Supported housing for people with severe mental disorders

Macdonald, Geraldine

doi:10.1002/14651858.cd000453

Cited by 29 publications

(29 citation statements)

References 8 publications

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“…Improving housing improves many health indicators. The literature clearly supports the 'housing first' approach (Chilvers et al, 2006). The level of support needs to be tailored to the social skills and deficits of each individual.…”

Section: Housing and Homelessnessmentioning

confidence: 97%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Galletly

Castle

Dark

et al. 2016

Aust N Z J Psychiatry

616

672

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Objectives: This guideline provides recommendations for the clinical management of schizophrenia and related disorders for health professionals working in Australia and New Zealand. It aims to encourage all clinicians to adopt best practice principles. The recommendations represent the consensus of a group of Australian and New Zealand experts in the management of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function. Methods:The writing group planned the scope and individual members drafted sections according to their area of interest and expertise, with reference to existing systematic reviews and informal literature reviews undertaken for this guideline. In addition, experts in specific areas contributed to the relevant sections. All members of the writing group reviewed the entire document. The writing group also considered relevant international clinical practice guidelines. Evidence-based recommendations were formulated when the writing group judged that there was sufficient evidence on a topic. Where evidence was weak or lacking, consensus-based recommendations were formulated. Consensus-based recommendations are based on the consensus of a group of experts in the field and are informed by their agreement as a group, according to their collective clinical and research knowledge and experience. Key considerations were selected and reviewed by the writing group. To encourage wide community participation, the Royal Australian and New Zealand College of Psychiatrists invited review by its committees and members, an expert advisory committee and key stakeholders including professional bodies and special interest groups. RANZCP GuidelinesGalletly et al. 411 Australian & New Zealand Journal of Psychiatry, 50(5)Results: The clinical practice guideline for the management of schizophrenia and related disorders reflects an increasing emphasis on early intervention, physical health, psychosocial treatments, cultural considerations and improving vocational outcomes. The guideline uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care. This guideline also refers its readers to selected published guidelines or statements directly relevant to Australian and New Zealand practice. Conclusions:This clinical practice guideline for the management of schizophrenia and related disorders aims to improve care for people with these disorders living in Australia and New Zealand. It advocates a respectful, collaborative approach; optimal evidence-based treatment; and consideration of the specific needs of those in adverse circumstances or facing additional challenges.

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Section: Housing and Homelessnessmentioning

confidence: 97%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Galletly

Castle

Dark

et al. 2016

Aust N Z J Psychiatry

616

672

View full text Add to dashboard Cite

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“…Seven of the ten reviews aiming to incorporate economics studies and data [25,27,30,33,35,39,40] include one or more economic variables – measures of cost, resource use or service utilisation – as outcomes of interest in the review, alongside other 'effectiveness' outcomes. For example, Kujan et al [39] include "costs" in a set of secondary outcomes alongside "incidence of oral cancer or potentially premalignant oral lesions", "mortality at three or more years" and "stage of diagnosis" ("oral cancer specific mortality" is selected as the primary outcome of interest in this review).…”

Section: Resultsmentioning

confidence: 99%

“…For example, Kujan et al [39] include "costs" in a set of secondary outcomes alongside "incidence of oral cancer or potentially premalignant oral lesions", "mortality at three or more years" and "stage of diagnosis" ("oral cancer specific mortality" is selected as the primary outcome of interest in this review). Similarly, Chilvers et al [40] include "capital expenditure", "total cost of care per tenant or respondent" and "total health costs per tenant or respondent" in a set of secondary 'economic outcomes'. It is of note that in this second example [40], specific components of intervention 'costs' are clearly described, whilst in the first [39], it is comparatively unclear which elements of 'costs' will be considered.…”

Section: Resultsmentioning

confidence: 99%

Economics methods in Cochrane systematic reviews of health promotion and public health related interventions

Shemilt

Mugford

Drummond

et al. 2006

BMC Med Res Methodol

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Background: Provision of evidence on costs alongside evidence on the effects of interventions can enhance the relevance of systematic reviews to decision-making. However, patterns of use of economics methods alongside systematic review remain unclear. Reviews of evidence on the effects of interventions are published by both the Cochrane and Campbell Collaborations. Although it is not a requirement that Cochrane or Campbell Reviews should consider economic aspects of interventions, many do. This study aims to explore and describe approaches to incorporating economics methods in a selection of Cochrane systematic reviews in the area of health promotion and public health, to help inform development of methodological guidance on economics for reviewers.

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“…To identify primary studies, the search drew on several literature reviews published within the last 5 years (Chilvers, MacDonald, & Hayes, 2003;Fakhoury, Murray, & Shepherd, 2002;Nelson, LaFrance, & Aubry, in press;Newman, 2001;Rog, 2004;Rosenheck, 2000). Researchers also conducted a manual search of several journals that publish research on housing and mental health, and a computer search using several engines.…”

Section: Research Evidence Reviewmentioning

confidence: 99%

Strengthening Ontario's System of Housing for People with Serious Mental Illness

SylvestreJohn

GeorgeLindsey

AubryTim

et al. 2007

Canadian Journal of Community Mental Health

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This article describes recent work to support recommendations for improving Ontario's system of housing for people with serious mental illness. This multifaceted project engaged stakeholders in discussions concerning strategies for improving the system based on (a) values that underlie housing programs, (b) evidence of effective housing practices, (c) the current status of the system, and (d) international practices for monitoring community mental health systems. Stakeholders reviewed summaries of the work and discussed implications for improving the provincial system of housing and supports. Recommendations are made for improving the system, focusing on both regional and provincial level actions. Housing is an essential component of an effective community mental health system for people with serious mental illness. Without accessible, good quality housing and support, successful community living and recovery are not possible. Ontario has provided housing dedicated to people with serious mental illness since the onset of deinstitutionalization. Since the 1960s, the system has grown substantially to encompass a variety of forms of housing and to become a cornerstone of the community mental health system. Despite its growth and importance, this housing system faces a number of significant challenges. It remains inadequate for meeting consumer demand, with very long waiting lists reported by most programs in the province. There is a lack of good data on the system, documenting who is being served and how they are being served, as well as on the needs of those who cannot access the system. This lack of information makes it difficult to effectively manage the system and to plan for its future.In 2003, the Ontario Ministry of Health and Long-Term Care funded a research project to examine the province's dedicated housing system and to make recommendations for improving it. This paper describes the multifaceted project that was conducted to develop a foundation for planning system improvements. The project developed three foundations for system planning: (a) a vision for the system by identifying values that should guide the delivery of services, (b) research evidence about the status of the system and effective practices, and (c) consultations with stakeholders from across the province about directions for system improvement.

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Supported housing for people with severe mental disorders

Cited by 29 publications

References 8 publications

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Economics methods in Cochrane systematic reviews of health promotion and public health related interventions

Strengthening Ontario's System of Housing for People with Serious Mental Illness

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