Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.

<h4>Background</h4>As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents.&l...

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Autores principales:	A Leet, S Dennis, J Muller, S Walsh, H Bowen-Salter, J Kernot
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/44186a39603e49e7a10a0bcf9b1b1ed1
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spelling	oai:doaj.org-article:44186a39603e49e7a10a0bcf9b1b1ed12021-12-02T20:16:14ZDemonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.1932-620310.1371/journal.pone.0260250https://doaj.org/article/44186a39603e49e7a10a0bcf9b1b1ed12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0260250https://doaj.org/toc/1932-6203<h4>Background</h4>As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents.<h4>Aim</h4>To analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers.<h4>Methods</h4>A mixed method, realist evaluation approach was utilised. A purposive sample of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants' perspectives of the service were gained via one staff focus group (n = 6) and individual semi-structured interviews (consumers n = 6; staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically.<h4>Results</h4>Significant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified.<h4>Conclusion</h4>Maintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes.<h4>Significance</h4>This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.A LeetS DennisJ MullerS WalshH Bowen-SalterJ KernotPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0260250 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q A Leet S Dennis J Muller S Walsh H Bowen-Salter J Kernot Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
description	<h4>Background</h4>As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents.<h4>Aim</h4>To analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers.<h4>Methods</h4>A mixed method, realist evaluation approach was utilised. A purposive sample of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants' perspectives of the service were gained via one staff focus group (n = 6) and individual semi-structured interviews (consumers n = 6; staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically.<h4>Results</h4>Significant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified.<h4>Conclusion</h4>Maintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes.<h4>Significance</h4>This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.
format	article
author	A Leet S Dennis J Muller S Walsh H Bowen-Salter J Kernot
author_facet	A Leet S Dennis J Muller S Walsh H Bowen-Salter J Kernot
author_sort	A Leet
title	Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
title_short	Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
title_full	Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
title_fullStr	Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
title_full_unstemmed	Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.
title_sort	demonstrating the processes and outcomes of a rural community mental health rehabilitation service: a realist evaluation.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/44186a39603e49e7a10a0bcf9b1b1ed1
work_keys_str_mv	AT aleet demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation AT sdennis demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation AT jmuller demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation AT swalsh demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation AT hbowensalter demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation AT jkernot demonstratingtheprocessesandoutcomesofaruralcommunitymentalhealthrehabilitationservicearealistevaluation
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Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service: A realist evaluation.

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