Recovery From Schizophrenia in Community-Based Psychosocial Rehabilitation Settings

Abstract

Objective: We assessed the rate of recovery from schizophrenia in community-based psychosocial rehabilitation and whether psychosocial attributes predicted the achievement of recovery beyond demographic and clinical characteristics. Methods: We used data from 246 individuals with schizophrenia spectrum disorder collected at baseline and at 6 and 12 months after admission to psychosocial rehabilitation. Results: The proportion of participants who showed recovery during either 6-month period and the full 1-year period was 19.86% and 7.53%, respectively. Although predictors of recovery for the 1-year period could not be reliably estimated due to its low rate, higher levels of intrinsic motivation and more positive family relationships at baseline predicted recovery for either 6-month period after controlling for initial functioning capacity. Conclusions: One in five individuals with schizophrenia who engage in intensive community-based psychosocial rehabilitation can achieve periods of recovery during treatment. Psychosocial attributes at the start of treatment are important contributors to subsequent recovery.

Let us say what we need ourselves: report of the interview of mental health service users with schizophrenia in South-West Nigeria.

“…The corresponding categories and the themes derived are presented in Table 1. Table 2 above indicated an overview of the participants' demographics, which reveals the number of males was seventeen (17), and twelve (12) females, which is consistent with the fact there are more men living with schizophrenia than women, as declared by Lim (2017). This is also consistent with the declaration of Seeman (2018) who's review study discovered schizophrenia was more common in men than women, with the reason that male and female DNA is exposed to different environmental input which differentiates level of predisposition to schizophrenia.…”

Mediating effects of empowerment on the relationship between global function and recovery among community-dwelling patients with schizophrenia: A cross-sectional study

“…The current study included a large sample of community-dwelling patients with schizophrenia to explore the relationships between global function, empowerment, and recovery. Converting the scale used herein into a percentage shows an empowerment level of 55.4% and a recovery level of 69.1%, which are slightly higher than those presented in other studies [10,19]. This may have been related to differences in the research populations considering that the current study included participants who availed of various community care services, such as outpatient clinics, day wards, or home treatment services, and excluded those not receiving community care services.…”

“…Psychiatric consumers de ne recovery as the attainment of a meaningful and valued life rather than the absence of symptoms. Studies have also shown that recovery can be a care outcome [10][11][12]. Notably, global mental health care aims to improve recovery, with developed countries already having successfully developed related recovery programs and effectiveness evaluations [12][13][14].…”

“…Moreover, mental health services must be human-oriented, community-oriented, and recovery-oriented [15] considering that the extent of personal recovery can impact quality of life among community-dwelling patients with mentally illness [16,17]. However, follow-up studies and meta-analyses have reported that recovery rates among individuals suffering from mental illness only ranged from 13.5-37.9% [10,18,19]. Hence, promoting recovery among patients with mental illness is urgently needed.…”

The use of social environment in a psychosocial clubhouse to facilitate recovery-oriented practice

“…Quantitative outcome research in other psychosocial services has viewed people who spend years in vocational programmes without moving on to paid employment, as struggling to recover. 11 , 36 Such studies highlight the importance of how recovery is conceptualised by research. Quantitative studies generally assume an outcomes-focused approach that differentiates between social recovery, including employment and interpersonal outcomes, and complete recovery, focused on symptom reduction.…”