title: Predictors and Prevalence of Recovery and Remission for Consumers Discharged from Mental Hospitals in a Chinese Society.
abstract: This research study examines the 1 year rate of recovery and remissions for consumers recently discharging from mental hospitals and identifies factors predicting recovery and remissions in the Hong Kong context. By adopting a prospective longitudinal follow-up research design, a cohort of Chinese people discharged from the mental hospitals and participating in a community-based psychosocial program was followed for 1 year. These individuals were assessed by using standardized assessment scales at baseline, 6 months, and 12 months of follow-up. At 1 year follow up, the rates of recovery, functional and symptomatic remission were 8.0%, 23.0% and 79.3% respectively. Logistic regression analyses indicted that: current recovery was significantly predicted by baseline functioning level and achieving open employment, symptomatic remission was significantly predicted by previous symptom severity and having open employment at baseline, while functional remission was significantly predicted by previous functioning level and having open employment. Result indicates that it is more difficult to achieve functional remission and recovery than symptomatic remission for consumers recently discharging from mental hospitals. Also, symptomatic remission is found not a sufficient condition for recovery, while functional remission plays a vital role in recovery. Helping consumers to achieve open employment and improve social functioning are identified as the predicting factors for recovery and functional remission in the local context.
authors.affiliation: Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong. danielyoung@hkbu.edu.hk.|AAB1015, Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong. danielyoung@hkbu.edu.hk.
authors.forename: Daniel K W
authors.identifier: 0000-0002-6136-7389
authors.initials: DKW
authors.lastname: Young
authors.affiliation: Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
authors.forename: Petrus Y N
authors.initials: PYN
authors.lastname: Ng
authors.affiliation: Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
authors.forename: Jiayan
authors.initials: J
authors.lastname: Pan
mesh_terms: D000328:Adult; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006723:Hong Kong / Q000453:epidemiology; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D015995:Prevalence; D012074:Remission Induction
keywords: Chinese; Functional remission; Recovery; Severe mental illness; Symptomatic remission