Independent Supported Housing for Non-homeless People With Serious Mental Illness: A Pragmatic Randomized Controlled Trial.

RCT effectiveness evaluation housing rehabilitation independent supported housing mental healthcare service serious mental illness social inclusion

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2021
Historique:
received: 19 10 2021
accepted: 08 12 2021
entrez: 7 2 2022
pubmed: 8 2 2022
medline: 8 2 2022
Statut: epublish

Résumé

Independent supported housing (ISH)-services to support independent housing are recommended by current guidelines. However, there is little evidence of ISH models for non-homeless people with severe mental illness (SMI). The aim of this study was to examine the effectiveness of ISH by comparing the clinical outcomes of a newly implemented ISH service with regular housing and support services. A total of 58 adults with a broad spectrum of mental disorders experiencing housing problems were randomly assigned to either the intervention group (IG) with the possibility to use the ISH service in Zurich providing targeted, individual and flexible support for housing problems or to the control group (CG) with regular housing and support services currently available (trial registration at ClinicalTrials.gov: NCT03815604). After 12 months, almost all participants of the IG were able to live independently and need for inpatient treatment could be significantly reduced. Service utilization varied between 2 and 79 h. In the CG, 70% of the participants wanted to join a waiting list for the ISH service. The results indicated that IHS was comparable to regular housing and support services in terms of social inclusion and other social and clinical outcomes such as quality of life, capabilities, needs, mental state and functioning ( ISH is an effective service in housing rehabilitation in terms of social and clinical outcomes and costs. ISH is strongly preferred by service users. In line with the UN Convention on the Rights of Persons with Disabilities, access to ISH services for non-homeless people with SMI should be improved. ClinicalTrials.gov, identifier: NCT03815604, December 04, 2019.

Sections du résumé

BACKGROUND BACKGROUND
Independent supported housing (ISH)-services to support independent housing are recommended by current guidelines. However, there is little evidence of ISH models for non-homeless people with severe mental illness (SMI). The aim of this study was to examine the effectiveness of ISH by comparing the clinical outcomes of a newly implemented ISH service with regular housing and support services.
METHODS METHODS
A total of 58 adults with a broad spectrum of mental disorders experiencing housing problems were randomly assigned to either the intervention group (IG) with the possibility to use the ISH service in Zurich providing targeted, individual and flexible support for housing problems or to the control group (CG) with regular housing and support services currently available (trial registration at ClinicalTrials.gov: NCT03815604).
RESULTS RESULTS
After 12 months, almost all participants of the IG were able to live independently and need for inpatient treatment could be significantly reduced. Service utilization varied between 2 and 79 h. In the CG, 70% of the participants wanted to join a waiting list for the ISH service. The results indicated that IHS was comparable to regular housing and support services in terms of social inclusion and other social and clinical outcomes such as quality of life, capabilities, needs, mental state and functioning (
CONCLUSIONS CONCLUSIONS
ISH is an effective service in housing rehabilitation in terms of social and clinical outcomes and costs. ISH is strongly preferred by service users. In line with the UN Convention on the Rights of Persons with Disabilities, access to ISH services for non-homeless people with SMI should be improved.
CLINICAL TRIAL REGISTRATION BACKGROUND
ClinicalTrials.gov, identifier: NCT03815604, December 04, 2019.

Identifiants

pubmed: 35126208
doi: 10.3389/fpsyt.2021.798275
pmc: PMC8814620
doi:

Banques de données

ClinicalTrials.gov
['NCT03815604']

Types de publication

Journal Article

Langues

eng

Pagination

798275

Informations de copyright

Copyright © 2022 Mötteli, Adamus, Deb, Fröbel, Siemerkus, Richter and Jäger.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Sonja Mötteli (S)

Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Zurich, Switzerland.

Christine Adamus (C)

Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
Center for Psychiatric Rehabilitation, Universitäre Psychiatrische Dienste Bern, Bern, Switzerland.
University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Tim Deb (T)

Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Zurich, Switzerland.

Rahel Fröbel (R)

Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Zurich, Switzerland.

Jakob Siemerkus (J)

Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, Zurich, Switzerland.

Dirk Richter (D)

Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
Center for Psychiatric Rehabilitation, Universitäre Psychiatrische Dienste Bern, Bern, Switzerland.
University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.

Matthias Jäger (M)

Psychiatrie Baselland, Liestal, Switzerland.

Classifications MeSH