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dc.contributor.authorArnautovska, Urska
dc.contributor.authorMcKeon, Gemma
dc.contributor.authorDark, Frances
dc.contributor.authorSiskind, Dan
dc.contributor.authorHarris, Meredith
dc.contributor.authorParker, Stephen
dc.date.accessioned2021-10-07T01:08:52Z
dc.date.available2021-10-07T01:08:52Z
dc.date.issued2020
dc.identifier.issn0963-8237
dc.identifier.doi10.1080/09638237.2020.1755025
dc.identifier.urihttp://hdl.handle.net/10072/408683
dc.description.abstractBackground: Little is known about what predicts disengagement from rehabilitation treatment for people affected by severe and persistent mental illness (SPMI). Aims: To identify predictors of unplanned discharge among consumers admitted to community-based residential rehabilitation units in Australia. 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. 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. Conclusions: Assertive intervention to address alcohol-use, and ensuring care is trauma-informed, may assist in reducing rates of unplanned discharge from rehabilitation care.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherTaylor & Francis Inc
dc.relation.ispartofpagefrom500
dc.relation.ispartofpageto508
dc.relation.ispartofissue4
dc.relation.ispartofjournalJournal of Mental Health
dc.relation.ispartofvolume30
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.subject.keywordsSocial Sciences
dc.subject.keywordsPsychology, Clinical
dc.subject.keywordsPsychology
dc.subject.keywordsPatient discharge
dc.subject.keywordspsychiatric rehabilitation
dc.titlePredictors of unplanned discharge from community-based residential mental health rehabilitation for people affected by severe and persistent mental illness
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationArnautovska, U; McKeon, G; Dark, F; Siskind, D; Harris, M; Parker, S, Predictors of unplanned discharge from community-based residential mental health rehabilitation for people affected by severe and persistent mental illness, Journal of Mental Health, 2020, 30 (4), pp. 500-508
dc.date.updated2021-10-06T04:16:57Z
gro.hasfulltextNo Full Text
gro.griffith.authorParker, Stephen D.


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