Independent Housing and Support for People With Severe Mental Illness
NCT ID: NCT03815604
Last Updated: 2023-11-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
143 participants
INTERVENTIONAL
2019-04-01
2023-04-30
Brief Summary
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Methods: As the preference issue makes RCTs in housing research difficult the investigators will use a specific time window in Zurich that allows conducting a RCT due to a scarcity of IHS settings and will combine the RCT with a comparative observational study in Berne where IHS is already well-established. At the Zurich site, a RCT compares the effects of living with IHS against living in residential care. At the Berne site, an observational study design (OSD) will be applied in connection with the same types of housing as in Zurich. Propensity scoring will be utilized to minimize the risk of bias in the OSD. A number of N=56 eligible subjects in Zurich and N=112 subjects (due to specific requirements for propensity scoring) in Berne complying with the inclusion criteria will be recruited and allocated to intervention and control groups according to the site-specific study designs. Recruitment period will last 21 months.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
The investigators intend to directly compare the outcomes of a randomized controlled trial (RCT) with a study in an observational study design (OSD). Here, the investigators utilize the hypothesis that the OSD will provide similar results as the RCT.
SUPPORTIVE_CARE
NONE
Study Groups
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RCT-IHS
Behavioral: At the Zurich site, the experimental intervention is called Independent Housing and Support
Independent Housing and Support (IHS)
Direct placement of people with SMI in an independent accommodation in the community, usually in a flat rented by the service user. Support is provided by a coach according to individual needs in a permanent housing situation without time limit.
RCT-RCS/TAU
Behavioral: At the Zurich site, the comparator is usual residential care
Residential Care Settings and other Treatment as Usual (RCS/TAU)
Placement in a common residential home or supportive housing setting with the aim to gain psycho-social stability before being able to maintain independent housing.
OSD-IHS
Behavioral: At the Berne site, the experimental intervention is called Independent Housing and Support
Independent Housing and Support (IHS)
Direct placement of people with SMI in an independent accommodation in the community, usually in a flat rented by the service user. Support is provided by a coach according to individual needs in a permanent housing situation without time limit.
OSD-RCS/TAU
Behavioral: At the Berne site, the comparator is usual residential care
Residential Care Settings and other Treatment as Usual (RCS/TAU)
Placement in a common residential home or supportive housing setting with the aim to gain psycho-social stability before being able to maintain independent housing.
Interventions
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Independent Housing and Support (IHS)
Direct placement of people with SMI in an independent accommodation in the community, usually in a flat rented by the service user. Support is provided by a coach according to individual needs in a permanent housing situation without time limit.
Residential Care Settings and other Treatment as Usual (RCS/TAU)
Placement in a common residential home or supportive housing setting with the aim to gain psycho-social stability before being able to maintain independent housing.
Eligibility Criteria
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Inclusion Criteria
* Age 18 to 65 years
* Ability to communicate in German language
* Ability to give informed consent
* Written informed consent as documented by signature
* Ability to take medication if indicated
* Willingness to handle out of pocket expenses or established assistance by custodian/guardian
Exclusion Criteria
* Participants lacking capacity
* Indication for hospital treatment due to acute symptomatology at admission
* Acute endangerment of self or others
18 Years
65 Years
ALL
No
Sponsors
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University of Zurich
OTHER
Swiss National Science Foundation
OTHER
University of Bern
OTHER
Responsible Party
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Principal Investigators
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Dirk Richter, PhD
Role: PRINCIPAL_INVESTIGATOR
Bern University Hospital for Mental Health
Locations
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University Hospital for Mental Health Bern, Center for Psychiatric Rehabilitation
Bern, , Switzerland
Psychiatric University Hospital Zurich
Zurich, , Switzerland
Countries
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References
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Richter D, Hoffmann H. Independent housing and support for people with severe mental illness: systematic review. Acta Psychiatr Scand. 2017 Sep;136(3):269-279. doi: 10.1111/acps.12765. Epub 2017 Jun 16.
Richter D, Hoffmann H. Preference for Independent Housing of Persons with Mental Disorders: Systematic Review and Meta-analysis. Adm Policy Ment Health. 2017 Nov;44(6):817-823. doi: 10.1007/s10488-017-0791-4.
Adamus C, Motteli S, Jager M, Richter D. Independent Supported Housing vs institutional housing rehabilitation settings for non-homeless individuals with severe mental illness - longitudinal results from an observational study. BMC Psychiatry. 2024 Aug 9;24(1):554. doi: 10.1186/s12888-024-05995-7.
Adamus C, Motteli S, Jager M, Richter D. Independent Supported Housing for non-homeless individuals with severe mental illness: Comparison of two effectiveness studies using a randomised controlled and an observational study design. Front Psychiatry. 2022 Nov 10;13:1033328. doi: 10.3389/fpsyt.2022.1033328. eCollection 2022.
Motteli S, Adamus C, Deb T, Frobel R, Siemerkus J, Richter D, Jager M. Independent Supported Housing for Non-homeless People With Serious Mental Illness: A Pragmatic Randomized Controlled Trial. Front Psychiatry. 2022 Jan 21;12:798275. doi: 10.3389/fpsyt.2021.798275. eCollection 2021.
Adamus C, Motteli S, Jager M, Richter D. Independent Housing and Support for non-homeless individuals with severe mental illness: randomised controlled trial vs. observational study - study protocol. BMC Psychiatry. 2020 Jun 19;20(1):319. doi: 10.1186/s12888-020-02712-y.
Other Identifiers
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10531C_179451
Identifier Type: -
Identifier Source: org_study_id