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Rehabilitation programme of residential care home: compare the results in two different models Ribas,S.; Infante,P.; Fernandez,D.

16th International Conference for Integrated Care 2016

Introduction • Residential care Homes are psychosocial and community

devices for people with a severe mental illness. The device works with users to achieve their personal independence, retrieval capabilities and the greatest possible autonomy. • Although the model of Residential care Homes was initially

defined by the Department of Labor, Socials Affairs and Families, Generalitat of Catalonia, in 2004-2005, presently we can find a diversity of intervention programmes. This diversity suggests there may be significant differences in the evolution of the rehabilitation processes.

Introduction • The study shows the results in two different

models of residential care homes: HOME 1

HOME 2

Comprehensive intervention programme

Partial rehabilitation programme

Activities in group and individual

Activities only individual

Intervention areas:

Intervention areas:



Basic everyday activities



Basic everyday activities



Instrumental activities of daily living



Instrumental activities of daily living



Rehabilitation cognitive activities



Activities of social inclusion and community insertion



All the residents can also be participating in rehabilitation activities in other mental health ad community services

Methodology SCALES

Statistical analysis

• BELS: assesses the level of autonomy for basic skills of daily living • HONOS: assesses the impact of the mental illness

• The Cohen's d • The Pearson product moment correlation coefficient

• Total 63 individuals

Population

• Primary diagnosis of schizophrenia • Age: from 36 to 65 • The users were divided in two groups, one from each residential home and separated in three interval groups according to age

Results

(scores 2013)

Conclusion • When the age increases the community skills deteriorate in all users of the

sample • There are significant differences in the impact of mental illness between the

two models of residential homes only in the age range from 56 to 65 • We can consider that this difference is due to the implementation of a

comprehensive rehabilitation programme within the home • Applying this kind of programme the impact of mental illness should not

increase when the users are unable to come to external rehabilitation centres • Therefore, it is essential to maintain rehabilitation programmes integrated

within the resources of residential homes, to insure the preservation of skills, personal and functional abilities as well as acquiring new habits and lifestyles

Thank you

16th International Conference for Integrated Care 2016