An electronic database search was conducted in January 2015 using MEDLINE, EMBASE, PsycINFO, CINAHL Plus, International Bibliography of the Social Sciences (IBSS), Applied Social Sciences Index and Abstracts (ASSIA), Sociological Abstracts, Web of Science and The Cochrane Library. The authors declare that they have no competing interests. An expert panel, comprised of the Programme Management Group of the Quality and Effectiveness of Supported Tenancies (QuEST) research project (a national programme of research into mental health supported accommodation funded by the National Institute of Health Research [NIHR], Ref. In addition, it is possible that the inclusion of diverse models of supported accommodation may have diluted our findings; however, as noted, there was considerable thematic convergence between studies, suggesting that this had little impact. 1992;11(1):109–23. Data sharing is not applicable to this article as no datasets were generated or analysed during the current study.

Of this, 11 were rated as high quality [8, 13, 17,18,19,20,21,22,23,24, 44] and 20 moderate quality [9, 25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43]. Quality assessment, using the QATQS, indicated that the majority of studies were rated as moderate quality (n = 62), with a smaller number rated as high quality (n = 20).

1990;157:842–8. After all initial search results were collated, and duplicates omitted, a relevance review of 10% of articles (n = 1,066) was conducted by two authors (JK, PM) to ensure fidelity to the inclusion criteria. All studies included were independently appraised by two researchers (JK, PM) using the Critical Appraisal Skills Programme tool (Critical Appraisal Skills Programme, 2017). Note you can select to send to either the @free.kindle.com or @kindle.com variations. This observation pertains to all subsequent reporting of findings from this study. Research on outcomes in supported accommodation for deinstitutionalised populations provided good evidence for improvement or non-deterioration in psychiatric symptoms, social functioning and rates of rehospitalisation. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. converted to PDF/A-2b Housing and Support Narratives of People Experiencing Mental Health Issues: Making My Place, My Home. Service users also stressed the importance of having someone to talk to who had had similar problems, broadening their perspectives on their problems through interactions with other service users, and how these interactions sometimes increased their awareness of their mental health (Carpenter‐Song et al., 2012; Kirsh et al., 2009; Lindström et al., 2011; McCrea & Spravka, 2008). Part of COVID-19 is an emerging, rapidly evolving situation. The mixed results of this study highlight the heterogeneity of the supported accommodation literature, in terms of research quality, experimental design, population, service types and outcomes assessed. There was, across almost all studies, clear evidence of high rates of rehospitalisation; a number of moderate quality studies [52, 53, 56, 58, 63, 67, 68, 72] indicated between 35 and 87% of participants required inpatient treatment at least once during the follow-up period (range 4–10 years). Martin, Robyn Suicide mortality following nursing home discharge in the Department of Veterans Affairs health system. Baker F, Douglas C. Housing environments and community adjustment of severely mentally ill persons. J Psychiatry. Home‐making and recovery, therefore, are closely linked processes. Boydell KM, Everett B. The majority of studies reviewed found no change in substance use over time. Find out more about sending to your Kindle. Eur Psychiatry.

Service users appreciated being believed and understood (Andersson, 2016; Bengtsson‐Tops et al., 2014). Similarly, one moderate quality paper found that moving into ‘inappropriate’ residential settings resulted in a deterioration in QoL [61]. token economies), were excluded. The TAPS Project: a report on 13 years of research, 1985–1998, Does one size fit all? When service users were aware of the continuum of housing support, being in highly supported settings was sometimes perceived as a marker of low status and disability (Dorvil et al., 2005). wide variation in populations, service models, terminology, and severity of presentations); the presented conceptual model is a coherent summary of service user experiences across service types, population groups and countries. XMP Paged-Text These studies were typically from the USA or Canada, and included permanent supported housing projects (such as Housing First [HF]) and the ‘HUD-VASH’ program (Department of Housing and Urban Development - Veterans Affairs Supportive Housing Program), which caters to military veterans in the USA. Sawicka, Maryla Text Service users wanted to appear “normal” (Rønning & Bjørkly, 2017). All reported results and primary data from the reviewed studies were included in the analysis. Housing satisfaction and service use by mentally ill persons in community integrated living arrangements. The intention of the current review was to compare and contrast the effectiveness of various models of supported accommodation, across a range of psychosocial outcomes. For these reasons, previous attempts to summarise the evidence base have been largely unsatisfactory.

Does housing chronically homeless adults lead to social integration? Two genealogies of supported housing and their implications for outcome assessment, What do mental health rehabilitation services do and what are they for? A thorough search identified 139 potential studies for inclusion, but after review, none fulfilled the inclusion criteria. Many service users reported that their whole social network comprised other residents (Cleary et al., 1998; Roos et al., 2016).

While service users appreciated being able to approach staff and ask for assistance whenever they needed it, some living in 24 hr staffed accommodation felt that this compromised their privacy and fostered dependence (Henwood et al., 2015; Kowlessar & Corbett, 2009; Lindström et al., 2011; Petersen et al., 2012; Rønning & Bjørkly, 2017; Yanos et al., 2004). Cite this article. Housing first improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia. No. Number of times cited according to CrossRef: Independent Housing and Support for non-homeless individuals with severe mental illness: randomised controlled trial vs. observational study – study protocol. The ‘homeless’ group comprised of the largest number of examined studies; 40 papers in total were reviewed. Psychiatr Serv. Residents’ Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities. Division of Psychiatry, Faculty of Brain Sciences, UCL, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK, Peter McPherson, Joanna Krotofil & Helen Killaspy, You can also search for this author in Google Scholar, Pleace N, Wallace A. Unfortunately, the single high quality study did not report data assessing change over time [48].

The lack of association between supported accommodation and subjective QoL over time reported in the high quality papers was consistent with the evidence from the moderate quality papers [54, 72, 73]. In addition, several moderate quality studies reported no change in this domain [52, 65, 66]. Full-service partnerships among adults with serious mental illness in California: impact on utilization and costs. The model provided our initial coding framework which was applied to the initial data sample from studies identified in the original search in 2015 and refined through inductive open coding carried out by JK and PM. external 2015 Apr;22(3):171-82. doi: 10.1111/jpm.12202. Published online by Cambridge University Press. The needs for care of the chronic mentally ill relocating from psychiatric hospital to the community: a pilot study. In order to make assertions regarding the effectiveness of various models of supported accommodation, it is clear that a simple method of service categorisation, based on current reporting practices, is required.

%���� What we can and can’t learn from a meta-analysis of housing models for persons with mental illness.


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