A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia.

Recovery consumer outcomes mental health prevention sub-acute

Journal

The Australian and New Zealand journal of psychiatry
ISSN: 1440-1614
Titre abrégé: Aust N Z J Psychiatry
Pays: England
ID NLM: 0111052

Informations de publication

Date de publication:
28 Apr 2024
Historique:
medline: 29 4 2024
pubmed: 29 4 2024
entrez: 29 4 2024
Statut: aheadofprint

Résumé

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. 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. 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. 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.

Sections du résumé

BACKGROUND UNASSIGNED
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 UNASSIGNED
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 UNASSIGNED
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 UNASSIGNED
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.

Identifiants

DOI: 10.1177/00048674241242943 PMID: 38679852
pubmed: 38679852
doi: 10.1177/00048674241242943
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

48674241242943

Déclaration de conflit d'intérêts

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Auteurs

Lisa Brophy (L)

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 (J)

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.
ORCID: 0000-0002-5045-6431

Shrinkhala Dawadi (S)

Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia.
ORCID: 0000-0002-4085-9181

John Reece (J)

Discipline of Psychological Sciences, Australian College of Applied Professions, Melbourne, VIC, Australia.

Vrinda Edan (V)

Centre for Mental Health Nursing, Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
ORCID: 0000-0003-2494-1895

Joanne Enticott (J)

Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia.

John Farhall (J)

Department of Psychology, Counselling and Therapy, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia.
ORCID: 0000-0003-2439-2830

Ellie Fossey (E)

Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia.

Bridget Hamilton (B)

Centre for Mental Health Nursing, Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.

Carol Harvey (C)

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 (G)

School of Psychology, Psychiatry and Psychological Medicine, Monash University, Melbourne, VIC, Australia.
ORCID: 0000-0002-3227-815X

Cathrine Mihalopoulos (C)

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 (E)

Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.

Richard Newton (R)

Peninsula Mental Health Service, Melbourne, VIC, Australia.
Department of Psychiatry, Monash University, Melbourne, VIC, Australia.

Victoria Palmer (V)

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 (R)

Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia.

Shifra Waks (S)

Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Chippendale, NSW, Australia.

Jane Pirkis (J)

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.
ORCID: 0000-0002-2538-4472

Classifications MeSH