Pedrosa Bárbara, Cardoso Graça, Gonçalves-Pereira Manuel, Grigaitė Ugnė, Aluh Deborah, Dias Margarida, Silva Manuela, Caldas-de-Almeida José
Lisbon Institute of Global Mental Health, Lisbon, Portugal.
CHRC, NOVA Medical School|Faculdade de Ciências Médicas, NMS|FCM, Universidade Nova de Lisboa, Lisboa, Portugal.
Soc Psychiatry Psychiatr Epidemiol. 2025 Jan 17. doi: 10.1007/s00127-025-02818-2.
Most studies on supported accommodations (SAs) for people with serious mental disorders have focused on effectiveness. Very few analysed the experiences and expectations of residents and professionals of SAs, which is fundamental to improving care. This study aimed to explore in depth the perspectives of residents and professionals of SAs in Portugal regarding the residents' previous contacts with mental health services, current experiences, and expectations.
A purposeful sample of 11 residents and 11 professionals from 11 different organisations managing SAs in Portugal was included. Semi-structured interviews were conducted using interview guides to assess previous experiences with mental health services, expectations, and suggestions to improve care. Thematic analysis was used.
Residents had a long history of mental health problems and contact with mental health services. Most had been referred to SAs due to poor family or social conditions. The majority of residents expected to stay at the SAs in the long-term, and did not mention major suggestions to improve. Professionals suggested several improvements, such as having more time allocation to work with the residents and revising maximum limits of lengths of stay.
Residents are seldom involved in decision-making. However, most were satisfied with care and hoped to remain in the SAs. Implications of this study apply to the political level (regarding the financing of SAs and the provision of community mental health care and other social supports) and to the clinical level (regarding training and family interventions).
大多数关于严重精神障碍患者支持性住所（SAs）的研究都集中在有效性方面。很少有研究分析SAs居民和专业人员的经历与期望，而这对于改善护理至关重要。本研究旨在深入探讨葡萄牙SAs居民和专业人员对于居民此前与心理健康服务机构的接触情况、当前经历以及期望的看法。
纳入了来自葡萄牙11个管理SAs的不同组织的11名居民和11名专业人员的目的抽样样本。使用访谈指南进行半结构化访谈，以评估此前与心理健康服务机构的经历、期望以及改善护理的建议。采用主题分析法。
居民有长期的心理健康问题且与心理健康服务机构有接触。大多数人因家庭或社会条件差而被转介到SAs。大多数居民期望长期留在SAs，且未提及重大改善建议。专业人员提出了多项改进建议，例如增加与居民合作的时间分配以及修订最长居住期限上限。
居民很少参与决策。然而，大多数人对护理感到满意，并希望留在SAs。本研究的影响适用于政治层面（关于SAs的资金筹集以及社区精神卫生护理和其他社会支持的提供）和临床层面（关于培训和家庭干预）。
