Quality of life outcomes for people with serious mental illness living in supported accommodation: systematic review and meta-analysis

Abstract

Purpose To conduct a systematic review and meta-analysis of quality of life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation. Methods Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in six electronic databases. We applied a random-effects model to derive the meta-analytic results. Results 13 studies from 7 countries were included, with 3276 participants receiving high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were better for people living in supported housing (g = − 0.31; CI = [− 0.47; − 0.16]) and floating outreach (g = − 0.95; CI = [− 1.30; − 0.61]) compared to high-support accommodation, with a medium effect size for living condition outcomes between supported housing and floating outreach (g = − 0.40; CI = [− 0.82; 0.03]), indicating that living conditions are better for people living in floating outreach. Social functioning outcomes were significant for people living in supported housing compared to high support (g = − 0.37; CI = [− 0.65; − 0.09]), with wellbeing outcomes not significant between the three types of supported accommodation. Conclusion There is evidence that satisfaction with living conditions differs across supported accommodation types. The results suggest there is a need to focus on improving social functioning and wellbeing outcomes for people with serious mental illness across supported accommodation types.

Victimisation of individuals with serious mental illness living in sheltered housing: differential impact of risk factors related to clinical and demographic characteristics

“…Previous research has reported mainly on positive outcomes linked to patients with SMI living in sheltered housing. 8 A direct comparison of the current results is possible with a previous report on victimisation of patients with SMI in The Netherlands, which reportedin contrast to our studythat those living in sheltered housing were comparatively less victimised than alternative forms of out-patient accommodations, and indeed less than the prevalences reported here (27.6%). 33 There are two potential reasons for this discrepancy with the current sample.…”

“…There appears to be a positive trend in quality-of-life outcomes, including better social functioning and living conditions, compared with alternative high-support accommodations, including the hospital. 6–8 More-focused qualitative research suggests that these trends are attributable to residents feeling safe and distancing themselves from past stress and trauma. 9,10 At the same time, recommendations have been made for widespread implementation of sheltered housing in European and international psychiatric rehabilitation programmes.…”

The level of formal support received by people with severe mental illness living in supported accommodation and participation: A systematic review

“…Previous systematic reviews have focused on the effect of the built and physical environment on mental health ( Charlotte et al, 2007 ; Moore et al, 2018 ) and the impact of social climate, service delivery and quality of life for people with SMI living in SA. These factors have been shown to affect how care provided meets the person’s needs ( Macpherson et al, 2004 ), people with SMI’s experience and satisfaction with SA ( Harrison et al, 2020 ; Krotofil et al, 2018 ) and the impact on individual’s feelings of stability and independence ( Burgoyne, 2014 ). Reviews also focused on factors such as SA’s links to psychosocial outcomes ( McPherson et al, 2018a ), quality or effectiveness of service delivery style ( Rogers et al, 2010 ) and standardising service delivery models ( Parker et al, 2019 ; Tabol et al, 2010 ).…”

Quality of Nursing Homes Admitting Working-Age Adults With Serious Mental Illness

“…Many residents in this study could complete activities of daily living independently or with limited assistance, and few were cognitively impaired, indicating that they had the functional capacity to live in a less restrictive environment and potentially obtain supported employment. Those with serious mental illness living in high-support housing (such as nursing homes) report decreased quality of life, compared with those in supportive housing, which has an increased focus on rehabilitation, personal choice, and improvements in social functioning (34,35). Additionally, employment can improve quality of life for persons with serious mental illness (36).…”