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Quality of life outcomes for people with serious mental illness living in supported accommodation : systematic review and meta-analysis

Harrison, Michele ; Singh Roy, Anusua ; Hultqvist, Jenny LU ; Pan, Ay Woan ; McCartney, Deborah ; McGuire, Nicola ; Irvine Fitzpatrick, Linda and Forsyth, Kirsty (2020) In Social Psychiatry and Psychiatric Epidemiology 55(8). p.977-988
Abstract

Purpose: To conduct a systematic review and meta-analysis of quality of life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation. Methods: Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in six electronic databases. We applied a random-effects model to derive the meta-analytic results. Results: 13 studies from 7 countries were included, with 3276 participants receiving high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were... (More)

Purpose: To conduct a systematic review and meta-analysis of quality of life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation. Methods: Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in six electronic databases. We applied a random-effects model to derive the meta-analytic results. Results: 13 studies from 7 countries were included, with 3276 participants receiving high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were better for people living in supported housing (g= − 0.31; CI = [− 0.47; − 0.16]) and floating outreach (g= − 0.95; CI = [− 1.30; − 0.61]) compared to high-support accommodation, with a medium effect size for living condition outcomes between supported housing and floating outreach (g= − 0.40; CI = [− 0.82; 0.03]), indicating that living conditions are better for people living in floating outreach. Social functioning outcomes were significant for people living in supported housing compared to high support (g = − 0.37; CI = [− 0.65; − 0.09]), with wellbeing outcomes not significant between the three types of supported accommodation. Conclusion: There is evidence that satisfaction with living conditions differs across supported accommodation types. The results suggest there is a need to focus on improving social functioning and wellbeing outcomes for people with serious mental illness across supported accommodation types.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Living conditions, Quality of life, Serious mental illness, Social functioning, Supported accommodation
in
Social Psychiatry and Psychiatric Epidemiology
volume
55
issue
8
pages
12 pages
publisher
Steinkopff
external identifiers
  • pmid:32448927
  • scopus:85085355032
ISSN
0933-7954
DOI
10.1007/s00127-020-01885-x
language
English
LU publication?
yes
id
ef79385d-18a4-4b73-8373-41db058336b6
date added to LUP
2020-06-16 14:43:53
date last changed
2024-06-12 16:12:53
@article{ef79385d-18a4-4b73-8373-41db058336b6,
  abstract     = {{<p>Purpose: To conduct a systematic review and meta-analysis of quality of life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation. Methods: Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in six electronic databases. We applied a random-effects model to derive the meta-analytic results. Results: 13 studies from 7 countries were included, with 3276 participants receiving high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were better for people living in supported housing (g= − 0.31; CI = [− 0.47; − 0.16]) and floating outreach (g= − 0.95; CI = [− 1.30; − 0.61]) compared to high-support accommodation, with a medium effect size for living condition outcomes between supported housing and floating outreach (g= − 0.40; CI = [− 0.82; 0.03]), indicating that living conditions are better for people living in floating outreach. Social functioning outcomes were significant for people living in supported housing compared to high support (g = − 0.37; CI = [− 0.65; − 0.09]), with wellbeing outcomes not significant between the three types of supported accommodation. Conclusion: There is evidence that satisfaction with living conditions differs across supported accommodation types. The results suggest there is a need to focus on improving social functioning and wellbeing outcomes for people with serious mental illness across supported accommodation types.</p>}},
  author       = {{Harrison, Michele and Singh Roy, Anusua and Hultqvist, Jenny and Pan, Ay Woan and McCartney, Deborah and McGuire, Nicola and Irvine Fitzpatrick, Linda and Forsyth, Kirsty}},
  issn         = {{0933-7954}},
  keywords     = {{Living conditions; Quality of life; Serious mental illness; Social functioning; Supported accommodation}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{977--988}},
  publisher    = {{Steinkopff}},
  series       = {{Social Psychiatry and Psychiatric Epidemiology}},
  title        = {{Quality of life outcomes for people with serious mental illness living in supported accommodation : systematic review and meta-analysis}},
  url          = {{http://dx.doi.org/10.1007/s00127-020-01885-x}},
  doi          = {{10.1007/s00127-020-01885-x}},
  volume       = {{55}},
  year         = {{2020}},
}