Prevention and Recovery Care Services in Australia: Describing the Role and Function of Sub-Acute Recovery-Based Residential Mental Health Services in Victoria
Open accessAbstract
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.
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PARC services provide recovery-oriented care and operate under a partnership model between public clinical mental health services and community managed mental health support providers, with staff from both service types.
“PARC services provide recovery-oriented care and operate under a partnership model between public clinical mental health services and community managed mental health support providers, with staff from both service types [11, 12].”
From Consumers lived experiences and satisfaction with sub-acute mental health residential services (2024) · cites this paper as [11]
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- Authors
- Fletcher, J., Brophy, L., Killaspy, H., Ennals, P., Hamilton, B., Collister, L., Hall, T., & Harvey, C.
- Affiliations
- The University of Melbourne (AU)
- University College London (GB)
- Neami National (AU)
- Mental Illness Fellowship (AU)
- Corresponding author
- Fletcher, Justine
- ORCID
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2019-10-24
- Volume
- 10
- Pages
- 735-735
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC6824184
- OpenAlex
- W2981976469
- Cited by
- 15
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 2
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Health and Medical Research Council (APP1115907)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- recovery-oriented care, mental health service delivery, service quality, consumer autonomy, social inclusion, Victoria, Australia
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