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Brophy L, Fletcher J, Dawadi S, Reece J, Edan V, Enticott J, Farhall J, Fossey E, Hamilton B, Harvey C, Meadows G, Mihalopoulos C, Morrisroe E, Newton R, Palmer V, Vine R, Waks S, Pirkis J. A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia. Aust N Z J Psychiatry 2024:48674241242943. [PMID: 38679852 DOI: 10.1177/00048674241242943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/01/2024]
Abstract
BACKGROUND Prevention and Recovery Care services are residential sub-acute services in Victoria, Australia, guided by a commitment to recovery-oriented practice. The evidence regarding the effectiveness of this service model is limited, largely relying on small, localised evaluations. This study involved a state-wide investigation into the personal recovery, perceived needs for care, well-being and quality-of-life outcomes experienced by Prevention and Recovery Care services' consumers. METHODS A longitudinal cohort design examined the trajectory of self-reported personal recovery and other outcomes for consumers in 19 Victorian Prevention and Recovery Care services over 4 time points (T1 - 1 week after admission; T2 - within 1 week of discharge; T3 - 6 months after discharge; T4 - 12 months after discharge). T2-T4 time frames were extended by approximately 3 weeks due to recruitment challenges. The Questionnaire about the Process of Recovery was the primary outcome measure. RESULTS At T1, 298 consumers were recruited. By T4, 114 remained in the study. Participants scored higher on the Questionnaire about the Process of Recovery at all three time points after T1. There were also sustained improvements on all secondary outcome measures. Improvements were then sustained at each subsequent post-intervention time point. Community inclusion and having needs for care met also improved. CONCLUSION The findings provide a consistent picture of benefits for consumers using Prevention and Recovery Care services, with significant improvement in personal recovery, quality of life, mental health and well-being following an admission to a Prevention and Recovery Care service. Further attention needs to be given to how to sustain the gains made through a Prevention and Recovery Care service admission in the long term.
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Affiliation(s)
- Lisa Brophy
- School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, Australia
- Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia
| | - Justine Fletcher
- Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia
| | - Shrinkhala Dawadi
- Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia
| | - John Reece
- Discipline of Psychological Sciences, Australian College of Applied Professions, Melbourne, VIC, Australia
| | - Vrinda Edan
- Centre for Mental Health Nursing, Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Joanne Enticott
- Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia
| | - John Farhall
- Department of Psychology, Counselling and Therapy, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia
| | - Ellie Fossey
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia
| | - Bridget Hamilton
- Centre for Mental Health Nursing, Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Carol Harvey
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
- North West Area Mental Health, Division of Mental Health, Northern Health, Melbourne, VIC, Australia
| | - Graham Meadows
- School of Psychology, Psychiatry and Psychological Medicine, Monash University, Melbourne, VIC, Australia
| | - Cathrine Mihalopoulos
- School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
- School of Health and Social Development, Faculty of Health, Deakin University, Melbourne, VIC, Australia
| | - Emma Morrisroe
- Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Richard Newton
- Peninsula Mental Health Service, Melbourne, VIC, Australia
- Department of Psychiatry, Monash University, Melbourne, VIC, Australia
| | - Victoria Palmer
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia
- Department of General Practice and Primary Care, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Ruth Vine
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
| | - Shifra Waks
- Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Chippendale, NSW, Australia
| | - Jane Pirkis
- Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia
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Waks S, Morrisroe E, Reece J, Fossey E, Brophy L, Fletcher J. Consumers lived experiences and satisfaction with sub-acute mental health residential services. Soc Psychiatry Psychiatr Epidemiol 2024:10.1007/s00127-024-02631-3. [PMID: 38456931 DOI: 10.1007/s00127-024-02631-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 01/31/2024] [Indexed: 03/09/2024]
Abstract
PURPOSE Sub-acute recovery-oriented facilities offer short-term residential support for people living with mental illness. They are generally highly regarded by consumers, with emerging evidence indicating that these services may support recovery. The aim of the current study was to explore the relationship between personal recovery and consumers' satisfaction with sub-acute residential services, and consumers' views about service features that aid recovery. METHODS Consumers at 19 adult Prevention and Recovery Care Services in Victoria, Australia, were invited to complete measures containing sociodemographic information and measures on personal recovery and wellbeing. After going home, participants were invited to complete measures on service satisfaction and experience. RESULTS Total and intrapersonal scores on the personal recovery measure increased significantly between Time 1 and Time 2, indicating marked improvement. Personal recovery and satisfaction measures were moderately to strongly correlated. Thematically analysed open-ended responses revealed themes of feeling connected, finding meaning and purpose, and self-empowerment as important aspects of these services, with some recommendations for improvements. CONCLUSION Sub-acute residential mental health care may support individuals' personal recovery; consumer satisfaction indicates these services also offer an acceptable and supportive environment for the provision of recovery-oriented care. Further exploring consumers' experiences of sub-acute residential services is essential to understand their effectiveness, opportunities for improvement and intended impacts on personal recovery.
