Centre for Psychiatric Rehabilitation, University Bern Psychiatric Services, Bern, Switzerland.
Health Division, Bern University of Applied Sciences, Bern, Switzerland.
Acta Psychiatr Scand. 2017 Sep;136(3):269-279. doi: 10.1111/acps.12765. Epub 2017 Jun 16.
To systematically explore the outcomes of Independent Housing and Support (IHS) for people with severe mental disorders when compared to other residential settings.
Systematic review of Randomised and Non-Randomised Controlled Trials of publications that analyse the outcomes of living in independent settings versus institutionalised accommodation. Risk of bias assessment was adapted from the Cochrane Collaboration's ACROBAT-Tool. The analysis was conducted separately for publications with homeless and non-homeless people.
Twenty-four publications from studies with homeless people and eight publications from studies with non-homeless people were included. Risk of bias was much lower in studies with the homeless. No RCT was found in the sample of publications with the non-homeless. Overall, results from Independent Housing and Support-settings are not inferior to results from institutionalised settings.
The results indicate that Independent Housing and Support-settings provide at least similar outcomes than residential care. We propose that clients' preferences should determine the choice of housing setting.
系统探讨与其他居住环境相比，独立住房和支持（IHS）对严重精神障碍患者的结果。
对分析独立居住环境与机构化住宿结果的随机和非随机对照试验的出版物进行系统评价。偏倚风险评估改编自 Cochrane 协作的 ACROBAT-Tool。分析分别针对无家可归者和非无家可归者的出版物进行。
纳入了 24 篇来自无家可归者研究的出版物和 8 篇来自非无家可归者研究的出版物。无家可归者研究的偏倚风险要低得多。在非无家可归者的出版物样本中，没有发现随机对照试验。总体而言，独立住房和支持环境的结果并不逊于机构化环境的结果。
结果表明，独立住房和支持环境提供的结果至少与居住护理相当。我们建议，客户的偏好应决定住房环境的选择。
