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A domains-based taxonomy of supported accommodation for people with severe and persistent mental illness

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Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Purpose

A lack of definitional clarity in supported accommodation and the absence of a widely accepted system for classifying supported accommodation models creates barriers to service planning and evaluation.

Methods

We undertook a systematic review of existing supported accommodation classification systems. Using a structured system for qualitative data analysis, we reviewed the stratification features in these classification systems, identified the key elements of supported accommodation and arranged them into domains and dimensions to create a new taxonomy. The existing classification systems were mapped onto the new taxonomy to verify the domains and dimensions.

Results

Existing classification systems used either a service-level characteristic or programmatic approach. We proposed a taxonomy based around four domains: duration of tenure; patient characteristics; housing characteristics; and service characteristics. All of the domains in the taxonomy were drawn from the existing classification structures; however, none of the existing classification structures covered all of the domains in the taxonomy.

Conclusions

Existing classification systems are regionally based, limited in scope and lack flexibility. A domains-based taxonomy can allow more accurate description of supported accommodation services, aid in identifying the service elements likely to improve outcomes for specific patient populations, and assist in service planning.

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The authors have no conflicts of interest to declare.

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Correspondence to Dan Siskind.

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Siskind, D., Harris, M., Pirkis, J. et al. A domains-based taxonomy of supported accommodation for people with severe and persistent mental illness. Soc Psychiatry Psychiatr Epidemiol 48, 875–894 (2013). https://doi.org/10.1007/s00127-012-0590-x

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  • DOI: https://doi.org/10.1007/s00127-012-0590-x

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