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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychiatry | doi: 10.3389/fpsyt.2019.00735

Prevention and Recovery Care Services in Australia: Describing the role and function of sub-acute recovery-based residential mental health services in Victoria

  • 1Centre for Mental Health, School of Population and Global Health, University of Melbourne, Australia
  • 2Mind Australia Limited, Australia
  • 3School of Allied Health, College of Science, Health and Engineering, La Trobe University, Australia
  • 4Division of Psychiatry, Faculty of Brain Sciences, University College London, United Kingdom
  • 5Neami National, Australia
  • 6Centre for Psychiatric Nursing, Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, Australia
  • 7Wellways, Australia
  • 8Nossal Institute for Global Health, Melbourne School of Population and Global Health, Australia
  • 9Department of Psychiatry, Melbourne Medical School, University of Melbourne, Australia
  • 10Psychosocial Research Centre, Northwestern Mental Health, Australia

Background: Prevention and Recovery Care (PARC) services are relatively new sub-acute residential services that have supported people with mental-ill health in Victoria since 2003. Operated from a partnership model between non-governmental agencies and clinical mental health services, PARC services integrate intensive recovery-focused psychosocial input with clinical mental health care.
Aim: to describe and contrast the nineteen PARC services operating in Victoria at the time of the study, in terms of structures and function, resources, and content and quality of care.
Method: Nineteen participants, one representing each PARC, completed two surveys: the first, a purpose-designed survey relating to the government guidelines for PARC services and the second, the Quality Indicator for Rehabilitative Care.
Results: Descriptive analyses highlighted that PARC services have operated in inner city, urban and regional areas of Victoria, from between one and fourteen years. Participants reported that a recovery approach was at the core of service delivery, with a vast array of group and individual programs on offer. Across the state there was variation in the quality of services according to the Quality Indicator for Rehabilitative Care domains.
Conclusions: This study highlights variation in the structure and function, resourcing, content and quality of care offered across the Victorian PARC services, which is inline with Government guidelines that promote a service model which is adaptable to local need. The findings indicate emerging evidence that PARCs are providing recovery-oriented services, that offer consumers autonomy and social inclusion, and therefore likely enabling a positive consumer experience. The range of individual and group programs is in line with the Victorian guidelines, offering practical assistance; therapeutic activities; and socialisation opportunities consistent with consumer preferences.

Keywords: Sub-acute, Mental Health, community-based residential environment, implementation, Service delivery, built environment

Received: 04 Jun 2019; Accepted: 12 Sep 2019.

Copyright: © 2019 Fletcher, Brophy, Killaspy, Ennals, Hamilton, Collister, Hall and Harvey. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mx. Justine Fletcher, Centre for Mental Health, School of Population and Global Health, University of Melbourne, Melbourne, Australia, justine.fletcher@unimelb.edu.au