Quality of life and social functioning of former long-stay psychiatric patients transferred into the community: a 10 year follow up study

McInerney, Shane; Finnerty, Susan; Walsh, Elizabeth; Spelman, Lynda; Edgar, Nicole; Hallahan, Brian; McDonald, Colm

doi:10.1007/s00127-018-1520-3

Cited by 12 publications

(11 citation statements)

References 27 publications

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“…Impaired psychosocial functioning in patients with SMI is multifactorial: adverse medication reactions (parkinsonism, obesity), and treatment setting (in-or outpatient) may influence functional recovery (9)(10)(11)(12)(13). For example, the medication side effect parkinsonism is associated with poor vocational performance (11), while some studies show positive results for community-based rehabilitation versus in-hospital treatment in patients with SMI (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Proxy WHO Disability Assessment Schedule 2.0 Is Clinically Useful for Assessing Psychosocial Functioning in Severe Mental Illness

et al. 2020

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Aims: This study explores how well the World Health Organization Disability Assessment Schedule (WHODAS 2.0) assesses problems with psychosocial functioning in patients with severe mental illness (SMI). Further, we assessed the relationships between psychosocial functioning and psychopathology, medication side effects, treatment setting, and quality of life. Methods:We performed an observational, cross-sectional study on the island of Curaçao to assess psychosocial functioning in 77 patients with SMI; they mainly had psychotic disorders. We interviewed their healthcare providers using the proxy version of the WHODAS 2.0. In addition, patients were examined for psychiatric symptoms, medication side effects (including drug-induced movement disorders), and quality of life. Associations were examined with Spearman's rank correlation (r).Results: Difficulties in psychosocial functioning were reported by patients with SMI in the WHODAS 2.0 domains of understanding and communicating [mean (M)=34.5, standard deviation (SD)=18.6), participation in society (M=25.5, SD=15.6), and getting along with people (M=24.1, SD=16.1)]. Notably, outpatients had more problems participating in society than inpatients (M=33.6, SD=18.5 versus M=23.2, SD=14.1, p=0.03). A positive correlation was observed between drug-induced parkinsonism and the WHODAS 2.0 total score (r =0.30; p=0.02), as well as with various subscales, getting around, and household activities. Conclusion:The proxy version of the WHODAS 2.0 is clinically useful for patients with severe mental illness. The highest scores on the WHODAS 2.0 were found in domains related to interactions with other people and to participation in society. Inpatient status appeared to aid participation in society; this might be due to living in the sheltered clinic Frontiers in Psychiatry | www.frontiersin.org environment and its associated daily activities. We further found that drug-induced parkinsonism was associated with a broad spectrum of psychosocial disabilities.

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Section: Introductionmentioning

confidence: 99%

Proxy WHO Disability Assessment Schedule 2.0 Is Clinically Useful for Assessing Psychosocial Functioning in Severe Mental Illness

et al. 2020

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“…A sense of belonging and hope are both important factors for patient recovery and are essential to the human experience [ 45 ]. Staying in the community can maintain interpersonal relationships and employment, thereby eliminating negative symptoms and improving life satisfaction [ 46 , 47 ]. McInerney et al [ 47 ] examined the quality of life and social function of long-term mentally ill inpatients after being transferred to the community.…”

Section: Discussionmentioning

confidence: 99%

Effects of Rehabilitation Models on Self-Stigma among Persons with Mental Illness

Lin

Huang

et al. 2022

Healthcare

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Social stigma is inevitable for mentally ill patients, but how patients treat themselves is a priority for rehabilitation and an important buffer mechanism. This study thus aimed to measure the effectiveness of rehabilitation models for improving self-stigma. This quasi-experimental research design applied purposeful sampling. The participants (n = 250) were persons with mental illness who received rehabilitation treatment in central Taiwan. They were divided into community- (n = 170) and institution-based (n = 80) rehabilitation groups. The Internalized Stigma of Mental Illness Scale was evaluated at the time of recruitment, and a follow-up was conducted after 1 and 3 months. A generalized estimation equation was used in data analysis to measure whether self-stigma improved with the rehabilitation model and time, and to test the effect of different rehabilitation models on participants’ self-stigma improvement. The study found that the self-stigma of patients receiving CBR improved more than that of those receiving IBR when behavioral problems, education, OT level, sex, and first-time self-stigma were controlled. Returning to the community is the goal of rehabilitation for patients with mental illness, but IBR still dominates the rehabilitation model in Taiwan. Thus, it is necessary to continue promoting CBR plans for future mental health policies.

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“… 15 These mixed results can be explained by not only different diagnoses but also different ages at baseline and different follow‐up periods 3 ,. 11 Across studies, mean baseline age ranged from 41 to 67, but in most studies mean baseline age was less than 65 (mean = 55), meaning that most individuals studied experienced de‐insitutionalization prior to late adulthood. Length of follow‐up in these studies ranged from 6 months to 10 years for prospective studies, with an average of about 4 years of follow‐up across studies.…”

Section: Introductionmentioning

confidence: 99%

“…International studies following the effects of deinstitutionalization on long‐stay patients, in particular, provide mixed results ranging from reports of improved social and psychiatric functioning (e.g., 10 , 11,12 ) to no changes (e.g., 13 ) or deterioration 14 ,. 15 These mixed results can be explained by not only different diagnoses but also different ages at baseline and different follow‐up periods 3 ,.…”

Section: Introductionmentioning

confidence: 99%

Does the length of institutionalization matter? Longitudinal follow‐up of persons with severe mental illness 65 years and older: shorter‐stay versus longer‐stay

Finkel

Bülow

Wilińska

et al. 2021

Int J Geriat Psychiatry

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Objectives As part of the process of de‐institutionalization in the Swedish mental healthcare system, a reform was implemented in 1995, moving the responsibility for services and social support for people with severe mental illness (SMI) from the regional level to the municipalities. In many ways, older people with SMI were neglected in this changing landscape of psychiatric care. The aim of this study is to investigate functional levels, living conditions, need of support in daily life, and how these aspects changed over time for older people with SMI. Methods In this study we used data from surveys collected in 1996, 2001, 2006, and 2011 and data from national registers. A group of older adults with severe persistent mental illness (SMI‐O:P) was identified and divided into those who experienced shorter stays (less than 3 years) in a mental hospital (N = 118) and longer stays (N = 117). Results After correcting for longitudinal changes with age, the longer‐stay group was more likely than the shorter‐stay group to experience functional difficulties and as a result, were more likely to have experienced ‘re‐institutionalization’ to another care setting, as opposed to living independently. Conclusions The length of mental illness hospitalization has significant effects on the living conditions of older people with SMI and their ability to participate in social life.

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Quality of life and social functioning of former long-stay psychiatric patients transferred into the community: a 10 year follow up study

Cited by 12 publications

References 27 publications

Proxy WHO Disability Assessment Schedule 2.0 Is Clinically Useful for Assessing Psychosocial Functioning in Severe Mental Illness

Proxy WHO Disability Assessment Schedule 2.0 Is Clinically Useful for Assessing Psychosocial Functioning in Severe Mental Illness

Effects of Rehabilitation Models on Self-Stigma among Persons with Mental Illness

Does the length of institutionalization matter? Longitudinal follow‐up of persons with severe mental illness 65 years and older: shorter‐stay versus longer‐stay

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