The relationship between community-based psychiatric rehabilitation pathways and re-hospitalization trajectories: A three-decade follow-up

Sharon Florentin*, Yehuda Neumark, David Roe, Paola Rosca, Shikma Keller, Noa Yakirevich Amir, Amir Krivoy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Psychiatric rehabilitation is essential for the recovery of individuals with schizophrenia. However, re-hospitalization is sometimes inevitable. This study examined the association between varied community psychiatric rehabilitation services (PRS) and long-term re-hospitalization parameters. National registries provided data on 5163 adults diagnosed with schizophrenia and schizoaffective disorder. Patients with recurrent hospitalizations were tracked over three periods: before rehabilitation legislation (1991–2000), during rehabilitation implementation (2001–2009), and follow-up (2010–2017). Associations between PRS types and annual re-hospitalization days (ARHD) during follow-up were analyzed. Findings revealed that the rehabilitation group had a median time-to-readmission of 757 days, while the non-rehabilitation group had 321 days. Combined residential and vocational rehabilitation was associated with a 20-day decrease in ARHD, while residential or vocational rehabilitation alone were associated with reductions of 2 and 5 days, respectively. Higher levels of residential support were linked to reduced ARHD. Of the vocational rehabilitation types, supported-employment and sheltered-workshops showed association with the greatest reductions in ARHD (17 days). Overall, community-based PRS is linked to prolonged time-to-readmission and reduced re-hospitalization days. A combination of vocational and residential services is related to a synergistic decrease in re-hospitalization days. This suggests that recurrent hospitalization for patients who are using PRS is shorter and may be part of their recovery pathway.

Original languageEnglish
Article number116216
JournalPsychiatry Research
Volume342
DOIs
StatePublished - Dec 2024

Bibliographical note

Publisher Copyright:
© 2024 Elsevier B.V.

Keywords

  • Hospitalization
  • Psychotic disorders
  • Readmission
  • Rehabilitation
  • Schizophrenia

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