Outcomes of Victorian Prevention and Recovery Care Services: A matched pairs comparison
Open accessAbstract
Objective: In Victoria, Prevention and Recovery Care Services have been established to provide a partial alternative to inpatient admissions through short-term residential mental health care in the community. This study set out to determine whether Prevention and Recovery Care Services are achieving their objectives in relation to reducing service use and costs, fostering least restrictive care and leading to positive clinical outcomes. Methods: We matched 621 consumers whose index admission in 2014 was to a Prevention and Recovery Care (‘PARCS consumers’) with 621 similar consumers whose index admission in the same year was to an acute inpatient unit and who had no Prevention and Recovery Care stays for the study period (‘inpatient-only consumers’). We used routinely collected data to compare them on a range of outcomes. Results: Prevention and Recovery Care Services consumers made less subsequent use of acute inpatient services and, on balance, incurred costs that were similar to or lower than inpatient-only consumers. They were also less likely to spend time on an involuntary treatment order following their index admission. Prevention and Recovery Care Services consumers also experienced positive clinical outcomes over the course of their index admission, but the magnitude of this improvement was not as great as for inpatient-only consumers. This type of clinical improvement is important for Prevention and Recovery Care Services, but they may place greater emphasis on personal recovery as an outcome. Conclusion: Prevention and Recovery Care Services can provide an alternative, less restrictive care option for eligible consumers who might otherwise be admitted to an acute inpatient unit and do so at no greater cost.
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In the year following a PARC service stay, consumers are significantly less likely to have an inpatient admission and less likely to be on a Community Treatment Order (CTO).
“Outcomes of a matched pairs comparison between PARC and inpatient services found that in the year following a PARC service stay consumers are significantly less likely to have an inpatient admission and less likely to be on a Community Treatment Order (CTO) [23]”
From Consumers lived experiences and satisfaction with sub-acute mental health residential services (2024) · cites this paper as [23]
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Self-citation
- Authors
- Farhall, J., Brophy, L., Reece, J., Tibble, H., Le, L. K.-D., Mihalopoulos, C., Fletcher, J., Harvey, C., Morrisroe, E., Newton, R., Sutherland, G., Spittal, M. J., Meadows, G., Vine, R., & Pirkis, J.
- Affiliations
- The Royal Melbourne Hospital (AU)
- The University of Melbourne (AU)
- ACAP University College (AU)
- University of Edinburgh (GB)
- Deakin University (AU)
- Peninsula Health (AU)
- Corresponding author
- Farhall, John
- ORCID
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2021-01-11
- Volume
- 55
- Issue
- 12
- Pages
- 1178-1190
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W3119204904
- Cited by
- 10
- References
- 32
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 1
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (acceptedVersion, other-oa)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- National Health and Medical Research Council (APP1115907)
- Australian Research Council (FT180100075)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- mental health costs, clinical outcomes, personal recovery, Victoria, Australia
- MeSH terms
- Mental Disorders, Hospitalization, Humans, Inpatients
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