Monash University School of Public Health and Preventive Medicine Health and Social Care Unit MelbourneVictoria Australia Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Baptcare Tasmania Australia Baptcare, Tasmania, Australia.
Psychosoc Interv. 2024 Sep 2;33(3):179-185. doi: 10.5093/pi2024a12. eCollection 2024 Sep.
Serious mental illness (SMI) remains a leading cause of disability worldwide. However, there is limited Australian evidence of community-based programs to enhance the psychosocial wellbeing of adults experiencing SMI. Foundations is a long-term community-based psychosocial outreach support program delivered in Tasmania, Australia. A longitudinal non-randomised controlled trial was conducted to examine the effectiveness of the Foundations program on adults' psychosocial functioning, clinical symptomology, and hospital readmissions, in comparison to standard care only. Participants were adults aged 18-64 years experiencing SMI. Control participants received standard clinical care only. Intervention participants were engaged in the Foundations program in addition to standard care. Data were collected at program commencement, midpoint, closure, and six-months post-closure. Linear mixed modelling was used to examine differences between groups. Intervention participants achieved better psychosocial functioning in comparison to the control group by program closure and at six-month follow-up. No significant differences were observed for clinical mental health symptomology or hospital readmission rates. Length of readmission stay was significantly shorter for intervention participants. The findings highlight the additional value of community-based, recovery-oriented, psychosocial outreach support alongside clinical mental health care to enhance the psychosocial wellbeing of adults experiencing SMI.
严重精神疾病（SMI）仍然是全球范围内导致残疾的主要原因。然而，澳大利亚在社区为改善经历 SMI 的成年人的心理健康而开展的项目方面的证据有限。“基础”是澳大利亚塔斯马尼亚州提供的一项长期的基于社区的心理社会外展支持项目。一项纵向非随机对照试验旨在研究与仅标准护理相比，该基础项目对成年人心理社会功能、临床症状和住院再入院率的有效性。参与者为 18-64 岁经历 SMI 的成年人。对照组仅接受标准临床护理。干预组在接受标准护理的基础上还参与了基础项目。数据在项目开始、中点、结束和结束后六个月收集。线性混合模型用于检查组间差异。与对照组相比，干预组在项目结束时和六个月随访时的心理社会功能更好。临床心理健康症状或住院再入院率没有观察到显著差异。干预组的再入院时间明显缩短。研究结果强调了在临床心理健康护理之外，提供基于社区、以康复为导向的心理社会外展支持对改善经历 SMI 的成年人心理健康的额外价值。
