Journal of Taiwan Occupational Therapy Research and Practice
Purpose: Psychiatric halfway housing is important for community re-entry in individuals with mental illness. However, the benefits of psychiatric halfway housing have yet to be established. This review provided an overview of the literature pertinent to development of psychiatric halfway house in Taiwan. Methods: The review covered articles published up to May 2014 as retrieved from the Airiti Library, Chinese Electronic Periodical Services (CEPS), Chinese Electronic Theses and Dissertations Service (CETD), and Networked Digital Library of Theses and Dissertations(NDLTD). The key words were halfway house, community rehabilitation, psychiatric disorder, psychiatric rehabilitation, and residential institutions for psychiatric rehabilitation. Issues of review interest include the distribution and environmental characteristics of psychiatric halfway house, the service pattern and significance of psychiatric halfway house, the specialists of psychiatric halfway house, and the effects of psychiatric halfway house. Results: Nineteen reports were eligible for inclusion. The review indicated that the distribution of psychiatric halfway house was insufficient and distributed unevenly. In addition, the service pattern of psychiatric halfway house may not be adequate for assisting patients with mental illness to return home or the community. Specialists may not have been adequately allocated to implement sufficient service. Moreover,the results showed a trend for better life quality in psychiatric halfway house residents than in inpatients. There were no consistent reports of the intervention effects on life quality after community rehabilitation center service, outreach care program, and psychiatric halfway house care. Research is needed to validate the potential benefits of these programs and their differential effects.Conclusion: This literature review suggests that the number and arrangement of each specialist should take the quality of rehabilitation into consideration. Local studies of psychiatric halfway house were lacking, and the indicators of intervention effects were still unclear. Future research is needed to study the intervention effectiveness of each specialist and the cost-effectiveness of psychiatric halfway house.