Search results for ‘Subject term:"mental health problems"’ Sort:
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Can home come first?
- Author:
- -
- Journal article citation:
- Connect, 44, 2011, pp.18-19.
- Publisher:
- Homeless Link
Housing First is a model developed in the US in 1992. Designed specifically for people with a diagnosed mental health problem, the model prioritises housing people housed in their own accommodation before focusing on other areas of their lives, such as substance misuse or unemployment. This article looks at how the approach works and whether it would work in the UK.
Integration that works: an evaluation of the Tile House: executive summary
- Author:
- CROCKER Amy
- Publisher:
- One Housing
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- London
This paper evaluates One Housing Group's Care Support Plus model at Tile House, Camden, a scheme providing care and support to people with complex mental health problems in conjunction with Camden and Islington NHS Foundation Trust. The evaluation found that services provided through this integrated health and housing model: helped save the NHS nearly £900,000 since the scheme opened in 2012; freed-up hospital beds by reducing the number of admissions and length of overall patient stays in hospital; and supported people with complex needs to build up their confidence, live independently, and improve their health and quality of life. (Edited publisher abstract)
Towards support: evaluating a move to independent living
- Authors:
- KARBAN Kate, PALEY Caroline, WILLCOCK Kim
- Journal article citation:
- Housing Care and Support, 16(2), 2013, pp.85-94.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to present results from an evaluation of the experience of a move to independent living for people with mental health needs or a learning disability. The discussion focuses on the shift in organisational culture from providing care within a hostel setting to supporting people in their own tenancies. Design/methodology/approach – The evaluation was underpinned by a participatory action research design. A total of ten co-researchers with experience of using services or as carers were recruited. Qualitative data was obtained from “before” and “after” interviews with residents, staff and relatives. Findings – Widespread satisfaction was expressed with people's new homes. Many residents were found to be increasingly independent. There was some evidence of concerns regarding the pace and process of change and the introduction of new practices to promote independence. Research limitations/implications – The timing of the evaluation limited the opportunity for comprehensive “before” and “after” data collection. The involvement of co-researchers required considerable time and support although the experience of those involved was positive. Practical implications – Learning from this evaluation emphasises the importance of support and preparation for staff as well as residents, in moving from hostel to independent living. Social implications – This study highlights the advantages of a participatory design in evaluating a major change in service delivery. Originality/value – This paper raises important issues about organisational change. It contributes to wider debates regarding the implementation of personalisation and recovery-focused agendas. (Publisher abstract)
SECuRE: a clinical tool for comprehensively assessing home safety of people with mental illness
- Authors:
- DESORMEAUX-MOREAU Marjorie, AUBIN Ginette, LARIVIERE Nadine
- Journal article citation:
- British Journal of Occupational Therapy, 81(9), 2018, pp.503-513.
- Publisher:
- Sage
Introduction: People with severe mental illness benefit from a growing number of measures aimed at supporting independent housing. The purpose of the study was to develop a comprehensive home safety assessment tool. Method: The tool's elaboration was done in three phases. The planning phase was intended to circumscribe the phenomenon, providing input for the development phase, which consisted of creating and enhancing the tool's prototypes. The evaluation phase then featured the tool's translation validity (relevance, exhaustiveness, clarity, and apparent clinical utility), with four successive rounds of expert consultation (n = 20). Changes were made to the tool according to the experts' suggestions. Findings: The proposed tool, SECuRE, adopts a structured professional judgment approach that is designed to be used collaboratively and interprofessionally, with a specific role for occupational therapists. It aims to systematize the assessment of contributive factors (risk and protective), all stakeholders' expectations and needs and the identification of potential ethical issues. The findings supported the translation validity and acceptance of the tool by clinicians. Conclusion: SECuRE was developed to assist with clinical judgment regarding home safety interventions. It is hoped that its use may ultimately foster home safety in the context of recovery. (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)
Mental health and housing: developing a care and support pathway
- Authors:
- WELCH Nick, FERNANDES Angelo
- Journal article citation:
- Housing Care and Support, 13(4), December 2010, pp.16-22.
- Publisher:
- Emerald
The development of services to enable a managed movement of people with mental health needs to as independent a setting as possible within the community is a key objective of Oxfordshire’s mental health strategy. This article describes the development of the Supported to Independent Living project (SIL); a partnership between NHS Oxfordshire (PCT), the Oxfordshire Supporting People Programme, Oxfordshire County Council Social and Community Services and service users. Oxfordshire has seen vigorous development of community living for people with longstanding mental health needs through the provision of group homes but this has not been uniform across the county. The needs of a diverse, younger, often more mobile and potentially more challenging group of service users for housing with appropriate care and support have not been met. The County Council and the PCT have developed a joint strategy to meet these needs which introduces a pathway of linked accommodation and support arrangements. These range from intensive support through to floating support in the community, and are intended to offer individuals a guided pathway away from specialist services to more mainstream provision. The services are based on the principles of recovery, personalisation and ordinary housing. At the same time as reconfiguring services the strategy has to deliver savings to meet recently imposed cuts.
Supporting People: folder 2: part 3: operational guidance
- Author:
- SCOTLAND. Scottish Executive Development Department
- Publisher:
- Scotland. Scottish Executive Development Department
- Publication year:
- 2003
- Pagination:
- 180p.
- Place of publication:
- Edinburgh
Neighbourhoods with resilience to care: a viewpoint on developing the contributions of housing services for adults at risk of exclusion
- Authors:
- APPLETON Nigel, MOLYNEUX Peter
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2010
- Pagination:
- 22p.
- Place of publication:
- London
To improve the lives of adults who are at risk of exclusion, it is imperative to implement appropriate housing and related services. Inappropriate housing can reduce the ability of people with poor health or a disability to lead independent lives and participate in the community. As such, the providers of housing and housing related support have had a key role to play in the achievement of Public Service Agreement (PSA) 16 targets. This paper seeks to show those seeking to make a difference for people in these groups, be they commissioners, providers, tenants or service users, how they can use different structures to deliver health and well-being outcomes. The paper describes how the successful delivery of PSA 16 is going to require strategic planning across regional, sub-regional and local planning structures and the joint commissioning and procurement of services. This means that the successful delivery of PSA 16 is going to depend on a number of strategies coming together: the Joint Strategic Needs Assessment; Strategic Housing Market Assessment which is the local authority’s assessment of how the local housing market is functioning and an estimate of the housing and housing related support needs of vulnerable groups in the local area; and the Local Strategic Partnership, Local Area Agreement and the link to that from the Supporting People Commissioning Body.