Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health and housing: housing on the pathway to recovery
- Authors:
- HACT, NATIONAL HOUSING FEDERATION, COMMON CAUSE CONSULTING
- Publisher:
- National Housing Federation
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Outlines the evidence to support the inclusion of housing in the mental health recovery pathway, including examples of the types of intervention that can contribute to improvements in quality and cost savings in mental health. It is designed to support both the continued development of a more outcome-based approach to commissioning and a more integrated approach to service provision. It also looks at the potential economic benefits of reduced admissions to hospital, reducing delays in discharge, reducing readmissions, and reducing out of area placement. The document also includes four case examples to show how housing and housing related services have been able to improve cost effectiveness while also delivering higher quality services. The report argues for a whole system approach to ensure that every intervention that can contribute to someone’s recovery are considered. It highlights the importance of focusing early in the pathway on someone’s housing circumstances to ensure that they only stay in institutional forms of care out of choice or real necessity. (Edited publisher abstract)
Mental health and housing: potential economic benefits for improved transitions along the acute care pathway to support recovery for people with mental health needs
- Authors:
- MCDAID David, PARK A-La
- Publisher:
- London School of Economics. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- London
This brief paper looks at some of potential economic benefits that may be realised through the inclusion of housing services as part of the acute care recovery pathway for people with mental health problems. The paper identifies some potential opportunities for freeing up resources from inpatient care which might then be used to invest in alternative community and residential support services that may be provided by or supported by housing organisations. The paper provides a brief background on the acute care pathway and possible areas where economic efficiencies can be made. It then looks briefly at some current trends in the provision of mental health services and their implications for further potential economic efficiencies. It then describes and quantifies some of the potential benefits of reduced use of specialist acute inpatient care services and identify potential opportunities for the housing sector. The report estimates that if all delayed discharges could be eliminated, with appropriate care for this time provided in other forms of supported accommodation net resources of more than £54 million might be freed up for alternative use within the mental health system. These resource savings would be greater if individuals are able to move to even more independent living arrangements. (Edited publisher abstract)
Prevalence and trajectories of psychiatric symptoms among sober living house residents
- Authors:
- POLCIN Doug, et al
- Journal article citation:
- Journal of Dual Diagnosis, 12(2), 2016, pp.175-184.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Sober living houses are alcohol- and drug-free recovery residences that help individuals with substance use disorders maintain long-term abstinence. Given the prevalence of co-occurring mental disorders among individuals entering substance use treatment, it is likely that many such residents are also contending with psychiatric symptoms, and it is unclear how these symptoms may affect their sobriety. This study sought to describe the prevalence and trajectories of different types of symptoms among sober living house residents and examine how these symptoms affect substance use outcomes. Methods: Data for this study were collected as part of a larger study on outcomes among sober living house residents in Northern California. The current study examined data from 300 residents in two housing groups; residents were interviewed upon entry and re-interviewed at 6-, 12-, and 18-month follow-ups. Psychiatric symptoms were assessed using the Brief Symptom Inventory (BSI). General estimating equations tested changes in BSI global psychological distress and clinical symptom scales over time and examined the relationship between scale scores and substance use in longitudinal models controlling for demographics, length of stay, and psychiatric service utilisation. Results: The average age of residents was 38.5 years, and they were mostly male (80%) and Caucasian (65%). Retention rates were high, with 90% participating in at least one follow-up interview. Overall psychological distress, symptoms of depression, and phobic anxiety significantly improved over time. In all models examining the relationship between BSI scale scores and substance use, rates of abstinence and days of use among those who reported using substances also improved over time. Overall distress as well as higher scores on the somatization, depression, hostility, and phobic anxiety subscales were significantly associated with a decreased likelihood of abstinence. Symptoms of somatization were associated with an increase in the number of days substances were used among those who reported use. Conclusions: Psychological symptoms among sober living house residents improve over time, but they are risk factors for relapse, suggesting that additional support provided to residents with psychiatric symptoms could improve substance use outcomes. (Edited publisher abstract)
