Coleman Mathew, Cuesta-Briand Beatriz, Ngo Hanh, Bass Rachel, Mills-Edward Naomi, Ennals Priscilla
The Rural Clinical School of WA, The University of Western Australia, Albany, WA, Australia.
Great Southern Mental Health Service, WA Country Health Service, Albany, WA, Australia.
Front Psychiatry. 2023 Jan 26;14:1036017. doi: 10.3389/fpsyt.2023.1036017. eCollection 2023.
Sub-acute mental health community services provide a bridging service between hospital and community care. There is limited understanding of the local factors that influence success, and of the funding implications of delivering services in rural areas.
This paper draws from quantitative and qualitative evaluation data from a regional Western Australian service to explore these issues.
Consumers satisfaction with the service was high and, overall, admission to the service resulted in positive outcomes. High re-admission rates may be linked to limited community support services following discharge.
Our results suggest that outcomes may be enhanced by implementing flexible approaches that address the resource limitations of the rural context, and that the current funding model for sub-acute mental health services in rural Australian may not be fit for purpose. More needs to be understood about how these services can be better integrated with existing support services, and how they can be better funded.
亚急性心理健康社区服务在医院护理和社区护理之间提供了一种过渡性服务。对于影响服务成功的当地因素以及在农村地区提供服务的资金影响，人们了解有限。
本文借鉴了西澳大利亚一个地区服务机构的定量和定性评估数据来探讨这些问题。
消费者对该服务的满意度较高，总体而言，入住该服务机构带来了积极的结果。高再入院率可能与出院后社区支持服务有限有关。
我们的结果表明，通过实施灵活的方法来解决农村地区的资源限制问题，可能会提高服务效果，而且澳大利亚农村地区目前的亚急性心理健康服务资金模式可能不适用。对于这些服务如何能更好地与现有支持服务整合，以及如何获得更好的资金支持，还有更多需要了解的地方。
