Psychosocial Outcomes of Supported Living for People with Severe Mental Illness: A One Year Evaluation of Floating Outreach in Germany.

IF 1.8 4区医学 Q3 HEALTH POLICY & SERVICES

Community Mental Health Journal Pub Date : 2025-05-01 Epub Date: 2024-12-04 DOI:10.1007/s10597-024-01400-5

Lorenz B Dehn, Julia Schreiter, Ingmar Steinhart, Martin Driessen

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Abstract

Supported living plays an important role in the community-based care for people with mental illness. However, support services like floating outreach have hardly been the subject of longer-term research to date, especially with regard to Germany. Thus, the main aim of this prospective observational study was to evaluate the psychosocial outcomes of floating outreach support for non-homeless people with severe mental illness across a one-year period. In a group of n = 119 people (M = 41 years old, 36% with affective disorders) the quantitative analyses revealed significant improvements in quality of life (MANSA), overall social functioning (SFS), as well as general support and care needs (CAN-EU). Nevertheless, there were still some unmet (and even increasing) care needs among the respondents after one year, especially in the domains of "physical health" and "company of others". These findings therefore indicate areas of support that should be given more attention in the future.

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重度精神疾病患者支持生活的社会心理结果：德国流动外展的一年评估。

支持生活在以社区为基础的精神疾病患者护理中发挥着重要作用。然而，像流动外展这样的支助服务迄今为止几乎没有长期研究的主题，特别是在德国。因此，本前瞻性观察性研究的主要目的是评估对患有严重精神疾病的非无家可归者进行为期一年的流动外展支持的心理社会结果。在一组n = 119人（M = 41岁，36%患有情感性障碍）中，定量分析显示生活质量（MANSA）、整体社会功能（SFS）以及一般支持和护理需求（CAN-EU）有显著改善。然而，一年后，答复者中仍有一些未满足（甚至还在增加）的护理需求，特别是在“身体健康”和“陪伴”方面。因此，这些调查结果表明今后应给予更多注意的支助领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community Mental Health Journal Multiple-

CiteScore

5.30

自引率

3.70%

发文量

133

期刊介绍： Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.