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Research in supported housing.

Walid K H Fakhoury1, Alison Murray, Geoff Shepherd

  • 1Unit for Social and Community Psychiatry, Barts and the London School of Medicine, Academic Unit, East Ham Memorial Hospital, Shrewsbury Road, UK. w.fakhoury@qmw.ac.uk

Social Psychiatry and Psychiatric Epidemiology
|July 12, 2002
PubMed
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Supported housing for individuals with mental illness shows promise for improved functioning and satisfaction. Further research is needed to optimize care quality and identify key factors influencing outcomes in these community-based schemes.

Area of Science:

  • Mental Health Services Research
  • Community Psychiatry
  • Housing Policy

Background:

  • De-institutionalization has increased the need for community-based housing for individuals with mental illness.
  • Supported housing models vary, leading to challenges in comparing outcomes and terminology.
  • Understanding the characteristics of residents and factors influencing care quality is crucial.

Purpose of the Study:

  • To review conceptual issues, resident characteristics, research methods, outcomes, and quality of care factors in supported housing schemes.
  • To identify gaps in current research on supported housing for psychiatric patients.

Main Methods:

  • A comprehensive literature search using Medline and hand searches.
  • Consultation with expert researchers in the field of supported housing.

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Main Results:

  • Diverse supported housing models exist with inconsistent terminology, hindering comparisons.
  • Residents often present with self-care and functional deficits; behavioral issues can lead to exclusion.
  • Supported housing may improve functioning, social integration, and resident satisfaction compared to hospital care.
  • Residents generally prefer less restrictive, more independent living, though isolation can occur.

Conclusions:

  • Research on supported housing for psychiatric patients is currently underdeveloped.
  • Future research should focus on large-scale surveys of structure, process, and outcomes.
  • Utilizing direct observation alongside standardized instruments can identify areas for improvement in supported housing quality.