Supported accommodation for people with severe mental illness: a review

Macpherson, Rob; Shepherd, Geoff; Edwards, Tom

doi:10.1192/apt.10.3.180

Cited by 30 publications

(23 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“….the process of minimizing psychiatric impairments, social disadvantages and adverse personal reactions so that the disabled person is helped to use his or her talents and to acquire confidence and self-esteem through experiencing success in social roles'') and which may reflect the shift of rehabilitation services from inpatient settings into the community. Indeed, the need for a whole system approach and appropriate community support are included in the most recent World Health Report on psychosocial rehabilitation (WHO, 2001) and have been highlighted as imperative in successful placement in supported accommodation (Macpherson, Shepherd & Edwards, 2004).…”

Section: Discussionmentioning

confidence: 99%

What do mental health rehabilitation services do and what are they for? A national survey in England

Killaspy

Harden

Holloway

et al. 2005

Journal of Mental Health

View full text Add to dashboard Cite

Background: The specialty of rehabilitation is under represented in current national policy, current service provision is unclear and there are no guidelines on what constitutes a standard rehabilitation service. Aim: To carry out a national survey of rehabilitation services in order to describe current service provision and to formulate a consensus definition of the term ''rehabilitation''. Method: A structured telephone survey was carried out with consultants in rehabilitation psychiatry or senior service managers in all Trusts in England. As well as information about their services, interviewees were asked to give a definition of the term ''rehabilitation''. Results: A response rate of 89% (65/73 Trusts) was achieved constituting interviews with representatives from 93 local authority regions (75% consultants, 25% service managers). The majority (77%) had short term (length of stay up to 12 months) rehabilitation units with a mean 13 beds. There were no differences between urban and rural services in bed numbers. Most services had input from all members of a multidisciplinary team and where services had short and longer term units, staff tended to cover both. The majority (79%) had specific referral criteria, 42% had exclusion criteria and 85% carried out a preadmission assessment. Over half (56%) had a community rehabilitation team and in 29%, assertive outreach teams were considered part of the rehabilitation service. Two models of community rehabilitation service provision emerged and a consensus definition of ''rehabilitation'' was formulated.Conclusions: This is the first national survey of rehabilitation services which has allowed the description of current service provision in some detail as well as two models of community rehabilitation services. Declaration of Interest: None.

show abstract

Section: Discussionmentioning

confidence: 99%

What do mental health rehabilitation services do and what are they for? A national survey in England

Killaspy

Harden

Holloway

et al. 2005

Journal of Mental Health

View full text Add to dashboard Cite

show abstract

“…12 It has also been recommended that commissioners need to look towards developing specialised services nearer to home for service users, which could provide better care at a lower cost. 13,14 Knowledge of the required types of rehabilitation in-patient services, and the corresponding size of population likely to need each type, 2 is of critical importance to the collaborative working of commissioners and providers.…”

Section: Discussionmentioning

confidence: 99%

In-patient psychiatric rehabilitation services: survey of service users in three metropolitan boroughs

et al. 2012

Self Cite

View full text Add to dashboard Cite

Aims and methodTo examine care pathways and characteristics of service users across a range of in-patient rehabilitation settings: community, long-term complex care and high-dependency rehabilitation.ResultsSignificant differences were found for service users in the different units with respect to duration of stay, length of history, number of admissions, community team, physical health, social functioning, history of aggression and perceived risk if discharged.Clinical implicationsCommunity service provision may not adequately meet the needs of the most disabled and access to appropriate move-on facilities for rehabilitation in-patients is insufficient. Remedying this requires collaboration between policy makers, commissioners and clinicians to ensure access to a comprehensive range of services.

show abstract

“…Quality indicators in supported accommodation were summarised in our last review in this area (Macpherson 2004) and include those listed below.…”

Section: Quality Issues and Partnership Workingmentioning

confidence: 99%

Supported accommodation for people with severe mental illness: an update

Macpherson¹,

Shepherd²,

Thyarappa³

2012

Adv. psychiatr. treat

Self Cite

View full text Add to dashboard Cite

SummaryAppropriate housing and support are essential elements in the care of many people with mental health problems, and housing has a major impact on the quality of their lives. In the post-deinstitutionalised services of most high-income countries, a complex range of supported accommodation is available, mostly in the private (for-profit and not-for-profit) sector. We describe the different forms of accommodation and consider recent trends in policy and practice and the evidence base in this area. We also discuss quality issues and the potential impact of the recovery movement.

show abstract

Supported accommodation for people with severe mental illness: a review

Cited by 30 publications

References 37 publications

What do mental health rehabilitation services do and what are they for? A national survey in England

What do mental health rehabilitation services do and what are they for? A national survey in England

In-patient psychiatric rehabilitation services: survey of service users in three metropolitan boroughs

Supported accommodation for people with severe mental illness: an update

Contact Info

Product

Resources

About