dc.contributor.author | Arnautovska, Urska | |
dc.contributor.author | McKeon, Gemma | |
dc.contributor.author | Dark, Frances | |
dc.contributor.author | Siskind, Dan | |
dc.contributor.author | Harris, Meredith | |
dc.contributor.author | Parker, Stephen | |
dc.date.accessioned | 2021-10-07T01:08:52Z | |
dc.date.available | 2021-10-07T01:08:52Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0963-8237 | |
dc.identifier.doi | 10.1080/09638237.2020.1755025 | |
dc.identifier.uri | http://hdl.handle.net/10072/408683 | |
dc.description.abstract | Background: 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.peerreviewed | Yes | |
dc.language | English | |
dc.publisher | Taylor & Francis Inc | |
dc.relation.ispartofpagefrom | 500 | |
dc.relation.ispartofpageto | 508 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Journal of Mental Health | |
dc.relation.ispartofvolume | 30 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.keywords | Social Sciences | |
dc.subject.keywords | Psychology, Clinical | |
dc.subject.keywords | Psychology | |
dc.subject.keywords | Patient discharge | |
dc.subject.keywords | psychiatric rehabilitation | |
dc.title | Predictors of unplanned discharge from community-based residential mental health rehabilitation for people affected by severe and persistent mental illness | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Arnautovska, 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.updated | 2021-10-06T04:16:57Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Parker, Stephen D. | |