How do Mental Health Supported Accommodation Services Contribute to the Rehabilitation Care Pathway?

专家心理健康支持的住宿服务是英国为患有复杂和长期心理健康问题的人提供的全系统护理途径的重要组成部分，但历史上一直研究不足。由于许多后勤原因，在这一领域进行试验极其困难。QUEST(为有心理健康问题的人支持租约的质量和有效性)研究是一个由国家健康研究所资助的五年研究计划，于2012年开始，正试图解决这一问题。作为Quest项目的一名研究人员，我注意到，一些服务提供商在服务用户恢复技能以实现更独立的生活时，会为他们提供不同程度的降级适应，而另一些提供商则提供一种级别的支持，当服务用户准备好在支持较少的情况下进行管理时，他们不得不转向另一家提供商。Quest研究中尚未对服务配置的这一方面进行调查。鉴于目前的经济气候以及社会护理和住房方面的压力，能够向服务规划者提供最有效的专家精神健康支持住宿模式的研究是至关重要的。在此，我提议设立一个13人的学生团队，以研究“内部递减”模式的有效性。使用前瞻性队列研究设计，我将比较这些服务的转移率与那些支持服务用户在提供商之间移动的服务的成功率。

Specialist mental health supported accommodation services form an essential component in the whole-system care pathway for people with complex and long term mental health problems in the UK, but have been, historically, under researched. Trials in this area are extremely difficult to undertake for a host of logistic reasons. The QuEST (Quality and Effectiveness of Supported Tenancies for people with mental health problems) study, a five year research programme that commenced in 2012 funded by the National Institute for Health Research, is attempting to address this. As a researcher working on the QuEST programme, I have noted that some providers have different levels of 'step-down' accommodation for service users to move on to as they recover skills for more independent living, whereas others offer one level of support and service users have to move to another provider when they are ready to manage with less support. This aspect of service configuration has not been investigated within the QuEST study. Given the current economic climate and the pressures on social care and housing, research that can inform service planners of the most effective models of specialist mental health supported accommodation is paramount. I propose here a 1+3 studentship to investigate the effectiveness of the 'in-house step-down' model. Using a prospective, cohort study design, I will compare the successful move on rate of these services with those where service users are supported to move between providers.