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Research Article

Does supported accommodation improve the clinical and social outcomes for people with severe psychiatric disability? The Project 300 experience

(Director of Service Evaluation & Research) , (Director of Clinical Services) , (Research Officer) , (Psychologist) & (Professor)
Pages 586-592 | Published online: 25 Feb 2011
 

Abstract

Objective: The present study was designed to investigate the clinical and social outcomes for a group of individuals (n = 181) discharged into supported accommodation from three long-stay facilities in Queensland.

Method: Data were collected prospectively using a battery of standardized measures and individual interviews at 6 weeks pre-discharge and again at 6, 18, 36, and 84 months post-discharge.

Results: While there was little functional gain at follow up, the clients, as a group, did not deteriorate. Sixty per cent of the clients were engaged in some form of structured community activity and the need for hospitalization decreased significantly in the follow-up period. The ongoing costs of the programme, while remaining high, were significantly less than inpatient alternatives.

Conclusion: The provision of community accommodation with adequate clinical and non-clinical support is a suitable option for a large proportion of individuals with serious mental illness.

Declaration of interest: We would like to acknowledge Queensland Health and Eli Lilly for providing financial support for the evaluation. The authors alone are responsible for the content and writing of the paper.

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