Search results for ‘Subject term:"severe mental health problems"’ Sort:
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Independent housing and support for people with severe mental illness: systematic review
- Authors:
- RICHTER D., HOFFMAN H.
- Journal article citation:
- Acta Psychiatrica Scandinavica, 136(3), December 2017, pp.269-279.
- Publisher:
- Blackwell Publishing
Objective: To systematically explore the outcomes of independent housing and support for people with severe mental disorders when compared to other residential settings. Method: Systematic review of Randomised and Non-Randomised Controlled Trials of publications that analyse the outcomes of living in independent settings versus institutionalised accommodation. Risk of bias assessment was adapted from the Cochrane Collaboration's ACROBAT-Tool. The analysis was conducted separately for publications with homeless and non-homeless people. Results: Twenty-four publications from studies with homeless people and eight publications from studies with non-homeless people were included. Risk of bias was much lower in studies with the homeless. No RCT was found in the sample of publications with the non-homeless. Overall, results from Independent Housing and Support-settings are not inferior to results from institutionalised settings. Conclusion: The results indicate that Independent Housing and Support-settings provide at least similar outcomes than residential care. The authors propose that clients' preferences should determine the choice of housing setting. (Edited publisher abstract)
Personalisation; a support provider’s perspective
- Authors:
- DARLINGTON Irmani, BOYLE Kathleen
- Journal article citation:
- Housing Care and Support, 12(4), December 2009, pp.24-30.
- Publisher:
- Emerald
This paper is written from the perspective of Looking Ahead Housing and Care, a housing, care and support provider to more than 3,500 people in their own homes and in specialist accommodation across the United Kingdom. The paper looks at some benefits and risks that the personalisation agenda brings to providers. Personalisation, by its very definition, encompasses a wide spectrum from wholly autonomous fully informed clients to people who need to be protected as well as supported and this is figuratively presented in terms of choice in this article. The authors advised that all services must be made more personalised regardless of whether the customer has choice over virtually everything or very little and new personalised services will need to be developed in response to individual purchasers. Many hypothetical examples are used to illustrate personalisation theory. A real-life example of personalisation in practice in an East London high support project for tenants with severe and enduring mental health needs who now manage a third of their support within person-centred planning frameworks is highlighted and is put forward as a model for future research and practice.
Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review
- Authors:
- KYLE Tania, DUNN James R.
- Journal article citation:
- Health and Social Care in the Community, 16(1), January 2008, pp.1-15.
- Publisher:
- Wiley
Individuals with severe and persistent mental illness (SPMI) identify housing as an important factor in achieving and maintaining their health. However, many live in substandard accommodations that are physically inadequate, crowded, noisy and located in undesirable neighbourhoods. In much of the research on housing for persons with SPMI, the central outcome of interest is remaining housed; however, it is worth investigating whether housing has other benefits. This paper is a systematic review of studies that investigated the relationship between housing-related independent variables and health-related dependent variables. Ten online databases were searched for studies published since 1980 that had study populations of adults with SPMI, analysed primary or secondary empirical data, and measured housing-related independent variables and health-related dependent variables. Clearly defined epidemiological criteria were used to assess the strength of evidence of the selected studies. Twenty-nine studies met the suitability criteria, of which 14 reported healthcare utilisation outcomes; 12 examined mental status outcomes; and 9 reported quality-of-life outcomes. The findings of the review suggest that there is good evidence that housing interventions benefit the homeless population; however more research is needed about housing solutions for individuals with SPMI who are housed, but in precarious or inappropriate housing situations. Study methodologies could be improved by emphasising longitudinal designs that focus on participant retention and by implementing matched control groups or randomised interventions to strengthen internal validity. Ensuring that a person is adequately housed upon discharge from hospital should be a treatment priority. When housing eligibility is not dependent on psychiatric treatment compliance and sobriety, providing permanent housing minimises harm and may free people to voluntarily seek treatment. Housing that offers an unlimited length of stay is recommended because SPMI is a chronic and fluctuating condition that requires stable surroundings to maintain health.
Evaluating life in foster homes for persons with serious mental illness: resident and caregiver perspective
- Authors:
- PIAT Myra, RICARD Nicole, LESAGE Alain
- Journal article citation:
- Journal of Mental Health, 15(2), April 2006, pp.227-242.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
In Montreal Canada, the majority of persons with serious mental illness discharged from psychiatric hospitals were placed into foster homes. Very little updated information exists on life in foster homes, and the level of autonomy allowed in this residential setting. This study aimed to elicit the foster home residents' opinions about their lives in this setting and their caregiver's perception of the level of autonomy allowed. Two questionnaires were administered to 102 foster home residents and their caregivers: (1) Patient Attitude Questionnaire and (2) Hospital and Hostel Practices Profile Survey. The results found consumers are satisfied living in this type of milieu and do not desire to change their housing. The foster home provides residents with a sense of security and well being. Foster homes rank second in terms of autonomy when compared to hospitals and hostels. Only supported apartments rank higher. This study points to the need to value the opinions of consumers and not force people to move onto other types of housing.
