Beyond support: unveiling the journey of recovery post-supported accommodation services

Introduction: Supported accommodation organizations cater to individuals with severe psychosocial issues, delivering diverse services primarily through ambulatory support or accommodation-based assistance. Emphasizing rehabilitation and recovery, these services aim to enhance clients' independent living and practical skills. While studies affirm the positive impact of supported accommodation on quality of life and unmet needs, there is a scarcity of research on the effects post-exit, leaving gaps in understanding the recovery process of clients. Therefore, we aimed to explore recovery narratives, focussing on participation, care needs, and quality of life.

Methods: Between May 2021 and February 2022, we conducted 29 semi-structured interviews with clients leaving Dutch supported accommodation services or transitioning from supported housing to ambulatory support at least a year prior to the interview. Interviews were guided by the Lifeline Interview Method and analysed using thematic analysis. 17 clients had left supported accommodation services and 12 transitioned from supported housing to ambulatory support. The majority was male (66%). On average, clients received support for 1.5 years.  

Results: Participants reflected on crucial moments in their recovery process, expressing their current state, achievements, and future aspirations. Achieving independence or transitioning to independent living emerged as an inherently rehabilitative aspect. Participants emphasized how reclaiming autonomy contributed significantly to their overall well-being and personal recovery. Moreover, participants consistently highlighted the influential role of their social connections in maintaining stability, fostering a sense of belonging, and aiding in the ongoing process of recovery.

Discussion and Conclusion: Understanding the experiences of clients who have transitioned away from intensive support is crucial for tailoring effective assistance. Our study sheds light on the nuanced aspects of recovery, care needs, and social participation, providing insights to better support clients on

their path towards independence. It also underscores the importance of the cultivation and sustenance of a robust social support system for individuals leaving supported accommodation services. This research offers a foundation for future interventions and policies to enhance the long-term well-being of individuals in supported accommodation services.