Housing services for people with mental disorders in England: patient characteristics, care provision and costs.

Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Social Psychiatry (Impact Factor: 2.58). 04/2009; 44(10):805-14. DOI: 10.1007/s00127-009-0001-0
Source: PubMed

ABSTRACT Since de-institutionalisation, housing services have taken a central role in the care of patients with severe mental illness. Yet, little is known about the characteristics of patients in different housing services, what care they receive, and what costs are generated. This study aimed to assess patient characteristics, care provision and costs in different types of housing services in England.
In 12 representative local areas in England, 250 housing services were randomly selected. Information on services, characteristics of randomly selected patients and care received were obtained from managers.
Data from 153 services (61% response rate) and 414 patients were analysed. Most patients receive support with activities of daily living and are involved in some sort of occupational activities. 52% have a care co-ordinator in a community mental health team. Care provision and costs differed significantly between care homes, supported housing services and floating support services.
Quality standards may have to be defined and applied to ensure that all patients in housing services receive appropriate care. More input of mental health services may be required for the rehabilitation and recovery of patients.

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    • "Whether the efforts to maintain these patients in the community are successful or not is crucially related to the nature and availability of accommodation (Moxham & Pegg 2000; Yamada & Korman 2000). Various types of accommodation have been developed, which reflect a continuum of support and staffing levels, from a relatively low level, such as supported group homes, to a high level of support and staff, such as 24-hour staffed facilities (hostels) (Fakhoury et al. 2002; Lamb 1998; Montgomery & Kirkpatrick 2002; Montgomery et al. 2008; O'Malley & Croucher 2005; Priebe et al. 2009; Santone et al. 2005). Similarly, graded stepwise vocational services were developed in the community for the mentally disabled (Cook & Razzano 2000) to enable them to acquire vocational skills and later the ability to work in protective workshops until they are eventually able to get paid employment in the open market (bond 2004; Watzke et al. 2009). "
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