Unmet needs of persons with a severe and persistent mental illness and their relationship to unmet accommodation needs
- Authors:
- ISAACS Anton N., et al
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.e246-e256.
- Publisher:
- Wiley
This is a cross‐sectional study of unmet needs of persons enrolled in Australia's Partners in Recovery (PIR) initiative. It aimed to explore the unmet needs reported by persons with a severe and persistent mental illness (SPMI) and to examine the associations between unmet accommodation needs and other unmet needs. The study was undertaken in the Gippsland region of Victoria from February to May 2015. Data were collected from the administrative database for the PIR initiative in Gippsland, which was held by the Gippsland Primary Health Network. Data on unmet needs, as measured by the Camberwell Assessment of Needs Short Appraisal Schedule, were analysed using proportions and logistic regression. Psychological distress, daytime activities, company/someone to spend time with and employment and volunteering were the most commonly reported unmet needs. Participants with unmet accommodation needs were less likely to receive information on their condition or access other services. They also had unmet needs relating to food, money, transport, childcare, looking after home, physical health, psychological distress and self‐care. Supported accommodation may not be enough for persons with SPMI who have poor functioning skills and are incapable of looking after themselves. Services such as Housing First that have shown promising results need to be part of a comprehensive strategy to care for persons with severe and enduring mental illness. (Edited publisher abstract)
Forensic assertive community treatment: recidivism, hospitalization, and the role of housing and support
- Authors:
- KELLY Brian L., et al
- Journal article citation:
- Social Work in Mental Health, 15(5), 2017, pp.567-587.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While Assertive Community Treatment (ACT) is considered an evidence-based service model, there is limited evidence regarding the effectiveness of an adaptation of the model, Forensic Assertive Community Treatment (FACT), for persons with serious mental illness who also have significant criminal justice system involvement. Using a multi-method approach, this article combines quantitative and qualitative data to review baseline information and nine-month follow-up recidivism, hospitalisation, and housing outcomes for individuals enrolled in a FACT program. Findings suggest substance use, housing, and FACT team members’ support played an important role in clients’ prison reentry experiences. (Edited publisher abstract)
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)
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)
Canadian community mental health workers’ perceived priorities for supportive housing services in northern and rural contexts
- Authors:
- McCAULEY Karen, et al
- Journal article citation:
- Health and Social Care in the Community, 23(6), 2015, p.632–641.
- Publisher:
- Wiley
A relationship between mental health and supportive housing has been established, yet there exist enduring challenges in meeting the supportive housing needs of people with severe mental health problems. Furthermore, not all stakeholder viewpoints of supportive housing services are well documented in the research literature, and research has tended to focus on supportive housing provision in large, urban centres. Potentially, distinct challenges and opportunities associated with the provision of supportive housing services in smaller urban and rural communities that define the greater geographical terrain of Canada and other jurisdictions are less developed. This study describes community mental health service workers’ priorities for supportive housing services. Using Q methodology, 39 statements about supportive housing services, developed from a mixed-methods parent study, were sorted by 58 service providers working in four communities in northern Ontario, Canada. Data used in this study were collected in 2010. Q analysis was used to identify correlations between service workers who held similar and different viewpoints concerning service priorities. The results yielded four discrete viewpoints about priorities for delivery of supportive housing services including: a functional system, service efficiency, individualised services and promotion of social inclusion. Common across these viewpoints was the need for concrete deliverables inclusive of financial supports and timely access to adequate housing. These findings have the potential to inform the development of housing policy in regions of low population density which address both system and individual variables. (Publisher abstract)
Bringing care home: family mosaic
- Authors:
- SKILLS FOR CARE, HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- Skills for Care
- Publication year:
- 2014
- Pagination:
- 6 minutes 22 seconds
- Place of publication:
- Leeds
This film looks at how the onsite Family Mosaic team work with people with enduring mental health issues at Hana Mews in the London Borough of Hackney. The team work with multiple agencies to help people who live at Hana Mews to build confidence and self-worth as they move onto independent living in the community. The film was made by Skills for Care and the Housing Learning and Improvement Network (Publisher abstract)