Evaluation of a modernized supported housing intervention for individuals who experience severe and persistent mental illness in Ontario, Canada.
health services delivery
housing
Journal
Journal of psychiatric and mental health nursing
ISSN: 1365-2850
Titre abrégé: J Psychiatr Ment Health Nurs
Pays: England
ID NLM: 9439514
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
revised:
20
01
2023
received:
19
07
2022
accepted:
01
03
2023
medline:
6
9
2023
pubmed:
30
3
2023
entrez:
29
3
2023
Statut:
ppublish
Résumé
Supported housing approaches that include case management and increased opportunities for independence and personal autonomy for people who are living with severe and persistent mental illness (SPMI) have been found to help reduce hospitalizations and use of the emergency department. What is not fully clear is if these types of supported housing arrangements also influence the use of primary health care and other specialist services. This study uncovered that individuals experiencing SPMI who lived in supported housing used more primary health care and specialist physician services, in the year following transition to this housing arrangement. The findings of this study suggest that supported housing arrangements for people experiencing SPMI may help in improving the personalization of health services for individual residents, including increasing access to both primary health care and specialist services. This is important for nursing practice, as the findings of the study show that supported housing arrangements for people experiencing SPMI may assist in better supporting their complex health care needs. INTRODUCTION: Supported housing for people who are living with severe and persistent mental illness (SPMI) has been found to help reduce hospitalizations and use of the emergency department. What is not fully clear is if these types of supported housing arrangements also influence the use of primary health care and other specialist services. The aim of this study was to compare the use of health services use of individuals with SPMI, before and after transition to the new supported housing program. Using health care administrative databases, a pre-post cohort study was conducted examining the health system use of residents who transitioned from custodial to supported housing arrangements between 2017 and 2019. Individuals with SPMI used more primary health care and specialist physician services after transition to the supported housing model. The results suggest that a supported housing model may be associated with increased usage of outpatient person-centred health services in people experiencing SPMI. The findings of this study suggest that supported housing arrangements for people experiencing SPMI may help in improving the personalization of health services for individual. This is important for nursing practice, as the findings of the study show that supported housing arrangements may assist in better supporting complex health care needs of individuals.
Types de publication
Journal Article
Langues
eng
Pagination
963-973Subventions
Organisme : Ministry of Health
Informations de copyright
© 2023 The Authors. Journal of Psychiatric and Mental Health Nursing published by John Wiley & Sons Ltd.
Références
Aubry, T., Bloch, G., Brcic, V., Saad, A., Magwood, O., Abdalla, T., Alkhateeb, Q., Xie, E., Mathew, C., Hannigan, T., Costello, C., Thavorn, K., Stergiopoulos, V., Tugwell, P., & Pottie, K. (2020). Effectiveness of permanent supportive housing and income assistance interventions for homeless individuals in high-income countries: A systematic review. The Lancet Public Health, 5(6), e342-e360. https://doi.org/10.1016/S2468-2667(20)30055-4
Aubry, T., Nelson, G., & Tsemberis, S. (2015). Housing first for people with severe mental illness who are homeless: A review of the research and findings from the At home-Chez soi demonstration project. The Canadian Journal of Psychiatry, 60(11), 467-474. https://doi.org/10.1177/070674371506001102
Brackertz, N., Wilkinson, A., & Davison, J. (2018). Housing, homelessness and mental health: Towards systems change. Retreived from: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3292526
Canadian Mental Health Association. (2022). Types of housing. https://ontario.cmha.ca/documents/types-of-housing/ Retreived 20 November 2022
Dunt, D. R., Day, S. E., Collister, L., Fogerty, B., Frankish, R., Castle, D. J., Hoppner, C., Stafrace, S., Sherwood, S., Newton, J. R., & Redston, S. (2021). Evaluation of a housing first programme for people from the public mental health sector with severe and persistent mental illnesses and precarious housing: Housing, health and service use outcomes. The Australian and New Zealand Journal of Psychiatry, 56(3), 281-291. https://doi.org/10.1177/00048674211011702
Fauteux, N. (2021). Beyond screening: Health systems invest in social determinants of health. The American Journal of Nursing, 121(2), 53-55. https://doi.org/10.1097/01.NAJ.0000734132.00225.b0
Gilmer, T. P., Stefancic, A., Henwood, B. F., & Ettner, S. L. (2015). Fidelity to the housing first model and variation in health service use within permanent supportive housing. Psychiatric Services, 66(12), 1283-1289. https://doi.org/10.1176/appi.ps.201400564
