Promoting recovery via an integrated model of care to deliver a bed-based, mental health prevention and recovery centre.
Australas Psychiatry
; 22(5): 481-8, 2014 Oct.
Article
en En
| MEDLINE
| ID: mdl-25147312
ABSTRACT
OBJECTIVE:
This research was conducted in order to explore the experience of care and outcomes for people entering a bed-based step-up/step-down Prevention and Recovery Centre (PARC).METHODS:
An audit of files for PARC participants in 2010 collected demographic (age, gender, and marital, housing, employment and education/training status) and clinical measures (length of stay, entry and exit outcome measures, psychiatric hospital use). Participants were also invited to a feedback group to discuss their PARC experience.RESULTS:
In 2010, 118 people entered PARC. Most were single and unemployed and 35% were in temporary housing or homeless. In the six months following PARC exit, participants spent significantly less time in psychiatric hospital than in the six months prior to entry (p<0.001). Significant reductions in clinician-rated difficulties were documented at exit (p<0.001). For 40 episodes of care with self-report measures at entry and exit, significant reductions in difficulties with relating to self/others (p=0.004), daily living/role functioning (p=0.006), and depression/anxiety (p=0.019) were seen. Twelve participants attended a feedback group. Positive aspects of PARC included supportive and caring staff; help with practical issues or community access; therapeutic activities and learning about health; and socialization opportunities.CONCLUSIONS:
A step-up/step-down PARC can facilitate recovery for people with mental illness through promoting independence and illness self-management.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Centros Comunitarios de Salud Mental
/
Prestación Integrada de Atención de Salud
/
Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Australas Psychiatry
Asunto de la revista:
PSIQUIATRIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Australia