Experiences and wellbeing of family members and carers, regarding PARCS across Victoria

When consumers experience mental health crises, carers are often key supporters and are also impacted significantly themselves. The Prevention and Recovery Care (PARC) model offers a community-based residential program for consumers, in times of mental health crisis. The potential of PARC services to engage carers is under-examined. This study addresses two questions: How do carers experience the PARC service; and what are carers' experiences of their own wellbeing, during and after engagement with PARC?

This is a mixed-methods convergent study of carer experience, whereby quantitative survey data and qualitative survey and interview data were gathered, analysed concurrently, and integrated to report carers perspectives of PARC services. Carers reported their wellbeing across 4 timepoints (n = 71) and also their experience of PARC services in a Carer Exit Survey (n = 50). An independent sample of six family members, each from a different PARC service, engaged in semi-structured telephone interviews.

For service experience, carers rated the PARC service as highly satisfactory. Interviewees reported a sense of relief, gratitude, and period of regrouping, while valuing the PARC service and feeling positive about accessing PARC services in the future. Positive experience was defined in contrast with distressing experiences of acute wards; concerns were expressed about limits to timely access of PARC services in future if needed. Regarding carer wellbeing, time 1 levels varied across participants, and all measures showed improvement for carers over time. They reported experience of respite, with confidence to entrust their family member to the team, and learning from PARC service staff ways to cope and interact with their family member.

Carers considered the PARC service a positive environment for the person to receive treatment and support and also experienced PARC services as supporting their own quality of life and wellbeing. This study contributes evidence about how highly valued these recovery oriented sub acute residential services are for carer service users; however, there is potential to further enhance the engagement of carers in PARC service delivery, including through inclusion of carers in co-design.