title: A Study on First Intake Assessments of In-patient Referrals to Psychiatric Rehabilitation Services.
abstract: BACKGROUND
  Psychiatric rehabilitation is an important component in mental health services. The rehabilitation needs of patients with mental illness have been highlighted in various studies. The studies on in-patient referrals to rehabilitation services however are sparse. This study describes the clinical and demographic details and the reasons for referrals to rehabilitation services during the in-patients stay.
  
  
  METHODS
  A semi-structured pro forma was used for the assessment of in-patients referred for the psychiatric rehabilitation services. The pro forma included socio-demographic details such as background, family resources, illness related details such as symptom status, risk assessment, medication details. The total number of referrals for a period of 5 months was collected and coded.
  
  
  RESULTS
  The total number of referrals for a period of 5 months was 216 and there were 197 forms available for the study. The mean age of the sample was 31.48 ± 10.46 years. Vocational rehabilitation was the commonest reason for referral to the in-patient services. Severe mental disorders were the most common diagnosis of patients refereed to the services.
  
  
  CONCLUSIONS
  Patients with severe mental illness were most often referred to the in-patient services. This indicates that we need include to rehabilitation in the management plan at the earliest. Vocational rehabilitation is the most common reason for referrals and there is a need to develop services to cater to these needs.
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Geetha
authors.initials: G
authors.lastname: Desai
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Aniruddha
authors.initials: A
authors.lastname: Narasimha
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Shashidhara N
authors.initials: SN
authors.lastname: Harihara
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: M Srikanth
authors.initials: MS
authors.lastname: Dashrath
authors.affiliation: Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Poornima
authors.initials: P
authors.lastname: Bhola
authors.affiliation: Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: P Nirmala
authors.initials: PN
authors.lastname: Berigai
authors.affiliation: Department of Nursing, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Sailaxmi
authors.initials: S
authors.lastname: Gandhi
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Santhosh K
authors.initials: SK
authors.lastname: Chaturvedi
keywords: In-patient referrals; psychiatry; rehabilitation; vocational