The Influence of a Psychosocial Rehabilitation Program in a Community Health Setting for Patients with Chronic Mental Disorders

Paweł Rasmus, Anna Lipert, Krzysztof Pękala, Małgorzata Timler, Elżbieta Kozłowska, Katarzyna Robaczyńska, Tomasz Sobów, Remigiusz Kozłowski, Michał Marczak and Dariusz Timler
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Paweł Rasmus: Department of Medical Psychology, Medical University of Lodz, 90-419 Lodz, Poland
Anna Lipert: Department of Sports Medicine, Medical University of Lodz, 90-419 Lodz, Poland
Krzysztof Pękala: Department of Medical Psychology, Medical University of Lodz, 90-419 Lodz, Poland
Małgorzata Timler: Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland
Elżbieta Kozłowska: Department of Experimental Immunology, Medical University of Lodz, 90-419 Lodz, Poland
Katarzyna Robaczyńska: Department of Health Care Management, Medical University of Lodz, 90-419 Lodz, Poland
Tomasz Sobów: Department of Medical Psychology, Medical University of Lodz, 90-419 Lodz, Poland
Remigiusz Kozłowski: Center of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-136 Lodz, Poland
Michał Marczak: Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland
Dariusz Timler: Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, 90-419 Lodz, Poland

IJERPH, 2021, vol. 18, issue 8, 1-11

Abstract: Purpose : To examine (a) the amount of health-related behavior, (b) the level of generalized optimism, (c) the belief about patients’ abilities to cope with difficult situations and obstacles and (d) the subjective sense of social exclusion at baseline and at follow-up among patients with chronic mental health issues participating in a psychosocial rehabilitation program in a community mental health setting. Materials and Methods : This prospective study involved 52 participants aged 18–43 years and diagnosed with mental illness who participated in a 6-month psychosocial rehabilitation program, organized within a special community setting. Different questionnaires were used: the Health-Related Behavior Questionnaire, the Revised Life Orientation Test, the General Self-Efficacy Scale, the Personal Competence Scale and a self-made questionnaire concerning social exclusion problems. Results : Statistical analysis of the questionnaire results taken at the beginning and end of the six-month course, running from November 2015 to May 2016, revealed significant increases in health-related behavior ( p = 0.006) and general self-efficacy ( p = 0.01). Conclusions: Psychosocial rehabilitation programs offered by community mental health settings might serve as an easy, accessible strategy to deal with different interpersonal and intrapersonal problems and as a potential way to improve health behavior. Further research is required to evaluate other psychosocial rehabilitation programs in different community mental health settings in Lodz Voivodeship, Poland.

Keywords: mental health; rehabilitation; care; health services research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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