School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, VIC, Australia.
Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Aust N Z J Psychiatry. 2024 Jul;58(7):615-626. doi: 10.1177/00048674241242943. Epub 2024 Apr 28.
Prevention and Recovery Care services are residential sub-acute services in Victoria, Australia, guided by a commitment to recovery-oriented practice. The evidence regarding the effectiveness of this service model is limited, largely relying on small, localised evaluations. This study involved a state-wide investigation into the personal recovery, perceived needs for care, well-being and quality-of-life outcomes experienced by Prevention and Recovery Care services' consumers.
A longitudinal cohort design examined the trajectory of self-reported personal recovery and other outcomes for consumers in 19 Victorian Prevention and Recovery Care services over 4 time points (T1 - 1 week after admission; T2 - within 1 week of discharge; T3 - 6 months after discharge; T4 - 12 months after discharge). T2-T4 time frames were extended by approximately 3 weeks due to recruitment challenges. The Questionnaire about the Process of Recovery was the primary outcome measure.
At T1, 298 consumers were recruited. By T4, 114 remained in the study. Participants scored higher on the Questionnaire about the Process of Recovery at all three time points after T1. There were also sustained improvements on all secondary outcome measures. Improvements were then sustained at each subsequent post-intervention time point. Community inclusion and having needs for care met also improved.
The findings provide a consistent picture of benefits for consumers using Prevention and Recovery Care services, with significant improvement in personal recovery, quality of life, mental health and well-being following an admission to a Prevention and Recovery Care service. Further attention needs to be given to how to sustain the gains made through a Prevention and Recovery Care service admission in the long term.
预防和康复护理服务是澳大利亚维多利亚州的住宅亚急性服务，以康复为导向的实践为指导。关于这种服务模式有效性的证据有限，主要依赖于小规模的、局部的评估。这项研究涉及对预防和康复护理服务消费者的个人康复、护理需求感知、幸福感和生活质量结果进行全州范围的调查。
采用纵向队列设计，在 4 个时间点（T1-入院后 1 周；T2-出院前 1 周；T3-出院后 6 个月；T4-出院后 12 个月）检查 19 家维多利亚州预防和康复护理服务中消费者自我报告的个人康复和其他结果的轨迹。由于招募挑战，T2-T4 的时间框架延长了大约 3 周。问卷关于康复过程是主要的结果衡量标准。
在 T1 时，招募了 298 名消费者。到 T4 时，仍有 114 名参与者留在研究中。参与者在 T1 后的所有三个时间点上在问卷关于康复过程的得分都更高。所有次要结果衡量标准也持续得到改善。随后在每个后续干预时间点都保持了改善。社区包容和满足护理需求也有所改善。
这些发现为使用预防和康复护理服务的消费者提供了一致的益处图景，在预防和康复护理服务入院后，个人康复、生活质量、心理健康和幸福感显著改善。需要进一步关注如何长期维持通过预防和康复护理服务入院所取得的成果。
