Development and validation of a supported housing programme for homeless women with severe mental illness.

IF 3.6 2区医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-12-11 DOI:10.1007/s00127-024-02797-w

Lydia R Conger, Aarti Jagannathan, Erica Breuer, Senthil Amudhan, Jagadisha Thirthalli, L Ponnuchamy

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Abstract

Background: The bidirectional phenomenon of homelessness and Mental Illness (MI) creates a vicious circle that is hard to escape. In India, Homeless Women with Severe Mental Illness (HWSMI) often rely on institutional care due to the absence of family or community alternatives, which distances them from socio-economic, cultural, political resources and the right to live with dignity. Hence, there is a need to develop a model that will help reintegrate HWSMI into the community.

Aim: We aimed to develop and validate (content and face validity) a supported housing programme (SHP) for HWSMI in Bengaluru, India.

Method: We developed the SHP using 1) a needs assessment from HWSMI (n = 14), 2) qualitative interviews with Mental Health Professionals (MHPs) (n = 18), and 3) visits to organizations (n = 3) involved in reintegration and supported housing for HWSMI. We articulated a Theory of Change (ToC) for the program. Three international experts and seven Indian experts reviewed the same.

Results: Five themes- Causes of homelessness/barriers to reintegration, consequences of homelessness, models/processes, facilitators, and needs of HWSMI and eighty sub-themes emerged from the qualitative thematic analysis of the interviews and observational visits. The themes and subthemes were organized as interventions in each phase of the SHP: Interventions in the tertiary care setting, transit home, and community.

Conclusion: We describe the development and validation of a comprehensive need-based SHP. We will implement and test the feasibility of the SHP for HWSMI.

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.