Lisbon Institute of Global Mental Health, Portugal.
Comprehensive Health Research Centre (CHRC), NOVA Medical School|Faculdade de Ciências Médicas, NMS|FCM, Universidade Nova de Lisboa, Portugal.
Int J Soc Psychiatry. 2024 Nov;70(7):1254-1266. doi: 10.1177/00207640241261171. Epub 2024 Sep 6.
Supported accommodations (SAs) are key components of community mental health care, but little is known about residents' care pathways. This study analysed the care pathways of residents of SAs, and factors associated with their age of entry and length of stay.
A random sample of SAs' residents in Portugal was interviewed and a questionnaire was specifically developed to assess their care pathways. Associations between sociodemographic and clinical characteristics, age of entry and length of stay, were analysed using hierarchical regression.
Overall, 213 residents of 43 different SAs participated. Their mean age was 55 years. Most were male, single, pensioners and had early-onset psychotic disorders. On average, they integrated the current SA at around 50 years old and had a 4.5 year length of stay. Most participants had been in another SA before (35.0% in more supported, 33.8% in less supported and 6.3% in similarly supported SAs).
Findings suggest that residents spend several years in the residential pathway, with a significant proportion moving to more supported SAs. This calls for increasing the number of SAs with different typologies and developing coordinated community supports.
支持性住宿（SAs）是社区心理健康护理的重要组成部分，但人们对居民的护理途径知之甚少。本研究分析了 SAs 居民的护理途径，以及与他们的入住年龄和停留时间相关的因素。
对葡萄牙 SAs 的随机居民样本进行了访谈，并专门开发了一份问卷来评估他们的护理途径。使用层次回归分析了社会人口统计学和临床特征、入住年龄和停留时间之间的关联。
共有 43 个不同 SAs 的 213 名居民参与了此次研究。他们的平均年龄为 55 岁。大多数是男性、单身、领取养老金者，并且患有早发性精神障碍。平均而言，他们在大约 50 岁时进入当前的 SAs，并停留了 4.5 年。大多数参与者之前曾在其他 SAs 居住过（35.0%在支持性更强的 SAs，33.8%在支持性稍弱的 SAs，6.3%在支持性相似的 SAs）。
研究结果表明，居民在住宿途径中花费了数年时间，有相当一部分人搬到了支持性更强的 SAs。这呼吁增加不同类型的 SAs 的数量，并发展协调的社区支持。
