Introduction / Rationale:This study aims to evaluate changes in 12 independent daily living function levels before and after the implementation of a treatment model at a daytime psychiatric rehabilitation institution.
Objectives:The findings will serve as a basis for adjusting rehabilitation goals, plans, and service content.
Methods / Approach:The intervention period at the daytime psychiatric rehabilitation institution spanned from January to June 2023. Participants were asked to complete the self-reported " Journey to Wellness Scale" form (including 12 independent daily living functions) at three time points: before the intervention, three months after the intervention, and six months after the intervention. The number of samples varied across items, ranging from 11 to 14 participants. Effectiveness was evaluated using analytical statistics of Proportional Tests and McNemar Tests to analyze changes in needs across the 12 items.
Results / Practice Implications:Among the 12 independent daily living functions, 10 items showed rehabilitation needs. The number of participants requiring assistance in each category ranged as follows: waking up (3), meal preparation (1), transportation (6), medication adherence (2), social interaction (1), family interaction (2), work ability (3), money management (7), exercise habits (8), and leisure activities (3). Tasks such as brushing teeth and bathing were identified as independent, requiring no external assistance. Overall, the most effective outcomes were observed in brushing teeth, bathing, medication adherence, work ability, money management, exercise habits, and leisure activities (7 items). Areas requiring improvement included waking up, meal preparation, transportation, social interaction, and family interaction (5 items).
Conclusion:The treatment model of the daytime psychiatric rehabilitation institution demonstrated overall effectiveness.It is recommended to promote this model to nationwide "community support" services.