Houngbedji, Nikola;
Dalton-Locke, Christian;
Hughes, Amelia;
Killaspy, Helen;
(2025)
Mental health rehabilitation models for people with complex psychosis: a systematic review.
BMC Psychiatry
, 25
(1)
, Article 812. 10.1186/s12888-025-07174-8.
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Abstract
Background: Mental health rehabilitation services support people with complex psychosis to live successfully in the community. This systematic review aimed to identify and compare the approach and effectiveness of different models of mental health rehabilitation. Methods: Six online databases (PsycINFO, EMBASE, Cochrane Library, CINAHL Plus, MEDLINE and Emcare) were searched for quantitative, qualitative, and mixed-methods studies published since 2000 that described mental health rehabilitation models. The search was extended by screening references and citations of included studies. A narrative synthesis of included studies was conducted, describing the characteristics and effectiveness of the different models. Results: We identified 24 studies which met our inclusion criteria. The studies were categorised based on the rehabilitation model that they described or the main defining feature of the rehabilitation model if it was not a named model (Strengths-Based (n = 4), Goal-Oriented (n = 2), Holistic Care (n = 4), Community Rehabilitation in Low-Income Countries (n = 4), Illness Management and Recovery Programmes (n = 5), Intensive Case Management (n = 2), and Psychosocial Rehabilitation (n = 3)). The rehabilitation models originated from a range of settings, including high-income (Australia, Denmark, Hong Kong, Israel, Italy, Korea, Netherlands, Spain, Sweden, United States), upper-middle-income (China), and low-income countries (Ethiopia, India, Indonesia, South Africa, Sudan, Turkey). While many of the models were shown to be effective in specific areas, such as personal recovery, symptom reduction, and social functioning, none emerged as universally superior, with varying strengths and limitations across different contexts and outcomes. Conclusion: A range of mental health rehabilitation models exists globally. Whilst some appear suited to certain contexts and some have demonstrated effectiveness in regard to specific outcomes, greater consensus on the specific components comprising a comprehensive biopsychosocial approach to mental health rehabilitation for people with complex psychosis is needed. However, a degree of flexibility is required to ensure the model can be effectively implemented in local settings.
| Type: | Article |
|---|---|
| Title: | Mental health rehabilitation models for people with complex psychosis: a systematic review |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12888-025-07174-8 |
| Publisher version: | https://doi.org/10.1186/s12888-025-07174-8 |
| Language: | English |
| Additional information: | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Keywords: | Complex psychosis, Effectiveness, Mental health, Model of care, Rehabilitation, Systematic review |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10212964 |
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