Using Innovative Recovery Journal into Practice: Evaluation of Recovery-Oriented Programme for the Persons with Severe Mental Illness (SMI) in Hong Kong – an Update
Mr Siu Kei Leung
Advanced Practice Nurse, Kwai Chung Hospital, Hospital Authority.
From January 2015 to December 2015, my research teammates continued to evaluate the recovery-oriented case management outreach practice for the persons with Severe Mental illness (SMI) in Personalised Care Program. There were 180 PIRs who had been recruited and all of them completed both pre and post assessments. (M:F= 101:79; mean age: 45.37). The total RAS score of respondents increased by 16.74 (paired t-test, p<0.0005, 95% C.I.= 13.80 to 19.68).
The total HoNoS score decreased by 1.51 (paired t-test, p<0.0005, 95% C.I.= 1.13 to 1.90). The total BPRS decreased by 1.58 (paired t-test, p<0.0005, 95% C.I.= 0.92 to 2.25). The total SOFAS score increased by 4.76 (paired t-test, p<0.0005, 95% C.I.= 3.46 to 6.06). The proportion of perceived recovery before and after was 38% and 83% respectively. The total proportion increased by 45% (McNemar test, p<0.0005, 95%, C.I.= 37% to 53%). As a result, the health & social functioning, the psychiatric symptoms, and recovery state of PIRs had been improved after recovery-oriented case management outreach programme.
The satisfaction of case managers by using guided-practice recovery journal is 99.9%. They pointed out that they had confidence to promote recovery-oriented practice step by step. In the meanwhile, case managers suggested that it was better to have Simplified Chinese Version and English version for PIRs who came from mainland and overseas respectively.
The research had been approved by KWC Research Ethics Committee.