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dc.contributor.authorParker, Stephen
dc.contributor.authorHopkins, Gordon
dc.contributor.authorSiskind, Dan
dc.contributor.authorHarris, Meredith
dc.contributor.authorMcKeon, Gemma
dc.contributor.authorDark, Frances
dc.contributor.authorWhiteford, Harvey
dc.date.accessioned2022-02-28T00:33:57Z
dc.date.available2022-02-28T00:33:57Z
dc.date.issued2019
dc.identifier.issn1471-244X
dc.identifier.doi10.1186/s12888-019-2019-5
dc.identifier.urihttp://hdl.handle.net/10072/412721
dc.description.abstractBackground: Clinically operated community-based residential rehabilitation units (Community Rehabilitation Units) are resource intensive services supporting a small proportion of the people with severe and persisting mental illness who experience difficulties living in the community. Most consumers who engage with these services will be diagnosed with schizophrenia or a related disorder. This review seeks to: generate a typology of service models, describe the characteristics of the consumers accessing these services, and synthesise available evidence about consumers' service experiences and outcomes. Method: A systematic review was undertaken to identify studies describing Community Rehabilitation Units in Australia, consumer characteristics, and evidence about consumer experiences and outcomes. Search strings were applied to multiple databases; additional records were identified through snowballing. Records presenting unique empirical research were subject to quality appraisal. Results: The typology defined two service types, Community-Based Residential Care (C-BRC), which emerged in the context of de-institutionalisation, and the more recent Transitional Residential Rehabilitation (TRR) approach. Key differentiating features were the focus on transitional care and 'recovery' under TRR. Schizophrenia spectrum disorders were the most common primary diagnosis under both service types. TRR consumers were more likely to be male, referred from community settings, and less likely to be subject to involuntary treatment. Regarding outcomes, the limited quantitative evidence (4 records, 2 poor quality) indicated C-BRC was successful in supporting the majority of consumers transferred from long-term inpatient care to remain out of hospital. All qualitative research conducted in C-BRC settings was assessed to be of poor quality (3 records). No methodologically sound quantitative evidence on the outcomes of TRR was identified. Qualitative research undertaken in these settings was of mixed quality (9 records), and the four records exploring consumer perspectives identified them as valuing the service provided. Conclusions: While there is qualitative evidence to suggest consumers value the support provided by Community Rehabilitation Units, there is an absence of methodologically sound quantitative research about the consumer outcomes achieved by these services. Given the ongoing and increasing investment in these facilities within the Australian context, there is an urgent need for high-quality research examining their efficiency and effectiveness. Trial registration: PROSPERO (CRD42018097326).
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherBMC
dc.relation.ispartofpagefrom55
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Psychiatry
dc.relation.ispartofvolume19
dc.subject.fieldofresearchAllied health and rehabilitation science
dc.subject.fieldofresearchPsychiatry (incl. psychotherapy)
dc.subject.fieldofresearchcode4201
dc.subject.fieldofresearchcode320221
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsCARE-UNIT
dc.subject.keywordsDEINSTITUTIONALIZATION
dc.titleA 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
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationParker, S; Hopkins, G; Siskind, D; Harris, M; McKeon, G; Dark, F; Whiteford, H, 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, BMC Psychiatry, 2019, 19 (1), pp. 55
dcterms.dateAccepted2019-01-07
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2022-02-25T02:22:46Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorParker, Stephen D.


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