Martinelli Alessandra, Iozzino Laura, Pozzan Tecla, Cristofalo Doriana, Bonetto Chiara, Ruggeri Mirella
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
Verona Hospital Trust, Azienda Ospedaliera Universitaria Integrata (AOUI) di Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro, 10, 37134, Verona, Italy.
Soc Psychiatry Psychiatr Epidemiol. 2022 May;57(5):939-952. doi: 10.1007/s00127-021-02128-3. Epub 2022 Jan 18.
In Italy, a growing number of people with severe mental illness (SMI) require care in residential facilities (RFs), a key component of the care pathway. However, despite their development, studies about resident samples have been very few.
This study, the VALERE-REC Study (eVALuation of outcomE in Residential-use of clinical data with REsearch objeCtives) aims to identify the characteristics that increase the probability to move patients living in RFs to a more independent setting.
A survey involved 167 patients hosted in 25 RFs of the Verona Mental Health Department. Forty-five patients were residents (27%) in Comunità Terapeutico Riabilitativa Protetta (CTRP); 56 (34%) in Comunità Alloggio (CA), 14 (8%) in Gruppo Appartamento Protetto (GAP), 52 (31%) in Comunità Alloggio Estensiva (CAE). They were assessed for their care pathway after 30-months. The Quality Indicators for Rehabilitative Care-Supported Accommodation (QuIRC-SA) evaluated the quality of 19/25 (76%) RFs. Descriptive analyses were done.
According to the mission stated by the Veneto Region guidelines, RFs hosted patients with different needs and clinical profiles. The mean stay was longer than expected, most patients were unemployed, unmet needs were related to self-management and patient's social contacts, and recovery-oriented practices were not implemented.
Despite the appropriate admission of patients in different RFs considering their psychopathology, functioning, and needs, the progressive step care pathway did not result effectively pursued. To improve the effectiveness of residential interventions a major task should be to focus on the acquisition of the necessary skills to live independently.
在意大利，越来越多的重度精神疾病患者需要在住宿设施中接受护理，这是护理途径的一个关键组成部分。然而，尽管这些设施不断发展，但针对住宿设施中患者样本的研究却非常少。
本研究即VALERE-REC研究（以研究为目的对住宿临床数据结果进行评估）旨在确定哪些特征会增加将居住在住宿设施中的患者转移到更独立环境的可能性。
一项调查涉及维罗纳精神卫生部门25个住宿设施中的167名患者。45名患者（27%）居住在Comunità Terapeutico Riabilitativa Protetta（CTRP）；56名（34%）居住在Comunità Alloggio（CA），14名（8%）居住在Gruppo Appartamento Protetto（GAP），52名（31%）居住在Comunità Alloggio Estensiva（CAE）。30个月后对他们的护理途径进行了评估。康复护理支持住宿质量指标（QuIRC-SA）对25个住宿设施中的19个（76%）的质量进行了评估。进行了描述性分析。
根据威尼托地区指南所述的任务，住宿设施接待了有不同需求和临床特征的患者。平均住院时间比预期长，大多数患者失业，未满足的需求与自我管理和患者的社会交往有关，且未实施以康复为导向的措施。
尽管根据患者的精神病理学、功能和需求将患者适当地安置在不同的住宿设施中，但逐步护理途径并未得到有效推行。为提高住宿干预的有效性，一项主要任务应是专注于获取独立生活所需的技能。
