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谁使用康复学院?社会人口学和临床特征的病例组合分析以及康复学院学生的代表性。

Who uses recovery colleges? Casemix analysis of sociodemographic and clinical characteristics and representativeness of recovery college students.

机构信息

Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London.

Department of Psychology, University of Turin.

出版信息

Psychiatr Rehabil J. 2023 Sep;46(3):211-215. doi: 10.1037/prj0000532. Epub 2023 Mar 30.

Abstract

OBJECTIVE

Recovery Colleges support recovery for adults with mental health problems, through coproduction and education principles. This study aimed to determine whether students at three Recovery Colleges in England were representative of mental health service users.

METHODS

Gender, age, ethnicity, diagnosis, involuntary detention, and inpatient admission were extracted from clinical records. Data for all service user students enrolled, and those who had attended 70% of a Recovery College course were compared to mental health services caseloads, using chi-square goodness-of-fit tests.

RESULTS

Clinical records were identified for 1,788 students. Significant differences were identified for gender, age, and diagnosis ( < .001). In some Colleges, more students had recent inpatient admissions or involuntary detentions.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

Service user students were largely representative of mental health service users, although some groups were underrepresented. Further research is needed to understand why, so that Recovery Colleges can continue to address inequalities. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

目的

康复学院通过共同生产和教育原则,为有心理健康问题的成年人的康复提供支持。本研究旨在确定英格兰三所康复学院的学生是否代表精神卫生服务使用者。

方法

从临床记录中提取性别、年龄、种族、诊断、非自愿拘留和住院入院情况。使用卡方拟合优度检验,将所有接受过康复学院课程 70%的服务使用者学生的数据与精神卫生服务的病例数进行比较。

结果

确定了 1788 名学生的临床记录。在性别、年龄和诊断方面存在显著差异(<0.001)。在某些学院,更多的学生有最近的住院或非自愿拘留记录。

结论和对实践的意义

服务使用者学生在很大程度上代表了精神卫生服务使用者,尽管有些群体代表性不足。需要进一步研究以了解原因,以便康复学院能够继续解决不平等问题。

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