Developing a vocational social rehabilitation model to increase the independence of the instrumental activity of daily living (ADL) among people with severe mental illness.

Abstract

Background: One of the efforts made to return people with severe mental illness to the community is to prepare with sufficient skills so then they can return to a productive life. The purpose of this study was to develop a vocational social rehabilitation model to increase the independence of the instrumental activity of daily living (ADL) among people with severe mental illness.Design and Methods: The study was conducted in 2 stages. Phase 1 used an observational design with a cross sectional approach. It was conducted at the Menur Mental Hospital from March to July 2020. The population of this study were all people with severe mental illness with a psychotic degree scoring ≥30. The total sample was 100. The data was analyzed using the Partial Least Square. The second phase was carried out by compiling modules from strategic issues and conducting expert consultations.Results: The results of phase 1 showed that the instrumental ADL independence was directly influenced by perceived behavior, memory phase, motivation phase, skills and intention. Additionally, it is indirectly influenced by socio-demography, mental illness severity, attitude towards behavior, subjective norm, perceived behavioral control, attention, retention, motor reproduction, motivation and skill. The results of the phase 2 carried out were used to compile modules based on the stages of vocational rehabilitation consisting of determining eligibility, preparatory counseling, implementing rehabilitation, evaluation and ongoing support.Conclusion: The vocational social rehabilitation model is related to the independence of the Instrumental ADL among people with severe mental illness. Significance for public health Vocational social rehabilitation is included in prevention level of public health. The aim of vocational social rehabilitation is to increase the independence of the instrumental activity of daily living (ADL) among people with severe mental illness. So, people with mental illness could productively in society and not depend on others. In addition, the vocational social rehabilitation could develop the physical, mental and social abilities among people with mental illness. It is necessary to have rehabilitation institutions that involve the community so people with mental illness can return to normal life.