Moving from supported to independent living: what are the barriers and facilitators for individuals with psychosis?
Functional recovery
Markov chain modeling
Schizophrenia
Sheltered housing
Supported housing
Journal
Social psychiatry and psychiatric epidemiology
ISSN: 1433-9285
Titre abrégé: Soc Psychiatry Psychiatr Epidemiol
Pays: Germany
ID NLM: 8804358
Informations de publication
Date de publication:
08 Jan 2024
08 Jan 2024
Historique:
received:
09
05
2023
accepted:
30
10
2023
medline:
8
1
2024
pubmed:
8
1
2024
entrez:
8
1
2024
Statut:
aheadofprint
Résumé
Living independently, as opposed to in sheltered housing or with caregivers, is an important aim in the recovery of individuals with psychosis, but the transition to independence can be challenging. This study aims to investigate how individuals with psychosis move between living arrangements and to identify the barriers and facilitators of moving towards independence. The living arrangements of 1119 individuals with non-affective psychosis from the Genetic Risk and Outcome of Psychosis study were assessed at baseline, at three- and six-year follow-ups and further categorized as either supported (sheltered housing or with parents) or independent (single or with partner/family). We estimated the probabilities of transitioning between the living statuses and investigated the influence of demographic characteristics, symptomatology, cognition, social support, and premorbid social adjustment on transition using Markov chain modelling. The majority of individuals living in supported housing remained there during the six-year follow-up period (~ 60%). The likelihood of moving from supported to independent living was twice as high for participants who were younger, five-to-six times higher for women, twice as high for individuals with better overall cognition, and five times higher for those with a course of low positive symptoms. This study highlights that a large group of individuals with psychosis in supported housing is unlikely to move to independent living. Older men with cognitive impairments and who show continuous severe positive symptoms are the least likely to move living independently. Tailored interventions for these at-risk individuals could increase their chances of moving to independent living.
Identifiants
pubmed: 38189942
doi: 10.1007/s00127-023-02586-x
pii: 10.1007/s00127-023-02586-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Behrooz Z Alizadeh
(BZ)
Therese van Amelsvoort
(T)
Agna A Bartels-Velthuis
(AA)
Richard Bruggeman
(R)
Wiepke Cahn
(W)
Lieuwe de Haan
(L)
Frederike Schirmbeck
(F)
Claudia J P Simons
(CJP)
Jim van Os
(J)
Informations de copyright
© 2024. The Author(s).
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