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<p>Recurrent inpatient admissions are challenging for service users and their family members/carers and have significant financial impact on mental health Trusts. This evaluation explored the effectiveness of a newly implemented community initiative, HomeFirst, within Surrey and Borders Partnership, National Health Service (NHS) Foundation Trust. The lived experiences of service users (n = 8) and family members/carers (n = 4) supported by HomeFirst, alongside staff (n = 18) working within the multi-agency alliance were thematically analysed. Data from N = 88 service users, supported by HomeFirst during the first 13&#xa0;months of the initiative were analysed in relation to inpatient bed days, frequency of admissions and changes in use of Mental Health Act restrictions prior to and during input from HomeFirst. Statistically significant reductions were found in the frequency and length of admissions following 6+ months of HomeFirst input, alongside a significant reduction in the use of Mental Health Act restrictions. Three themes emerged from the thematic analysis: ‘connection, consistency and communication’, ‘same system, different set up’ and ‘systemic impacts’. Findings suggest the potential benefits of a multi-agency approach to community rehabilitation. Future research that includes long-term follow-up of participants from larger and more diverse populations will help strengthen the evidence base for the approach.</p>

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HomeFirst: An Evaluation of a Multi-Agency Approach to Supporting People with Significant Mental Health Problems to Remain in the Community

  • 期刊论文

  • 发表日期：

    2025年3月24日

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  • Amy Crellin,
  • Anna Maria Manti,
  • Heather Tucker,
  • Georgina Foulds,
  • Pamela McSherry

摘要

Recurrent inpatient admissions are challenging for service users and their family members/carers and have significant financial impact on mental health Trusts. This evaluation explored the effectiveness of a newly implemented community initiative, HomeFirst, within Surrey and Borders Partnership, National Health Service (NHS) Foundation Trust. The lived experiences of service users (n = 8) and family members/carers (n = 4) supported by HomeFirst, alongside staff (n = 18) working within the multi-agency alliance were thematically analysed. Data from N = 88 service users, supported by HomeFirst during the first 13 months of the initiative were analysed in relation to inpatient bed days, frequency of admissions and changes in use of Mental Health Act restrictions prior to and during input from HomeFirst. Statistically significant reductions were found in the frequency and length of admissions following 6+ months of HomeFirst input, alongside a significant reduction in the use of Mental Health Act restrictions. Three themes emerged from the thematic analysis: ‘connection, consistency and communication’, ‘same system, different set up’ and ‘systemic impacts’. Findings suggest the potential benefits of a multi-agency approach to community rehabilitation. Future research that includes long-term follow-up of participants from larger and more diverse populations will help strengthen the evidence base for the approach.