eprintid: 10161324 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/16/13/24 datestamp: 2022-12-06 12:04:51 lastmod: 2022-12-06 12:04:51 status_changed: 2022-12-06 12:04:51 type: article metadata_visibility: show sword_depositor: 699 creators_name: Martinelli, A creators_name: Killaspy, H creators_name: Zarbo, C creators_name: Agosta, S creators_name: Casiraghi, L creators_name: Zamparini, M creators_name: Starace, F creators_name: Rocchetti, M creators_name: de Girolamo, G creators_name: Ruggeri, M creators_name: Barlati, S creators_name: Boero, ME creators_name: Cerveri, G creators_name: Clerici, M creators_name: D’Anna, G creators_name: De Novellis, A creators_name: Di Michele, V creators_name: Di Prisco, P creators_name: Durbano, F creators_name: Facchini, F creators_name: Ghio, L creators_name: Giosuè, P creators_name: Greco, C creators_name: Latorre, V creators_name: Leuci, E creators_name: Malagamba, D creators_name: Maone, A creators_name: Marina, M creators_name: Maurizi, A creators_name: Monzani, E creators_name: Placenti, R creators_name: Rancati, L creators_name: Rippa, A creators_name: Rovera, C creators_name: Silva, A creators_name: Tura, G creators_name: Zanolini, S title: Quality of residential facilities in Italy: satisfaction and quality of life of residents with schizophrenia spectrum disorders ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D79 divisions: FH7 keywords: Schizophrenia, Residential facilities, Recovery, Quality of care, Quality of life, Functioning note: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. 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. date: 2022-11-18 date_type: published publisher: Springer Science and Business Media LLC official_url: http://doi.org/10.1186/s12888-022-04344-w oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1993339 doi: 10.1186/s12888-022-04344-w medium: Electronic pii: 10.1186/s12888-022-04344-w lyricists_name: Killaspy, Helen lyricists_id: HTKIL41 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: BMC Psychiatry volume: 22 article_number: 717 event_location: England citation: Martinelli, A; Killaspy, H; Zarbo, C; Agosta, S; Casiraghi, L; Zamparini, M; Starace, F; ... Zanolini, S; + view all <#> Martinelli, A; Killaspy, H; Zarbo, C; Agosta, S; Casiraghi, L; Zamparini, M; Starace, F; Rocchetti, M; de Girolamo, G; Ruggeri, M; Barlati, S; Boero, ME; Cerveri, G; Clerici, M; D’Anna, G; De Novellis, A; Di Michele, V; Di Prisco, P; Durbano, F; Facchini, F; Ghio, L; Giosuè, P; Greco, C; Latorre, V; Leuci, E; Malagamba, D; Maone, A; Marina, M; Maurizi, A; Monzani, E; Placenti, R; Rancati, L; Rippa, A; Rovera, C; Silva, A; Tura, G; Zanolini, S; - view fewer <#> (2022) Quality of residential facilities in Italy: satisfaction and quality of life of residents with schizophrenia spectrum disorders. BMC Psychiatry , 22 , Article 717. 10.1186/s12888-022-04344-w <https://doi.org/10.1186/s12888-022-04344-w>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10161324/1/s12888-022-04344-w.pdf