Evidence map›Paper›PMID 34813607›Full record

ArticlePloS one2021

Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.

A Leet, S Dennis, J Muller, S Walsh, H Bowen-Salter, J Kernot

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A LeetBarossa Hills Fleurieu Local Health Network/ Rural and Remote Mental Health Service, Angaston, Australia.
S DennisFlinders and Upper North Local Health Network/ Whyalla Integrated Mental Health Service, Whyalla, Australia.ORCID 0000-0002-1469-6083
J MullerDepartment of Rural Health, Allied Health and Human Performance/ University of South Australia, Adelaide, Australia.ORCID 0000-0001-5060-0555
S WalshDepartment of Rural Health, Allied Health and Human Performance/ University of South Australia, Adelaide, Australia.ORCID 0000-0001-9702-652X
H Bowen-SalterInternational Centre for Allied Health Evidence, Allied Health and Human Performance/University of South Australia, Adelaide, Australia.ORCID 0000-0001-9629-6317
J KernotOccupational Therapy Program, Allied Health and Human Performance/ University of South Australia, Adelaide, Australia.ORCID 0000-0001-8702-7705

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents.

aimTo analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers.

methodsA mixed method, realist evaluation approach was utilised. A purposive sample of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants' perspectives of the service were gained via one staff focus group (n = 6) and individual semi-structured interviews (consumers n = 6; staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically.

resultsSignificant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified.

conclusionMaintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes. SIGNIFICANCE: This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.

Indexed as

Community Mental Health ServicesMental HealthRural Health ServicesHealth Care ReformHumansRural PopulationSouth Australia

Identifiers

PMID34813607
PMCPMC8610260

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.