Abstract
BackgroundHousing services aim to support people with mental illness in their daily life and recovery. As the level of recovery differs between service users, the quality of life and care needs also might vary. However, the type and amount of care and support that service users receive do not always match their recovery. In order to improve the quality of care, this study aims to explore whether subgroups of service users exist based on three dimensions of recovery and to examine and compare the quality of life and care needs of the persons in these subgroups.MethodsLatent class analysis was performed with data from 263 service users of housing services in the Netherlands. Classes were based on three variables: personal recovery (Mental Health Recovery Measure), social recovery (Social Functioning Scale), and clinical recovery (Brief Symptom Inventory). Subsequently, the quality of life (MANSA) and care needs (CANSAS) of the different classes were analysed by the use of descriptive and inferential statistics.ResultsThree classes could be distinguished. Class 1 (45%) comprised of people who score the highest of the three classes in terms of personal and social recovery and who experience the least number of symptoms. People in class 2 (44%) and class 3 (11%) score significantly lower on personal and social recovery, and they experience significantly more symptoms compared to class 1. The distinction between class 2 and 3 can be made on the significantly higher number of symptoms in class 3. All three classes differ significantly on quality of life and unmet needs.ConclusionsThe quality of life of service users of housing services needs improvement, as even persons in the best-recovered subgroup have a lower quality of life than the average population. Workers of housing services need to be aware of the recovery of a client and what his or her individual needs and goals are. Furthermore, better care (allocation) concerning mental and physical health and rehabilitation is needed. Care should be provided on all dimensions of recovery at the same time, therefore mental health care organisations should work together and integrate their services.Trial registrationISRCTN registry ISRCTN77355880 retrospectively registered 05/07/2013.
Highlights
Housing services aim to support people with mental illness in their daily life and recovery
This study aimed to explore whether subgroups of service users in housing services exist based on three recovery dimensions, and to examine and compare the quality of life and care needs in these subgroups
Service users of housing facilities can be divided into three classes of recovery
Summary
Housing services aim to support people with mental illness in their daily life and recovery. Influenced by national policies, traditions and resources, different countries have gone through different processes of deinstitutionalisation [1, 2] This has led to a broad range of services characterised by a strong emphasis on community mental health care and an increase of housing services for people with severe mental illness (SMI) [3,4,5,6,7]. These services support service users in their daily lives and aim to support them in their recovery. We can conclude that housing services can still improve the quality of care for their service users
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
