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A longitudinal study of the impacts of a stay in a Prevention and Recovery Care service in Victoria, Australia

Overview

This longitudinal study examined outcomes for 298 consumers across 19 Prevention and Recovery Care (PARC) services in Victoria, Australia. The research found significant improvements in personal recovery, quality of life, mental health and well-being following PARC admissions, with gains sustained over 12 months, though some deterioration occurred at 6-month follow-up.

Developed by a large Multidisciplinary team lead by Lisa Brophy from La Trobe University

Individual authors

  • Lisa Brophy (La Trobe University)
  • Justine Fletcher (The University of Melbourne)
  • Shrinkhala Dawadi (Monash University)
  • John Reece (Australian College of Applied Professions)
  • Vrinda Edan (The University of Melbourne)
  • Joanne Enticott (Monash University)
  • John Farhall (La Trobe University)
  • Ellie Fossey (Monash University)
  • Bridget Hamilton (The University of Melbourne)
  • Carol Harvey (The University of Melbourne/Northern Health)
  • Graham Meadows (Monash University)
  • Cathrine Mihalopoulos (Monash University/Deakin University)
  • Emma Morrisroe (The University of Melbourne)
  • Richard Newton (Peninsula Mental Health Service/Monash University)
  • Victoria Palmer (The University of Melbourne)
  • Ruth Vine (The University of Melbourne)
  • Shifra Waks (University of Technology Sydney)
  • Jane Pirkis (The University of Melbourne)

Key insights

Key Insights:

  1. PARC services showed consistent benefits across multiple mental health outcomes

  2. Greatest improvements occurred from admission to discharge (T1 to T2)

  3. 'Step-up' consumers experienced better recovery gains than 'step-down' patients

  4. Medication needs were most consistently met across all services

  5. Social isolation remained problematic - company needs least met

  6. Recovery gains difficult to sustain long-term without ongoing support

  7. 65% rated living situation as good/excellent at 12-month follow-up

  8. High attrition rates: 298 participants at baseline, 114 at completion

Did this resource draw on transformative evidence?

This document was not based on experiential expertise alone. It was a rigorous longitudinal research study using validated outcome measures across 298 consumers at 19 PARC services over 12 months. However, the research team notably included consumer researchers (people with lived experience of mental distress) who were integral to recruitment and data collection, enhancing participant comfort and trust while maintaining scientific methodology.

This document was not based on practice wisdom alone. It was a systematic longitudinal research study using standardized outcome measures and statistical analysis. However, the research was informed by practice wisdom - it emerged from calls by practitioners for rigorous evidence to support PARC services, which had been operating based on clinical experience and small localized evaluations with limited scientific validation.

This document was entirely based on research and evaluation insights. It employed a rigorous longitudinal cohort design with validated outcome measures (QPR, K10, WEMWBS, ReQoL, AQoL8D, PNCQ, LCQ) across four time points. The study used mixed-effects linear regression, multiple imputation for missing data, and statistical analysis to evaluate 298 consumers across 19 PARC services, providing systematic evidence of service effectiveness over 12 months.

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Evidence Summary