A domains-based taxonomy of supported accommodation for people with severe and persistent mental illness

Siskind, Dan; Harris, Meredith; Pirkis, Jane; Whiteford, Harvey

doi:10.1007/s00127-012-0590-x

Cited by 21 publications

(28 citation statements)

References 39 publications

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“…The decision to remove the Recovery domain from the new taxonomy was supported by these findings; the DTSA sub-domains ‘Patient choice in housing’ and ‘Shift in locus of control to patient’ both reflect the recovery focus of a service [16] and demonstrated the second and fifth highest rates of missingness across the 17 dimensions.…”

Section: Resultsmentioning

confidence: 98%

“…To assess the performance of the new classification tool, the domains-based taxonomy of supported accommodation (DTSA) [16] was used as a comparator. The DTSA uses 17 data points across four domains to classify supported accommodation services: 1.…”

Section: Methodsmentioning

confidence: 99%

“…To ensure the core features of service models were captured, the five most commonly reported dimensions from Siskind and colleagues’ [16] review of 18 existing classification systems were identified: Service duration (length of time service users are involved with the program; 18/18); Housing structure (physical layout of the service; 17/18), Staffing duration (number of hours of staff support; 17/18), Intensity of support (level of involvement required of service users to attend therapeutic groups and/or rehabilitation services; 13/18) and Staffing location (staff based onsite or off-site; 13/18). These elements were reviewed by Peter McPherson, Joanna Krotofil and Helen Killaspy and a draft taxonomy structure developed.…”

Section: Methodsmentioning

confidence: 99%

“…Whilst this approach can be useful within an article, it does little to assist in making sense of the literature more broadly. In a noteworthy exception, Siskind and colleagues [16] reviewed existing supported accommodation classification systems ( N = 18) and, using a structured approach, arranged classification features into a new domains-based taxonomy, comprised of 17 dimensions across four domains: Duration ; Patient characteristics ; Housing characteristics ; and Service characteristics . Although comprehensive, the taxonomy has not been used widely in the supported accommodation literature.…”

Section: Introductionmentioning

confidence: 99%

“…We therefore aimed to develop and validate a simple taxonomy for the classification of supported accommodation services, assess and compare the performance of the new taxonomy with the domains-based taxonomy developed by Siskind and colleagues [16] and then examine the external validity of the new taxonomy. It was anticipated that the resulting, validated classification system could be used to synthesise the existing effectiveness research, comparing outcomes across models, thus improving our understanding of what works and for whom.…”

Section: Introductionmentioning

confidence: 99%

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What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

McPherson

Krotofil

Killaspy

2018

IJERPH

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Inconsistent terminology and variation in service models have made synthesis of the supported accommodation literature challenging. To overcome this, we developed a brief, categorical taxonomy that aimed to capture the defining features of different supported accommodation models: the simple taxonomy for supported accommodation (STAX-SA). Data from a previous review of existing classification systems were used to develop the taxonomy structure. After initial testing and amendments, the STAX-SA and an existing taxonomy were applied to 132 supported accommodation service descriptions drawn from two systematic reviews and their performance compared. To assess external validity, the STAX-SA was distributed to a sample of supported accommodation managers in England and they were asked to use it to classify their services. The final version of the STAX-SA comprised of five supported accommodation ‘types’, based on four domains; Staffing location; Level of support; Emphasis on move-on; and Physical setting. The STAX-SA accurately categorized 71.1% (n = 94) of service descriptions, outperforming the comparison tool, and was not affected by publication date or research design. The STAX-SA effectively discriminated between ‘real world’ service models in England and 53.2% (n = 17) of service managers indicated that the taxonomy was ‘Very effective’ or ‘Extremely effective’ in capturing key characteristics of their service. The STAX-SA is an effective tool for classifying supported accommodation models and represents a promising approach to synthesizing the extant effectiveness literature. The authors recommend the development of reporting guidelines for future supported accommodation publications to facilitate comparison between models.

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Section: Resultsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

McPherson

Krotofil

Killaspy

2018

IJERPH

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Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy‐makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer‐led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family‐related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when “importing” interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable “real life” skills despite improvements in cognitive function. We also identified an emerging evidence base for peer‐led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi‐level stakeholder commitment and investment for successful implementation.

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Rehabilitation (Modul 4d)

Gäebel

Hasan²,

Falkai³

2019

S3-Leitlinie Schizophrenie

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A domains-based taxonomy of supported accommodation for people with severe and persistent mental illness

Cited by 21 publications

References 39 publications

What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Rehabilitation (Modul 4d)

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