Abstract
PurposeTo 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.MethodsStudies 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.Results13 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.ConclusionThere 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.
Highlights
Supported accommodation provides a place to live for people whose serious mental illness impacts on their selfcare, social, occupational and cognitive functioning [1, 2]
Supported accommodation can have a range of functions providing a safe place to live, enabling people with serious mental illness to reestablish a sense of identity, have increasing choice and participate in activities and roles that give life meaning [5, 6]
Five studies were from the UK, three studies from Sweden [29–31] and one study each from the USA [32], Switzerland [33], Netherlands [34], Canada [35] and Hong Kong [36]. 11 studies reported diagnosis of participants, with the remaining 2 referring to participants having serious mental illness
Summary
Supported accommodation provides a place to live for people whose serious mental illness impacts on their selfcare, social, occupational and cognitive functioning [1, 2]. Supported accommodation provides opportunities for people with serious mental illness to maintain a tenancy with varying levels of staff support provided to manage risk, develop and maintain living skills and engage in social and work activities [4]. Supported accommodation can have a range of functions providing a safe place to live, enabling people with serious mental illness to reestablish a sense of identity, have increasing choice and participate in activities and roles that give life meaning [5, 6]. While contextual and service factors directly inform how supported accommodation is provided internationally, there are common features that are seen across all types of supported accommodation which relate to living arrangement (group or individual), level of staffing provided and type of support received [3, 4, 9]
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