Search results for ‘Subject term:"mental health problems"’ Sort:
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Effectiveness of a supportive housing program for homeless adults with mental illness and substance use: a two-group controlled trial
- Authors:
- GUTMAN Sharon A., RAPHAEL-GREENFIELD Emily I.
- Journal article citation:
- British Journal of Occupational Therapy, 80(5), 2017, p.286–293.
- Publisher:
- Sage
Introduction: The purpose of this study was to assess the effectiveness of a housing transition programme for homeless shelter residents with chronic mental illness and substance use. Method: A two-group controlled study design was used to assess the programme, with 10 participants in an intervention group and 10 in a control group. Goal attainment scaling and quality of life ratings were used pre- and post-intervention to determine if a statistically significant difference existed between groups at post-intervention. Results: A statistically significant difference existed between intervention and control group goal attainment scaling scores (U = 9.50, p < .03, d = 1.34), and on quality of life scores (U = 10.50, p < .04, d = 1.30) at post-intervention. At a 6-month follow-up, 57.14% of intervention group participants had transitioned into supportive housing, while only 25% of control group participants had transitioned. Conclusion: Findings suggest that intervention participants made greater progress toward desired housing goals and reported higher quality of life ratings than controls at post-intervention. This study provides support for the effectiveness of a housing programme for homeless adults with chronic mental illness and substance use histories to achieve housing goals and higher quality of life ratings. (Edited publisher abstract)
The impact of housing problems on mental health
- Authors:
- SHELTER, COMRES
- Publisher:
- Shelter
- Publication year:
- 2017
- Pagination:
- 18
- Place of publication:
- London
This independent research undertaken by ComRes, on behalf of Shelter, carried out interviews with 20 GP’s and a survey of over 3,000 adults in England to explore the relationship between housing and mental health. The results found that one in five adults in the sample had suffered mental health issues in the last five years due to housing problems. One in 20 of the adults surveyed had also visited a GP due to a housing issue having a negative impact upon their mental health. GPs interviewed also spontaneously identified housing issues when discussing factors involved in their patients’ mental health. GPs also identified a knowledge of where to signpost and refer patients, where mental health was linked to problems with housing. Direct quotations from the GP interviews are included. The results show how housing problems, such as housing affordability, are affecting the mental health of individuals and also resulting in additional costs to the health sector which is already under pressure. (Edited publisher abstract)
Understanding everyday life and mental health recovery through CHIME
- Authors:
- PIAT Myra, SEIDA Kimberly, SABETTI Judith
- Journal article citation:
- Mental Health and Social Inclusion, 21(5), 2017, pp.271-279.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how daily life reflects the recovery journeys of individuals with serious mental illness (SMI) living independently in the community. Design/methodology/approach: The go-along technique, which blends participant observation and interviewing, was used to gather data from 19 individuals with SMI living in supported housing. Data were analysed through the CHIME framework of personal recovery, which includes social connectedness, hope and optimism, identity, meaning in life, and empowerment. Findings: Applying the CHIME framework to qualitative data reveals the multiple ways in which everyday experiences, within and beyond formal mental healthcare environments, shapes personal recovery processes. Research limitations/implications: Combining novel methods and conceptual frameworks to lived experiences sharpens extant knowledge of the active and non-linear aspects to personal recovery. The role of the researcher must be critically considered when using go-along methods. Practical implications: Practitioners working with this population should account for the role of socially supportive and financially accessible spaces and activities that support the daily work of recovery beyond the context of formal care and services. Originality/value: This study utilises an innovative method to illustrate the crucial role of daily and seemingly banal experiences in fostering or hindering personal recovery processes. It is also the one of the first studies to comprehensively apply the CHIME framework to qualitative data in order to understand the recovery journeys of individuals with SMI living in supported housing. (Publisher abstract)
Psychologically informed environments for homeless people: resident and staff experiences
- Authors:
- PHIPPS Catriona, et al
- Journal article citation:
- Housing Care and Support, 20(1), 2017, pp.29-42.
