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康复学院服务利用成果评价。

An evaluation of service use outcomes in a Recovery College.

机构信息

a Salomons Centre for Applied Psychology , Canterbury Christ Church University , Kent , UK.

b Sussex Partnership NHS Foundation Trust , Sussex , UK , and.

出版信息

J Ment Health. 2018 Aug;27(4):359-366. doi: 10.1080/09638237.2017.1417557. Epub 2017 Dec 23.

Abstract

BACKGROUND

Recovery Colleges offer educational courses about recovery and mental health which are co-produced by mental health professionals and experts by lived experience. Previous evaluations have found positive effects of Recovery Colleges on a range of outcomes including wellbeing, recovery and quality of life.

AIMS

To evaluate service use outcomes for Sussex Recovery College students who use mental health services.

METHOD

The study used a controlled-before-and-after design. It used archival data to analyse service use before and after participants registered with the Recovery College (n = 463). Participants acted as their own control.

RESULTS

Students used mental health services less after attending the Recovery College than before. Students who attended the Recovery College showed significant reductions in occupied hospital bed days, admissions, admissions under section and community contacts in the 18 months post compared with the 18 months before registering. Reductions in service use were greater for those who completed a course than those who registered but did not complete a course.

CONCLUSION

These findings suggest that attending Recovery College courses is associated with reduced service use. The reductions equate to non-cashable cost-savings of £1200 per registered student and £1760 for students who completed a course. Further research is needed to investigate causality.

摘要

背景

康复学院提供关于康复和心理健康的教育课程,这些课程由心理健康专业人员和有经验的专家共同制作。以前的评估发现,康复学院对一系列结果都有积极影响,包括幸福感、康复和生活质量。

目的

评估在使用精神卫生服务的苏塞克斯康复学院学生的服务使用结果。

方法

该研究采用了控制前后设计。它使用档案数据来分析参与者在注册康复学院(n=463)前后的服务使用情况。参与者以自己为对照。

结果

与注册前相比,参加康复学院的学生在参加后使用精神卫生服务的次数减少。与注册前的 18 个月相比,在注册后 18 个月内,参加康复学院的学生在住院天数、入院人数、住院治疗和社区接触方面显著减少。完成课程的学生比仅注册但未完成课程的学生的服务使用减少更多。

结论

这些发现表明,参加康复学院课程与服务使用减少有关。减少相当于每个注册学生节省 1200 英镑的非现金成本,完成课程的学生节省 1760 英镑。需要进一步研究以调查因果关系。

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