Search results

1 – 10 of over 1000
Article
Publication date: 1 March 2002

Min Zhao, Wei Hao, Desen Yang, Shuiyuan Xiao, Lingjiang Li, Yalin Zhang, Weiwen Chen, Li Ping, Kai Deng and Xiaoxiong Deng

One hundred and seventy‐eight heroin addicts in reformatory school were sent to one of two rehabilitation treatments: reform through education and labour and therapeutic community…

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Abstract

One hundred and seventy‐eight heroin addicts in reformatory school were sent to one of two rehabilitation treatments: reform through education and labour and therapeutic community (TC)‐based rehabilitation programme. After six months of being discharged, pre‐ and post‐treatment scores on the Addiction Severity Index were compared, and relapse related factors were investigated. Results indicated improvements in both treatments, with the TC‐based rehabilitation programme showing superior improvement overall. Results support the efficacy of the TC‐based rehabilitation programme proving it to be better than reform through labour and education. It is suggested that psychosocial intervention and relapse prevention should be emphasised in the treatment of drug dependence.

Details

Drugs and Alcohol Today, vol. 2 no. 1
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 9 June 2022

Gigi Lam and Eva Yin-Han Chung

The purpose of this paper is to review the development of mental health service policy in Hong Kong. After the return of Hong Kong’s sovereignty to China, mental health services…

Abstract

Purpose

The purpose of this paper is to review the development of mental health service policy in Hong Kong. After the return of Hong Kong’s sovereignty to China, mental health services in Hong Kong transformed from an institution-based care model supplemented by community care to a staging model covering primary prevention, early identification, treatment and integration. However, the staging model is subject to cultural barriers, including collectivist values and medical dominance. Therefore, the development of a community-based inclusive development model that follows a rights-based strategy and addresses the regression of the staging model (due to cultural barriers) should be considered.

Design/methodology/approach

It is a comprehensive literature review which covered the journal articles, policy review papers and service reports. The foundation of this review was laid upon the development of traditional Chinese culture and values. As brought by the influence of the Western world, the mental health service policy was cling towards a medically oriented system. Following the worldwide change in the definition of disability, the ideology of the mental health service system has been developing into a community-based and person-centred model which emphasised on equal participation and human rights. This review serves to evaluate and discuss how a community-based inclusive development can be further developed in Hong Kong.

Findings

A formal support system for providing personal assistance to people with mental health issues through supported decision-making and certified peer specialists forms the principal foundation of a community-based inclusive development model. A review and reconsideration of laws governing guardianship, compulsory treatment and detention should be conducted to enable the local implementation of supported decision-making.

Originality/value

The paper addressed and integrated the theoretical, historical and practical issues in developing a community-based inclusive mental health service policy in Hong Kong.

Details

Mental Health Review Journal, vol. 27 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 14 December 2015

Alana Davis, Michael Doyle, Ethel Quayle and Suzanne O'Rourke

Previously, diversion from the criminal justice system for people with learning disability (LD) and serious forensic needs in Scotland meant hospitalisation. More recently new…

Abstract

Purpose

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.

Design/methodology/approach

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.

Findings

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.

Practical implications

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.

Originality/value

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.

Article
Publication date: 1 December 2000

Drew Thomas and Robin Means

This is an outline of findings from research aimed at identifying the emerging issues around the formation of a jointly managed and staffed community rehabilitation service in…

Abstract

This is an outline of findings from research aimed at identifying the emerging issues around the formation of a jointly managed and staffed community rehabilitation service in Bristol.

Details

Journal of Integrated Care, vol. 8 no. 6
Type: Research Article
ISSN: 1476-9018

Open Access
Article
Publication date: 14 July 2020

Tonderai Washington Shumba, Desderius Haufiku and Hans Amukugo

Qualitative participatory methods are needed to measure the effectiveness of the community-based rehabilitation (CBR) program in Namibia. The study explored the experiences of CBR…

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Abstract

Purpose

Qualitative participatory methods are needed to measure the effectiveness of the community-based rehabilitation (CBR) program in Namibia. The study explored the experiences of CBR volunteers in evaluating CBR program in Namibia through the use of photovoice. Further the study assessed the strengths and limitations of utilizing photovoice method as an assessment tool for CBR evaluation.

