Search results for ‘Subject term:"severe mental health problems"’ Sort:
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Outcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing: a longitudinal pilot and feasibility study
- Authors:
- EKLUND Mona, et al
- Journal article citation:
- British Journal of Occupational Therapy, 83(1), 2020, p.6–14.
- Publisher:
- Sage
Introduction: Facilitating occupational engagement in residents with psychiatric disabilities living in supported housing is important, because meaningful occupation is closely related to wellbeing. The aim was to explore whether residents taking part in the intervention Active in My Home (AiMH) made any changes in activity and recovery from baseline to completed AiMH; whether satisfaction with AiMH was related to any changes; and if changes between baseline and completed AiMH were stable at follow-up. Method: AiMH consists of eight sessions for residents and includes workshops for staff. This no-control study involved seven supported housing units and 29 residents who took part in data collection at the start and completion of AiMH and at follow-up after 6–9 months. Outcomes concerned occupational engagement, the unit’s provision of meaningful activity, personal recovery, psychosocial functioning and symptom severity. Findings: Improvements occurred in the AiMH participants’ occupational engagement (Z = −2.63, p = 0.008) and personal recovery (Z = −1.98, p = 0.048) from start to completion of AiMH. The improvement on occupational engagement was stable at follow-up (Z = −3.01, p = 0.005), when also psychosocial functioning (Z = −2.39, p = 0.017) and psychiatric symptoms (Z = −2.42, p = 0.016) had improved. Conclusion: This study could not show whether the improvements were due to AiMH or other factors. The findings are still promising, however, and encourage further development and testing of AiMH. (Publisher abstract)
Introduction to the research on: the effectiveness of supported housing and accommodation for people with mental health problems
- Authors:
- HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 17
- Place of publication:
- Bristol
A short scoping review of research into the effectiveness of supported housing and accommodation for people with mental health problems aimed at practitioners who work with people with mental health problems. For the review, searches were carried out on organisational websites and a range of databases, including Social Care Online, for UK based research published from 2000. The document provides an overview of the quantity and quality of the research and a table summarising the 20 studies reviewed with their key findings. It also provides a summary of areas identified for future research. The review finds that various models of community-based supported housing have been associated with a range of positive outcomes for people with mental health problems. These include: improved quality of life, more extensive social networks, social inclusion, reduced negative symptoms, increased participation in work and education, increased autonomy, improved self-esteem and happiness, reduced challenging behaviour, increased confidence, and relapse prevention. However, there is less known about the factors which lead to these outcomes and the characteristics that make the most effective types of support. (Edited publisher abstract)
Housing satisfaction among chronically homeless adults: identification of its major domains, changes over time, and relation to subjective well-being and functional outcomes
- Authors:
- TSAI Jack, MARES Alvin S., ROSNEHECK Robert A.
- Journal article citation:
- Community Mental Health Journal, 48(3), June 2012, pp.255-263.
- Publisher:
- Springer
Housing satisfaction among homeless adults was tracked over a 2-year period in a multi-site supported housing initiative and the predictive value of clients’ housing satisfaction was examined when they were first housed on various subjective and functional outcomes. A total of 756 participants from 11 sites were enrolled in the study. Six domains of housing satisfaction were identified: good environment, control and consumer choice, physical quality, geographic proximity to desirable resources, positive case manager contact, and frequency of landlord interaction. Over 2 years, there were slight declines in housing satisfaction on physical quality of housing and satisfaction with case manager contact, and an increase in satisfaction with landlord interaction. Consistent with some previous research, housing satisfaction was not predictive of housing tenure, clinical outcomes, or duration of program participation. While becoming housed is a significant gain for chronically homeless people, their satisfaction with housing did not predict functional outcomes.
Examining the psychological sense of community for individuals with serious mental illness residing in supported housing environments
- Authors:
- TOWNLEY Greg, KLOOS Bret
- Journal article citation:
- Community Mental Health Journal, 47(4), August 2011, pp.436-446.
