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)
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)
Mental health and housing: resources for commissioners and providers: mental health and housing: housing on the pathway to recovery
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 36p.
- Place of publication:
- London
This resource tool has been produced to support health, social care and housing commissioners and providers who are seeking to deliver a more therapeutic pathway to recovery at lower cost. It starts from the premise that housing is recognised as a central part of the mental health recovery pathway. It is designed to support the continued development of a more outcome-based approach to commissioning on the one hand and a more integrated approach to service provision on the other. It is one of a series of papers commissioned by the NMHDU to help define the new relationships needed between NHS organisations and providers of housing related support services.
Mental health and housing: resources for commissioners and providers: payment by results
- Authors:
- MOLYNEUX Peter, VAN DOORN Andrew
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- London
This short briefing paper is one of a series commissioned by the NMHDU to help define the new relationships needed between NHS organisations and providers of housing related support services. This paper looks at Payment by Results and at Health of the National Outcome Scores HONOS/PbR. It discusses how it could be an effective tool for commissioning of housing and mental health by delivering outcome focused contracts. It provides the background context and how this could be developed further.
Accredited accommodation: an alternative to in-patient care in rural north Powys
- Authors:
- READHEAD C., et al
- Journal article citation:
- Psychiatric Bulletin, 26(7), July 2002, pp.264-265.
- Publisher:
- Royal College of Psychiatrists
Describes the Accredited Accommodation Scheme which provides a local alternative to in-patient care, for a targeted group of patients with enduring forms of mental illness. The scheme provides short-term adult fostering in a nurturing and homely environment.
The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first
- Authors:
- KERMAN Nick, et al
- Journal article citation:
- BMC Health Services Research, 18(190), 2018, Online only
- Publisher:
- BioMed Central Ltd
Background: Housing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in the patterns of service use over time among those who do or do not become stably housed and what effect, if any, Housing First has on these differing service use patterns. This study explored changes in the service use of people with mental illness who received Housing First compared to standard care, and how patterns of use differed among people who did and did not become stably housed. Methods: The study design was a multi-site randomized controlled trial of Housing First, a supported housing intervention. 2039 participants (Housing First: n = 1131; standard care: n = 908) were included in this study. Outcome variables include nine types of self-reported service use over 24 months. Linear mixed models examined what effects the intervention and housing stability had on service use. Results: Participants who achieved housing stability, across the two groups, had decreased use of inpatient psychiatric hospitals and increased use of food banks. Within the Housing First group, unstably housed participants spent more time in prison over the study period. The Housing First and standard care groups both had decreased use of emergency departments and homeless shelters. Conclusions: The temporal service use changes that occurred as homeless people with mental illness became stably housed are similar for those receiving Housing First or standard care, with the exception of time in prison. Service use patterns, particularly with regard to psychiatric hospitalizations and time in prison, may signify persons who are at-risk of recurrent homelessness. Housing support teams should be alert to the impacts of stay-based services, such as hospitalizations and incarcerations, on housing stability and offer an increased level of support to tenants during critical periods, such as discharges. (Edited publisher abstract)
Housing First for older homeless adults with mental illness: a subgroup analysis of the At Home/Chez Soi randomized controlled trial
- Authors:
- CHUNG Timothy E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 33(1), 2018, pp.85-95.
- Publisher:
- Wiley
This study compares the effect of Housing First on older (≥50 years old) and younger (18–49 years old) homeless adults with mental illness participating in At Home/Chez Soi, a 24-month multisite randomized controlled trial of Housing First. Method: At Home/Chez Soi, participants (n = 2148) were randomised to receive rent supplements with intensive case management or assertive community treatment, based on their need level for mental health services, or usual care in their respective communities. A subgroup analysis compared older (n = 470) and younger (n = 1678) homeless participants across baseline characteristics and 24-month outcomes including housing stability (primary outcome), generic and condition-specific quality of life, community functioning, physical and mental health status, mental health symptom severity, psychological community integration, recovery, and substance use (secondary outcomes). Results: At 24 months, Housing First significantly improved the percentage of days stably housed among older (+43.9%, 95% confidence interval [CI]: 38.4% to 49.5%) and younger homeless adults (+39.7%, 95% CI: 36.8% to 42.6%), compared with usual care, with no significant differences between age groups (difference of differences = +4.2%, 95% CI: −2.1% to 10.5%, p = 0.188). Improvements from baseline to 24 months in mental health and condition-specific quality of life were significantly greater among older homeless adults than among younger homeless adults. Conclusion: Housing First significantly improved housing stability among older and younger homeless adults with mental illness, resulting in superior mental health and quality of life outcomes in older homeless adults compared with younger homeless adults at 24 months. (Publisher abstract)
Looking ahead: future development of UK mental health services: recommendations from a Royal College of Psychiatrists' enquiry
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2010
- Pagination:
- 16p., bibliog.
- Place of publication:
- London
In February and March 2010, the Royal College of Psychiatrists held hearings, hosted a one-day seminar and invited written submissions to gather the views of more than 50 contributors, including psychiatrists, psychologists, social workers, commissioners, trust chief executives, academics, health economists, carers, and medical directors, on the future of UK mental health services. The enquiry considered the need for service redesign in mental healthcare. It aimed to identify areas for future service development that reflect the needs and aspirations of users of mental health services, those who care for them, and also the people who deliver those services. The recommendations provided in this report relate to the following areas: creating efficiencies and improving productivity through redesigned services and care pathways; consultant expertise at the beginning of the pathway; standardised outcomes; investing to save through the development of family mental healthcare; out-of-area treatments; mental health of older people; in-patient care; statutory and voluntary sector partnerships; housing; employment and mental health; substance misuse; relationship between physical and mental health; psychological therapies; and peer support.
Making a home, finding a job: investigating early housing and employment outcomes for young people leaving care
- Authors:
- WADE Jim, DIXON Jo
- Journal article citation:
- Child and Family Social Work, 11(3), August 2006, pp.199-208.
- Publisher:
- Wiley
This paper presents findings from a new study of outcomes for young people leaving care funded by the Department for Education and Skills. It reports findings for a sample of 106 young people in relation to progress made in housing and employment some 12–15 months after leaving care. The generally poor employment outcomes of care leavers are acknowledged, but ingredients that make for success are also highlighted, including the value of settled care and post-care careers, sound career planning and, significantly, the value of delaying young people's transitions from care. Early career paths also interconnect with how young people fare in housing, in developing life skills and with other problems in their lives after leaving care. Housing outcomes were more encouraging and predominantly shaped by events after leaving care, and faring well in housing was the factor most closely associated with positive mental well-being in young people. Some groups that are at risk of faring badly are identified, including young people with mental-health problems, young people with persistent offending or substance misuse problems and, in some respects, young disabled people. The implications of these findings for leaving care services are considered.
A pilot community intervention for young women with Fetal Alcohol Spectrum Disorders
- Authors:
- GRANT Therese, et al
- Journal article citation:
- Community Mental Health Journal, 40(6), December 2004, pp.499-511.
- Publisher:
- Springer
Fetal Alcohol Syndrome, a permanent birth defect caused by maternal alcohol use during pregnancy, is a leading preventable cause of mental retardation. Neuropsychological deficits have been well documented, however interventions developed have not been evaluated. We describe a successful 12-month community pilot intervention with 19 young women with Fetal Alcohol Spectrum Disorders (FASD). Improved outcomes (including decreased alcohol and drug use, increased use of contraceptives and medical and mental health care services, and stable housing) were obtained by implementing a community intervention model of targeted education and collaboration with key service providers, and by using paraprofessional advocate case managers as facilitators.