Using a mixed methods approach to examine the effectiveness of inpatient rehabilitation services following a programme of planned bed closures

Mutale, GJ ORCID: https://orcid.org/0000-0002-7743-2675, De Motte, C ORCID: https://orcid.org/0000-0003-1020-3226 and Bailey, D ORCID: https://orcid.org/0000-0001-5823-7746, 2020. Using a mixed methods approach to examine the effectiveness of inpatient rehabilitation services following a programme of planned bed closures. Journal of Psychosocial Rehabilitation and Mental Health. ISSN 2198-9834

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Abstract

This study examined inpatient rehabilitations service in one area in England following a programme of planned bed closures in parts of the service. The study examined changes to admission rates and length of stay in the parts of the service that existed prior to and after the bed closure programme. A mixed method evaluation design was used. Quantitative data relating to admissions and length of inpatients stays bed days was compared for the 3 years up to the bed closures and for the 3 years afterwards. Similarly use of mental health sections for service users being admitted, and contacts with community mental health teams were also compared for the same 3-year pre and post period. Qualitative data from service users, carers of service users, and staff were analyzed thematically to provide an insight into any changes in rehabilitation service usage as a result of the closure programme. In the rehabilitation services that existed before and after bed closures in other parts of the service quantitative findings showed a significant reduction post-rehabilitation stay in all measures except contact with community teams. Qualitative analysis revealed that this is because rehabilitation enables a successful transition into the community and allows for effective relationships to be built between staff and service user. The reduction seen in service utilization suggests rehabilitation has the potential to reduce the revolving door to inpatient metal health care.

Item Type:	Journal article
Publication Title:	Journal of Psychosocial Rehabilitation and Mental Health
Creators:	Mutale, G.J., De Motte, C. and Bailey, D.
Publisher:	Springer Nature
Date:	12 March 2020
ISSN:	2198-9834
Identifiers:	Number Type 10.1007/s40737-020-00160-1 DOI 1307421 Other
Rights:	© 2020 Springer Nature Switzerland AG. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Divisions:	Schools > School of Social Sciences
Record created by:	Linda Sullivan
Date Added:	23 Mar 2020 12:34
Last Modified:	23 Mar 2020 12:34
URI:	https://irep.ntu.ac.uk/id/eprint/39441

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