Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study
Background: Mental health supported accommodation services are implemented across England, usually organised into a ‘step-down’ care pathway that requires the individual to repeatedly move as they gain skills and confidence for more independent living. There have been no trials comparing the effecti...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-04-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00258/full |
| _version_ | 1818154562024898560 |
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| author | Helen Killaspy Helen Killaspy Stefan Priebe Peter McPherson Zohra Zenasni Paul McCrone Sarah Dowling Isobel Harrison Joanna Krotofil Christian Dalton-Locke Rose McGranahan Maurice Arbuthnott Sarah Curtis Gerard Leavey Rob MacPherson Sandra Eldridge Michael King Michael King |
| author_facet | Helen Killaspy Helen Killaspy Stefan Priebe Peter McPherson Zohra Zenasni Paul McCrone Sarah Dowling Isobel Harrison Joanna Krotofil Christian Dalton-Locke Rose McGranahan Maurice Arbuthnott Sarah Curtis Gerard Leavey Rob MacPherson Sandra Eldridge Michael King Michael King |
| author_sort | Helen Killaspy |
| collection | DOAJ |
| description | Background: Mental health supported accommodation services are implemented across England, usually organised into a ‘step-down’ care pathway that requires the individual to repeatedly move as they gain skills and confidence for more independent living. There have been no trials comparing the effectiveness of different types of supported accommodation, but two widely used models (supported housing and floating outreach) have been found to provide similar support. We aimed to assess the feasibility of conducting a large-scale trial comparing these two models.Methods: Individually randomised, parallel group feasibility trial in three regions of England (North London, East London, and Cheltenham and Gloucestershire). We aimed to recruit 60 participants in 15 months, referred to supported accommodation, randomly allocated on an equal basis to receive either a local supported housing or floating outreach service. We assessed referrals to the trial, participants recruited, attrition, time from recruitment to moving into either type of supported accommodation, and feasibility of masking. We conducted a process evaluation to examine our results further.Results: We screened 1,432 potential participants, of whom 17 consented to participate, with 8 agreeing to randomisation (of whom 1 was lost to attrition) and 9 participating in naturalistic follow-up. Our process evaluation indicated that the main obstacle to recruitment was staff and service user preferences for certain types of supported accommodation or for specific services. Staff also felt that randomisation compromised their professional judgement.Conclusions: Our results do not support investment in a large-scale trial in England at this time.Trial registration: UK CRN Portfolio database, Trial ID: ISRCTN19689576.Trial funding: National Institute of Health Research (RP-PG-0707-10093). |
| first_indexed | 2024-12-11T14:28:29Z |
| format | Article |
| id | doaj.art-f43c1ed5769e448e9f9e950a1e1f815a |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-11T14:28:29Z |
| publishDate | 2019-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f43c1ed5769e448e9f9e950a1e1f815a2022-12-22T01:02:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-04-011010.3389/fpsyt.2019.00258452820Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) StudyHelen Killaspy0Helen Killaspy1Stefan Priebe2Peter McPherson3Zohra Zenasni4Paul McCrone5Sarah Dowling6Isobel Harrison7Joanna Krotofil8Christian Dalton-Locke9Rose McGranahan10Maurice Arbuthnott11Sarah Curtis12Gerard Leavey13Rob MacPherson14Sandra Eldridge15Michael King16Michael King17Division of Psychiatry, University College London, London, United KingdomCamden and Islington NHS Foundation Trust, London, United KingdomUnit for Social and Community Psychiatry, Queen Mary University of London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomPragmatic Clinical Trials Unit, Queen Mary University of London, London, United KingdomKing’s Health Economics, King’s College London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomUnit for Social and Community Psychiatry, Queen Mary University of London, London, United KingdomNorth London Service User Research Forum, Division of Psychiatry, University College London, London, United KingdomDepartment of Geography, Durham University, Durham, United KingdomBamford Centre for Mental Health and Wellbeing, University of Ulster, Londonderry, United Kingdom2Gether NHS Foundation Trust, Gloucester, United KingdomPragmatic Clinical Trials Unit, Queen Mary University of London, London, United KingdomDivision of Psychiatry, University College London, London, United KingdomCamden and Islington NHS Foundation Trust, London, United KingdomBackground: Mental health supported accommodation services are implemented across England, usually organised into a ‘step-down’ care pathway that requires the individual to repeatedly move as they gain skills and confidence for more independent living. There have been no trials comparing the effectiveness of different types of supported accommodation, but two widely used models (supported housing and floating outreach) have been found to provide similar support. We aimed to assess the feasibility of conducting a large-scale trial comparing these two models.Methods: Individually randomised, parallel group feasibility trial in three regions of England (North London, East London, and Cheltenham and Gloucestershire). We aimed to recruit 60 participants in 15 months, referred to supported accommodation, randomly allocated on an equal basis to receive either a local supported housing or floating outreach service. We assessed referrals to the trial, participants recruited, attrition, time from recruitment to moving into either type of supported accommodation, and feasibility of masking. We conducted a process evaluation to examine our results further.Results: We screened 1,432 potential participants, of whom 17 consented to participate, with 8 agreeing to randomisation (of whom 1 was lost to attrition) and 9 participating in naturalistic follow-up. Our process evaluation indicated that the main obstacle to recruitment was staff and service user preferences for certain types of supported accommodation or for specific services. Staff also felt that randomisation compromised their professional judgement.Conclusions: Our results do not support investment in a large-scale trial in England at this time.Trial registration: UK CRN Portfolio database, Trial ID: ISRCTN19689576.Trial funding: National Institute of Health Research (RP-PG-0707-10093).https://www.frontiersin.org/article/10.3389/fpsyt.2019.00258/fullQuESTmental healthsupported accommodationfeasibilitytrialsupported housing |
| spellingShingle | Helen Killaspy Helen Killaspy Stefan Priebe Peter McPherson Zohra Zenasni Paul McCrone Sarah Dowling Isobel Harrison Joanna Krotofil Christian Dalton-Locke Rose McGranahan Maurice Arbuthnott Sarah Curtis Gerard Leavey Rob MacPherson Sandra Eldridge Michael King Michael King Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study Frontiers in Psychiatry QuEST mental health supported accommodation feasibility trial supported housing |
| title | Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study |
| title_full | Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study |
| title_fullStr | Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study |
| title_full_unstemmed | Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study |
| title_short | Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study |
| title_sort | feasibility randomised trial comparing two forms of mental health supported accommodation supported housing and floating outreach a component of the quest quality and effectiveness of supported tenancies study |
| topic | QuEST mental health supported accommodation feasibility trial supported housing |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00258/full |
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