ArticleEpidemiology and psychiatric sciences2020
Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge.
Article in Epidemiology and psychiatric sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Community-based models of care facilitating the recovery of people living with persistent and complex mental health needs: a systematic review and narrative synthesis.Frontiers in psychiatry · 2023Pooled it
- Integrating psychiatric rehabilitation into inpatient psychiatric hospitalization to advance personal recovery.Psychiatric rehabilitation journal · 2026Article
- Predictors of Engagement in Community-based Residential Mental Health Rehabilitation: Modelling of a cross-sectional Statewide Benchmarking Dataset from Queensland, Australia.Community mental health journal · 2026Article
- Components and Effectiveness of Adult Inpatient Psychiatric Rehabilitation Programs: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Experiences and expectations of residents and professionals of supported accommodations for people with serious mental disorders in Portugal.Social psychiatry and psychiatric epidemiology · 2025Article
- In-patient service use before and after a mental health in-patient rehabilitation admission.BJPsych open · 2025Article
- High support housing for people with serious mental illness in Canada: a scoping review.Frontiers in psychiatry · 2025Review
- Life is better but not without challenges: experiences following discharge from community-based residential mental health rehabilitation-a qualitative content analysis.Social psychiatry and psychiatric epidemiology · 2025Article
- Functioning Management and Recovery, a psychoeducational intervention for psychiatric residential facilities: a multicenter follow-up study.BMC psychiatry · 2024Article
- The Use of Multifamily Discharge Preparation Groups in the Discharge Process of Patients with Schizophrenia.Journal of multidisciplinary healthcare · 2024Article
- Comparative Effectiveness of Integrated Peer Support and Clinical Staffing Models for Community-Based Residential Mental Health Rehabilitation: A Prospective Observational Study.Community mental health journal · 2023Observational
- Effectiveness of Clozapine on Employment Outcomes in Treatment-Resistant Schizophrenia: A Retrospective Bidirectional Mirror-Image Study.Neuropsychiatric disease and treatment · 2023Article
- The growing evidence for mental health rehabilitation services and directions for future research.Frontiers in psychiatry · 2023Article
- Cross-Sectional Comparison of Treatment Provided Under the Clinical, Integrated, and Partnership Staffing Models for Community-Based Residential Mental Health Rehabilitation.Community mental health journal · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsCommunity care units (CCUs) are a model of residential psychiatric rehabilitation aiming to improve the independence and community functioning of people with severe and persistent mental illness. This study examined factors predicting improvement in outcomes among CCU consumers.
methodsHierarchical regression using data from a retrospective cohort (N = 501) of all consumers admitted to five CCUs in Queensland, Australia between 2005 and 2014. The primary outcome was changed in mental health and social functioning (Health of the Nation Outcome Scale). Secondary outcomes were disability (Life Skills Profile-16), service use, accommodation instability, and involuntary treatment. Potential predictors covered service, consumer, and treatment characteristics. Group-level and individualised change were assessed between the year pre-admission and post-discharge. Where relevant and available, the reliable and clinically significant (RCS) change was assessed by comparison with a normative sample.
resultsGroup-level analyses showed statistically significant improvements in mental health and social functioning, and reductions in psychiatry-related bed-days, emergency department (ED) presentations and involuntary treatment. There were no significant changes in disability or accommodation instability. A total of 54.7% of consumers demonstrated reliable improvement in mental health and social functioning, and 43.0% showed RCS improvement. The majority (60.6%) showed a reliable improvement in psychiatry-related bed-use; a minority demonstrated reliable improvement in ED presentations (12.5%). Significant predictors of improvement included variables related to the CCU care (e.g. episode duration), consumer characteristics (e.g. primary diagnosis) and treatment variables (e.g. psychiatry-related bed-days pre-admission). Higher baseline impairment in mental health and social functioning (β = 1.12) and longer episodes of CCU care (β = 1.03) increased the likelihood of RCS improvement in mental health and social functioning.
conclusionsCCU care was followed by reliable improvements in relevant outcomes for many consumers. Consumers with poorer mental health and social functioning, and a longer episode of CCU care were more likely to make RCS improvements in mental health and social functioning.
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