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Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

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Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study

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dc.contributor.author Sandhu, Sima pl
dc.contributor.author Priebe, Stefan pl
dc.contributor.author Leavey, Gerard pl
dc.contributor.author Harrison, Isobel pl
dc.contributor.author Krotofil, Joanna [SAP14002807] pl
dc.contributor.author McPherson, Peter pl
dc.contributor.author Dowling, Sarah pl
dc.contributor.author Arbuthnott, Maurice pl
dc.contributor.author Curtis, Sarah pl
dc.contributor.author King, Michael pl
dc.contributor.author Shepherd, Geoff pl
dc.contributor.author Killaspy, Helen pl
dc.date.accessioned 2018-03-14T19:22:16Z
dc.date.available 2018-03-14T19:22:16Z
dc.date.issued 2017 pl
dc.identifier.issn 1472-6963 pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/51887
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/pl/legalcode *
dc.title Intentions and experiences of effective practice in mental health specific supported accommodation services: a qualitative interview study pl
dc.type JournalArticle pl
dc.description.physical 471-484 pl
dc.identifier.weblink https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-017-2411-0?site=bmchealthservres.biomedcentral.com pl
dc.abstract.en Background. Deinstitutionalisation in Europe has led to the development of community-based accommodation for people with mental health problems. The type, setting, and intensity of support provided vary and the costs are substantial. Yet, despite the large investment in these services, there is little clarity on their aims and outcomes or how they are regarded by staff and the clients. Methods. We interviewed 30 staff and 30 clients from the three main types of supported accommodation in England (residential care, supported housing, floating outreach) to explore their perspectives on the purpose of these services, and the components of care considered most helpful. The interviews were coded and analysed using thematic analysis. Results. There were generally consistent understandings amongst clients and staff across service types on the goals and purposes of supported accommodation services as: building independence and confidence; supporting people with their mental health; and providing safety and stability. We also noted a competing theme of anxiety about the continuity of support when clients move on from a service. Themes on the experience of what aided effective practice centred on: the supportive presence of others; incremental steps to progress; working together to avoid deskilling and dependency; feeling known and personally understood; tailoring support for social and community engagement; and building confidence through encouragement. Conclusions. The findings provide an understanding of the commonalities in service approach, and goals of clients in these services, as well as the facilitators of goal attainment. However, they also highlight a common tension between providing safe and supportive living environments, whilst also promoting independence and facilitating rehabilitative change. pl
dc.subject.en supported accommodation pl
dc.subject.en mental health pl
dc.subject.en effective practices pl
dc.subject.en goals pl
dc.subject.en intentions pl
dc.subject.en qualitative study pl
dc.description.number 2017 pl
dc.identifier.doi 10.1186/s12913-017-2411-0 pl
dc.title.journal BMC Health Services Research pl
dc.language.container eng pl
dc.date.accession 2018-03-14 pl
dc.affiliation Wydział Filozoficzny : Instytut Religioznawstwa pl
dc.subtype Article pl
dc.rights.original CC-BY; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / P pl
.pointsMNiSW [2017 A]: 25


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Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa