Page 136 - Hospital Authority Convention 2017

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2017

F3.4 Clinical Safety and Quality Service I 14:30 Room 421

Prediction of Length of Stay from Recovery Factors in Psychiatric Rehabilitation
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Lai FHY , Chiu JCK , Tse PLC , Chiu FBF , Fan SHU , Cheung JCC , Chan ASM , Ho ECW , Tse TLY , So BTY , Tsui JWM ,
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Cheung JPH , Chen EWC , Chan SHY , Wong SKM 1
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Occupational Therapy Department, Tai Po Hospital, Occupational Therapy Department, Northern District Hospital, Hong Kong
Introduction
The recovery of individual clients in psychiatric rehabilitation is a unique personal experience (Davidson et al., 2006). An
objective measure of the effectiveness of recovery has long been advocated in foreign countries (Frese et al, 2001; Repper &
Perkins, 2006). To embrace the objective effectiveness measure, the recovery model should follow directions with evidence-
based implementation, as well as guide the development of recovery programme. Farkas (2007) model of recovery, which
involved those advantages, was adopted in our setting.
Objective
To evaluate a group of inpatients with mental illness participating in a three-week recovery-based occupational therapy
programme. All 60 subjects recruited would participate in a series of goal setting trainings, psycho-educations, empowerment
activities and therapeutic groups.
Methodology
Tuesday, 16 May Clients’ level of hope was assessed by Chinese Hope Scale (CHS) which composed of items of agency (i.e. goal-directed
energy) and pathways (i.e. planning to accomplish goals) domains. Moreover, the Chinese Short Warwick-Edinburgh
Mental Well-being Scale (CSWEMWBS) was used to assess mental well-being of clients. Furthermore, the Chinese Illness
Management and Recovery Scale (CIMRS) was used to examine their knowledge about mental illness, adequacy of social
support, notify their treatment adherence, document relapse prevention planning, and to verify coping efficacy.
Results
All 60 subjects showed improvement in generating routes to recovery goals (p<.01), enhanced capacity in initiating (p< .05)
and maintaining the actions to reach their recovery goals (p< .05). A regression analysis was conducted to predict clients’
length of stay with those recovery measures. The regression model was able to predict a significant proportion of variance
in patients’ length of stay (R²= .32). Agency subscales in the Chinese Hope Scale contributed significantly to the regression
model (β = .21), while the feeling of getting closer to other people contributed (β = .09), feeling relaxed (β = .11), dealing
with problems well (β = .09) in CSWEMWBS showed their significance. Moreover, the involvement of family and friends in
recovery (β = .09) and increased in knowledge of recovery (β = .12) showed significant contribution in illness management
and recovery.

A number of recovery factors shown to be a significant predictor. Nevertheless, further studies with larger samples from more
diversified populations are suggested for generalisation of the results. Moreover, the study period can be longer in exploring
further outcomes of recovery.

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