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.
Mental health and the settings of housing support: a systematic review and conceptual model
- Author:
- BURGOYNE Jon
- Journal article citation:
- Housing Care and Support, 17(1), 2014, pp.26-40.
- Publisher:
- Emerald
Purpose: The purpose of this qualitative systematic review is to examine how the nature and quality of housing affect adults receiving support for mental health problems, focusing on the less considered structural aspects of housing. Design/methodology/approach: A systematic search identified relevant research. Data consisting exclusively of service-user testimony was taken from seven studies based in varied types of accommodation in England. A synthesis was carried out using thematic analysis, and a conceptual model developed based on the themes identified from the data. A literature review examines the context, with relevant material drawn from a variety of disciplines and professions. Findings: There were three main determinants of whether housing was a setting that enabled users to benefit from support and enjoy a good quality of life – “autonomy”, “domain”, and “facilitation”. Secondary themes influenced these primary themes, or described respondents’ condition or feelings in relation to their housing situation. The “Tripod Model” illustrates the relationships between these themes. Research limitations/implications: Applying systematic review methods to qualitative material proved contentious and challenging. The model produced is a hypothesis based on limited data and requiring further investigation. Practical implications: The findings suggest that a balance is required to increase the chances of successful and sustainable housing outcomes for service-users. Originality/value: The model enables a holistic understanding of issues affecting service-users, and the interdependent nature of these. It offers a new typology based on a synthesis of data drawn from a spectrum of accommodation, which gives it a breadth a single piece of research could not encompass. (Publisher abstract)
Harm reduction in a Norwegian housing first project: a qualitative study of the treatment providers’ practice
- Authors:
- ANDVIG Ellen Sofie, SAELOR Knut Tore, OGUNDIPE Esther
- Journal article citation:
- Advances in Dual Diagnosis, 11(1), 2018, pp.4-15.
- Publisher:
- Emerald
Purpose: Little is known about how harm reduction is practiced in Norwegian housing first (HF) projects. The purpose of this paper is to explore, describe, and interpret how providers apply a harm reduction approach within a housing project focused on individuals who are homeless with co-morbid substance use and mental health problems. Design/methodology/approach: This qualitative study was part of a larger evaluation study of a three-year HF project in a Norwegian municipality. Data were collected using four multi-stage focus groups with five providers working in the HF project. Focus group interviews were transcribed verbatim and analysed using thematic analysis. Findings: Analysis resulted in three main themes: “Letting the service user sit in the driver’s seat,” “We don’t follow service provision contracts, we do everything,” and “Collaborating with the local community.” Research limitations/implications: There is a need to develop increased knowledge about service users’ experiences within the harm reduction approach. Practical implications: To practice effective harm reduction, treatment providers must have open authorisations and the opportunity to exercise professional judgement. Harm reduction practice must also focus on social, political, and economic factors influencing users’ everyday lives. Originality/value: The paper contributes to the knowledge base on harm reduction within HF practice that differs from a traditional model wherein clients are expected to abstain from substance use. It highlights important preconditions for challenges practitioners might encounter at both individual and service system levels. (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)
What makes housing work?
- Author:
- BURGOYNE Jon
- Journal article citation:
- Mental Health Today, July/August 2014, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Drawing on the results of a systematic review, this article looks at how housing settings and living environments can help to promote and maintain the wellbeing of adults receiving support for mental health problems. The review identified three common factors across a range of different accommodation: domain (the actual environment or dwelling), facilitation (professional support services) and autonomy (the extent of an individuals control). These three factors were identified as closely interlinked. A Tripod Model based on these three factors is put forward as a holistic explanation of providing good accommodation. Some of the challenges of implementing the model are discussed. The article also highlights some of the difficulties in developing an evidence base of how housing effects mental health. A table summarising key environmental factors factors and their positive and negative impacts on accommodation is also included. (Original abstract)
Housing consortia for community care
- Author:
- WERTHEIMER Alison
- Publisher:
- National Federation of Housing Associations
- Publication year:
- 1988
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
Looks at the housing consortium model, and Newham Special Needs Housing Consortium.
Implementing the Comprehensive, Continuous, Integrated System of Care model for individuals with co-occurring disorders: preliminary findings from a residential facility serving homeless individuals
- Authors:
- HARRISON Melissa L., et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(3), 2008, pp.238-259.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Comprehensive, Continuous, Integrated System of Care (CCISC) model is officially recognised as one of the best treatment protocols in the USA, and provides medical care, counselling, psychiatric/psychological evaluation, recreational and vocational services, and comprehensive discharge planning within a residential setting. A total of 76 participants were administered measures that assessed housing and employment status, mental health symptoms and levels of substance use at baseline and six-month follow-up. The results show significant improvement in all assessment categories at six months, as well as client satisfaction with the programme. In addition, application of the Comorbidity Program Audit and Self-Survey for Behavioral Health Services (COMPASS) showed that the CCISC principles of care were implemented as intended. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Models of community care
- Author:
- SHEPHERD Geoff
- Journal article citation:
- Journal of Mental Health, 7(2), April 1998, pp.165-177.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Traces the changing focus of care from institution to community and outlines the range of service models and their key ingredients, essential to successful community care. Specialist community teams, including assertive outreach and home-based treatment, show considerable advantage. Argues that the content of care must include evidence-based psychosocial interventions, but users' needs and priorities must be the guiding principle and with this in mind, work and employment should be afforded the highest priority with the 'place and train' model preferred to the traditional 'train and place' approach. Concludes with some considerations about the training and mix of staff needed to undertake these challenging roles.
Using the model of human occupation with homeless mentally ill clients
- Authors:
- KAVANAGH Jacqueline, FARES Jill
- Journal article citation:
- British Journal of Occupational Therapy, 58(1), October 1995, pp.419-422.
- Publisher:
- Sage
Since the introduction of community care, the care of mentally ill people has transferred from hospitals to community settings and has thus resulted in an increase in the number of people with special housing needs. This development, coupled with the high incidence of mental health problems in the homeless population generally, is problematic for community-based mental health workers because the needs of these people are complex and the demand on services becomes greater. The emerging role of the occupational therapist in this field of care is considered and the model of human occupation is proposed as a useful theoretical framework to conceptualise the complex needs of this client group.