Independent Supported Housing for Non-homeless People With Serious Mental Illness: A Pragmatic Randomized Controlled Trial

Mötteli, Sonja; Adamus, Christine; Deb, Tim; Fröbel, Rahel; Siemerkus, Jakob; Richter, Dirk; Jäger, Matthias (2022). Independent Supported Housing for Non-homeless People With Serious Mental Illness: A Pragmatic Randomized Controlled Trial. Frontiers in psychiatry, 12 Frontiers 10.3389/fpsyt.2021.798275

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Background: Independent supported housing (ISH)—services to support independent housing are recommended by current guidelines. However, there is little evidence of ISH models for non-homeless people with severe mental illness (SMI). The aim of this study was to examine the effectiveness of ISH by comparing the clinical outcomes of a newly implemented ISH service with regular housing and support services.

Methods: A total of 58 adults with a broad spectrum of mental disorders experiencing housing problems were randomly assigned to either the intervention group (IG) with the possibility to use the ISH service in Zurich providing targeted, individual and flexible support for housing problems or to the control group (CG) with regular housing and support services currently available (trial registration at ClinicalTrials.gov: NCT03815604).

Results: After 12 months, almost all participants of the IG were able to live independently and need for inpatient treatment could be significantly reduced. Service utilization varied between 2 and 79 h. In the CG, 70% of the participants wanted to join a waiting list for the ISH service. The results indicated that IHS was comparable to regular housing and support services in terms of social inclusion and other social and clinical outcomes such as quality of life, capabilities, needs, mental state and functioning (p's > 0.05). The costs of service utilization were on average 115 Swiss Francs (about 124 USD) per participant per month.

Conclusions: ISH is an effective service in housing rehabilitation in terms of social and clinical outcomes and costs. ISH is strongly preferred by service users. In line with the UN Convention on the Rights of Persons with Disabilities, access to ISH services for non-homeless people with SMI should be improved.

Clinical Trial Registration: ClinicalTrials.gov, identifier: NCT03815604, December 04, 2019.

Item Type:

Journal Article (Original Article)

Division/Institute:

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

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Adamus, Christine and Richter, Dirk

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1664-0640

Publisher:

Frontiers

Funders:

[UNSPECIFIED] SNSF

Projects:

[UNSPECIFIED] IHS-SMI

Language:

English

Submitter:

Christine Adamus

Date Deposited:

06 May 2022 15:14

Last Modified:

06 May 2022 15:14

Publisher DOI:

10.3389/fpsyt.2021.798275

Uncontrolled Keywords:

independent supported housing, housing rehabilitation, serious mental illness, social inclusion, mental healthcare service, evaluation, effectiveness, RCT

BORIS DOI:

10.48350/169758

URI:

https://boris.unibe.ch/id/eprint/169758

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