A basic need: housing policy and mental health
- Author:
- BRADSHAW Ian
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- London
Based on an initial review of the literature, this briefing paper explores recent Government policy changes to housing benefits, subsidies for social landlords and the provision of affordable housing and looks at the potential impact of these change on people with serious mental health problems. It looks at why affordable housing is important for mental health, provides an outline of key reforms to affordable housing and housing benefits implemented since 2010 and their potential impact, highlights gaps in the evidence and future priorities for research in mental health policy. Annex A lists specific housing reforms and their potential impact for people with severe mental health problems. (Edited publisher abstract)
Housing and mental health: working together in the Midlands to tackle mental health issues and dementia
- Author:
- MIDLAND HEART
- Publisher:
- Midland Heart
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Birmingham
Leaflet from a group of housing associations which highlights different approaches to tackling mental health issues in the West Midland. It provides brief descriptions of Midland Heart's Mental Health Step Down Service for people discharged from an acute mental health setting, Walsall Housing Group's Young persons housing project, which supports vulnerable young people maintain their independence; Nehemiah UCHA Retirement Living Service which supports black and minority ethnic older people, including those with dementia, to live independently; and the Fry Housing Trust's Support and resettlement service, which provides supported housing to vulnerable homeless adults who have multiple and complex needs. The examples emphasise the positive value of health and housing partnerships, and the savings and successful outcomes they bring for individuals. (Edited publisher abstract)
Rebuilding lives: mental health matters
- Authors:
- CRANE Maureen, JOLY Louise, MANTHORPE Jill
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
Focusing on the participants’ mental health problems, this briefing summarises the findings of the Rebuilding Lives study, which examined the experiences and outcomes for formerly homeless people five years after they were resettled. The study revealed that health problems were common among the participants, and the percentage who reported these problems increased slightly after they were resettled. Some participants had mental health problems that were severe and disabling, and affected their ability to manage independent living and move forward with their lives. For some people, mental health problems were triggered or exacerbated when they faced stressful events after being resettled, or when they tried to resolve or come to terms with past traumas and difficulties. One-third of participants with mental health problems identified help or treatment that they needed but were not receiving. (Edited publisher abstract)
Mental health and housing
- Author:
- SAVAGE Jonny
- Publisher:
- Mental Health Foundation
- Publication year:
- 2016
- Pagination:
- 43
- Place of publication:
- London
This study examines how different types of supported accommodation meet the needs of people with mental health problems. Supported accommodation covers a wide range of different types of housing, including intensive 24 hour support, hostel accommodation, and accommodation with only occasional social support or assistance provided. The document focuses on five approaches to providing supported accommodation, including: Care Support Plus; integrated support; housing support for people who have experienced homeless; complex needs; low-level step down accommodation; and later life. The report draws on the expertise of people living and working in these services across England, and presents their views of both building and service related issues. It sets out a number of recommendations, focusing on: quality; co-production; staff recruitment and training; policy informed practice; and resourced, appropriate accommodation. (Edited publisher abstract)
Chorus for community integration and recovery for men with psychiatric disabilities in a supportive housing community
- Authors:
- LEE Othelia Eun-Kyoung, PANTAS Susanna, COYLE Courtney
- Journal article citation:
- Smith College Studies in Social Work, 86(3), 2016, pp.240-257.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study reports the findings from a mixed-methods evaluation of the effectiveness of a choral programme for 34 homeless men with substance abuse and mental illnesses. The evaluation focused on the chorus experience as one way to promote community integration and recovery. Fifteen residents (44.1%) were chorus members (CMs), and their responses were compared with those of 19 nonmembers (NCMs). When examining the quantitative data only, significant differences were not found between CMs and NCMs. However, narrative data and participant observation revealed that the choral programme may have helped CMs improve their subjective experience of community integration by enhancing psychosocial components. (Edited publisher abstract)