Awara Mahmoud, Green Joshua T
The Royal College of Psychiatrists, London, UK.
Dalhousie University, Medical School, Halifax, Canada.
Community Ment Health J. 2025 Jan;61(1):55-58. doi: 10.1007/s10597-024-01325-z. Epub 2024 Aug 5.
This study aims to investigate the intricacies of inpatient psychosocial rehabilitation by examining a community-based mental health inpatient rehabilitation service in Nova Scotia, Canada. It provides a comparative analysis with national standards using the Quality Indicator for Rehabilitative Care (QuIRC) and offers recommendations for improvement. The study will link findings to research on enhancing specific domains, focusing on strategies to address identified challenges and leverage opportunities to meet or exceed national benchmarks in promoting recovery and social inclusion. This study utilizes the QuIRC as a primary assessment tool to evaluate the quality of care in psychiatric and psychosocial rehabilitation care unit. The QuIRC assessment findings reveal crucial insights across several domains, including the living and therapeutic environment, treatments and interventions, self-management and autonomy, social interface, human rights, and recovery-based practices. The study identifies strengths and areas for improvement by comparing unit scores with national averages in Canada, offering a detailed examination of the quality of care provided in a community-based psychosocial rehabilitation service. Using the QuIRC identifies strengths and areas for improvement of current care provided, opening opportunities for positive change and improved quality of care. By highlighting the critical indicators of the quality of care and best practices derived from the QuIRC assessment, this study provides practical insights that can be directly applied by practitioners, policymakers, and stakeholders, fostering an understanding of essential elements that support effective mental health rehabilitation within community settings.
本研究旨在通过考察加拿大新斯科舍省一项基于社区的心理健康住院康复服务，探究住院心理社会康复的复杂性。它使用康复护理质量指标（QuIRC）与国家标准进行比较分析，并提出改进建议。该研究将研究结果与关于加强特定领域的研究相联系，重点关注应对已识别挑战的策略以及利用机会在促进康复和社会融入方面达到或超过国家基准。本研究利用QuIRC作为主要评估工具，来评估精神科和心理社会康复护理单元的护理质量。QuIRC评估结果揭示了多个领域的关键见解，包括生活和治疗环境、治疗与干预、自我管理与自主性、社会互动、人权以及基于康复的实践。该研究通过将单元得分与加拿大全国平均水平进行比较，确定了优势和改进领域，详细考察了基于社区的心理社会康复服务所提供的护理质量。使用QuIRC确定了当前所提供护理的优势和改进领域，为积极变革和提高护理质量带来了机会。通过突出护理质量的关键指标以及QuIRC评估得出的最佳实践，本研究提供了可直接应用于从业者、政策制定者和利益相关者的实用见解，促进了对支持社区环境中有效心理健康康复的基本要素的理解。
