Supported Housing Services for People with Mental Health Problems: A Scoping Study

2005 ◽  
Vol 20 (5) ◽  
pp. 831-845 ◽  
Author(s):  
Lisa o'Malley ◽  
Karen Croucher
2021 ◽  
Vol 11 ◽  
Author(s):  
Diana Roeg ◽  
Lars de Winter ◽  
Cris Bergmans ◽  
Chrisje Couwenbergh ◽  
Peter McPherson ◽  
...  

Background: People with severe mental illness have difficulties finding and maintaining competitive employment. This is particularly so for those living in supported housing who, by definition, have significant day-to-day support needs: in the Netherlands only 3 to 5% of people with serious mental health problems who live in supported housing are competitively employed. To support these people in finding and maintaining competitive employment, Individual Placement, and Support (IPS) was introduced within supported housing services in the Netherlands in 2015. As this is the first country that broadly implemented IPS in supported housing settings, this paper will focus on the first results regarding feasibility and effects on employment in clients of IPS in this sector.Methods: We investigated the feasibility and employment outcomes of delivering IPS in supported housing services using fidelity assessments and quarterly employment outcomes on IPS program level within eight supported housing organizations, and compared these with 21 mental health treatment organizations in the Netherlands over a 4 year period. We investigated possible reasons for our findings and their implications through qualitative evaluations of the IPS fidelity assessors' notes and additional focus groups with IPS specialists and coordinators from supported housing services and fidelity assessors.Results: The overall fidelity scores indicated reasonable implementation of the IPS model within both supported housing services and mental health services. However, there were differences between services with regard to specific fidelity items; mental health treatment organizations scored higher for team integration, whereas supported housing services scored higher for rapid job search and caseload size, diversity of jobs, and employers. Our qualitative data suggested that the difference in team integration between the two sectors was due to differences in their organizational and financial structures, as well as in the specific needs of their clients. Conversely, supported housing services had better connections with employers which facilitated more rapid job searching and greater diversity in employment opportunities. The average total client employment rate did not significantly differ; and was 25.8% per quarter in supported housing services and 29.6% in mental health treatment services.Conclusion: Implementing IPS in supported housing settings is both feasible and effective.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jan Georg Friesinger ◽  
Alain Topor ◽  
Tore Dag Bøe ◽  
Inger Beate Larsen

2014 ◽  
Vol 10 (3) ◽  
pp. 237-248 ◽  
Author(s):  
Suvi Maaria Raitakari ◽  
Kirsi Günther ◽  
Kirsi Juhila ◽  
Sirpa Saario

Professionals in human service work are at the centre of complicated client cases. The ways client cases are constructed and the problems explained form the basis for professionals’ assessments, decisions, actions and interventions. In this article the ways professionals make sense of dual-diagnosis client cases are examined. Applying the concept of causal accounting, it is argued that ‘theories of cause’ are embedded in professional discourse and profoundly shape professionals’ understandings of social and health problems, as well as of their own roles and responsibilities and of what interventions and outcomes are possible. The data consist of 48 tape-recorded weekly team meetings among professionals in a supported housing unit targeted for clients with both mental health and substance abuse problems. It was found that professionals reason about the relationship between these two problems in four different ways: (1) substance abuse causes or makes mental health problems worse; (2) substance abuse eases mental health problems; (3) mental health problems cause or make substance abuse worse; or (4) good mental health reduces substance abuse. Causal account research makes visible the ways professionals do institutional work by categorizing clients, accounting for responsibilities as well as assessing their work and clients’ achievements according to moral expectations of a ‘good’ professional and a worthy client.


1998 ◽  
Vol 1 (1) ◽  
pp. 8-11
Author(s):  
Madeline Drake

Homelessness makes mental health problems worse, but inappropriate housing can be damaging, too. We need to be flexible and supportive in our provision, offering options for both independent and supported housing, and easy transfer between them. Government policy on housing should recognise the importance of individual need, as well as the overall picture.


2016 ◽  
Vol 16 (3) ◽  
pp. 274-287 ◽  
Author(s):  
Jacquie Kidd ◽  
Gareth Edwards

Purpose – Co-production in the context of mental health research has become something of a buzzword to indicate a project where mental health service users and academics are in a research partnership. The notion of partnership where one party has the weight of academic tradition on its side is a contestable one, so in this paper the authors “write to understand” (Richardson and St Pierre, 2005) as the purpose of this paper is to examine the experiences of working in a co-produced research project that investigated supported housing services for people with serious mental health problems. Design/methodology/approach – The authors set out to trouble the notion of co-produced research though a painfully honest account of the project, while at the same time recognising it as an idea whose time has come and suggesting a framework to support its implementation. Findings – Co-production is a useful, albeit challenging, approach to research. Originality/value – This paper is particularly relevant to researchers who are endeavouring to produce work that challenges the status quo through giving voice to people who are frequently silenced by the research process.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jan Georg Friesinger ◽  
Bente Birkeland ◽  
Anne Brita Thorød

Being in a relationship with an animal can promote the well-being of people. For many individuals, this usually takes place at home. This study reports about homes for people with mental health problems (with or without co-occurring substance use), who live in supported housing operated by public landlords, entailing tenancies that are usually stricter regarding their pet policies than ordinary homes. We thus addressed the following research questions through ethnographic fieldwork at seven distinct places: which types of human–animal relationships occur in supported housing, and how do they affect the tenants? We analyzed the collected data informed by the Grounded Theory approach and found three types of human–animal relationships within supported housing affecting the tenants differently, namely, “no animals,” “visiting animals,” and “shared/sole ownership of animals.” Animals in the buildings can stage atmospheres that promote solidarity and connectedness among people. In contrast, situations in which animals are forbidden can create emotional tensions between tenants and staff or landlords. When discussing fostering animal atmospheres and limits to keeping pets, we concluded that animals can contribute to the mental health recovery of tenants by creating acknowledgment and rootedness. Therefore, public housing services need to guarantee equal rights to the tenants as they do with every citizen, including the right to keep a pet.


2020 ◽  
Vol 42 (7) ◽  
pp. 1742-1758
Author(s):  
Jan G. Friesinger ◽  
Alain Topor ◽  
Tore Dag Bøe ◽  
Inger Beate Larsen

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