A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia

Brophy, L; Fletcher, J; Dawadi, S; Reece, J; Edan, V; Enticott, J; Farhall, J; Fossey, E; Hamilton, B; Harvey, C; Meadows, G; Mihalopoulos, C; Morrisroe, E; Newton, R; Palmer, V; Vine, R; Waks, S

A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia

Brophy, L Fletcher, J Dawadi, S Reece, J Edan, V Enticott, J Farhall, J Fossey, E Hamilton, B Harvey, C Meadows, G Mihalopoulos, C Morrisroe, E Newton, R Palmer, V Vine, R Waks, S

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Australian and New Zealand Journal of Psychiatry, 2024, 58, (7), pp. 615-626
Issue Date:: 2024-07

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Field	Value	Language
dc.contributor.author	Brophy, L
dc.contributor.author	Fletcher, J
dc.contributor.author	Dawadi, S
dc.contributor.author	Reece, J
dc.contributor.author	Edan, V
dc.contributor.author	Enticott, J
dc.contributor.author	Farhall, J
dc.contributor.author	Fossey, E
dc.contributor.author	Hamilton, B
dc.contributor.author	Harvey, C
dc.contributor.author	Meadows, G
dc.contributor.author	Mihalopoulos, C
dc.contributor.author	Morrisroe, E
dc.contributor.author	Newton, R
dc.contributor.author	Palmer, V
dc.contributor.author	Vine, R
dc.contributor.author	Waks, S
dc.date.accessioned	2025-01-28T05:35:33Z
dc.date.available	2025-01-28T05:35:33Z
dc.date.issued	2024-07
dc.identifier.citation	Australian and New Zealand Journal of Psychiatry, 2024, 58, (7), pp. 615-626
dc.identifier.issn	0004-8674
dc.identifier.issn	1440-1614
dc.identifier.uri	http://hdl.handle.net/10453/184348
dc.description.abstract	BACKGROUND 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. METHODS 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. RESULTS 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. CONCLUSION 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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE Publications
dc.relation.ispartof	Australian and New Zealand Journal of Psychiatry
dc.relation.isbasedon	10.1177/00048674241242943
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.classification	3202 Clinical sciences
dc.subject.mesh	Humans
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Victoria
dc.subject.mesh	Male
dc.subject.mesh	Female
dc.subject.mesh	Middle Aged
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Mental Disorders
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Aged
dc.subject.mesh	Humans
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Mental Disorders
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Victoria
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Humans
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Victoria
dc.subject.mesh	Male
dc.subject.mesh	Female
dc.subject.mesh	Middle Aged
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Mental Disorders
dc.subject.mesh	Mental Health Services
dc.subject.mesh	Aged
dc.title	A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia
dc.type	Journal Article
utslib.citation.volume	58
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2025-01-28T05:35:31Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	58
utslib.citation.issue	7

Abstract:

BACKGROUND 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. METHODS 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. RESULTS 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. CONCLUSION 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.

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http://hdl.handle.net/10453/184348