Clinical, social and psychological aspects of rehabilitation work in public organization: evaluation of effectiveness

The purpose was to evaluate effectiveness of complex long-term psychosocial rehabilitation program for people with mental disorders which was developed and implemented by regional charity public organization «Family and Mental Health».

Material: the main group consisted of 50 patients with schizophrenia and other schizophrenia spectrum disorders who actively took part in the program. The group of comparison included 106 dispensary patients who did not participate in any of the rehabilitation programs.

Methods: evaluation process was based on clinical-psychopathological inspection as well as psychometric (PANSS, PSP, URICA, SF-36) and statistical methods. The design of the study defined the comparison of the main group characteristics with the dispensary patients. Population characteristics of quality of life (3344 people) and indicators of hardiness of healthy persons (330 people) were used for comparison with the main group.

The results give the evidence that significant differences exist in groups of patients. The participation in rehabilitation program increased the number of compliant patients as well as was identified higher levels of motivation for drug and psychosocial treatment. Also the adaptive of behavioral coping strategies develops in the process of social rehabilitation. There was a statistically reliable decrease in the number of hospitalizations. The received characteristics of quality of life and hardiness of participants of rehabilitation program have allowed to reveal their peculiarities in comparison with healthy persons.

Conclusion: the results of the study showed the effectiveness of complex long-term rehabilitation program developed in the public organization «Family and Mental Health». Public forms of care can be seen as an important part in the overall system of providing psychiatric care to people with chronic mental illnesses.

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