The Effectiveness of Mental Health Rehabilitation Services: A Systematic Review and Narrative Synthesis.
The Effectiveness of Mental Health Rehabilitation Services: A Systematic Review and Narrative Synthesis.
复制标题
DOI：
10.3389/fpsyt.2020.607933
复制
发表时间：
2020
影响因子：
4.7
通讯作者：
Killaspy H
中科院分区：
文献类型：
--
作者：
Dalton-Locke C;Marston L;McPherson P;Killaspy H
心理健康康复服务为有复杂和长期心理健康问题的人提供必要的支持。它们包括住院服务和社区团队，为住在支助性住宿服务中的人提供临床投入。本系统综述包括评价住院和社区康复服务有效性的国际研究。研究方法：我们检索了六个在线数据库，以评估心理健康康复服务的定量研究，这些研究报告了两种结果中的一种或两种：转移到更独立的环境（即从住院单位出院到社区或从更高到更低水平的支持住宿）;住院服务使用。通过筛选纳入研究的参考文献和引文，进一步扩大了检索范围。研究之间的异质性太大，无法进行荟萃分析，因此进行了叙述性综合。结果如下：我们总共纳入了65项研究，分为：当代心理健康康复服务（n = 34）;为无家可归的人提供服务，有严重的心理健康问题（n = 13）;去机构化方案（n = 18）。最有力的证据是为无家可归者提供的服务。住院康复服务的获得与出院后急性住院服务使用的减少有关。不到一半的人在预期的时间内从较高级别的支助性住房转到较低级别的支助性住房。结论：住院和社区康复服务可能会减少长期使用住院服务的需求，但需要对当代康复服务进行更高质量的研究。综述注册：本综述前瞻性注册于PROSPERO（ID：CRD 42019133579）。
Introduction: Mental health rehabilitation services provide essential support to people with complex and longer term mental health problems. They include inpatient services and community teams providing clinical input to people living in supported accommodation services. This systematic review included international studies evaluating the effectiveness of inpatient and community rehabilitation services. Methods: We searched six online databases for quantitative studies evaluating mental health rehabilitation services that reported on one or both of two outcomes: move-on to a more independent setting (i.e. discharge from an inpatient unit to the community or from a higher to lower level of supported accommodation); inpatient service use. The search was further expanded by screening references and citations of included studies. Heterogeneity between studies was too great to allow meta-analysis and therefore a narrative synthesis was carried out. Results: We included a total of 65 studies, grouped as: contemporary mental health rehabilitation services (n = 34); services for homeless people with severe mental health problems (n = 13); deinstitutionalization programmes (n = 18). The strongest evidence was for services for homeless people. Access to inpatient rehabilitation services was associated with a reduction in acute inpatient service use post discharge. Fewer than one half of people moved on from higher to lower levels of supported accommodation within expected timeframes. Conclusions: Inpatient and community rehabilitation services may reduce the need for inpatient service use over the long term but more high quality research of contemporary rehabilitation services with comparison groups is required. Review registration: This review was prospectively registered on PROSPERO (ID: CRD42019133579).
登录
查看更多内容
影响因子：
3.8
作者：
Gilmer, Todd P.;Stefancic, Ana;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.
影响因子：
2.7
作者：
Bradshaw, W
通讯作者：
Bradshaw, W
影响因子：
11.9
作者：
Chan, Hong;Inoue, Shimpei;Mino, Yoshio
通讯作者：
Mino, Yoshio
影响因子：
3.7
作者：
Dalum HS;Waldemar AK;Korsbek L;Hjorthøj C;Mikkelsen JH;Thomsen K;Kistrup K;Olander M;Lindschou J;Nordentoft M;Eplov LF
通讯作者：
Eplov LF
影响因子：
2.6
作者：
Bunyan, Mel;Ganeshalingam, Yogesh;Tracy, Derek K.
通讯作者：
Tracy, Derek K.