In adults of working age with severe and enduring mental health difficulties, how effective are community rehabilitation programmes (particularly gardening or cooking) in terms of their morbidity and in helping them find work?
The studies included in this evidence summary assessed a very
limited number of intervention types. There was insufficient
evidence to support the effectiveness of life skills training
programmes, on life skills or other outcomes, in people with
psychotic illness. A very small pilot study failed to provide
sufficient evidence to support the effectiveness of the Action Over
Inertia occupational therapy intervention in improving occupational
balance and engagement in people with serious mental illness. One
large RCT, of moderate to poor methodological quality, provided
some evidence that supported employment models with high levels of
integration of psychiatric and vocational services can be effective
in improving employment outcomes for people with in people with
severe and persistent mental illness.
Further research is needed to establish the effectiveness of
these and other community rehabilitation interventions.