Challenges of Implementing Psychiatric Rehabilitation Services: A Low-And Middle-Income Country Case Example Publisher



Tabatabaee M¹ ; Mirsepassi Z¹ ; Sharifi V¹ ; Mottaghipour Y¹
Source: BJPsych International Published:2021

Abstract

This article aims to explore the barriers and challenges of implementing psychiatric rehabilitation services at a psychiatric hospital in Iran. We performed an internal mixed-methods evaluation by adopting a multi-method approach. The data were organised, analysed and interpreted by the evaluation team. A low participation rate, administrative issues, low fidelity to protocols and incomplete documentation were the main findings. Implementing and maintaining rehabilitation services in low-and middle-income country settings requires more than a mere transfer of models of psychiatric rehabilitation; it needs adaptation to the local context as well as continuous evaluation and quality improvement in an iterative fashion, given the rapidly changing contexts with scarce resources. © The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists.