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A framework for evaluating psychiatric rehabilitation practices.

Gary R Bond1, Robert E Drake2, Ana Carolina Florence3

  • 1Department of Psychology, Indiana University Indianapolis.

Psychiatric Rehabilitation Journal
|October 27, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces 10 criteria to evaluate enduring psychiatric rehabilitation interventions like assertive community treatment. These criteria assess ethical, scientific, and practical elements to guide service prioritization for mental health conditions.

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Area of Science:

  • Psychiatric rehabilitation interventions
  • Mental health services research

Background:

  • Deinstitutionalization led to many psychiatric rehabilitation interventions.
  • Few interventions have demonstrated long-term success and widespread adoption.

Purpose of the Study:

  • To identify and define 10 criteria for evaluating the success of psychiatric rehabilitation interventions.
  • To assess exemplary interventions against these criteria.

Main Methods:

  • Reviewed 50 years of psychiatric rehabilitation literature.
  • Examined assertive community treatment, Individual Placement and Support, and Housing First.
  • Assessed these practices against 10 defined criteria.

Main Results:

  • Developed 10 criteria: recovery, model clarity, fidelity, effectiveness, enduring effects, cost-effectiveness, feasibility, scalability/sustainability, policy/funding, and adaptability.
  • Assertive community treatment, Individual Placement and Support, and Housing First demonstrated strong evidence for effectiveness and feasibility.
  • These three interventions vary in meeting the other criteria.

Conclusions:

  • Assertive community treatment, Individual Placement and Support, and Housing First largely meet the 10 criteria.
  • A new framework for evaluating psychiatric rehabilitation programs balances scientific rigor with real-world applicability.
  • This framework provides an objective basis for prioritizing mental health services.