- Publisher:
- Springer
The sense of community (SOC) for individuals with serious mental illness (SMI) was examined by assessing the relationships between neighbourhood experiences, unique factors related to SMI (e.g., mental illness diagnosis), and sense of community in the neighbourhood. Participants were 402 residents of supported housing programs who used mental health services in South Carolina. In total, 214 participants reported that it is very important for them to feel a sense of community in their neighbourhoods. Neighbour relations, neighbourhood safety, neighbourhood satisfaction, neighbourhood tolerance for mental illness, and housing site type emerged as significant explanatory variables of sense of community. These findings have implications for interventions aimed at enhancing SOC and community integration for individuals with SMI.
Breaking the vicious cycle
- Author:
- -
- Journal article citation:
- Mental Health Today, February 2007, p.ii.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Psychosocial interventions offer a way forward for people with complex needs. This article looks at supportive accommodation offered by Turning Point for people with severe and enduring mental health problems.
Supported housing for people with severe mental disorders (review)
- Authors:
- CHILVERS R., MACDONALD G.M., HAYES A.A.
- Publisher:
- John Wiley and Sons; Cochrane Collaboration
- Publication year:
- 2006
- Pagination:
- 11p.
- Place of publication:
- Chichester
The objective of this review was to determine the effects of supported housing schemes compared with outreach support schemes or 'standard care' for people with severe mental disorder/s living in the community. For the 2006 update the authors searched the Cochrane Schizophrenia Group Trials Register (April 2006) and the Cochrane Central Register of Controlled Trials. The authors included all relevant randomised, or quasi-randomised, trials dealing with people with 'severe mental disorder/s' allocated to supported housing, compared with outreach support schemes or standard care. The review focused on outcomes of service utilisation, mental state, satisfaction with care, social functioning, quality of life and economic data. The authors reliably selected studies, quality rated them and undertook data extraction. Although 139 citations were acquired from the searches, no study met the inclusion criteria. Dedicated schemes whereby people with severe mental illness are located within one site or building with assistance from professional workers have potential for great benefit as they provide a 'safe haven' for people in need of stability and support. This, however, may be at the risk of increasing dependence on professionals and prolonging exclusion from the community. Whether or not the benefits outweigh the risks can only be a matter of opinion in the absence of reliable evidence. There is an urgent need to investigate the effects of supported housing on people with severe mental illness within a randomised trial.
A sojourn at the villa
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 17.03.20, 2005, pp.40-41.
- Publisher:
- Reed Business Information
Reports on Ella Villa, a high support home in west London, which gives women with complex mental health needs a chance to live in the community.
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)
Supporting strengths: the work of Julian Housing
- Authors:
- WILSON Tom, McCRUDDEN Anne
- Journal article citation:
- A Life in the Day, 12(1), February 2008, pp.24-28.
- Publisher:
- Emerald
The Julian Housing Trust is a mental health charity that provides a wide range of housing support services across Norwich and Norfolk. This article looks at their services which have blended recovery principles with a strengths model. They offer mainly floating support to people in their own homes - accommodation the charity has helped them find or sustain. Their success demonstrates the close relationship between person-centred principles of the Supporting People programme and contemporary thinking about social inclusion in community mental health practice. The article includes short case studies.
Housing model for persons with serious mental illness moderates the relation between loneliness and quality of life
- Authors:
- WEINER Adi, et al
- Journal article citation:
- Community Mental Health Journal, 46(4), August 2010, pp.389-397.
- Publisher:
- Springer
Levels of loneliness, quality of life (QOL) and social support were compared among people with serious mental illness (SMI) living in two different types of housing: group homes and supportive community housing. Forty persons with SMI living in supportive community housing and 57 living in a group home completed measures of QOL, symptoms, perceived social support and loneliness. Analysis of variance tests were conducted to examine whether there were differences in degree of loneliness, QOL and social support between the groups living in the two residential types. No significant differences between the two housing models were found. Correlational analysis, however, indicated a strong relationship between loneliness and QOL. Subsequent regression analysis revealed that residence in group homes moderates the relationship between social loneliness and QOL, such that social loneliness impacted QOL only among group home residence. Implications of the findings for understanding the impact of housing on QOL are discussed.