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[Housing Project 'Living Independently with Intensive Support (WmI)': The Scientific Evaluation]
K Wolf-Ostermann1, S Naber1, J Gräske1
1Alice Salomon Hochschule Berlin, Berlin.
Die Rehabilitation
|January 30, 2014
Summary
Supported living accommodations (SLA) show no overall effects on health outcomes for individuals with severe disabilities. However, residents experienced increased daily activities and external contacts, indicating a more self-determined life.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Social Sciences
Context:
- People with severe disabilities from brain injuries in Germany often reside in permanent facilities.
- The Fürst Donnersmarck Foundation (FDSt) introduced Supported Living Accommodations (SLA) as an alternative housing model.
- This study compares outcomes for residents transitioning to SLA versus those remaining in stationary care.
Purpose:
- To evaluate the impact of Supported Living Accommodations (SLA) on social and health-related outcomes.
- To compare changes in quality of life, functional abilities, and social participation.
- To assess the effectiveness of 24/7 social pedagogic and nursing support in SLA.
Summary:
- A prospective longitudinal study followed residents transitioning to SLA and those in stationary care.
- Standardized instruments measured ADL functioning, quality of life, need for assistance, social inclusion, anxiety, and depression.
- Results showed increased perceived mastery and daily activities in SLA, but no significant overall changes in quality of life or mental health outcomes between groups.
Impact:
- Supported Living Accommodations (SLA) offer a pathway to a more self-determined life for individuals with severe disabilities.
- Despite significant life changes, residents in SLA did not experience decreased quality of life or increased anxiety.
- The findings highlight the potential of social support systems in fostering social participation and mobility in this vulnerable population.
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