Grant, J. G., & Westhues, A. (2010). Choice and outcome in mental health supported housing. Psychiatric Rehabilitation Journal, 33(3), 232-235. https://doi.org/10.2975/33.3.2010.232.235
Harrison, M., Singh Roy, A., Hultqvist, J., Pan, A. W., McCartney, D., McGuire, N., Irvine Fitzpatrick, L., & Forsyth, K. (2020). Quality of life outcomes for people with serious mental illness living in supported accommodation: Systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 55(8), 977-988. https://doi.org/10.1007/s00127-020-01885-x
Hwang, S. W., & Burns, T. (2014). Homelessness 2 health interventions for people who are homeless. The Lancet, 384(9953), 1541-1547. https://doi.org/10.1016/S0140-6736(14)61133-8
Lachaud, J., Mejia-Lancheros, C., Durbin, A., Nisenbaum, R., Wang, R., O'Campo, P., Stergiopoulos, V., & Hwang, S. W. (2021). The effect of a housing first intervention on acute health care utilization among homeless adults with mental illness: Long-term outcomes of the At home/chez-Soi randomized pragmatic trial. Journal of Urban Health, 98(4), 505-515. https://doi.org/10.1007/s11524-021-00550-1
Leff, H. S., Chow, C. M., Pepin, R., Conley, J., Allen, I. E., & Seaman, C. A. (2009). Does one size fit all? What we can and can't learn from a meta-analysis of housing models for persons with mental illness. Psychiatric Services, 60(4), 473-482. https://doi.org/10.1176/appi.ps.60.4.473
Lim, S., Gao, Q., Stazesky, E., Singh, T. P., Harris, T. G., & Levanon Seligson, A. (2018). Impact of a new York City supportive housing program on Medicaid expenditure patterns among people with serious mental illness and chronic homelessness. BMC Health Services Research, 18(1), 15. https://doi.org/10.1186/s12913-017-2816-9
Macpherson, R., Shepherd, G., & Thyarappa, P. (2012). Supported accommodation for people with severe mental illness: An update. Advances in Psychiatric Treatment, 18(5), 381-391. https://doi.org/10.1192/apt.bp.110.008714
McLaughlin, T. (2011). Using common themes: Cost-effectiveness of permanent supported housing for people with mental illness. Research on Social Work Practice, 21(4), 404-411. https://doi.org/10.1177/1049731510387307
McPherson, P., Krotofil, J., & Killaspy, H. (2018). Mental health supported accommodation services: A systematic review of mental health and psychosocial outcomes. BMC Psychiatry, 18(1), 1-15. https://doi.org/10.1186/s12888-018-1725-8
Nelson, G. (2010). Housing for people with serious mental illness: Approaches, evidence, and transformattve change. Journal of Sociology and Social Welfare, 37(4), 123-146.
Newman, S., & Goldman, H. (2008). Putting housing first, making housing last: Housing policy for persons with severe mental illness. The American Journal of Psychiatry, 165(10), 1242-1248. https://doi.org/10.1176/appi.ajp.2008.08020279
Ontario Homes for Special Needs Association. (2022). Homes for special care. Retreived from https://www.ohsna.org/hsc/
Parker, B., & Leviten-Reid, C. (2022). Pandemic precarity and everyday disparity: Gendered housing needs in North America. Housing and Society, 49(1), 10-37. https://doi.org/10.1080/08882746.2021.1922044
Parkinson, S., Nelson, G., & Horgan, S. (1999). From housing to homes: A review of the literature on housing approaches for psychiatric consumer/survivors. Canadian Journal of Community Mental Health, 18(1), 145-164. https://doi.org/10.7870/cjcmh-1999-0008
Pawson, H. (2021). Housing affordability and homelessness: Probing Australian evidence. European Journal of Homelessness, 15(3), 99-111.
Piat, M., Seida, K., & Padgett, D. (2020). Choice and personal recovery for people with serious mental illness living in supported housing. Journal of Mental Health, 29(3), 306-313. https://doi.org/10.1080/09638237.2019.1581338
Raven, M. C., Niedzwiecki, M. J., & Kushel, M. (2020). A randomized trial of permanent supportive housing for chronically homeless persons with high use of publicly funded services. Health Services Research, 55(S2), 797-806. https://doi.org/10.1111/1475-6773.13553
Rogers, E. S., Anthony, W., Kash, M., & Olschewski, A. (2010). Systematic Review of Supported Housing Literature 1993-2008. Retreived from https://open.bu.edu/handle/2144/1493
Russolillo, A., Patterson, M., McCandless, L., Moniruzzaman, A., & Somers, J. (2014). Emergency department utilisation among formerly homeless adults with mental disorders after one year of housing first interventions: A randomised controlled trial. International Journal of Housing Policy, 14(1), 79-97. https://doi.org/10.1080/14616718.2014.884881
Watson, J., Fossey, E., & Harvey, C. (2019). A home but how to connect with others? A qualitative meta-synthesis of experiences of people with mental illness living in supported housing. Health & Social Care in the Community, 27(3), 546-564. https://doi.org/10.1111/hsc.12615
Wong, Y. L. I., Park, J. M., & Nemon, H. (2006). Homeless service delivery in the context of continuum of care. Administration in Social Work, 30(1), 67-94. https://doi.org/10.1300/J147v30n01_05
Wright, B. J., Vartanian, K. B., Li, H.-F., Royal, N., & Matson, J. K. (2016). Formerly homeless people had lower overall health care expenditures after moving into supportive housing. Health Affairs, 35(1), 20-27. https://doi.org/10.1377/hlthaff.2015.0393