Is supported living a pathway to recovery? A preliminary investigation of a new model

IF 0.8 Q4 SOCIAL WORK Mental Health and Social Inclusion Pub Date : 2023-11-20 DOI:10.1108/mhsi-09-2023-0095
Steven Barnes, Jerome Carson, Kevin Gournay
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Abstract

Purpose Evidence suggests supported living can improve functioning and reduce need. However, its lack of a clear definition has presented significant challenges to establishing a definitive evaluation of its efficacy. This study aims to evaluate the efficacy of a defined model of supported living using in terms of reductions made to aspects of clinical and social recovery. Design/methodology/approach A naturalistic, non-controlled assessment was conducting using using the Camberwell Assessment of Need Clinical Scale with a sample of adults with severe and enduring mental illness residing with a UK-based mental health company at 1 of 12 UK locations. Findings Analysis regarding preliminary outcomes relating to health and social need is presented with comparison between admission and six-months post-admission (N = 90). Additional analysis relating to outcomes at 12 months is also provided (N = 39). Significant outcomes are noted at both timepoints in terms of reducing unmet need and levels of formal and informal help given/required during tenancy. Practical implications The findings support that, even in the absence of clinical recovery, opportunities exist to make meaningful and valuable improvements to unmet need and functional independence, with implications for clinical practice in the context of supported living. Originality/value The findings provide encouraging early indications of the benefits of the model in making meaningful reductions to functional and psychological needs in individuals with severe and enduring mental illness.
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辅助生活是康复之路吗?对一种新模式的初步调查
目的 有证据表明,辅助生活可以提高功能和减少需求。然而,由于缺乏明确的定义,对其疗效进行明确评估面临巨大挑战。本研究旨在从临床和社会康复的角度评估支持性生活定义模式的有效性。 设计/方法/途径 采用坎伯韦尔需求评估临床量表,对英国 12 个地点中的一个地点的一家英国精神健康公司的严重和持久精神疾病成人居住样本进行了自然、非控制评估。 研究结果 分析了与健康和社会需求相关的初步结果,并对入院和入院后六个月(N = 90)的结果进行了比较。此外,还对 12 个月后的结果进行了分析(N = 39)。从减少未满足的需求以及在租赁期间给予/需要的正式和非正式帮助的水平来看,这两个时间点都取得了显著的成果。 实际意义 研究结果表明,即使没有临床康复,也有机会对未满足的需求和功能独立性进行有意义、有价值的改善,这对辅助生活中的临床实践具有重要意义。 原创性/价值 研究结果提供了令人鼓舞的早期迹象,表明该模式能够有效减少患有严重和持久性精神疾病的个人的功能和心理需求。
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来源期刊
CiteScore
1.80
自引率
25.00%
发文量
42
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