{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:09:15Z","timestamp":1780326555714,"version":"3.54.1"},"reference-count":77,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,2,8]],"date-time":"2019-02-08T00:00:00Z","timestamp":1549584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Psychiatric rehabilitation can provide and support recovery\u2010oriented care by assisting individuals living with severe mental illness to lead full lives. Despite a well\u2010established evidence\u2010base, implementation and access to these interventions in clinical practice for people with severe mental illness in the Asia\u2010Pacific region is low. We therefore aimed to evaluate prominent themes impacting on clinical practice, policy, and the implementation of psychiatric rehabilitation across the Asia\u2010Pacific region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive review of relevant literature on psychiatric rehabilitation of three regions within the Asia\u2010Pacific was conducted using a structured search of PubMed and other databases. Eligible articles were selected which focussed on how psychiatric rehabilitation is defined and implemented across the Asia\u2010Pacific region, as well as the associated successes and challenges. Common themes were generated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six themes emerged: the impact of policy, legislation, and human rights; access difficulties; the important role of family; the significance of culture, religion, and spiritual beliefs; the widespread impact of stigma; and the indigenous models of excellence being developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Consideration of the six themes and their implications should help raise awareness of the issues involved in the provision of psychiatric rehabilitation in the Asia\u2010Pacific region and may improve outcomes for people living with severe mental illness. Suggested strategies include: developing a shared understanding of psychiatric rehabilitation; establishing quality legislation that's well implemented; adapting evidence\u2010based models to develop culturally appropriate services; implementing stigma reduction and empowerment\u2010based interventions; and, ensuring coordinated action among all stakeholders, combined with effective leadership.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12349","type":"journal-article","created":{"date-parts":[[2019,2,8]],"date-time":"2019-02-08T08:24:40Z","timestamp":1549614280000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["A structured review of psychiatric rehabilitation for individuals living with severe mental illness within three regions of the Asia\u2010Pacific: Implications for practice and policy"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8239-3228","authenticated-orcid":false,"given":"Harry","family":"Hill","sequence":"first","affiliation":[{"name":"Mental Health, Drugs &amp; Alcohol Service Barwon Health  Geelong Australia"},{"name":"Department of Psychiatry The University of Melbourne  Parkville Australia"},{"name":"School of Medicine, Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Killaspy","sequence":"additional","affiliation":[{"name":"Division of Psychiatry University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0380-8617","authenticated-orcid":false,"given":"Padmavati","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Schizophrenia Research Foundation  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger Man Kin","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kowloon Hospital  Kowloon Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Bulman","sequence":"additional","affiliation":[{"name":"Mental Health, Drugs &amp; Alcohol Service Barwon Health  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5066-8450","authenticated-orcid":false,"given":"Carol","family":"Harvey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Melbourne  Parkville Australia"},{"name":"North West Area Mental Health Service NorthWestern Mental Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.158157"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260802397537"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867416631831"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2017.139"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2015.05.013"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0025802415577811"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/neu.2016.42"},{"key":"e_1_2_7_9_1","article-title":"Yoga as part of a package of care versus standard care for schizophrenia","volume":"9","author":"Broderick J.","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH13181"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856213497808"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867411432553"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413494484"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0695-7"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764015621941"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.69250"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.161503"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62629-X"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.171859"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000526"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201200243"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7893.2010.00203.x"},{"key":"e_1_2_7_23_1","first-page":"357","article-title":"Global economic burden of schizophrenia: A systematic review","volume":"12","author":"Chong H. Y.","year":"2016","journal-title":"Neuropsychiatric Disease and Treatment"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp2721712"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856215604486"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0953-6"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-015-0005-y"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2016.06.011"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-017-0155-1"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867416641195"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH15248"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796016001013"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413489173"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.6982"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415610437"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413476754"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0796-7"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332985.2016.1236767"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764016678014"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856217726691"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2015.01.008"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000255"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413497625"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118753378.ch97"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230500060144"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.10.035"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1758-5872.2012.00208.x"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/appy.12234"},{"key":"e_1_2_7_49_1","first-page":"172","article-title":"Integration of hospital and community services\u2010the '686 Project'\u2010is a crucial component in the reform of China's mental health services","volume":"24","author":"Ma H.","year":"2012","journal-title":"Shanghai Archives of Psychiatry"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/15487768.2016.1197859"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000284"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413512686"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000051"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867417708868"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764005056761"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856213486305"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv107"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12962-016-0058-z"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.124714"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/0971523115592488"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-016-0113-3"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-013-9654-y"},{"key":"e_1_2_7_63_1","unstructured":"Substance Abuse and Mental Health Services Administration. (2013).Recovery and recovery support. Retrieved fromhttps:\/\/www.samhsa.gov\/recovery"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/appy.12279"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2015.06.013"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796014000079"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207640030493008"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-011-0394-4"},{"key":"e_1_2_7_69_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.000022013"},{"key":"e_1_2_7_70_1","unstructured":"US Presidential Commission on Mental Health(2003)Achieving the promise: Transforming mental health care in America. Final Report. DHHS Publication No. SMA\u201003\u20103832. Rockville MD: US Department of Health and Human Services."},{"key":"e_1_2_7_71_1","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2016.1159950"},{"key":"e_1_2_7_72_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413483882"},{"key":"e_1_2_7_73_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12148"},{"key":"e_1_2_7_74_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12162"},{"key":"e_1_2_7_75_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S123239"},{"key":"e_1_2_7_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12202"},{"key":"e_1_2_7_77_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332985.2015.1038413"},{"key":"e_1_2_7_78_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764016651459"}],"container-title":["Asia-Pacific Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fappy.12349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/appy.12349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T22:39:21Z","timestamp":1694385561000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/appy.12349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,8]]},"references-count":77,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/appy.12349"],"URL":"https:\/\/doi.org\/10.1111\/appy.12349","archive":["Portico"],"relation":{},"ISSN":["1758-5864","1758-5872"],"issn-type":[{"value":"1758-5864","type":"print"},{"value":"1758-5872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,8]]},"assertion":[{"value":"2018-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12349"}}