Service Users’ and Providers’ Experiences and Perceptions of Mental Health Accommodation Services: A Rapid Qualitative Synthesis of International Evidence

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Samantha Mhlanga, Frances Griffiths, Campion Zharima, Lesley Robertson, Saira Abdulla, Jane Goudge
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Abstract

Background. There is a high prevalence of homeless people with psychotic disorders and supported housing is often required. However, there is little evidence about supported housing services, especially in low-middle income countries. This rapid review synthesizes evidence about the experiences of users and providers of community-based accommodation services for people living with serious mental illness internationally to understand priorities for policy and practice. Methods. PubMed, PsycINFO, Google Scholar, and reference lists were searched to identify 1344 studies. The inclusion criteria specified qualitative studies about users’ and/or providers’ views of the accommodation services for adults aged 18+ years with serious mental illness. Title, abstract, and full-text screening were conducted in duplicate, and quality appraisal was conducted using the standard for reporting qualitative research tool. Data extraction was conducted using both Excel and Word documents, and we used thematic analysis to report findings. Results. Only 43 studies were identified for inclusion. Service users’ and providers’ experiences of accommodation services from high income countries and low-middle income countries were similar. Both the service providers and users appreciated housing, and service providers mentioned it was not a sufficient step towards independent living. Shortage of resources in low-middle income countries made it challenging for some service providers to provide care because they had to choose between buying medicine or food. While service users needed greater availability of service providers, providers were at risk of burnout. Although some service providers were trained to respond to stigmatizing events, some users continued to experience stigma from their family members, society, and service providers. Conclusions. People living with serious mental illness and service providers value the housing provision but globally their experience of this provision is relatively poor compared to mainstream society, suggesting people living with serious mental illness remain disadvantaged. Further research should explore low-cost housing options that will provide quality person-centered care for people living with serious mental illness.

Abstract Image

服务使用者和提供者对心理健康住宿服务的体验和看法:国际证据的快速定性综述
背景。精神病患者中无家可归者的比例很高,他们通常需要辅助住房。然而,有关辅助住房服务的证据却很少,尤其是在中低收入国家。本快速综述总结了国际上重性精神病患者社区住宿服务的使用者和提供者的经验,以了解政策和实践的重点。方法对 PubMed、PsycINFO、Google Scholar 和参考文献列表进行了检索,以确定 1344 项研究。纳入标准规定了有关用户和/或提供者对 18 岁以上成年重性精神病患者住宿服务看法的定性研究。标题、摘要和全文筛选一式两份,并使用定性研究报告标准工具进行质量评估。我们使用 Excel 和 Word 文档进行数据提取,并使用主题分析法报告研究结果。结果仅有 43 项研究被确定为研究对象。来自高收入国家和中低收入国家的服务使用者和提供者对住宿服务的体验相似。服务提供者和使用者都对住房表示赞赏,而服务提供者则提到,住房并不是实现独立生活的充分步骤。在中低收入国家,由于资源短缺,一些服务提供者不得不在购买药品或食品之间做出选择,这给他们提供护理带来了挑战。虽然服务使用者需要更多的服务提供者,但服务提供者也面临职业倦怠的风险。尽管一些服务提供者接受过应对污名化事件的培训,但一些使用者仍然会受到来自家庭成员、社会和服务提供者的污名化。结论重性精神病患者和服务提供者都很重视住房的提供,但从全球范围来看,与主流社会相比,他们对住房提供的体验相对较差,这表明重性精神病患者仍然处于弱势地位。进一步的研究应该探索低成本住房方案,为重性精神病患者提供以人为本的优质护理服务。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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