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Predictors of unplanned discharge from community-based residential mental health rehabilitation for people affected by severe and persistent mental illness.
- Source :
-
Journal of mental health (Abingdon, England) [J Ment Health] 2021 Aug; Vol. 30 (4), pp. 500-508. Date of Electronic Publication: 2020 Apr 20. - Publication Year :
- 2021
-
Abstract
- Background: Little is known about what predicts disengagement from rehabilitation treatment for people affected by severe and persistent mental illness (SPMI).<br />Aims: To identify predictors of unplanned discharge among consumers admitted to community-based residential rehabilitation units in Australia.<br />Method: Secondary analysis of data from a prospective cohort study of consumers admitted to three Community Care Units (CCUs) between 2014 and 2017 ( n = 139). CCUs provide transitional residential rehabilitation support to people affected by SPMI. Demographic, treatment-related and clinical predictors of unplanned discharge were identified using binomial regression models controlling for site-level variability. Factors associated with self- vs staff-initiated unplanned discharge were also examined.<br />Results: 38.8% of consumers experienced unplanned discharge. Significant predictors of unplanned discharge were younger age, higher alcohol consumption and disability associated with mental illness, as well as recovery stage indicating a sense of growth and higher competence in daily task performance. 63.0% of unplanned discharges were initiated by staff, mostly for substance-related reasons (55.9%). History of trauma was more likely among consumers with self-initiated discharge than those with staff-initiated unplanned and planned discharge.<br />Conclusions: Assertive intervention to address alcohol-use, and ensuring care is trauma-informed, may assist in reducing rates of unplanned discharge from rehabilitation care.
Details
- Language :
- English
- ISSN :
- 1360-0567
- Volume :
- 30
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of mental health (Abingdon, England)
- Publication Type :
- Academic Journal
- Accession number :
- 32310701
- Full Text :
- https://doi.org/10.1080/09638237.2020.1755025