ABSTRACT

Background

United Kingdom mental healthcare guidelines recommend recovery-focused services for people with psychosis. We evaluated a “Recovery and Enablement Track” (RET) aiming to promote recovery and well-being, reduce distress and maintain independence from secondary care following discharge, for people with established psychosis and long histories of secondary care.

Method

From March 2015 to December 2019, 214 individuals entered the RET and were followed up 12 months’ post-discharge. Recovery, well-being, and distress were measured at assessment, review, and discharge. Of 214 total people, 86 consented to inclusion for this evaluation.

Results

Well-being and recovery significantly improved from assessment to discharge – distress did not. Distress improved from review to discharge, suggesting improvement during service contact. 79% (68/86) of individuals were discharged to the care of their family doctor, and 22% of these (15/68) re-presented before 12-month follow-up.

Conclusion

Recovery and well-being improved from assessment to discharge, distress improved from review to discharge. Half of consenting participants were successfully discharged from secondary care following the RET, suggesting potential to promote recovery. Comparison to a formal control condition with systematic analysis of any biasing effect of missing data (i.e. through refusal to participate) is now indicated.

中文翻译：

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对伦敦北部一家新的社区精神病服务进行为期五年的前瞻性评估：引入恢复和能力追踪（RET）

摘要

背景

英国精神保健指南建议为精神病患者提供针对康复的服务。我们评估了“康复和能力追踪”（RET），旨在促进精神病患者和二级护理历史悠久的人出院后的康复和福祉，减少痛苦并保持其对二级护理的独立性。

方法

从2015年3月到2019年12月，有214人进入了RET，并在出院后12个月进行了随访。在评估，复查和出院时测量恢复，幸福感和痛苦。在总共214人中，有86位同意纳入此评估。

结果

从评估到出院，幸福感和恢复能力得到了显着改善，而苦恼却没有。从复习到出院的苦恼有所改善，表明在服务联系期间有所改善。79％（68/86）的个人已出诊，由其家庭医生护理，其中22％（15/68）的患者在12个月的随访前已出诊。

结论

从评估到出院，康复和幸福感得到改善，从复查到出院，痛苦得到改善。接受RET治疗后，有一半的同意参加者成功地从二级保健中退出，这表明有促进康复的潜力。现在表明与正式对照条件进行比较，并系统分析缺失数据的任何偏向效应（即通过拒绝参与）。