Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review
Identifieur interne : 000F86 ( Istex/Corpus ); précédent : 000F85; suivant : 000F87Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review
Auteurs : Tania Kyle ; James R. DunnSource :
- Health & Social Care in the Community [ 0966-0410 ] ; 2008-01.
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- KwdEn :
Abstract
Individuals with severe and persistent mental illness (SPMI) identify housing as an important factor in achieving and maintaining their health. However, many live in substandard accommodations that are physically inadequate, crowded, noisy and located in undesirable neighbourhoods. In much of the research on housing for persons with SPMI, the central outcome of interest is remaining housed; however, it is worth investigating whether housing has other benefits. This paper is a systematic review of studies that investigated the relationship between housing‐related independent variables and health‐related dependent variables. Ten online databases were searched for studies published since 1980 that had study populations of adults with SPMI, analysed primary or secondary empirical data, and measured housing‐related independent variables and health‐related dependent variables. Clearly defined epidemiological criteria were used to assess the strength of evidence of the selected studies. Twenty‐nine studies met the suitability criteria, of which 14 reported healthcare utilisation outcomes; 12 examined mental status outcomes; and 9 reported quality‐of‐life outcomes. The findings of the review suggest that there is good evidence that housing interventions benefit the homeless population; however more research is needed about housing solutions for individuals with SPMI who are housed, but in precarious or inappropriate housing situations. Study methodologies could be improved by emphasising longitudinal designs that focus on participant retention and by implementing matched control groups or randomised interventions to strengthen internal validity. Ensuring that a person is adequately housed upon discharge from hospital should be a treatment priority. When housing eligibility is not dependent on psychiatric treatment compliance and sobriety, providing permanent housing minimises harm and may free people to voluntarily seek treatment. Housing that offers an unlimited length of stay is recommended because SPMI is a chronic and fluctuating condition that requires stable surroundings to maintain health.
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DOI: 10.1111/j.1365-2524.2007.00723.x
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ISTEX:6F8573FC63F5F96E0C0DC1BF6294442F90D3ED73Le document en format XML
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James R. Dunn
Centre for Research on Inner City Health
St. Michael's Hospital, Toronto
Department of Geography, University of Toronto
30 Bond St., Toronto, ON
Canada M5B 1W8
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Dunn</title><title type="short">Effects of housing circumstances on the health of people with severe mental illness</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Tania</givenNames><familyName>Kyle</familyName><degrees>BscOT MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>James R.</givenNames><familyName>Dunn</familyName><degrees>BartsSc (Hon) MA PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Department of Psychiatry, University of Calgary, Calgary, AB, Canada T2N 4N1, and</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="CA"><unparsedAffiliation>Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Department of Geography, University of Toronto, Toronto, ON, Canada M5B 1W8</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">healthcare utilisation</keyword><keyword xml:id="k2">housing</keyword><keyword xml:id="k3">mental health status</keyword><keyword xml:id="k4">quality of life</keyword><keyword xml:id="k5">severe and persistent mental illness</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Individuals with severe and persistent mental illness (SPMI) identify housing as an important factor in achieving and maintaining their health. 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However, many live in substandard accommodations that are physically inadequate, crowded, noisy and located in undesirable neighbourhoods. In much of the research on housing for persons with SPMI, the central outcome of interest is remaining housed; however, it is worth investigating whether housing has other benefits. This paper is a systematic review of studies that investigated the relationship between housing‐related independent variables and health‐related dependent variables. Ten online databases were searched for studies published since 1980 that had study populations of adults with SPMI, analysed primary or secondary empirical data, and measured housing‐related independent variables and health‐related dependent variables. Clearly defined epidemiological criteria were used to assess the strength of evidence of the selected studies. 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Housing that offers an unlimited length of stay is recommended because SPMI is a chronic and fluctuating condition that requires stable surroundings to maintain health.</abstract><subject lang="en"><genre>keywords</genre><topic>healthcare utilisation</topic><topic>housing</topic><topic>mental health status</topic><topic>quality of life</topic><topic>severe and persistent mental illness</topic></subject><relatedItem type="host"><titleInfo><title>Health & Social Care in the Community</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0966-0410</identifier><identifier type="eISSN">1365-2524</identifier><identifier type="DOI">10.1111/(ISSN)1365-2524</identifier><identifier type="PublisherID">HSC</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>1</start><end>15</end><total>15</total></extent></part></relatedItem><identifier type="istex">6F8573FC63F5F96E0C0DC1BF6294442F90D3ED73</identifier><identifier type="DOI">10.1111/j.1365-2524.2007.00723.x</identifier><identifier type="ArticleID">HSC723</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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