, chronicity of problems, presence of pre-injury problems and completion of rehabilitation. Cluster 2 were significantly younger at time of injury, and all had head injury.

Results suggest different subgroups of neuropsychological rehabilitation service user, highlighting the importance of early identification and provision of rehabilitation to prevent deterioration, especially for those injured when young. Implications for design of, and research into, community rehabilitation service design for those with “hidden disability” are considered.

The paper findings suggests that innovative conceptual frameworks for understanding potentially complex longer term outcomes are required to enable development of tools for triaging and efficient allocation of community service resources.

This paper considers intermediate care as part of a whole‐systems approach to care. It argues that this perspective allows a wider appreciation of the potential benefits of intermediate care, and that this would also be a welcome feature in future research studies. The paper draws on an evaluation of intermediate care in Cornwall and outlines the central role of intermediate care co‐ordination in the whole system. The example of residential rehabilitation is then used to examine how an individual service relates to the system as a whole. Finally, factors that may also influence local systems such as partnership working and rurality are considered; these are seen as important considerations for any other authorities which might seek to replicate the Cornwall approach to intermediate care.

This paper considers the experience of developing and implementing a community‐based multidisciplinary rehabilitation service in the City of Wolverhampton. It outlines the process of defining and agreeing the service parameters, objectives and methods of service delivery and includes the main points from an initial evaluation of the team. The article concludes with key messages for consideration by others setting up a similar service.

Previously, diversion from the criminal justice system for people with learning disability (LD) and serious forensic needs in Scotland meant hospitalisation. More recently new legislation has meant that community-based rehabilitation is possible for this group. The purpose of this paper is to qualitatively explore the views of people with LD subject to these legal orders. This is both a chance to work in partnership to improve services and also to make the voices of this potentially vulnerable group heard.

Semi-structured interviews were conducted with ten participants subject to a community-based order. All participants were male. Ages, index behaviour, and time spent on order varied. The data was transcribed and analysed using interpretative phenomenological analysis.

The main themes which emerged from the data were a taste of freedom, not being in control, getting control back, loneliness, and feeling like a service user. Participants described positives about community-based rehabilitation but also a number of negatives.

Participant accounts suggest that the current community rehabilitation model has some shortcomings which need to be addressed. Suggestions are made for improvements to the current model relating to: achieving clarity over the role of support staff and pathways out of the system; increasing opportunities for service users to voice concerns; empowering staff teams via extensive training and supervision; and directly addressing internalised stigma to promote community integration.

This is the first piece of work evaluating compulsory community forensic care for people with LD from the perspective of service users. It highlights difficulties with the system which could lead to helpful ways to evolve this model.