Mental health peer support for hospital avoidance and early discharge: An Australian example of consumer driven and operated service
Mental health peer support for hospital avoidance and early discharge: An Australian example of consumer driven and operated service
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DOI：
10.1080/09638230701530242
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发表时间：
2008-10-01
影响因子：
3.3
通讯作者：
Hunter, Kelly
中科院分区：
文献类型：
--
作者：
Lawn, Sharon;Smith, Ann;Hunter, Kelly
背景：心理健康消费者更多地参与支持其他消费者的国际趋势是转向更多以康复为基础的服务的一部分。目的：评估澳大利亚心理健康同伴支持服务的头3个月运作情况，该服务向成人心理健康服务的消费者提供住院避免和提前出院支持。方法：收集关键绩效指标，如节省的住院天数、危机服务联系、ED演示和再入院率，并通过电话问卷调查和焦点小组收集包括消费者、护理人员、精神卫生人员、全科医生和同伴支持工作者在内的各利益相关者的反馈。结果：在运营的前3个月，提供了49个支持包，节省了300个床位日，相当于节省了93,150澳元，项目建立后，交付和管理成本约为19,850美元。所有利益相关者的反馈都非常积极。结论：在消费者康复的这个阶段，利用同伴为他们提供支持，作为主流心理健康服务的辅助，似乎是非常有效的。它对消费者和同行有个人利益，对系统有大量节省，并有很大潜力鼓励精神卫生服务文化和实践，以更大的康复为重点，并改善与全科医生的合作。利益声明：我们要感谢南方精神卫生和Metro Home Link以及南澳大利亚卫生部/精神卫生股为这项服务提供了运营和设置资金的财政支持。
Background: An international trend towards greater involvement of mental health consumers to support fellow consumers is part of the shift towards more recovery-based services.Aims: Evaluation of the first 3 months of operation of an Australian mental health peer support service providing hospital avoidance and early discharge support to consumers of adult mental health services.Method: Key performance indicators such as bed days saved, crisis service contact, ED presentations, and readmission rates were gathered, along with feedback from various stakeholders including consumers, carers, mental health staff, GPs, and peer support workers via phone questionnaires and focus groups.Results: In the first 3 months of operation 49 support packages were provided with 300 bed days saved, equating to $93,150 AUS saved after project set up, delivery and administration costs of approximately $19,850. Feedback from all stakeholders was overwhelmingly positive.Conclusions: Using peers to provide support to consumers at this stage of their recovery seems highly effective as an adjunct to mainstream mental health services. It has personal benefit to consumers and peers, substantial savings to systems, as well as much potential for encouraging mental health service culture and practice towards a greater recovery focus and improved collaboration with GPs.Declaration of interest: We would like to acknowledge the financial support of Southern Mental Health and Metro Home Link and the South Australian Department of Health/Mental Health Unit for providing operational and setup funds for this service.