Home Bittersweet Home: the Significance of Home for Occupational Transformations

Abstract

A client-centred approach could be taken further if clients are engaged in productive discussions about challenging these 'progressive tensions'. Awareness of the meaning of home also emerged as central.

Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

“…Participants expressed a strong preference for individually tailored services that offer both choice and control (Forchuk, Nelson, & Hall, ; Kirkpatrick & Byrne, , ; Kirsh et al., ; Lindström, Lindberg, & Sjöström, ; Pyke & Lowe, ). Service users appreciated services that promote their autonomy through a flexible approach, enabling decisions about everyday activities (Carpenter‐Song, Hipolito, & Whitley, ; Chesters, Fletcher, & Jones, ).…”

“…Conflicts arising between residents were stressful, but could also serve as important learning experiences, facilitating the development of social skills, the ability to adapt and to experience mutuality (Lindström et al., ). The pros and cons of communal settings were described in terms of a tension between interactions that could be demanding, but also meaningful and rewarding (Goering et al., ; Lindström et al., ; Piat et al., ).…”

“…Conflicts arising between residents were stressful, but could also serve as important learning experiences, facilitating the development of social skills, the ability to adapt and to experience mutuality (Lindström et al., ). The pros and cons of communal settings were described in terms of a tension between interactions that could be demanding, but also meaningful and rewarding (Goering et al., ; Lindström et al., ; Piat et al., ). At times, mental health problems and fatigue experienced by service users impacted negatively on their ability to relate to others, and to deal with their own reactions (Pejlert et al., ) and with the problems and behaviours of those who were more seriously ill (Goering et al., ; Jervis, ; Petersen et al., ; Piat et al., ; Roos et al., ).…”

“…For many service users, being placed together with other people experiencing mental health problems reinforced their sense of dependency and need for support (Bengtsson‐Tops et al., ; Lindström et al., ). However, through interactions with other service users, people living in supported accommodation settings were sometimes able to come to terms with, and develop a better understanding of, their mental health problems (Dorvil et al., ; Lindström et al., ; McCrea & Spravka, ; Pejlert et al., ; Saavedra, ). When service users were aware of the continuum of housing support, being in highly supported settings was sometimes perceived as a marker of low status and disability (Dorvil et al., ).…”

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

“…Non-English language papers were excluded to ensure faithful application of the taxonomies. The final pool consisted of 132 service descriptions across 101 papers (quantitative: 95 service descriptions across 72 papers; qualitative: 37 service descriptions across 29 papers) [19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,…”