ArticleBMC psychiatry2018
Predictors of quality of care in mental health supported accommodation services in England: a multiple regression modelling study.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The level of formal support received by people with severe mental illness living in supported accommodation and participation: A systematic review.The International journal of social psychiatry · 2021Pooled it
- Rapid review: Three ways local government could improve inequality, public health and wellbeing outcomes in supported housing in England.Public health in practice (Oxford, England) · 2026Review
- Current insights of community mental healthcare for people with severe mental illness: A scoping review.Frontiers in psychiatry · 2023Article
- "It's not just the residents who need to be motivated for activity": a qualitative study of the perspectives of staff on providing activity support for people with psychiatric disabilities in supported housing in Sweden.Frontiers in psychiatry · 2023Article
- How can we best help this patient? Exploring mental health therapists' reflections on medication-free care for patients with psychosis in Norway.International journal of mental health systems · 2022Article
- The critical factor: The role of quality in the performance of supported accommodation services for complex mental illness in England.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSpecialist mental health supported accommodation services are a key component to a graduated level of care from hospital to independently living in the community for people with complex, longer term mental health problems. However, they come at a high cost and there has been a lack of research on the quality of these services. The QuEST (Quality and Effectiveness of Supported tenancies) study, a five-year programme of research funded by the National Institute for Health Research, aimed to address this. It included the development of the first standardised quality assessment tool for supported accommodation services, the QuIRC-SA (Quality Indicator for Rehabilitative Care - Supported Accommodation). Using data collected from the QuIRC-SA, we aimed to identify potential service characteristics that were associated with quality of care.
methodsData collected from QuIRC-SAs with 150 individual services in England (28 residential care, 87 supported housing and 35 floating outreach) from four different sources were analysed using multiple regression modelling to investigate associations between service characteristics (local authority area index score, total beds/spaces, staffing intensity, percentage of male service users and service user ability) and areas of quality of care (Living Environment, Therapeutic Environment, Treatments and Interventions, Self-Management and Autonomy, Social Interface, Human Rights and Recovery Based Practice).
resultsThe local authority area in which the service is located, the service size (number of beds/places) and the usual expected length of stay were each negatively associated with up to six of the seven QuIRC-SA domains. Staffing intensity was positively associated with two domains (Therapeutic Environment and Treatments and Interventions) and negatively associated with one (Human Rights). The percentage of male service users was positively associated with one domain (Treatments and Interventions) and service user ability was not associated with any of the domains.
conclusionsThis study identified service characteristics associated with quality of care in specialist mental health supported accommodation services that can be used in the design and specification of services.
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