Independent Housing and Support for non-homeless individuals with severe mental illness: randomised controlled trial vs. observational study – study protocol

Adamus, Christine; Mötteli, Sonja; Jäger, Matthias; Richter, Dirk (2020). Independent Housing and Support for non-homeless individuals with severe mental illness: randomised controlled trial vs. observational study – study protocol. BMC psychiatry, 20(1), p. 319. BioMed Central 10.1186/s12888-020-02712-y

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Abstract Background: Social inclusion is essential for an adequate rehabilitation process for people with serious mental illness (SMI). Various supported housing settings aim to promote housing competencies and social inclusion in service users. Nevertheless, there is a strong preference in service users for independent living. We aim to evaluate the effectiveness and efficiency of Independent Housing and Support (IHS) compared to institutionalised residential care settings and other treatment as usual conditions (RCS/TAU) in two cities in Switzerland. Methods: This is a prospective multi-centre, four-arm, non-inferiority cohort study investigating the effectiveness and efficiency of IHS and RCS/TAU for people with SMI. Effectiveness will be measured by a standardised measure of social inclusion as primary outcome as well as by measures of functioning and well-being. Efficiency will be analysed on the basis of service usage and costs associated with the different housing settings. Participants will be consecutively recruited and subsequently enrolled between April 2019 and December 2020 and assessed at baseline and after six, twelve and after 24 months. At one study site, 56 participants will be randomly assigned to one of the conditions; the other study site will be conducted as an observational study investigating 112 admitted participants. Discussion: While the UN Convention of the Rights of People with Disabilities aims to promote the opportunity to choose one’s place of residence, the limited supply of alternative forms of housing does not guarantee genuine freedom of choice. Increased diversification and flexibility of housing support is essential. If IHS shows noninferiority in terms of their effectiveness and efficiency, users should be allowed to choose their kind of housing support. Trial registration: ClinicalTrials.gov: NCT03815604, December 04, 2019.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > Department of Nursing and Education
04 Faculty of Medicine > University Psychiatric Services

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Adamus, Christine and Richter, Dirk

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-244X

Publisher:

BioMed Central

Funders:

[4] Swiss National Science Foundation

Projects:

[UNSPECIFIED] IHS-SMI

Language:

English

Submitter:

Christine Adamus

Date Deposited:

06 Aug 2020 11:13

Last Modified:

09 Aug 2020 02:42

Publisher DOI:

10.1186/s12888-020-02712-y

PubMed ID:

32560681

Uncontrolled Keywords:

Residential rehabilitation, Supported housing, Non-homeless people, Serious mental illness, Randomised controlled trial, Observational study design, Non-inferiority

BORIS DOI:

10.7892/boris.144866

URI:

https://boris.unibe.ch/id/eprint/144866

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