Independent Supported Housing Versus Institutionalised Residential Rehabilitation for Individuals with Severe Mental Illness: A Survey of Attitudes and Working Conditions Among Mental Healthcare Professionals

Adamus, Christine; Alpiger, Jovin; Jäger, Matthias; Richter, Dirk; Mötteli, Sonja

doi:10.1007/s10597-022-01037-2

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…Additionally, more and more clients have successfully moved on from residential care or supported housing to more independent accommodation [ 7 ]. More intermediate housing forms have also now emerged, including congregate settings, group homes, and satellite homes [ 8 ][ 9 – 12 ]There is currently a further development for outflowing residential supported housing clients and formerly homeless people. This group needs more intensive support to enable independent living than a regular floating outreach group, due to their increased psychological and social vulnerability.This results in a higher risk for experienced loneliness and anxiety by the clients, less participation in social activities, and greater feelings of social isolation as a result of living alone [ 13 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach

et al. 2023

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Background Deinstitutionalization in mental health care has been an ongoing process for decades. More and more people with severe mental illness (SMI), who previously lived in residential supported housing settings and were formerly homeless, are now living independently in the community but need intensive support to enable independent living. The support provided by regular outpatient teams is inadequate for this target group. This study explored the ingredients for an alternative form of outpatient support: intensive home support (IHS). Methods Concept mapping was used, following five steps: (1) brainstorming, (2) sorting, (3) rating, (4) statistical analysis & visual representation, and (5) interpretation. Purposive sampling was used to represent several perspectives, including researchers, professionals, peer workers, and policy makers. Results Experts (n = 17) participated in the brainstorming step and the sorting and rating steps (n = 14). The 84 generated statements were grouped into 10 clusters:. (1) housing rights; (2) informal collaboration; (3) reciprocity in the community; (4) normalization and citizenship; (5) recovery; (6) sustainable funding; (7) equivalence; (8) flexible, proactive 24/7 support; (9) public health and positive health; and (10) integrated cooperation in support at home. Conclusions Given the diversity of the ingredients contained in the clusters, it seems that IHS should be designed according to a holistic approach in collaboration with several sectors. Additionally, IHS is not only the responsibility of care organizations but also the responsibility of national and local governments. Further research about collaboration and integrated care is needed to determine how to implement all of the ingredients in practice.

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Section: Introductionmentioning

confidence: 99%

What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach

et al. 2023

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Life is better but not without challenges: experiences following discharge from community-based residential mental health rehabilitation–a qualitative content analysis

Parker,

Chapman,

Wyder

et al. 2024

Soc Psychiatry Psychiatr Epidemiol

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Purpose Community-based residential mental health rehabilitation units for people experiencing severe and persistent mental illness are increasingly available in Australia. Research completed 20 years ago suggested that people leaving these services often experienced impoverished social lives and other challenges in the community. It is unclear whether contemporary consumers experience similar difficulties. This qualitative study explored contemporary consumers’ experiences after leaving community-based residential services. Methods An inductive qualitative content analysis of individual interviews was completed with consumers 12–18 months following discharge from three community care units (CCUs) in Queensland, Australia. The interview schedule explored three questions: (1) What does life look like after leaving the CCU, (2) Has the CCU impacted their life, and (3) How could the CCU experience be improved? A convenience sample was used, with sampling continuing until thematic saturation was achieved. A member of the research team who had relevant lived experience actively supported the analysis and interpretation. Results Seventeen interviews were completed. Three themes were identified: ‘life is better but not without challenges’, ‘the CCU helps you get ready to go out into the world’, and ‘strict rules are important but rigid expectations can be hard; things could be better’. Conclusion Consumers reflected positively on their lives post-discharge from a community-based residential rehabilitation unit and viewed the service as having supported improvements in their lives. The findings suggest the appropriateness of optimism about the possibility of sustained improvements in quality of life after leaving community-based transitional residential rehabilitation support.

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Homeless and Mentally Ill: An Analyses from the Perspective of the Residential Care Facilities

Ueberberg

Heinz

Haussleiter

et al. 2023

J. Psychosoc. Rehabil. Ment. Health

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Independent Supported Housing Versus Institutionalised Residential Rehabilitation for Individuals with Severe Mental Illness: A Survey of Attitudes and Working Conditions Among Mental Healthcare Professionals

Cited by 5 publications

References 31 publications

What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach

What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach

Life is better but not without challenges: experiences following discharge from community-based residential mental health rehabilitation–a qualitative content analysis

Homeless and Mentally Ill: An Analyses from the Perspective of the Residential Care Facilities

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