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Table 4 Quantitative research findings relating to consumer outcomes and experiences of community-based residential rehabilitation

From: A systematic review of service models and evidence relating to the clinically operated community-based residential mental health rehabilitation for adults with severe and persisting mental illness in Australia

Service type

Service name

Research focus

Studies reporting

Finding(s)

(n/N)c

Quality

Source(s)

Good

Fair

Poor

Community-Based Residential Care

CCUa

Symptom stability (initial)

2/3

1

–

1

[15, 26]

â–ª No significant change observed in resident symptoms or functioning over the initial 12-months, or for a subsample of initially transferred residents over a subsequent 12-month period.

Quality of life

1/3

–

–

1

[15]

â–ª Significant improvement at 1-year post-transition from long-stay inpatient care.

Follow-up outcomes

1/3

–

1

–

[24]

â–ª High levels of ongoing disability and dependence on clinical services 8-years following service entry.

Community Residences

Follow-up outcomes

1/1

–

1

–

[23]

â–ª 18% of residents required admission to inpatient psychiatric care within 2-years of transfer, and an additional 28% required admission to inpatient psychiatric care in the subsequent 4-years.

â–ª 6-years post-transition 85% of residents continued to reside in the community, and none of these people had an ongoing requirement for 24-h supervision. Additionally, significant improvements in quality of life, and reductions in medication usage were noted for community-based residents.

Transitional Residential Rehabilitation

CCU

Comparison to inpatient rehabilitation

1/1

–

1

–

[1]

â–ª Compared to consumers engaged in inpatient rehabilitation CCU consumers were significantly: younger; less likely to be subject to involuntary treatment and guardianship orders; less likely to be classified as being of a moderate-to-high risk of violence; lower on levels of symptoms (HoNOS) and disability (LSP-16).

CRCb

Follow-up outcomes

1/1

–

–

1

[31]

â–ª Significant reductions in inpatient bed-days, symptoms and functioning (HoNOS, all subscales except behaviour) when comparing the 6-month period pre- and post-CRC care.

  1. aCommunity Care Unit (CCU)
  2. bCommunity Rehabilitation Centre (CRC)
  3. cThe denominator is the number of studies undertaken under the specified Service Name; the numerator is the subset of studies undertaken with the relevant Research Focus