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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 and Priebe, Stefan and McPherson, Peter and Zenasni, Zohra and McCrone, Paul and Dowling, Sarah and Harrison, Isobel and Krotofil, Joanna and Dalton-Locke, Christian and McGranahan, Rose and Arbuthnott, Maurice and Curtis, Sarah and Leavey, Gerard and MacPherson, Rob and Eldridge, Sandra and King, Michael (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 . p. 258.


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.

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Publisher 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.
Date accepted:04 April 2019
Date deposited:09 May 2019
Date of first online publication:17 April 2019
Date first made open access:09 May 2019

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