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Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study

Killaspy, Helen; Priebe, Stefan; McPherson, Peter; Zenasni, Zohra; McCrone, Paul; Dowling, Sarah; Harrison, Isobel; Krotofil, Joanna; Dalton-Locke, Christian; McGranahan, Rose; Arbuthnott, Maurice; Curtis, Sarah; Leavey, Gerard; MacPherson, Rob; Eldridge, Sandra; King, Michael

Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study Thumbnail


Authors

Helen Killaspy

Stefan Priebe

Peter McPherson

Zohra Zenasni

Paul McCrone

Sarah Dowling

Isobel Harrison

Joanna Krotofil

Christian Dalton-Locke

Rose McGranahan

Maurice Arbuthnott

Gerard Leavey

Rob MacPherson

Sandra Eldridge

Michael King



Abstract

Background: Mental health supported accommodation services are implemented across England, usually organised into a ‘step-down’ care pathway that requires the individual to repeatedly move as they gain skills and confidence for more independent living. There have been no trials comparing the effectiveness of different types of supported accommodation, but two widely used models (supported housing and floating outreach) have been found to provide similar support. We aimed to assess the feasibility of conducting a large-scale trial comparing these two models. Methods: Individually randomised, parallel group feasibility trial in three regions of England (North London, East London, and Cheltenham and Gloucestershire). We aimed to recruit 60 participants in 15 months, referred to supported accommodation, randomly allocated on an equal basis to receive either a local supported housing or floating outreach service. We assessed referrals to the trial, participants recruited, attrition, time from recruitment to moving into either type of supported accommodation, and feasibility of masking. We conducted a process evaluation to examine our results further. Results: We screened 1,432 potential participants, of whom 17 consented to participate, with 8 agreeing to randomisation (of whom 1 was lost to attrition) and 9 participating in naturalistic follow-up. Our process evaluation indicated that the main obstacle to recruitment was staff and service user preferences for certain types of supported accommodation or for specific services. Staff also felt that randomisation compromised their professional judgement. Conclusions: Our results do not support investment in a large-scale trial in England at this time.

Citation

Killaspy, H., Priebe, S., McPherson, P., Zenasni, Z., McCrone, P., Dowling, S., …King, M. (2019). Feasibility Randomised Trial Comparing Two Forms of Mental Health Supported Accommodation (Supported Housing and Floating Outreach); a Component of the QuEST (Quality and Effectiveness of Supported Tenancies) Study. Frontiers in Psychiatry, 10, Article 258. https://doi.org/10.3389/fpsyt.2019.00258

Journal Article Type Article
Acceptance Date Apr 4, 2019
Online Publication Date Apr 17, 2019
Publication Date Apr 17, 2019
Deposit Date May 9, 2019
Publicly Available Date May 9, 2019
Journal Frontiers in Psychiatry
Publisher Frontiers Media
Peer Reviewed Peer Reviewed
Volume 10
Article Number 258
DOI https://doi.org/10.3389/fpsyt.2019.00258

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
Copyright © 2019 Killaspy, Priebe, McPherson, Zenasni, McCrone, Dowling, Harrison, Krotofil, Dalton-Locke, McGranahan, Arbuthnott, Curtis, Leavey, MacPherson, Eldridge and King. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.





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