Abstract
Background: The Southwark Reablement Service was set up in July 2012 to provide short, targeted social care interventions to clients with mental health problems. The service was set up as a pilot in order to evaluate the effectiveness of this way of working.
Aims: This evaluation aimed to:
* explore users’ perceptions of the new reablement service and its impact on their lives
* evaluate short term outcomes for users of reablement
* explore the reablement team’s perceptions of the service and its benefits to service users
* evaluate activity data for the reablement service in its first six months of operation
* establish a baseline cohort which could be followed-up in a later study
Method: This evaluation comprised analysis of routinely collected data which comprised socio-demographics, referral data and source data; Fair Access to Care Services criteria (FACS); Warwick Edinburgh Mental Health Wellbeing Scale (WEMWBS); Payment by Results Care Cluster (PbR); Health of the Nation Outcome Scales (HoNOS), and Resource Allocation System (RAS). Pre and post data were collected where possible. A worker focus group and 13 semi structured interviews with clients accessing the Reablement service provided qualitative data for thematic analysis.
Results: The data showed that clients’ needs as measured by the FACS criteria were significantly lower after Reablement, and significant improvements were seen in six of the outcome domains. There were also significant reductions on the RAS for an Indicative Personal Budget. There were no significant changes in HoNOS, WEMWBS or PbR Clusters.
Conclusions: The data suggests that the Southwark Reablement Service is having a positive impact on the reduction of clients’ needs and reducing the financial cost of their care immediately after Reablement. Additionally, clients are mostly very happy with the service. Further research needs to be completed at a later date to ascertain the longer-term success of the Reablement scheme.
Aims: This evaluation aimed to:
* explore users’ perceptions of the new reablement service and its impact on their lives
* evaluate short term outcomes for users of reablement
* explore the reablement team’s perceptions of the service and its benefits to service users
* evaluate activity data for the reablement service in its first six months of operation
* establish a baseline cohort which could be followed-up in a later study
Method: This evaluation comprised analysis of routinely collected data which comprised socio-demographics, referral data and source data; Fair Access to Care Services criteria (FACS); Warwick Edinburgh Mental Health Wellbeing Scale (WEMWBS); Payment by Results Care Cluster (PbR); Health of the Nation Outcome Scales (HoNOS), and Resource Allocation System (RAS). Pre and post data were collected where possible. A worker focus group and 13 semi structured interviews with clients accessing the Reablement service provided qualitative data for thematic analysis.
Results: The data showed that clients’ needs as measured by the FACS criteria were significantly lower after Reablement, and significant improvements were seen in six of the outcome domains. There were also significant reductions on the RAS for an Indicative Personal Budget. There were no significant changes in HoNOS, WEMWBS or PbR Clusters.
Conclusions: The data suggests that the Southwark Reablement Service is having a positive impact on the reduction of clients’ needs and reducing the financial cost of their care immediately after Reablement. Additionally, clients are mostly very happy with the service. Further research needs to be completed at a later date to ascertain the longer-term success of the Reablement scheme.
| Original language | English |
|---|---|
| Place of Publication | London/York |
| Publisher | King’s College London/University of York/London Borough of Southwark and South London & Maudsley NHS Foundation Trust |
| Number of pages | 16 |
| Publication status | Published - 2013 |
Keywords
- mental health
- support services
- reablement
- social care
- service users