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Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis

Krotofil, J; McPherson, P; Killaspy, H; (2018) Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis. Health and Social Care in the Community , 26 (6) pp. 787-800. 10.1111/hsc.12570. Green open access

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Abstract

Specialist supported accommodation services have become a key component of most community-based mental healthcare systems. While mental health policies highlight the importance of service user involvement in service development and care planning, there are no comprehensive literature reviews synthesising services users' perspectives on, or experiences of, supported accommodation services. This systematic review was undertaken to fill this gap. We searched electronic databases (January 2015, updated June 2017), conducted hand searches and used forward-backward snowballing to identify 13,678 papers. We inspected the full-text of 110 papers and included 50 of these in the final review. Data extraction and quality assessments were conducted. We used narrative synthesis to develop a conceptual model of service users' experiences that included structural, process, relational and contextual factors, such as the characteristics of the service, relationships with staff and other service users, the intensity and nature of support, the physical environment, and social and community integration. The review highlights the complex interplay of individual, service-level and community factors in shaping the lived experience of service users and their impact on personal identity and recovery. Our approach addressed some of the widely reported limitations of the quantitative research in this field, providing a conceptual model relevant to service user experiences across supported accommodation service types, population groups and countries.

Type: Article
Title: Service user experiences of specialist mental health supported accommodation: A systematic review of qualitative studies and narrative synthesis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/hsc.12570
Publisher version: http://dx.doi.org/10.1111/hsc.12570
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: mental health, recovery, service user experience, supported accommodation, supported housing
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10057764
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