Abstract
In Queensland (Australia), community-based residential mental health rehabilitation services have three distinct staffing profiles. The traditional ‘clinical’ staffing model has nursing staff occupying most staff roles. The ‘partnership’ approach involves collaboration between the health service and a Non-Government Organisation. Under the ‘integrated’ staffing approach, Peer Support Workers reflect the majority staffing component. This study compares the treatment received by consumers (N = 172) under these staffing models using cross-sectional administrative data. Staffing models were generally comparable on demographic, diagnostic, and symptomatic/impairment measures. However, statistically significant differences were present on a range of treatment variables. Differences mainly occurred between the clinical and integrated approaches, with the integrated staffing model having lower rates of involuntary treatment, antipsychotic polypharmacy, depot use, and chlorpromazine dose equivalence levels. These findings indicate the need to carefully examine the impact of staffing configuration on rehabilitation processes to understand whether differences in approaches are likely to impact rehabilitation outcomes.
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Acknowledgements
The authors acknowledge the staff and consumers who contributed towards the collection of benchmarking data at the different community based residential rehabilitation units. Additionally, the authors acknowledge the work of the QMHBU on which this research has been based, as well as the contribution of unit staff and Professor Tom Meehan (University of Queensland) to the manuscripts development.
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SP, DJ and TS were involved in the initial study conception. SP conducted the statistical analyses and prepared the initial versions of the associated data tables. NK drafted the initial manuscript, which was subject to iterative review and revision by all co-authors. All authors approved the final manuscript version prior to publication and agree to be accountable for the aspects of the work they have contributed to.
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NK, DJ and TS declare they have no financial or non-financial interests to declare. SP has received honoraria from Johnson & Johnson and Queensland Psychotherapy Training, and research funding from the RANZCP, Suicide Prevention Australia, The Prince Charles Foundation, and the Mental Health Alcohol and Other Drugs Branch (Qld). SP is also on the board of directors for Mantle Housing Ltd and receives no compensation for this role.
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Karan, N., Parker, S., Jones, D. et al. Cross-Sectional Comparison of Treatment Provided Under the Clinical, Integrated, and Partnership Staffing Models for Community-Based Residential Mental Health Rehabilitation. Community Ment Health J 58, 907–916 (2022). https://doi.org/10.1007/s10597-021-00898-3
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DOI: https://doi.org/10.1007/s10597-021-00898-3