title: Spinal cord injury rehabilitation and mental health, SCReaM.
abstract: OBJECTIVE
  The aim of the study was to investigate whether people with a pre-existing mental health disorder (MHD) benefit from rehabilitation following a spinal cord injury (SCI) and how their outcomes differ from those without a pre-existing MHD.
  
  
  METHODS
  Rehabilitation outcomes of a cohort of patients with pre-existing MHD discharged from the London SCI Centre over a 6-year period were investigated. A retrospective matched case-control study design was used to compare the Spinal Cord Independence Measure III between those with an SCI and pre-existing MHD and those without and both compared with published expected outcomes.
  
  
  RESULTS
  The study found that, overall, those with MHD do benefit from SCI rehabilitation and that their outcomes do not significantly differ from those without MHD. Furthermore, the outcomes were favourable when compared with published expected outcomes.
  
  
  CONCLUSIONS
  Having a pre-existing MHD does not preclude patients with an SCI from benefiting from rehabilitation. These findings are an important basis on which to ensure equal access to rehabilitation for patients with a pre-existing MHD.
authors.affiliation: Department of Rehabilitation Medicine, London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK.
authors.forename: N
authors.initials: N
authors.lastname: Warner
authors.affiliation: Department of Rehabilitation Medicine, London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK.
authors.forename: G
authors.initials: G
authors.lastname: Ikkos
authors.affiliation: Department of Rehabilitation Medicine, London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Middlesex, UK.
authors.forename: A
authors.initials: A
authors.lastname: Gall
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D007902:Length of Stay; D016014:Linear Models; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000453:epidemiology; D008603:Mental Health; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000150:complications* / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D061665:Time-to-Treatment; D016896:Treatment Outcome; D055815:Young Adult