Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK.
Department of Behavioural Science and Health, University College London, London, WC1E 7HB, UK.
Soc Psychiatry Psychiatr Epidemiol. 2024 May;59(5):759-768. doi: 10.1007/s00127-023-02452-w. Epub 2023 Mar 11.
Recovery Colleges (RCs) have been implemented across England with wide variation in organisational characteristics. The purpose of this study is to describe RCs across England in terms of organisational and student characteristics, fidelity and annual spending, to generate a RC typology based on characteristics and to explore the relationship between characteristics and fidelity.
All RC in England meeting criteria on recovery orientation, coproduction and adult learning were included. Managers completed a survey capturing characteristics, fidelity and budget. Hierarchical cluster analysis was conducted to identify common groupings and generate an RC typology.
Participants comprised 63 (72%) of 88 RC in England. Fidelity scores were high (median 11, IQR 9-13). Both NHS and strengths-focussed RCs were associated with higher fidelity. The median annual budget was £200,000 (IQR £127,000-£300,000) per RC. The median cost per student was £518 (IQR £275-£840), cost per course designed was £5,556 (IQR £3,000-£9,416) and per course run was £1,510 (IQR £682-£3,030). The total annual budget across England for RCs is an estimated £17.6 m including £13.4 m from NHS budgets, with 11,000 courses delivered to 45,500 students.
Although the majority of RCs had high levels of fidelity, there were sufficiently pronounced differences in other key characteristics to generate a typology of RCs. This typology might prove important for understanding student outcomes and how they are achieved and for commissioning decisions. Staffing and co-producing new courses are key drivers of spending. The estimated budget for RCs was less than 1% of NHS mental health spending.
康复学院（RCs）已在英格兰各地实施，其组织特征存在广泛差异。本研究旨在描述英格兰各地的 RCs 在组织和学生特征、保真度和年度支出方面的情况，根据特征生成 RCs 分类，并探讨特征与保真度之间的关系。
纳入符合康复方向、共同生产和成人学习标准的所有英格兰 RCs。管理人员完成了一项调查，其中包括特征、保真度和预算。采用层次聚类分析确定常见的分组，并生成 RCs 分类。
参与者包括英格兰 88 家 RCs 中的 63 家（72%）。保真度得分较高（中位数 11，IQR 9-13）。NHS 和以优势为重点的 RCs 与更高的保真度相关。每个 RCs 的年度预算中位数为 200,000 英镑（IQR 127,000-300,000 英镑）。每位学生的平均成本为 518 英镑（IQR 275-840 英镑），每门设计课程的成本为 5566 英镑（IQR 3000-9416 英镑），每门运行课程的成本为 1510 英镑（IQR 682-3030 英镑）。英格兰 RCs 的年度总预算估计为 1760 万英镑，其中包括 NHS 预算的 1340 万英镑，共开设 11000 门课程，为 45500 名学生提供服务。
尽管大多数 RCs 的保真度水平较高，但在其他关键特征上存在明显差异，可以生成 RCs 分类。这种分类可能对理解学生的成果以及如何实现这些成果以及进行委托决策很重要。人员配备和共同开发新课程是支出的关键驱动因素。RCs 的估计预算不到 NHS 心理健康支出的 1%。
