Abstract

GONZALEZ CASES, Juan et al. Analysis of the effectiveness of Psychosocial Rehabilitation Centers. Rev. Asoc. Esp. Neuropsiq. [online]. 2016, vol.36, n.129, pp.139-155. ISSN 2340-2733.

Introduction: Psychosocial Rehabilitation Centres for people with severe mental illness form part of the public network of social services in the Community of Madrid. Despite their long history in that region, few studies have attempted to evaluate their effectiveness. The present study retrospectively analyzes results obtained in three central domains of recovery: psychosocial functioning, quality of life and disability. Material and methods: 3173 scores of 1457 people who received treatment over 5 years (2008-2012) in 10 Psychosocial Rehabilitation Centres were analyzed. The following instruments were used: an in-house questionnaire of social, demographic and clinical data, the Satisfaction with Life Domain Scale (SLDS), the Global Assessment of Functioning Scale (GAF) and the World Health Organization's Short Disability Assessment Schedule (WHO DAS-S). Results: Statistically significant correlations were drawn between the measures in all instruments and the total duration of treatment received at the centres. Longer time in treatment was associated with improved results at least over a five-year period. When the data were stratified by sex, women improved more overall and at a faster rate than men. Conclusion: People who received treatment at Psychosocial Rehabilitation Centres improved in terms of quality of life, psychosocial functioning and disability. This improvement was more pronounced within the first five to eight years of intervention and was greater in women than in men.

Keywords : mental illness; rehabilitation; treatment outcome.

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