ArticleIndian journal of psychiatry2026
Rehabilitation orientation in psychiatric outpatient consultations for severe mental illness: A qualitative study from southern India.
Article in Indian journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Rehabilitation services are crucial for functional improvement of patients with severe mental illness (SMI). However, evidence regarding the extent to that such services are offered in routine clinical practice in India is lacking. The present study aimed to 1) explore rehabilitation efforts during real-time outpatient consultations for persons with SMI and 2) identify strategies to optimize rehabilitation-oriented care for SMI. Methods: In-depth semi-structured interviews were conducted with patient and family caregiver dyads ( Results: Clinical aspects of SMI, such as treatment adherence, current symptom evaluation, psychoeducation, and comorbidities, were adequately addressed. Functionality assessment, welfare facilitation, and family burden were missed, and the family did not seek help for the loss of functioning, inability to travel alone, or manage money, and social withdrawal. Needs were missed due to a lack of awareness (dyads and doctors) and hesitation (dyads). Solution: Concise rehabilitation tools/modules, information material in layman's language, and adequate psychoeducation. Resource mapping, continued support, and individualized planning must be inculcated at the beginning of psychiatric training. Conclusion: Modification of the clinical approach, supported by assessment tools and informational materials, can facilitate rehabilitation of individuals with SMI in outpatient settings. Further research to develop and evaluate time-efficient modules and tools that incorporate input from patients and caregivers may improve functional outcomes.
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