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Comparative Effectiveness of Integrated Peer Support and Clinical Staffing Models for Community-Based Residential Mental Health Rehabilitation: A Prospective Observational Study.
- Source :
- Community Mental Health Journal; Apr2023, Vol. 59 Issue 3, p459-470, 12p, 5 Charts, 1 Graph
- Publication Year :
- 2023
-
Abstract
- This observational study compared the outcomes of consumers receiving community-based residential mental health rehabilitation support in Australia under a clinical staffing model and an integrated staffing model where Peer Support Workers are the majority component of the staffing profile. Reliable and clinically significant (RCS) change between admission and discharge in functional and clinical assessment measures were compared for consumers receiving care under the clinical (n = 52) and integrated (n = 93) staffing models. Covariate analyses examined the impact of known confounders on the outcomes of the staffing model groups. No statistically significant differences in RCS improvement were identified between the staffing models. However, logistic regression modelling showed that consumers admitted under the integrated staffing model were more likely to experience reliable improvement in general psychiatric symptoms and social functioning. The findings support the clinical and integrated staffing models achieving at least equivalent outcomes for community-based residential rehabilitation services consumers. [ABSTRACT FROM AUTHOR]
- Subjects :
- AFFINITY groups
EVALUATION of medical care
SOCIAL support
SCIENTIFIC observation
SCHIZOPHRENIA
FUNCTIONAL status
COMMUNITY health services
MEDICAL care
PATIENTS
COMPARATIVE studies
HOSPITAL admission & discharge
RESIDENTIAL care
REHABILITATION
WORKING hours
LOGISTIC regression analysis
SOCIAL skills
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 00103853
- Volume :
- 59
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Community Mental Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 162205679
- Full Text :
- https://doi.org/10.1007/s10597-022-01023-8