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

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

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    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.

    Original languageEnglish
    Article number258
    Number of pages10
    JournalFrontiers in Psychiatry
    Volume10
    Issue numberAPR
    DOIs
    Publication statusPublished - 17 Apr 2019

    Keywords

    • Feasibility
    • Floating outreach
    • Mental health
    • QuEST
    • Supported accommodation
    • Supported housing
    • Trial
    • mental health
    • trial
    • feasibility
    • supported accommodation
    • supported housing
    • floating outreach

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  • Cite this

    Killaspy, H., Priebe, S., McPherson, P., Zenasni, Z., McCrone, P., Dowling, S., Harrison, I., Krotofil, J., Dalton-Locke, C., McGranahan, R., Arbuthnott, M., Curtis, S., Leavey, G., MacPherson, R., Eldridge, 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(APR), [258]. https://doi.org/10.3389/fpsyt.2019.00258