Dataset Information

Step-up, step-down mental health care service: evidence from Western Australia's first - a mixed-method cohort study.

ABSTRACT:

Background

Mental health Step-up, Step-down services (SUSD), also known as subacute services or Prevention and Recovery Services, have emerged to fill an identified gap between hospital-based inpatient care and clinical community-based mental health support. Evidence for the effectiveness of the SUSD service model is limited but growing. Accordingly, this study looked to add to the extant body of knowledge, by (i) assessing change outcomes in mental health and wellbeing, and predictors of these changes, for patients who accessed Western Australia's first SUSD service; and (ii) evaluating patients' satisfaction with service, and what patients value from their stay.

Methods

This was a mixed-method retrospective cohort study. Participants comprised 382 patients who accessed a 22-bed Mental Health SUSD facility and incurred 551 episodes of care during the 01/07/2014-30/06/2016 period. Patients' change outcomes in psychological distress, general self-efficacy, and work and social adjustment from service entry to service exit were analyzed using generalized linear modeling. Simple Pearson's correlation coefficients were calculated for preliminary assessment of the associations between patients' service satisfaction and their change outcomes. Qualitative outcomes that patients valued from their stay were analyzed thematically according to a semi-grounded theoretical approach.

Results

Significant improvements were observed in patients' self-reported psychological distress, self-efficacy, and work and social adjustment (all p?ConclusionThe encouraging findings, regarding both patients' change outcomes and satisfaction with service, support the value of the SUSD service model for patients with mental illnesses. Strengths and limitations were discussed; ensued recommendations were offered to both service providers and researchers to enhance the robustness of future research findings, to help inform more effective policy and funding decisions related to mental health care.

SUBMITTER: Ngo H

PROVIDER: S-EPMC7216384 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Publications

Step-up, step-down mental health care service: evidence from Western Australia's first - a mixed-method cohort study.

Ngo Hanh H Ennals Priscilla P Turut Serhat S Geelhoed Elizabeth E Celenza Antonio A Wolstencroft Keren K

BMC psychiatry 20200511 1

<h4>Background</h4>Mental health Step-up, Step-down services (SUSD), also known as subacute services or Prevention and Recovery Services, have emerged to fill an identified gap between hospital-based inpatient care and clinical community-based mental health support. Evidence for the effectiveness of the SUSD service model is limited but growing. Accordingly, this study looked to add to the extant body of knowledge, by (i) assessing change outcomes in mental health and wellbeing, and predictors o ...[more]

PMID: 32393203

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Dataset Information

Step-up, step-down mental health care service: evidence from Western Australia's first - a mixed-method cohort study.

Background

Methods

Results

Publications

Step-up, step-down mental health care service: evidence from Western Australia's first - a mixed-method cohort study.

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