What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach
Abstract Background Deinstitutionalization in mental health care has been an ongoing process for decades. More and more people with severe mental illness (SMI), who previously lived in residential supported housing settings and were formerly homeless, are now living independently in the community bu...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-04975-7 |
| _version_ | 1797789613019889664 |
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| author | Caroline van Genk Diana Roeg Maaike van Vugt Jaap van Weeghel Tine Van Regenmortel |
| author_facet | Caroline van Genk Diana Roeg Maaike van Vugt Jaap van Weeghel Tine Van Regenmortel |
| author_sort | Caroline van Genk |
| collection | DOAJ |
| description | Abstract Background Deinstitutionalization in mental health care has been an ongoing process for decades. More and more people with severe mental illness (SMI), who previously lived in residential supported housing settings and were formerly homeless, are now living independently in the community but need intensive support to enable independent living. The support provided by regular outpatient teams is inadequate for this target group. This study explored the ingredients for an alternative form of outpatient support: intensive home support (IHS). Methods Concept mapping was used, following five steps: (1) brainstorming, (2) sorting, (3) rating, (4) statistical analysis & visual representation, and (5) interpretation. Purposive sampling was used to represent several perspectives, including researchers, professionals, peer workers, and policy makers. Results Experts (n = 17) participated in the brainstorming step and the sorting and rating steps (n = 14). The 84 generated statements were grouped into 10 clusters:. (1) housing rights; (2) informal collaboration; (3) reciprocity in the community; (4) normalization and citizenship; (5) recovery; (6) sustainable funding; (7) equivalence; (8) flexible, proactive 24/7 support; (9) public health and positive health; and (10) integrated cooperation in support at home. Conclusions Given the diversity of the ingredients contained in the clusters, it seems that IHS should be designed according to a holistic approach in collaboration with several sectors. Additionally, IHS is not only the responsibility of care organizations but also the responsibility of national and local governments. Further research about collaboration and integrated care is needed to determine how to implement all of the ingredients in practice. |
| first_indexed | 2024-03-13T01:53:09Z |
| format | Article |
| id | doaj.art-11e6982290414413b74730904554b788 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-13T01:53:09Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-11e6982290414413b74730904554b7882023-07-02T11:22:38ZengBMCBMC Psychiatry1471-244X2023-06-0123111110.1186/s12888-023-04975-7What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approachCaroline van Genk0Diana Roeg1Maaike van Vugt2Jaap van Weeghel3Tine Van Regenmortel4Tranzo Scientific Center for Care and Wellbeing, School of Social & Behavioral Sciences, Tilburg UniversityTranzo Scientific Center for Care and Wellbeing, School of Social & Behavioral Sciences, Tilburg UniversityTrimbos Institute, Dutch Institute of Mental Health and AddictionTranzo Scientific Center for Care and Wellbeing, School of Social & Behavioral Sciences, Tilburg UniversityTranzo Scientific Center for Care and Wellbeing, School of Social & Behavioral Sciences, Tilburg UniversityAbstract Background Deinstitutionalization in mental health care has been an ongoing process for decades. More and more people with severe mental illness (SMI), who previously lived in residential supported housing settings and were formerly homeless, are now living independently in the community but need intensive support to enable independent living. The support provided by regular outpatient teams is inadequate for this target group. This study explored the ingredients for an alternative form of outpatient support: intensive home support (IHS). Methods Concept mapping was used, following five steps: (1) brainstorming, (2) sorting, (3) rating, (4) statistical analysis & visual representation, and (5) interpretation. Purposive sampling was used to represent several perspectives, including researchers, professionals, peer workers, and policy makers. Results Experts (n = 17) participated in the brainstorming step and the sorting and rating steps (n = 14). The 84 generated statements were grouped into 10 clusters:. (1) housing rights; (2) informal collaboration; (3) reciprocity in the community; (4) normalization and citizenship; (5) recovery; (6) sustainable funding; (7) equivalence; (8) flexible, proactive 24/7 support; (9) public health and positive health; and (10) integrated cooperation in support at home. Conclusions Given the diversity of the ingredients contained in the clusters, it seems that IHS should be designed according to a holistic approach in collaboration with several sectors. Additionally, IHS is not only the responsibility of care organizations but also the responsibility of national and local governments. Further research about collaboration and integrated care is needed to determine how to implement all of the ingredients in practice.https://doi.org/10.1186/s12888-023-04975-7Concept mappingSevere mental illnessCommunity mental health careFloating outreachIntensive home supportSupported housing |
| spellingShingle | Caroline van Genk Diana Roeg Maaike van Vugt Jaap van Weeghel Tine Van Regenmortel What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach BMC Psychiatry Concept mapping Severe mental illness Community mental health care Floating outreach Intensive home support Supported housing |
| title | What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach |
| title_full | What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach |
| title_fullStr | What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach |
| title_full_unstemmed | What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach |
| title_short | What are important ingredients for Intensive Home Support for people with severe mental illness according to experts? A concept mapping approach |
| title_sort | what are important ingredients for intensive home support for people with severe mental illness according to experts a concept mapping approach |
| topic | Concept mapping Severe mental illness Community mental health care Floating outreach Intensive home support Supported housing |
| url | https://doi.org/10.1186/s12888-023-04975-7 |
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