{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T17:31:46Z","timestamp":1717954306904},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2014,6,13]],"date-time":"2014-06-13T00:00:00Z","timestamp":1402617600000},"content-version":"unspecified","delay-in-days":2295,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. med."],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives:<\/jats:bold> To describe the characteristics of the patient groups with severe and enduring mental illness residing in high support community residences in Dublin North East Mental Health Service and the impact of a rehabilitation and recovery service on their outcomes since the instigation of that service.<\/jats:p><jats:p><jats:bold>Method:<\/jats:bold> Data was collected retrospectively on current and past residents from case notes and staff interviews. Data included demographics, psychiatric history and results of rehabilitation interventions. The results were compiled and analysed using descriptive statistics.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Fifty patients were identified. The majority were male (62%) with a diagnosis of paranoid schizophrenia (66%).The levels of co-morbid alcohol and drug misuse were 48% and 36% respectively. Histories of verbal\/physical aggression were found in 70% and noncompliance in 60%. Two thirds of patients had a past history of being detained under the Mental Treatment Act (1945). Ninety-four per cent were unemployed at admission to the residence and following rehabilitation intervention 60% were linked with vocational training programmes and 10% with community employment schemes. \u2018New long-stay\u2019 and \u2018old long-stay\u2019 patients showed a trend towards poorer outcomes, whereas patients who had previously lived in the community showed a trend towards progressing to lower levels of support.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Positive outcomes were achieved following active rehabilitation interventions, but there remained a cohort of patients whose needs could not be met in a supported community rehabilitation residential programme. This highlights the need to ensure that a range of rehabilitation services from inpatient to supported community placement are provided to meet the needs of patients with severe and enduring mental illness with complex needs.<\/jats:p>","DOI":"10.1017\/s0790966700010764","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T13:07:08Z","timestamp":1458047228000},"page":"5-10","source":"Crossref","is-referenced-by-count":4,"title":["The impact of a rehabilitation and recovery service on patient groups residing in high support community residences"],"prefix":"10.1017","volume":"25","author":[{"given":"Annette","family":"Kavanagh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ena","family":"Lavelle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,6,13]]},"reference":[{"key":"S0790966700010764_ref017","unstructured":"Clifford P , Morris I . 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Mental Health Needs of Clients of Rehabilitation services: a survey in one Trust (accepted by J Mental Health 2007).","DOI":"10.1080\/09638230701506275"},{"key":"S0790966700010764_ref002","volume-title":"Including the Report of the Inspector of Mental Health Services","year":"2005"},{"key":"S0790966700010764_ref005","unstructured":"Central Statistics Office: Census 2006."},{"key":"S0790966700010764_ref012","first-page":"901","article-title":"The Mental Health Residential Care Study: classification of facilities and description of residents","volume":"37","author":"Lelliott","year":"1996","journal-title":"Hospital and Community Psychiatry"},{"key":"S0790966700010764_ref015","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00007260"},{"key":"S0790966700010764_ref008","unstructured":"Statistical Package for the Social Sciences (Version 10.0)."},{"key":"S0790966700010764_ref016","unstructured":"North-eastern Health Board 2001. Cavan Monaghan Mental Health Service: A Model for a New Community Health Service \u2013 The Cavan-Monaghan Project."},{"key":"S0790966700010764_ref003","doi-asserted-by":"publisher","DOI":"10.1080\/09638230500060144"},{"key":"S0790966700010764_ref010","volume-title":"High support community residences census 2006","author":"Tedstone Doherty","year":"2007"},{"key":"S0790966700010764_ref018","unstructured":"Clifford P , Morris I . Community Placement Questionnaire, 1986."},{"key":"S0790966700010764_ref007","volume-title":"The Royal College of Psychiatrists (Gaskell)","author":"Slade","year":"1999"},{"key":"S0790966700010764_ref001","volume-title":"Report of the Expert Group on Mental Health Policy","year":"2006"},{"key":"S0790966700010764_ref004","unstructured":"Mental Health Commission Annual Report 2004, including the report of the Inspector of Mental Health Services."},{"key":"S0790966700010764_ref006","volume-title":"WHO International Statistical Classification of Diseases, 10th Revision","year":"1992"},{"key":"S0790966700010764_ref011","volume-title":"A Survey and Evaluation of Community Residential Mental Health Services in Ireland","author":"Doherty","year":"2007"},{"key":"S0790966700010764_ref009","unstructured":"Mental Treatment Act (1945)."}],"container-title":["Irish Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0790966700010764","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:30:06Z","timestamp":1556670606000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0790966700010764\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["S0790966700010764"],"URL":"https:\/\/doi.org\/10.1017\/s0790966700010764","relation":{},"ISSN":["0790-9667","2051-6967"],"issn-type":[{"value":"0790-9667","type":"print"},{"value":"2051-6967","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}