دورية أكاديمية

Effect of community mental health care programs in Australia: a systematic review.

التفاصيل البيبلوغرافية
العنوان: Effect of community mental health care programs in Australia: a systematic review.
المؤلفون: O'Donnell, Renee, Savaglio, Melissa, Vicary, Dave, Skouteris, Helen
المصدر: Australian Journal of Primary Health; 2020, Vol. 26 Issue 6, p443-451, 9p
مصطلحات موضوعية: PSYCHOLOGY information storage & retrieval systems, MEDLINE, MENTAL health, MENTAL illness, HEALTH outcome assessment, PSYCHOLOGY, RESEARCH funding, SYSTEMATIC reviews
مصطلحات جغرافية: AUSTRALIA
مستخلص: Although numerous studies have examined the effects of community-based mental health care programs in Australia, no synthesis of this literature exists. This systematic review of peer-reviewed and grey literature described the types of community-based mental health care programs delivered and evaluated in Australia in the past 20 years, and evaluated their impact in improving outcomes for those with a serious mental illness (SMI). Articles were included if they evaluated the extent to which the programs delivered in Australia improved individual outcomes, including hospitalisations, psychiatric symptoms, substance misuse or psychosocial outcomes, for individuals with an SMI. Forty studies were included. Community-based mental health care programs were categorised into three types: case management (n = 23), therapeutic (n = 11) and lifestyle (n = 6). Therapeutic programs were most effective in reducing psychiatric symptoms. Case management approaches yielded significant improvements in psychosocial outcomes. Lifestyle programs were inconclusive in improving individual outcomes. This review provides support for the implementation of community-based mental health care programs that are informed by both therapeutic and case management principles. A multidisciplinary team that can facilitate the provision of therapeutic and psychosocial support may be most beneficial for those with an SMI within the Australian community. No synthesis of the Australian literature regarding the effect of community-based mental health care programs currently exists. This review evaluated the impact of Australian community mental health programs for adults diagnosed with a serious mental illness. This evidence base provides a useful framework within which health professionals and policy makers can be guided. We foresee readers being able to adopt these learnings into their own work, across mental health care and the community healthcare setting more broadly. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:14487527
DOI:10.1071/PY20147