- Publisher:
- Emerald
Purpose: Many homeless people have significant levels of early adverse experiences and consequent mental health difficulties. This study examines the experiences of residents and staff living and working in a Psychologically Informed Environment (PIE), a new model of hostel for homeless people which aims to update and make more flexible the principles of the therapeutic community, thereby meeting the psychological and emotional needs of residents. Design/methodology/approach: Semi-structured interviews were carried out with nine residents, ten staff and five psychotherapists at two PIE hostels in London. The data were analysed using thematic analysis with a phenomenological epistemological approach. Findings: Analysis generated 18 themes for residents and staff combined, organised into five domains: what makes a home, resident needs, managing relationships, reflective practice and theory vs practice of PIEs. The study suggests that PIEs broadly meet their aim in providing a different type of environment from standard hostels. Efforts to build relationships with residents are particularly prioritised. This work can be challenging for staff and reflective practice groups provide a supportive forum. There are limits to the extent to which the theoretical PIE can be put into practice in the current political and economic climate. Originality/value: Originality/Value: This is one of the first qualitative studies of PIEs. It provides perspectives on their theoretical background as well as how they operate and are experienced in practice. It may be informative to services intending to establish a PIE and to commissioners in assessing appropriate resources. (Publisher abstract)
Home from hospital: how housing services are relieving pressures on the NHS
- Authors:
- COPEMAN Ian, EDWARDS Margaret, PORTEUS Jeremy, HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- National Housing Federation
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- London
This report shows how housing services are helping to relieve pressure on the NHS by reducing delays in discharging people from hospital and preventing unnecessary hospital admissions. It features 12 case studies to show the positive impact these services have on people’s lives and the cost benefit to the NHS. The case studies highlight services that will benefit people most at risk of delayed discharge, such as older people, people with mental health problems and people experiencing homelessness. The case studies also demonstrate a diversity of housing and health services including: 'step down' bed services for people coming out of hospital who cannot return to their own home immediately; hospital discharge support and housing adaptation services to enable timely and appropriate transfers out of hospital and back to patients' existing homes; providing a new home for people whose existing home or lack of housing mean that they have nowhere suitable to be discharged to; and Home from Hospital services to keeping people well at home who would otherwise be at risk of being admitted or readmitted to hospital. The report also considers the impact and additional savings that could be made by housing providers if this work were to be scaled up. (Edited publisher abstract)
Being mindful of mental health: the role of local government in mental health and wellbeing
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2017
- Pagination:
- 56
- Place of publication:
- London
This report explores the different ways that local authorities support mental health and wellbeing in communities, using their statutory duties and non-statutory duties. It looks at what councils can do to create mentally well places and highlights their role in the prevention and early intervention of mental health problems, along with the voluntary and community sector. The report looks how council services can contribute to mental wellbeing in the following areas: adult social care; public health; child and adolescent mental health; housing and homelessness; community safety; parks and green spaces; and culture and leisure services. It includes short case studies of local authority initiatives and links to additional resources. It also highlights the need to re-focus mental health policy away from medicalisation and mental ill health to prevention, early intervention and mental wellness. (Edited publisher abstract)
Growing up: supporting young people to a successful adulthood
- Author:
- ACTION FOR CHILDREN
- Publisher:
- Action for Children
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- London
This report highlights the difficulties that many young people between the ages of 16 and 25 experience as part of moving into adulthood, and why it is important for the most vulnerable to stay in touch with services. It draws on the new research involving a survey of more than 330 young people on their views on school, work, home life and growing up; and interviews with care leavers, disabled young people and young offenders. The research looked into what young people felt about the transitions they experience, what problems they encountered and what they thought might help them make the transition to adulthood successfully. The report focusses on: the impact of low parental aspirations and low self-esteem in young people, placement instability, issues facing young offenders, problems in securing permanent housing, and coping with mental health problems. A series of project profiles show how some of Action for Children’s most innovative projects are helping young people to tackle these complex issues and helping young people to make a successful transition to adulthood. These include an employability scheme for care leavers, remand and intensive fostering services for young offenders, floating support for care leavers and young people who are homeless or at risk of homelessness; a supported housing project for learning disabled young people. The report also provides an overview of the varying policy picture for this group of young people in England, Scotland, Wales and Northern Ireland. (Edited publisher abstract)