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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Care | Research article

Key features of an innovative sub-acute residential service for young people experiencing mental ill health

Authors: Rachael Green, Penelope Fay Mitchell, Kira Lee, Ella Svensson, Jia-Wern Toh, Carolyn Barentsen, Michala Copeland, J. Richard Newton, Kari Christine Hawke, Lisa Brophy

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

Numerous studies across international settings have highlighted a need to improve the appropriateness and continuity of services for young people experiencing mental ill health. This paper examines key features of a sub-acute youth mental health residential service model, Youth Prevention and Recovery Care (Y-PARC) service. Y-PARC provides up to 4 weeks care to 16 to 25 year-olds at risk of hospitalisation and to those transitioning out of hospital inpatient units. The research was conducted at one of three Y-PARCs located in Victoria, Australia.

Methods

This paper presents findings from analysis of two data sources collected during evaluation of a Y-PARC service in 2015–17. Routinely collected administrative data of Y-PARC residents (n = 288) were analysed and semi-structured interviews were conducted with 38 participants: a) former residents (n = 14); b) family members of group a) (n = 5); key stakeholders (n = 9); and, Y-PARC staff (n = 10 respondents in 3 group interviews). Analysis of the qualitative data was thematic and structured by the interview guide, which covered the key service aims.

Results

Consistent with the aims of the service, respondents described practice at Y-PARC that aligns with recovery-oriented care. Key features emphasised were: a safe and welcoming environment for residents and families; provision of person-centred care; promotion of autonomy and self-help; informal interactions with staff allowing for formation of naturalistic relationships; time spent with other young people with similar experiences; and, assurance upon exit that the ‘door is always open.’
High levels of satisfaction were reported. Outcomes described included: improved resilience; better understanding of mental health; the importance of seeking help; and, stronger connections to therapeutic services. Longer and multiple stays were associated with progressive and sustained change. Family members and stakeholders widely reported that the service fills a gap between community services and acute inpatient mental health hospital wards.
Some challenging areas of practice identified included: integration of evidence-based psychosocial interventions; provision of care within a model that blends clinical and psychosocial support services; and, negotiation of family-inclusive practice.

Conclusions

The Y-PARC service model shows promise with young people experiencing mental ill health, particularly in improving the range and availability of options across a spectrum of need.
Footnotes
2
Youth co-researchers were recruited from a Youth Research Council established by Orygen, Australia’s National Centre of Excellence in Youth Mental Health.
 
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Metadata
Title
Key features of an innovative sub-acute residential service for young people experiencing mental ill health
Authors
Rachael Green
Penelope Fay Mitchell
Kira Lee
Ella Svensson
Jia-Wern Toh
Carolyn Barentsen
Michala Copeland
J. Richard Newton
Kari Christine Hawke
Lisa Brophy
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2303-4

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