Abstract
The aim of this study is to assess symptomatic remission (SR) and functional remission (FR) in a rehabilitation focused program for young adults with a psychotic disorder in the Netherlands, and to investigate which individual and mental health care factors are associated with SR and/or FR, by using Routine Outcome Monitoring data and data on met needs and unmet needs for care. Data of 287 young adults were collected. Almost 40% achieved or maintained SR, 34% FR, and 26% achieved or maintained both. In addition to sociodemographic factors, living independently, paid employment, higher levels of compliance with treatment, and better fulfillment of unmet needs for care in relation to psychological distress, company and daytime activities were associated with better outcomes on SR and/or FR. Our findings underscore that to successfully improve and sustain remission in young adults with a psychotic disorder, it is needed to conduct specific research into the relationship between SR and FR.
Highlights
While there are numerous longitudinal studies about the development of the mental and functional condition of individuals with severe mental illness (SMI; Drake et al 2004; Harding et al 1987; Mueser et al 2003; Swanson et al 2006), comparatively little is known about how fulfillment of specific needs for care contributes to recovery in terms of
For a subgroup of the participants we studied remission over time and compared remission outcomes from the last two measurements, with 6–18 months between measurements
Data was collected in a naturalistic cohort study, based on 910 measurements from 287 individuals
Summary
While there are numerous longitudinal studies about the development of the mental and functional condition of individuals with severe mental illness (SMI; Drake et al 2004; Harding et al 1987; Mueser et al 2003; Swanson et al 2006), comparatively little is known about how fulfillment of specific needs for care contributes to recovery in terms of Remission is seen as the condition whereby people with SMI have experienced an improvement in core signs and symptoms in such way that any remaining symptoms are no longer of significant influence on behavior (Andreasen et al 2005). Remission is seen by Andreasen et al (2005) and Van Os et al (2006) as a necessary but not sufficient step toward recovery, which these authors describe as a more permanent state. Recovery processes are frequently divided into three overlapping dimensions: personal (Leamy et al 2011), symptomatic and functional (Dröes and Plooy 2010).
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