Abstract
Aim:The review aimed to identify and explore the association of level of support received by people with severe mental illness in supported accommodation and participation.Method:The authors conducted a systematic search in MEDLINE, PsychINFO, PsychARTICLES, CINAHL Plus and ASSIA. Searches were restricted to articles published in English and participants aged 18 years and over with severe mental illness. Articles were included based on level of support received in mental health supported accommodation, classified according to the Simple Taxonomy for Supported Accommodation, and three factors of participation: social participation, daily living functioning and personal empowerment. Studies of in-patient settings and nursing homes were excluded. The review protocol is registered on PROSPERO (registration number: CRD42019161808).Results:Six articles were included in the review from USA, Australia, Sweden and Taiwan. Factors of participation for people living in accommodation with moderate support and accommodation with high support were explored. Data indicated an association between level of support and participation showing that people living in accommodation with moderate support had increased participation compared to people living in accommodation with high support.Conclusion:This review identified an association between level of formal support and participation. People with SMI living in accommodation with medium support participated in more community occupations, more activities and had a higher level of personal empowerment than people living in accommodation with high support.
Highlights
People with severe mental illness (SMI) have diagnoses such as schizophrenia, personality disorders, bipolar disorder and other psychosis-related disorders and have a range of complex needs which impact on different aspects of their everyday life
All factors demonstrated favourable results for people with SMI living in accommodation with moderate support (AMS) who had higher levels of participation than those living in accommodation with high support (AHS), with few identified discrepancies in this direction of inference
It is recognised that employment and education are important for social functioning for people with SMI (Modini et al, 2016) the indication from this review is that this remains an area of social participation that is not available to many people with SMI when living in supported accommodation
Summary
People with severe mental illness (SMI) have diagnoses such as schizophrenia, personality disorders, bipolar disorder and other psychosis-related disorders and have a range of complex needs which impact on different aspects of their everyday life. Supported accommodation (SA) provides residential, community-based support for individuals with SMI (McPherson et al, 2018a). SA provides individuals with SMI the opportunity to obtain a tenancy while receiving varying levels of staff support within the least restrictive settings in order to develop skills and abilities needed to participate in various daily living and social activities (Padmakar et al, 2020). SA can differ by type, staffing location, level of support provided and emphasis within the accommodation on moving on (McPherson et al, 2018b). Within SA, the support people with SMI receive is typically provided by formal carers inclusive of healthcare professionals, carers or other staff providing support. For people with SMI, this can affect maintaining and creating relationships
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
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.
