Mental-health rehabilitation services originated during the era of asylum closures when they drove the development of community mental health services and supported accomodation for people with longer-term and complex mental-health problems. They remain an important component of the whole mental-health system providing longer-term inpatient and community-based services in most Mental Health Trusts across England. However, little is known about the profile of current users of rehabilitation services and whether these services, originally developed to re-provide for patients of the asylum and other psychiatric institutions meet the needs of their modern-day clients. A survey of 141 clients of rehabilitation services in Camden and Islington found that most of them had a diagnosis of schizophrenia or schizoaffective disorders. Around 7% had a substance-abuse problem. Over half had at least one challenging behaviour that was difficult to manage or occured frequently. Clients in longer-term, hospital-based settings had the poorest social functioning and the greatest number of needs. Compared to rehabilitation service users in 1998 clients had more unmet accomodation and money needs but fewer unmet needs in the areas of psychological distress, psychotic symptoms and social relationships.
Killaspy, Helen, Rambarran, Dolly and Bledin, Ken - Mental health needs of clients of rehabilitation services: a survey in one Trust Journal of Mental Health April 2008, 17(2), 207-218