Martinelli Alessandra, Pozzan Tecla, Cristofalo Doriana, Bonetto Chiara, D'Astore Camilla, Procura Elena, Barbui Corrado, Ruggeri Mirella
Unit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25125 Brescia, Italy.
Psychiatry Unit, Integrated University Hospital Trust, 37126 Verona, Italy.
Int J Environ Res Public Health. 2025 Jul 25;22(8):1173. doi: 10.3390/ijerph22081173.
People with severe mental disorders (SMD) face long-term functional impairments requiring integrated, community-based, recovery-oriented care. Italy provides two main housing models for people with SMD: private accommodation (PA) and supported accommodation (SA). This exploratory study investigated differences in recovery outcomes across these settings using the Mental Health Recovery Star (MHRS). A six-month longitudinal study was conducted within the South Verona Community Mental Health Service. Nineteen trained mental health professionals assessed 25 people with SMD (14 in PA, 11 in SA) at baseline (BL) and follow-up (FU) using standardized tools for recovery (MHRS), functioning, psychopathology, functional autonomy, and needs. Group comparisons and within-group changes were analyzed using paired and independent -tests. At BL, people with SMD in PA showed better functioning ( = 0.040) and fewer needs than those in SA ( = 0.008). Recovery goals differed, with people with SMD in PA focusing on health and networks, while people with SMD in SA emphasized functioning. At FU, people with SMD in PA improved across all MHRS domains ( < 0.001), with significant reductions in symptom severity and unmet needs. People with SMD in SA showed targeted improvements in functioning, autonomy, and MHRS social networks ( < 0.001), with increases in met needs but non-significant changes in unmet needs. When comparing PA and SA at FU, the differences were relatively modest. Recovery is achievable in both housing settings, although outcomes differ. People with SMD in PA experienced broader improvements, while people with SMD in SA progressed in their prioritized areas, likely reflecting more complex initial needs. These findings underscore the value of aligning recovery-oriented care with the specific needs and contexts of different residential settings. Further research is needed to confirm and expand these results.
患有严重精神障碍（SMD）的人面临长期功能障碍，需要综合的、以社区为基础的、以康复为导向的护理。意大利为患有SMD的人提供两种主要的住房模式：私人住宿（PA）和支持性住宿（SA）。这项探索性研究使用心理健康康复之星（MHRS）调查了这些环境中康复结果的差异。在南维罗纳社区心理健康服务中心进行了一项为期六个月的纵向研究。19名经过培训的心理健康专业人员在基线（BL）和随访（FU）时使用标准化工具对25名患有SMD的人（14人在PA，11人在SA）进行康复（MHRS）、功能、精神病理学、功能自主性和需求评估。使用配对和独立t检验分析组间比较和组内变化。在BL时，PA中患有SMD的人比SA中的人功能更好（P = 0.040），需求更少（P = 0.008）。康复目标不同，PA中患有SMD的人关注健康和社交网络，而SA中患有SMD的人强调功能。在FU时，PA中患有SMD的人在所有MHRS领域都有改善（P < 0.001），症状严重程度和未满足需求显著降低。SA中患有SMD的人在功能、自主性和MHRS社交网络方面有针对性的改善（P <
