Author:
Martinelli Alessandra,Killaspy Helen,Zarbo Cristina,Agosta Sara,Casiraghi Letizia,Zamparini Manuel,Starace Fabrizio,Rocchetti Matteo,de Girolamo Giovanni,Ruggeri Mirella,Barlati Stefano,Boero Maria Elena,Cerveri Giancarlo,Clerici Massimo,D’Anna Giulio,De Novellis Antonio,Di Michele Vittorio,Di Prisco Pasquale,Durbano Federico,Facchini Federico,Ghio Lucio,Giosuè Patricia,Greco Carmelo,Latorre Valeria,Leuci Emanuela,Malagamba Daniela,Maone Antonio,Marina Marina,Maurizi Annalisa,Monzani Emiliano,Placenti Roberto,Rancati Luca,Rippa Arturo,Rovera Chiara,Silva Andrea,Tura Giambattista,Zanolini Stefano,
Abstract
Abstract
Background
Recovery and human rights promotion for people with Schizophrenia Spectrum Disorders (SSDs) is fundamental to provide good care in Residential Facilities (RFs). However, there is a concern about rehabilitation ethos in RFs. This study aimed to investigate the care quality of Italian RFs, the quality of life (QoL) and care experience of residents with SSD.
Methods
Fourty-eight RFs were assessed using a quality assessment tool (QuIRC-SA) and 161 residents with SSD were enrolled. Seventeen RFs provided high intensity rehabilitation (SRP1), 15 medium intensity (SRP2), and 16 medium-low level support (SRP3). Staff-rated tools measured psychiatric symptoms and psychosocial functioning; user-rated tools assessed QoL and satisfaction with services. RFs comparisons were made using ANOVA and Chi-squared.
Results
Over two-thirds patients (41.5 y.o., SD 9.7) were male. Seventy-six were recruited from SRP1 services, 48 from SRP2, and 27 from SRP3. The lowest QuIRC-SA scoring was Recovery Based Practice (45.8%), and the highest was promotion of Human Rights (58.4%). SRP2 had the lowest QuIRC-SA ratings and SRP3 the highest. Residents had similar psychopathology (p = 0.140) and functioning (p = 0.537). SRP3 residents were more employed (18.9%) than SRP1 (7.9%) or SRP2 (2.2%) ones, and had less severe negative symptoms (p = 0.016) and better QoL (p = 0.020) than SRP2 residents. There were no differences in the RF therapeutic milieu and their satisfaction with care.
Conclusions
Residents of the lowest supported RFs in Italy had less severe negative symptoms, better QoL and more employment than others. The lowest ratings for Recovery Based Practice across all RFs suggest more work is needed to improve recovery.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
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