Design/methodology/approach

The study employed a qualitative, explorative, descriptive and contextual design. Data was collected through the photovoice method. Two CBR sites and 16 participants who were CBR volunteers were purposively selected. Data was collected and analysis was conducted simultaneously utilizing the photovoice method and themes were determined using WHO CBR matrix.

Findings

Various experiences were elicited regarding participants' experiences in line with the five components of the CBR matrix. Most experiences were reported regarding the health component, and the education component had the least experiences reported. Methodological strength and weaknesses as well as implications for practice are revealed. Further research can explore the benefits of combining photovoice with other data collection methods.

Originality/value

Sustainability of CBR programs depends on community ownership, empowerment and government funding. Photovoice is participatory and hence gives community ownership and empowerment. Evidence from photovoice can enable persons with disabilities to formulate action plans that can advocate their concerns with policymakers and justify more funding for CBR programs.

Details

Journal of Health Research, vol. 35 no. 3
Type: Research Article
ISSN: 0857-4421

Keywords

Article
Publication date: 1 April 2005

Nina Bailey

This paper considers the experience of developing and implementing a community‐based multidisciplinary rehabilitation service in the City of Wolverhampton. It outlines the process…

Abstract

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.

Details

Journal of Integrated Care, vol. 13 no. 2
Type: Research Article
ISSN: 1476-9018

Keywords

Open Access
Article
Publication date: 21 April 2020

Tonderai Washington Shumba, Desderius Haufiku and Kabwebwe Honoré Mitonga

For the past four decades, there is no evidence of a consensus on the suitable community-based rehabilitation (CBR) evaluation methodologies. To this end, the purpose of this…

3893

Abstract

Purpose

For the past four decades, there is no evidence of a consensus on the suitable community-based rehabilitation (CBR) evaluation methodologies. To this end, the purpose of this study is to provide a narrative review on CBR evaluations and the potential of photovoice method when used alone and when used in combination with quality of life assessment tools as CBR evaluation methodologies.

Design/methodology/approach

A narrative review was undertaken, but including some aspects of scoping review methodology.

Findings

Thirty-three full-text articles were included for review. Three key findings were an overview of the evolution of CBR evaluation; the use of photovoice method in CBR evaluation and the use of photovoice method in combination with quality of life assessment tools in CBR evaluation.

Research limitations/implications

Photovoice methodology was found to be participatory in nature and as has the potential to elicit the experiences of persons with disabilities. However, photovoice falls short of measuring the quality of life of persons with disabilities, thus will need to be collaborated with another assessment tool. A combination of photovoice and World Health Organization Quality of Life (WHOQOL)-BREF and WHOQOL-Dis assessment has a potential to give an adequate representation of the voices of persons with disabilities and their quality of life.

Originality/value

There is need for changes in CBR evaluation methodologies in response to the evolution of disability models from medical model to human rights model. Thus CBR evaluation methodologies should embrace the diversity among persons with disabilities in interpreting life experiences and quality of life.

Details

Journal of Health Research, vol. 34 no. 6
Type: Research Article
ISSN: 0857-4421

Keywords

Article
Publication date: 9 May 2016

Stephen Parker, Frances Dark, Gabrielle Vilic, Karen McCann, Ruth O'Sullivan, Caroline Doyle and Bernice Lendich

A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through…

Abstract

Purpose

A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through meaningful integration of peer support and clinical workers within rehabilitation teams. Key features include the majority of roles within the team being held by persons with a lived experience of mental illness, the active collaboration between peer and clinical workers throughout all stages of a consumer’s rehabilitation journey, and an organizational structure that legitimizes and emphasizes the importance of peer work within public mental health service delivery. This staffing model is not anticipated to alter the core rehabilitation function and service models.

