Suppr超能文献

康复伙伴计划评估:未满足需求和康复情况的变化

Partners in Recovery program evaluation: changes in unmet needs and recovery.

作者信息

Hancock Nicola, Scanlan Justin Newton, Gillespie James A, Smith-Merry Jennifer, Yen Ivy

机构信息

The University of Sydney, Faculty of Health Sciences, PO Box 170, Lidcombe, NSW 1825, Australia. Email:.

The University of Sydney, Menzies Centre for Health Policy, University of Sydney, NSW 2006, Australia. Email.

出版信息

Aust Health Rev. 2018 Aug;42(4):445-452. doi: 10.1071/AH17004.

Abstract

Objective Partners in Recovery (PIR) is an Australian government initiative designed to provide support and service linkage for individuals with complex needs living with severe and persistent mental illness. The aim of the present study was to examine whether consumers engaged in PIR programs in two large regions of Sydney experienced: (1) a reduction in unmet needs (either via self- or staff report); and (2) progress in their self-reported mental health recovery. Methods Unmet needs were measured using the Camberwell Assessment of Need Short Appraisal Scale and recovery was measured using the Recovery Assessment Scale - Domains and Stages. For individuals with initial and follow-up data, paired t-tests were used to examine change over time. Results At follow-up, individuals reported an average of two to three fewer unmet needs, and recovery scores increased by approximately 5% across each domain and the total score. At follow-up, the most common unmet needs were in the areas of 'company' and 'daytime activities'. Conclusions The results of the present study suggest that PIR services in these two geographical regions have achieved positive results. Individuals with severe and persistent mental illness engaged with PIR appear to have reduced their unmet needs and enhanced their mental health recovery. What is known about the topic? PIR services were established to support individuals with severe and persistent mental illness by creating service linkages to address unmet needs in order to facilitate recovery. Services were delivered through the new role of 'support facilitator'. What does this paper add? By examining routinely collected outcome measures, this paper shows the success of the PIR program. Individuals engaged with PIR reported fewer unmet needs and enhanced recovery over the time they were involved with the program. However, they still faced serious challenges in building successful social interactions, such as developing friendships, and participating in meaningful activities. What are the implications for practitioners? The support facilitator role developed as part of PIR appears to be a useful method of supporting individuals to reduce unmet needs and enhance recovery. However, further work is required to address the challenges associated with overcoming social isolation and participation in meaningful activities.

摘要

目标 “康复伙伴”(PIR)是澳大利亚政府发起的一项倡议,旨在为患有严重和持续性精神疾病且有复杂需求的个人提供支持和服务联系。本研究的目的是调查悉尼两个大区域参与PIR项目的消费者是否经历了:(1)未满足需求的减少(通过自我报告或工作人员报告);以及(2)自我报告的心理健康康复进展。方法 使用坎伯韦尔需求评估简短评定量表测量未满足需求,使用康复评估量表 - 领域与阶段测量康复情况。对于有初始数据和随访数据的个体,使用配对t检验来检查随时间的变化。结果 在随访时,个体报告的未满足需求平均减少了两到三项,每个领域和总分的康复得分提高了约5%。在随访时,最常见的未满足需求在“陪伴”和“日间活动”领域。结论 本研究结果表明,这两个地理区域的PIR服务取得了积极成果。参与PIR的严重和持续性精神疾病患者似乎减少了未满足需求并增强了心理健康康复。关于该主题已知的情况是什么?设立PIR服务是为了通过建立服务联系来满足未满足需求,从而支持患有严重和持续性精神疾病的个人,以促进康复。服务通过“支持协调员”这一新角色来提供。本文补充了什么?通过检查常规收集的结果指标,本文展示了PIR项目的成功。参与PIR的个体在参与项目期间报告的未满足需求减少,康复情况有所改善。然而,他们在建立成功的社交互动方面,如发展友谊和参与有意义的活动,仍然面临严峻挑战。对从业者有何启示?作为PIR一部分发展起来的支持协调员角色似乎是支持个体减少未满足需求和增强康复的有用方法。然而,需要进一步开展工作来应对与克服社会孤立和参与有意义活动相关的挑战。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验