Hutchison Shari L, MacDonald-Wilson Kim L, Karpov Irina, Maise Amanda M, Wasilchak Deborah, Schuster James M
Community Care Behavioral Health, UPMC Insurance Services Division.
Psychiatr Rehabil J. 2017 Jun;40(2):216-224. doi: 10.1037/prj0000271.
The present study was designed to describe individuals receiving psychiatric rehabilitation (PR) service and investigate program outcomes and factors associated with progress in a multisite, descriptive evaluation across Pennsylvania.
Through an outcomes-monitoring process integrated into routine service delivery, survey responses from 408 individuals participating in PR were summarized. Linear mixed models were used to examine change over time in self-reported progress ratings in rehabilitation domains and factors associated with progress.
Significantly lower utilization of inpatient psychiatric service was observed in the 12 months after initiating PR versus the 12 months before service (15% vs. 24%; p = .002). Peer and case management service increased after initiation of PR. Specifying a domain as a goal in the service plan was associated with higher progress ratings in the learning (β = .75, p < 0001), working (β = 1.06, p < .0001), and physical wellness (β = 1.27, p < .0001) domains. Average hopefulness rating was positively and significantly associated with self-reported progress in all domains.
The current investigation provides some evidence that individuals participating in PR decrease utilization of inpatient service. This finding and the goals and activities reported in domains over time support the added value of PR as a Medicaid-reimbursable service to managed care efforts to promote rehabilitation outcomes and recovery for individuals with psychiatric disabilities. (PsycINFO Database Record
本研究旨在描述接受精神康复（PR）服务的个体，调查宾夕法尼亚州多地点描述性评估中的项目成果以及与进展相关的因素。
通过整合到常规服务提供中的结果监测过程，总结了408名参与PR的个体的调查回复。使用线性混合模型来检查康复领域自我报告的进展评分随时间的变化以及与进展相关的因素。
与服务前的12个月相比，开始PR后的12个月内，住院精神科服务的利用率显著降低（15%对24%；p = 0.002）。同伴和个案管理服务在开始PR后增加。在服务计划中将某个领域指定为目标与学习（β = 0.75，p < 0.0001）、工作（β = 1.06，p < 0.0001）和身体健康（β = 1.27，p < 0.0001）领域中更高的进展评分相关。平均希望评分与所有领域自我报告的进展呈正相关且具有统计学意义。
当前调查提供了一些证据，表明参与PR的个体降低了住院服务的利用率。这一发现以及各领域随时间报告的目标和活动支持了PR作为一项可由医疗补助报销的服务对管理式医疗促进精神残疾个体康复成果和康复的努力所具有的附加价值。（PsycINFO数据库记录）