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Affiliation(s)
- S Waks
- Discipline of Clinical Psychology, Graduate Schools of Health, University of Technology Sydney, Chippendale, NSW, Australia
| | - E Morrisroe
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
| | - J Reece
- Discipline of Psychological Science, Australian College of Applied Professions, Melbourne, VIC, Australia
| | - E Fossey
- Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, VIC, Australia
| | - L Brophy
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia.
- Social Work & Social Policy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, 3086, Australia.
| | - J Fletcher
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Melbourne, VIC, Australia
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Coleman M, Cuesta-Briand B, Ngo H, Bass R, Mills-Edward N, Ennals P. Developing fit-for-purpose funding models for rural settings: Lessons from the evaluation of a step-up/step-down service in regional Australia. Front Psychiatry 2023; 14:1036017. [PMID: 36778633 PMCID: PMC9911213 DOI: 10.3389/fpsyt.2023.1036017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Accepted: 01/10/2023] [Indexed: 01/28/2023] Open
Abstract
INTRODUCTION Sub-acute mental health community services provide a bridging service between hospital and community care. There is limited understanding of the local factors that influence success, and of the funding implications of delivering services in rural areas. METHODS This paper draws from quantitative and qualitative evaluation data from a regional Western Australian service to explore these issues. RESULTS Consumers satisfaction with the service was high and, overall, admission to the service resulted in positive outcomes. High re-admission rates may be linked to limited community support services following discharge. DISCUSSION Our results suggest that outcomes may be enhanced by implementing flexible approaches that address the resource limitations of the rural context, and that the current funding model for sub-acute mental health services in rural Australian may not be fit for purpose. More needs to be understood about how these services can be better integrated with existing support services, and how they can be better funded.
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Affiliation(s)
- Mathew Coleman
- The Rural Clinical School of WA, The University of Western Australia, Albany, WA, Australia.,Great Southern Mental Health Service, WA Country Health Service, Albany, WA, Australia.,Telethon Kids Institute, Nedlands, WA, Australia
| | - Beatriz Cuesta-Briand
- The Rural Clinical School of WA, The University of Western Australia, Albany, WA, Australia
| | - Hanh Ngo
- The Rural Clinical School of WA, The University of Western Australia, Albany, WA, Australia
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Tibrewal P, Allison S, Looi JC, Lewin H, Kanigere MK, Bastiampillai T. A perfected mismatch: Are prevention and recovery care services really comparable to acute inpatient units? Aust N Z J Psychiatry 2021; 55:730-731. [PMID: 33971739 DOI: 10.1177/00048674211011247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Prashant Tibrewal
- Discipline of Psychiatry, The University of Adelaide, Adelaide, SA, Australia.,Department of Psychiatry, Cramond Clinic, The Queen Elizabeth Hospital, Woodville South, SA, Australia
| | - Stephen Allison
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.,Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia
| | - Jeffrey Cl Looi
- Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.,Academic Unit of Psychiatry and Addiction Medicine, Medical School, The Australian National University, Canberra, ACT, Australia
| | - Harrison Lewin
- School of Medicine, The University of Adelaide, Adelaide, SA, Australia
| | - Milanduth K Kanigere
- Department of Psychiatry, Cramond Clinic, The Queen Elizabeth Hospital, Woodville South, SA, Australia
| | - Tarun Bastiampillai
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.,Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia.,Department of Psychiatry, Monash University, Clayton, VIC, Australia
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