Living with health and illness groups

speaking, listening, sharing, learning

Whitby Piers and Lighthouse

Photograph by Michael Shaw - www.flowergategallery.co.uk

1. Audit of unplanned hospital admissions.

Seven of the ten groups so far completed have been audited to evaluate the possible impact of group participation on unplanned admissions to hospital. We compared the year prior to group participation with the year following completion of a group. A total of 53 people attended the seven groups assessed. Data was not aavailable for one participant. The data demonstrates a reduction in unplanned admissions in the year following group participation as illustrated in the graph.

Additionally patients of Sleights and Sandsend practice were evaluated with respect to A&E attendances not resulting in admission. Only four groups were evaluated in this way (which did not include all participants, only those registered with the Sleights ans Sandsend practice). Total A&E attendances for this group of patients (14 individuals) were five in the year prior to group participation and one in the year following the group.

2. Psychological evaluation- CORE

"The CORE System (Clinical Outcomes for Routine Evaluation) has been designed in the UK for use in psychotherapy, counselling and other psychological therapies to measure outcome and provide for service audit, evaluation and performance management. The measure has been extensively piloted and resultant data  suggest: the measure (1) has considerable clinical face value; (2) has supportive validity and reliability; and, (3) distinguishes between clinical and non-clinical or general populations” www.coreims.co.uk

Core scoring increases with psychological distress/difficulty.

Use of CORE in the “Living with Long Term Illness” project:

We use the CORE instrument to evaluate each group at the beginning of the group process, (Before) and at the end (After). Taking the mean of scores for each group, in all six groups evaluated we have seen a reduction in the CORE scores at the end of group participation compared with at the beginning as illustrated in the graph.

The "Normal" value shown is that determined by the CORE groups evaluation of over 1000 people not engaged in psychological services.