Using Common Themes: Cost-Effectiveness of Permanent Supported Housing for People With Mental Illness

AbstractPeople with mental illness can be profoundly disabled and at risk of social exclusion. Transitional models of supported housing have limited effectiveness in improving community participation. Stable, individualised psychosocial housing support programmes have been found to assist in improving mental health and decreasing hospitalisations, but little is understood about whether or how these programmes facilitate social and community participation. This article argues that, if certain supports are available, supported housing models can assist people with high levels of psychiatric disability to participate meaningfully in the community. To make this case, the article uses findings of a longitudinal evaluation of a supported housing model in Australia: the Housing and Accommodation Support Initiative Stage One (HASI). HASI is a partnership between the New South Wales Government Departments of Health and Housing and non-government organisations. It is a coordinated approach that provides clients with housing and community-based clinical support, as well as support with daily living skills and community participation. An analysis of questionnaire, database, interview and clinical data is used to demonstrate how HASI contributes to increased social and community participation. The article concludes with policy implications for supported housing models that aim to facilitate meaningful community participation for people with mental illness.

Download Full-text

Perceived occupational balance and well-being among people with mental illness living in two types of supported housing

Scandinavian Journal of Occupational Therapy ◽

10.1080/11038128.2019.1622771 ◽

2019 ◽

Vol 27 (6) ◽

pp. 450-461

Author(s):

Mona Eklund ◽

David Brunt ◽

Elisabeth Argentzell

Keyword(s):

Mental Illness ◽

Well Being ◽

Supported Housing ◽

People With Mental Illness

Download Full-text

Cost-effectiveness of cognitive remediation and supported employment for people with mental illness: a randomized controlled trial

Psychological Medicine ◽

10.1017/s0033291716002063 ◽

2016 ◽

Vol 47 (1) ◽

pp. 53-65 ◽

Cited By ~ 7

Author(s):

S. Yamaguchi ◽

S. Sato ◽

N. Horio ◽

K. Yoshida ◽

M. Shimodaira ◽

...

Keyword(s):

Mental Illness ◽

Cost Effectiveness ◽

Supported Employment ◽

Cognitive Remediation ◽

Cost Effective ◽

Economic Benefits ◽

Cognitive Improvement ◽

Vocational Outcomes ◽

People With Mental Illness ◽

Significant Difference

BackgroundLittle is known about the economic benefits of cognitive remediation and supported employment (CR + SE). The present study aimed to investigate the cost-effectiveness of CR + SE compared with traditional vocational services (TVS).MethodIndividuals with mental illness and low cognitive function were recruited at six sites in Japan. A total of 111 participants were randomly allocated to the CR + SE group or the TVS group. Clinical and vocational outcomes were assessed at baseline and 12-month follow-up. Service utilization data were collected monthly. The data on outcomes and costs were combined to examine cost-effectiveness.ResultsThe data were obtained from a total of 92 participants. The CR + SE group resulted in better vocational and clinical outcomes (employment rate, 62.2%; work tenures, 78.6 days; cognitive improvement, 0.5) than the TVS group (19.1%, 24.9 days and 0.2). There was no significant difference in mean total costs between the groups (CR + SE group: $9823, s.d. = $6372, TVS group: $11 063, s.d. = $11 263) with and without adjustment for covariates. However, mean cost for medical services in the CR + SE group was significantly lower than that in the TVS group after adjusting covariates (Β = −$3979, 95% confidence interval −$7816 to −$143, p = 0.042). Cost-effectiveness acceptability curves for vocational outcomes illustrated the high probabilities (approximately 70%) of the CR + SE group being more cost-effective than TVS when society is not willing to pay additional costs.ConclusionsCR + SE appears to be a cost-effective option for people with mental illness who have low cognitive functioning when compared with TVS.

Download Full-text