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Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia
BACKGROUND: There is an emerging international literature demonstrating clinical and cost-effectiveness of sub-acute residential mental health services. To date, however, there is limited information on the profile of consumers accessing these models of care. This study aimed to understand the profi...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296697/ https://www.ncbi.nlm.nih.gov/pubmed/32546224 http://dx.doi.org/10.1186/s12913-020-05402-3 |
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author | Sutherland, Georgina Harvey, Carol Tibble, Holly Spittal, Matthew J. Farhall, John Fletcher, Justine Meadows, Graham Newton, J. Richard Vine, Ruth Brophy, Lisa |
author_facet | Sutherland, Georgina Harvey, Carol Tibble, Holly Spittal, Matthew J. Farhall, John Fletcher, Justine Meadows, Graham Newton, J. Richard Vine, Ruth Brophy, Lisa |
author_sort | Sutherland, Georgina |
collection | PubMed |
description | BACKGROUND: There is an emerging international literature demonstrating clinical and cost-effectiveness of sub-acute residential mental health services. To date, however, there is limited information on the profile of consumers accessing these models of care. This study aimed to understand the profile of the population served by adult sub-acute residential mental health services in Victoria, Australia (known as Prevention and Recovery Care; PARC) and to compare PARC service consumers with consumers admitted to psychiatric inpatient units within public hospitals. METHOD: Using 5 years (2012–2016) of a state-wide database of routinely collected individual level mental health service data, we describe the socio-demographic and clinical profile of PARC service consumers compared to consumers of psychiatric inpatient units including for primary diagnosis and illness severity. Using admissions as the unit of analysis, we identify the characteristics that distinguish PARC service admissions from psychiatric inpatient admissions. We also examine and compare length of stay for the different admission types. RESULTS: We analysed 78,264 admissions representing 34,906 individuals. The profile of PARC service consumers differed from those admitted to inpatient units including for sex, age, diagnosis and illness severity. The odds of an admission being to a PARC service was associated with several socio-demographic and clinical characteristics. Being male or in the youngest age grouping (< 20 years) significantly reduced the odds of admission to PARC services. The presence of primary diagnoses of schizophrenia and related disorders, mood, anxiety or personality disorders, all significantly increased the odds of admission to PARC services. Predictors of length of stay were consistent across PARC and inpatient admission types. CONCLUSIONS: Our findings suggest PARC services may serve an overlapping but distinguishably different consumer group than inpatient psychiatric units. Future research on sub-acute mental health services should be cognizant of these consumer differences, particularly when assessing the long-term effectiveness of this service option. |
format | Online Article Text |
id | pubmed-7296697 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72966972020-06-16 Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia Sutherland, Georgina Harvey, Carol Tibble, Holly Spittal, Matthew J. Farhall, John Fletcher, Justine Meadows, Graham Newton, J. Richard Vine, Ruth Brophy, Lisa BMC Health Serv Res Research Article BACKGROUND: There is an emerging international literature demonstrating clinical and cost-effectiveness of sub-acute residential mental health services. To date, however, there is limited information on the profile of consumers accessing these models of care. This study aimed to understand the profile of the population served by adult sub-acute residential mental health services in Victoria, Australia (known as Prevention and Recovery Care; PARC) and to compare PARC service consumers with consumers admitted to psychiatric inpatient units within public hospitals. METHOD: Using 5 years (2012–2016) of a state-wide database of routinely collected individual level mental health service data, we describe the socio-demographic and clinical profile of PARC service consumers compared to consumers of psychiatric inpatient units including for primary diagnosis and illness severity. Using admissions as the unit of analysis, we identify the characteristics that distinguish PARC service admissions from psychiatric inpatient admissions. We also examine and compare length of stay for the different admission types. RESULTS: We analysed 78,264 admissions representing 34,906 individuals. The profile of PARC service consumers differed from those admitted to inpatient units including for sex, age, diagnosis and illness severity. The odds of an admission being to a PARC service was associated with several socio-demographic and clinical characteristics. Being male or in the youngest age grouping (< 20 years) significantly reduced the odds of admission to PARC services. The presence of primary diagnoses of schizophrenia and related disorders, mood, anxiety or personality disorders, all significantly increased the odds of admission to PARC services. Predictors of length of stay were consistent across PARC and inpatient admission types. CONCLUSIONS: Our findings suggest PARC services may serve an overlapping but distinguishably different consumer group than inpatient psychiatric units. Future research on sub-acute mental health services should be cognizant of these consumer differences, particularly when assessing the long-term effectiveness of this service option. BioMed Central 2020-06-16 /pmc/articles/PMC7296697/ /pubmed/32546224 http://dx.doi.org/10.1186/s12913-020-05402-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Sutherland, Georgina Harvey, Carol Tibble, Holly Spittal, Matthew J. Farhall, John Fletcher, Justine Meadows, Graham Newton, J. Richard Vine, Ruth Brophy, Lisa Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title | Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title_full | Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title_fullStr | Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title_full_unstemmed | Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title_short | Similarities and differences in people accessing prevention and recovery care services and inpatient units in Victoria, Australia |
title_sort | similarities and differences in people accessing prevention and recovery care services and inpatient units in victoria, australia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296697/ https://www.ncbi.nlm.nih.gov/pubmed/32546224 http://dx.doi.org/10.1186/s12913-020-05402-3 |
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