Evaluating the Impact of Inpatient Mental Health Rehabilitation on Quality of Life and Recovery
Previous evaluations of mental health rehabilitation services have mostly examined clinician-rated or objective outcomes. There is also a need to consider subjective, patient-rated outcomes such as quality of life and recovery. Service users in a rehabilitation unit were invited to complete quality of life and recovery measures at admission and discharge. Of 79 eligible service users, 48 (60.8%) completed measures at both admission and discharge. Significant improvements were noted in overall quality of life and recovery, as well as most individual domains of quality of life. Satisfaction with family relationships showed only modest improvement. Satisfaction with sex life showed no significant change. Users of the rehabilitation service experienced improvements in quality of life and recovery. The evaluation’s main limitations were the lack of a control group, the lack of follow-up, and the possibility of differential drop-out. Clinical and research implications are discussed.
KeywordsMental Health rehabilitation Evaluation Quality of life Recovery
Compliance with Ethical Standards
Conflict of interest
The lead author was employed as a clinical psychologist in the unit being evaluated. All other authors were interns in the unit being evaluated. No other conflicts of interest are identified.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.Holloway F, Kalidindi S, Killaspy H, Roberts G, editors. Enabling recovery: the principles and practice of rehabilitation psychiatry. London: RCPsych Publications; 2015.Google Scholar
- 6.Tsoutsoulis K, Maxwell A, Padinjareveettil AMP, Zivkovic F, Rogers JM. Impact of inpatient mental health rehabilitation on psychiatric readmissions: a propensity score matched case control study. J Ment Health. 2018; Epub ahead of print.Google Scholar
- 7.Lavelle E, Ijaz, A, Killaspy, H et al. Mental health rehabilitation and recovery services in Ireland: A multicentre study of current service provision, characteristics of service users and outcomes for those with and without access to these services. 2011; Final Report for the Mental Health Commission of Ireland.Google Scholar
- 12.Joint Commissioning Panel for Mental Health. Guidance for commissioners of rehabilitation services for people with complex mental health needs. London: Joint Commissioning Panel for Mental Health; 2016.Google Scholar
- 14.Svavarsdottir SJ, Lindqvist R, Juliusdattir S. Mental health services and quality of life. Int J Psychosoc Rehabilit. 2014;18(2):72–88.Google Scholar
- 17.Štrkalj-Ivezić S, Vrdoljak M, Mužinić L, Agius M. The impact of a rehabilitation day centre program for persons suffering from schizophrenia on quality of life, social functioning and self-esteem. Psychiatr Danub. 2013;25(Suppl. 2):194–9.Google Scholar
- 21.Cohen J. Statistical power analysis for the behavioral sciences. New York, NY: Routledge Academic; 1988.Google Scholar