Unmet needs of persons with a severe and persistent mental illness and their relationship to unmet accommodation needs

Isaacs, Anton Neville; Beauchamp, Alison; Sutton, Keith; Maybery, Darryl

doi:10.1111/hsc.12729

Cited by 33 publications

(12 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Negative mental health outcomes have been generally associated with housing instability (Jacoby, Tach, Guerra, Wiebe, & Richmond, 2017) and impoverished living conditions (Kearns, Smith, & Abbott, 1993; Pevalin, Taylor, & Todd, 2008). For example, a study in Australia has shown that people with unfulfilled needs of accommodation were likely to experience high psychological distress (Isaacs, Beauchamp, Sutton, & Maybery, 2019). The enhancement of housing support and assistance generally strengthens the mental health of individuals (Mccauley, Montgomery, Mossey, & Bailey, 2015; Nelson, Aubry, & Lafrance, 2007; Watson, Fossey, & Harvey, 2019).…”

Section: Introductionmentioning

confidence: 99%

Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong

Chan

Wong

Chung

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

This study aims to enrich the comprehension of the effect of living density on anxiety and stress among adults in a global city. A random sample of 1,978 Hong Kong adults was interviewed in a cross‐sectional population study in 2014–2015. Descriptive statistics and logistic regressions were used to investigate the association between housing variables and mental health indicators, namely, anxiety and stress. Logistic regression analysis results have shown that by controlling the confounding effect of demographic variables, income poverty, housing ownership and housing cost, the living density was significantly associated with anxiety and stress of residents. Compared with those living in high density of <7 m2, living in medium density of ≥7 and <13 m2 was significantly associated with lower risk of anxiety (adjusted OR 0.52, 95% CI 0.30–0.88), and the risk was less for those living in low density of ≥13 m2 (adjusted OR 0.41, 95% CI 0.23–0.72). Meanwhile, living in low density of ≥13 m2 was significantly associated with a lower risk of stress (adjusted OR 0.44, 95% CI 0.20–0.97). These results highlighted the significant impact of living density on personal anxiety and stress. Moreover, female, younger adults or those living in income poverty were also at risk of anxiety and stress. In conclusion, our findings implied that improving housing policies, such as building public housing with adequate living areas and market regulation of living density of private housing, would help enhance the mental well‐being of residents.

show abstract

Section: Introductionmentioning

confidence: 99%

Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong

Chan

Wong

Chung

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…The most common unmet needs reported by persons with SPMI are psychological distress, help with psychotic symptoms, daily activities, company/someone to spend time with, employment and volunteering, physical health problems, and those relating to money (1, 9, 10). A recent report has suggested that when accommodation needs are unmet, several other needs remain unmet (9). This observation is in accordance with previous research.…”

Section: Introductionmentioning

confidence: 99%

Care Coordination Can Reduce Unmet Needs of Persons With Severe and Persistent Mental Illness

et al. 2019

Self Cite

View full text Add to dashboard Cite

Introduction: Persons with severe and persistent mental illness (SPMI) have multiple and complex needs, many of which are not health related. Mental health services are unable to address these needs without collaboration with other agencies. In the absence of this collaboration, persons with SPMI often fall through the system cracks and are unlikely to experience recovery. Furthermore, previous studies have shown that unmet accommodation needs are associated with unmet needs in other areas. This study aimed to ascertain whether a care coordination model adopted in Australia’s Partners in Recovery [PIR] initiative was able to reduce unmet needs in such persons and also if meeting accommodation needs were associated with meeting other needs. Methods: This was a longitudinal study where met and unmet needs of clients measured using the Camberwell Assessment of Needs Short Appraisal Schedule (CANSAS) were compared at enrolment and exit from the PIR initiative. Logistic regression was used to examine the association between change in accommodation needs and change in other CANSAS variables. Results: In total, 337 clients (66% of 508 clients) had both baseline and follow-up data and were seen within the time frame of 14 to 101 weeks. At baseline, the most frequently reported unmet needs were psychological distress, daytime activity, and company (89%, 72%, and 67%, respectively). At follow-up, these had decreased to 27%, 22%, and 22%, respectively. The proportions of clients with an unmet need at baseline who subsequently progressed to having that need met at follow-up ranged between 62% and over 90%. Change in accommodation needs from unmet to met was associated with changes in monetary needs and needs related to childcare, food, safety to self, education, and access to other services, with the greatest change seen for monetary needs (adjusted OR 2.87, 95% CI 1.76, 4.69). Conclusions: Reducing needs of persons with SPMI is the starting point of recovery and is a good indicator of psychiatric care. Care coordination is a useful way to address multiple and complex needs of persons with SPMI. While addressing needs, priority must be given to meeting accommodation needs.

show abstract

“…Isaacs and Firdous’s [ 96 ] review of the now defunded Partners in Recovery program demonstrated that care coordination was cost-effective and efficient in supporting people living with SPMI while maintaining recovery-orientated practice. While the NDIA has co-opted recovery terminology, there is little evidence or capacity for recovery-oriented practice within the NDIS, due to its deficits-based approach [ 103 , 104 , 105 ].…”

Section: Resultsmentioning

confidence: 99%

“…Traditionally, mental health systems case-managed people with SPMI; however, resource limitations often no longer provide this comprehensive case management and are usually restricted to monitoring medication and compliance [ 104 ]. For people with SPMI who are dying, lack of care coordination [ 18 , 22 , 27 , 40 ] and appropriate standardised tools [ 15 , 38 , 53 ] are barriers to palliative care and contribute to poor end-of-life experience.…”

Section: Resultsmentioning

confidence: 99%

NDIS Participants with Psychosocial Disabilities and Life-Limiting Diagnoses: A Scoping Review

Boschen

Phelan

Lawn

2022

IJERPH

View full text Add to dashboard Cite

This research aimed to map evidence about system supports and gaps for Australians with psychosocial disabilities and life-limiting diagnoses. A scoping review of available policy documents, academic, and grey literature was completed to discover key characteristics of this concept and provide context around the phenomenon. Our focus was on Australia’s National Disability Insurance Scheme (NDIS), a key reform providing support to the disability population nationally. No peer-reviewed or grey literature was retrieved on the phenomena. Therefore, three lines of enquiry were developed: experiences of NDIS participants living with psychosocial disabilities; the death, dying, and palliative care supports and experiences of NDIS participants of any disability type; and the experiences for people living with severe and persistent mental illness (SPMI) and life-limiting diagnoses. Five themes were identified: (1) the person; (2) advocacy; (3) informal supports; (4) formal supports; and (5) existing research. NDIS participants living with SPMI and their informal and formal support systems are still struggling to navigate the NDIS. While there are no specific publications about their end-of-life experiences, people with SPMI often experience poor end-of-life outcomes. Rigorous research into their death, dying, and palliative care experiences is needed to inform improved support to them, including their end-of-life care.

show abstract

Unmet needs of persons with a severe and persistent mental illness and their relationship to unmet accommodation needs

Cited by 33 publications

References 71 publications

Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong

Association of living density with anxiety and stress: A cross‐sectional population study in Hong Kong

Care Coordination Can Reduce Unmet Needs of Persons With Severe and Persistent Mental Illness

NDIS Participants with Psychosocial Disabilities and Life-Limiting Diagnoses: A Scoping Review

Contact Info

Product

Resources

About