Promoting recovery via an integrated model of care to deliver a bed-based, mental health prevention and recovery centre

Stuart J. Lee, Laura Collister, Simon Stafrace, Elizabeth Crowther, Jon Kroschel, Jayashri Kulkarni

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)481-488
Number of pages8
JournalAustralasian Psychiatry
Volume22
Issue number5
DOIs
Publication statusPublished - 2014

Keywords

  • Integrated care
  • Mental health service
  • Recovery-focused
  • Step-up/step-down care

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