Design/methodology/approach

The emergence of the integrated staffing model is described with reference to the policy and planning context, the evidence base for peer support, and the organizational setting. A conceptual and contextualized description of the staffing model in practice as compared to a traditional clinical staffing model is provided.

Findings

There is a potential for synergistic benefits through the direct collaboration between horizontally integrated peer and clinical specialists within a unified team working toward a common goal. This staffing model is novel and untested, and will be subjected to ongoing evaluation.

Originality/value

The integrated staffing model may provide a pathway to achieving valued and valuable roles for peer workers working alongside clinical staff in providing rehabilitation support to people affected by serious mental illness.

Details

Mental Health and Social Inclusion, vol. 20 no. 2
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 29 July 2019

Mahesh Odiyoor, Samuel Joseph Tromans, Regi T. Alexander, Srinaveen Akbari, Gill Bell, Sandy Bering, Sujeet Jaydeokar and Amrith Shetty

The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual…

Abstract

Purpose

The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual disability (ID), autism and mental health, behavioural or forensic needs in the UK.

Design/methodology/approach

The concept of rehabilitation is discussed, as well as the functions and goals of specialist inpatient rehabilitation services with regard to the aforementioned contexts. Current use of rehabilitation beds is considered, both on a regional and national scale, as well as various outcome measures, including effectiveness, patient safety and patient experience.

Findings

There is a clear need for specialist inpatient rehabilitation services, though historically there have been instances of inappropriate admissions, as well as lengthy inpatient stays that could have been significantly reduced with the right type of community support package. Such services should be subjected to rigorous measurement of outcome measures, to determine that patients within such services are receiving a consistently high standard of care. Additionally, amendments to current legal frameworks should be considered, with a view to accommodating for individuals with capacity who require continuous community-based supervision.

Originality/value

To the best of the author’s knowledge, this is the first article detailing a professional consensus position for specialist inpatient rehabilitation services for people with ID, autism and mental health, behavioural or forensic needs.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 13 no. 5
Type: Research Article
ISSN: 2044-1282

Keywords

Open Access
Article
Publication date: 8 March 2022

Karen Bunning, Joseph Karisa Gona, Charles Richard Newton and Sally Hartley

Raising a child with learning and developmental disabilities in a low-income setting is challenged by inadequate resources, limited support and poverty. The impacts on caregivers…

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Abstract

Purpose

Raising a child with learning and developmental disabilities in a low-income setting is challenged by inadequate resources, limited support and poverty. The impacts on caregivers include fatigue, distress and isolation. The purpose of this paper is to report on a programme (2008-2021) that was set up in Kilifi County, Kenya to investigate and address these difficulties.

Methodology

The programme used mixed methods through a series of interconnected studies, starting with a situation analysis, followed by a home-based intervention where the caregiver served as agent for change using augmentative and alternative communication (AAC) methods. This was followed by two community-based inclusive development initiatives: disability awareness training to community groups and empowering self-help groups for caregivers of children growing up with disabilities.

Findings

The situation analysis revealed scarce support services for caregivers and children with learning and developmental disabilities, with report of limited resources, inadequate coverage and poor professional practice. A home-based, AAC intervention was associated with improved caregiver well-being, significant positive changes to caregiver perceptions of the child’s communication and some expansion to the child’ social activities. However, questions around sustainability persisted. Disability awareness training led by persons with lived experience of disability showed positive changes to the views, values and attitudes of established community groups. Caregiver participation in self-help groups was associated with their greater personal agency, perceptions of increased social support and reduced severity of child’s disability.

Originality

The programme narrative demonstrates a rationalised and evidence-based process for community-based inclusive development that is low cost, culturally acceptable, with potential for sustainability.

Details

Tizard Learning Disability Review, vol. 27 no. 1
Type: Research Article
ISSN: 1359-5474

Keywords

1 – 10 of over 1000