학술논문
Quality of residential facilities in Italy: satisfaction and quality of life of residents with schizophrenia spectrum disorders
Document Type
Report
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
Source
BMC Psychiatry. November 18, 2022, Vol. 22 Issue 1
Subject
Language
English
ISSN
1471-244X
Abstract
Author(s): Alessandra Martinelli[sup.1,2] , Helen Killaspy[sup.3] , Cristina Zarbo[sup.4] , Sara Agosta[sup.5,6] , Letizia Casiraghi[sup.7] , Manuel Zamparini[sup.4] , Fabrizio Starace[sup.5] , Matteo Rocchetti[sup.7] , Giovanni de Girolamo[sup.4] , Mirella [...]
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. Keywords: Schizophrenia, Residential facilities, Recovery, Quality of care, Quality of life, Functioning
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. Keywords: Schizophrenia, Residential facilities, Recovery, Quality of care, Quality of life, Functioning