Enhancing recovery: transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission – a residential recovery house

DOIhttps://doi.org/10.1108/JMHTEP-09-2014-0027
Pages39-50
Date09 March 2015
Published date09 March 2015
AuthorChristopher Alan Griffiths,Samira Heinkel,Bohdana Dock
Subject MatterHealth & social care,Mental health,Mental health education
Enhancing recovery: transition intervention
service for return to the community
following exit from an alternative to
psychiatric inpatient admission –
a residential recovery house
Christopher A. Griffiths, Samira Heinkel and Bohdana Dock
Dr Christopher A. Griffiths is
based at Evaluation Team,
Rethink Mental Illness,
London, UK.
Samira Heinkel is an
Informatics and Evaluation
Officer, based at Evaluation
Team, Rethink Mental Illness,
London, UK.
Bohdana Dock is based at
Evaluation Team, Rethink
Mental Illness, London, UK.
Abstract
Purpose – The purpose of this paper is to evaluate the impact on recovery and personal goal attainment of
a transition intervention service for return to the community following exit from an alternative to psychiatric
inpatient admission – a residential recovery house. The services seek to facilitate community reintegration,
promote recovery and prevent future mental health crisis. The service was funded by the Stone Family
Foundation.
Design/methodology/approach – This evaluation employed a within groups design: a single case
evaluation follow-up. Analysis of Recovery Star and personal goal achievement data collected at service
entry and exit points during routine practice (n ¼181), at four sites in England. The adults had mental illness
diagnoses including depression, schizophrenia, bipolar disorder,personality disorder, and anxiety disorder.
Findings – There was a significant increase in overall Recovery Star scores with a large effect size, and
significant increases in eight of the ten Recovery Star life domains. There were significant increases in the
goal scores linked to Managing mental health,Self-careand Living skills.
Practical implications – A transitional intervention service provided by the third sector for return to
community following mental health crisis may contribute to recovery and personal goal achievement.
A randomised control trial of this transition intervention service is recommended.
Originality/value – This is first outcome evaluation of an alternative to psychiatric inpatient admission
transition intervention service and findings indicate the potential positive effect of having this service
incorporated into the design of alternative to admission provision.
Keywords Mental health Recovery Star, Mental illness, Recovery,
Alternatives to psychiatric inpatient admission, Third sector, Transitionalintervention
Paper type Case study
Background
In the UK there are a number of services available to people who experience a mental
health crisis. People may be referred to Crisis Resolution Home TreatmentTeams, admitted to a
psychiatric inpatient ward or, where available, they may be referred to an alternative to
admission residential service. This paper reports on the evaluation of a service providing
transitional support for people who have spent time in an alternative to admission service (also
referred to here also as a “recovery house”) as they return back to the community.
There is a growing body of evidence supporting the effectiveness of alternative to inpatient
admission services (Gilburt et al., 2010; Larsen and Griffiths, 2013; Osborn et al., 2010; Morant
John Larsen, Director of Evidence
and Impact, The Drinkaware Trust,
London, UK Funded by the Stone
Family Foundation
DOI 10.1108/JMHTEP-09-2014-0027 VOL. 10 NO. 1 2015, pp. 39-50, CEmerald Group Publishing Limited, ISSN 1755-6228
j
THE JOURNAL OF MENTAL HEALTH TRAINING, EDUCATION AND PRACTICE
j
PAGE 39

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