Quality of life, autonomy, satisfaction, and costs associated with mental health supported accommodation services in England: a national survey

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

“…These findings extend current limited evidence that supported housing is associated with individuals’ community integration and social inclusion (e.g. Killaspy et al, ; Stergiopolous et al, ). The meta‐synthesis findings confirm that choice in supports is important in supported housing (Sylvestre et al, ).…”

“…The review findings also indicate that neighbourhoods perceived as threatening and stressful, past traumatic experiences and housing in poor physical condition each influence the extent to which safety and security at home is important for individuals, as reported elsewhere (Gonzalez & Andvig, ). These issues highlight the challenges of social and economic disadvantage and have important implications for the choice of location of supported housing, its surrounding neighbourhood and community, as well as for weighing up personal autonomy and support needs with individuals (Harvey et al, ; Killaspy et al, ).…”

“…The majority of such studies focus on people who are homeless or at risk of becoming homeless, rather than those with persistent mental illness not identified as previously homeless (Kyle & Dunn, 2008). Other less consistent findings include decreased hospitalisation and improved quality of life, community functioning and satisfaction with housing (Killaspy et al, 2016;Kyle & Dunn, 2008;Leff et al, 2009;Townley & Kloos, 2011;Tsai et al, 2012).…”

Associations between occupational and social interaction factors and well-being among people with psychiatric disabilities living in supported housing in Sweden

“…However, a reduction over time, such as diminished social networks and deterioration in quality of life, was observed when people moved to restricted environments such as nursing homes (McPherson, Krotofil, & Killaspy, 2018). Other research has indicated that housing support with a more intensive level of care entails a lower level of autonomy but better quality of life (Killaspy et al, 2016). Thus, although no clear-cut evidence exists regarding the influence of the housing context on well-being and social interaction, it seems reasonable to assume that the relationship differences found between the studied groups were accentuated by dissimilarities in the environment.…”

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

“…To assess the external validity of the STAX-SA, that is, how effective the tool was in differentiating between ‘real world’ supported accommodation service models, managers from a nationally representative sample of supported accommodation services (floating outreach, supported housing and residential care) were contacted by Peter McPherson and Joanna Krotofil (see [18] for original sampling methodology). Services were defined as follows: Residential care provides time unlimited, residential-based support to service users with high needs and offers communal facilities and 24-h staffing; Supported housing provides tenancies in shared or individual self-contained apartments, with staff based on site up to 24-h per day, offering support to increase independence and promote move-on; and, floating outreach services provide time-limited, support to higher-functioning service users living in self-contained, individual tenancies, with visits from support staff based off site.…”