Preference for Independent Housing of Persons with Mental Disorders: Systematic Review and Meta-analysis

Abstract

Choice of housing has become an important political and therapeutic goal for psychiatric rehabilitation. We conducted a systematic review and meta-analysis of proportions of studies on preference for independent housing. A subgroup analysis compared studies with homeless and non-homeless consumers. The meta-analysis included 8 studies with 3134 consumers. The overall proportion of consumers who had expressed a preference for living independently was 0.84. There were only marginal differences between studies with homeless and non-homeless consumers. In a given service planning area, the rate of independent housing settings should exceed the rate of more institutionalized settings by a wide margin.

A home but how to connect with others? A qualitative meta‐synthesis of experiences of people with mental illness living in supported housing

“…Privacy, leading to a sense of control, stability and security, were consistently reported as valued aspects of supported housing. This is unsurprising given having choice and control of one’s living space, rather than communal living, has been a consistent theme of research on housing preferences since deinstitutionalisation (Davidson, Hoge, Godleski, Rakfeldt, & Griffith, ; Richter & Hoffman, ). It is also consistent with the premises and reported benefits of supported housing (Gonzalez & Andvig, ).…”

“…The supported housing approach also challenged the notion of a residential continuum in which residents were required to achieve certain functional gains to progress to the next “level” of housing, this being viewed as counterproductive to achieving long‐term stable housing for people living with mental illness and doing little to enhance their social integration (Wong & Solomon, ). Furthermore, communal living is not generally in keeping with consumer preference for choice in type of housing, privacy, stability and autonomy in their living arrangement, albeit that often there are insufficient options to choose from (Richter & Hoffman, ).…”

“…Varying terminology is used internationally to describe the different housing settings and approaches to the provision of housing and support (Richter & Hoffman, ). Here, we use the term supported housing to refer to housing based on principles that include: consumer choice in the type and location of housing, access to long‐term sustainable housing and flexible outreach support services provided separately from the housing itself, so that accepting support services is not a requirement of living in a particular place (Wong & Solomon, ).…”

Chancen zur Umsetzung der Leitlinienempfehlungen zu psychosozialen Therapien im Rahmen des Bundesteilhabegesetzes (BTHG)

“…Geschlossene Wohnformen der Eingliederungshilfe widersprechen zwar der Philosophie sozialpsychiatrischer Leistungserbringer, werden aber bislang als unverzichtbar eingeschätzt. In der internationalen Literatur finden sich hingegen klare Hinweise, dass selbstbestimmte Wohnformen von einem Großteil schwer psychisch kranker Menschen bevorzugt werden [19]. In der S3-Leitlinie wird dazu ganz klar Stellung genommen.…”

Experiences of Recovery in EPAPSY’s Community Residential Facilities and the Five CHIME Concepts: A Qualitative Inquiry

“…Williams et al (33) focused on the service users' perceptions of the CHIME model notions of connectedness and hope using visual methods. Participants were asked to watch a video concerning the lived experience of psychosis and to talk about their feelings about it in semi-structured interviews.…”