Development and evaluation of the `Everyday Life Rehabilitation´ model in supported housing context

(This abstract is part of the symposium entitled: Complex mental health supported accommodation services across Europe)



Background: Persons enduring complex psychiatric disabilities and impaired autonomy, living in supported accommodations, generally lead sedentary, solitary lives, indoors, and have significantly poorer health than others in the population, while additionally, they do not have access to equitable and cost-effective health care, including rehabilitation efforts. Engagement in everyday activities, is important for the recovery towards a meaningful and active life, but difficult to sustain in supported accommodations.



Methods: Against this background of activity-deprivation and health-inequity, the Everyday Life Rehabilitation (ELR) model has been designed and evaluated in different phases, and the program theory has been revised in iterative processes, involving stakeholders, and carefully considering the context.  ELR is a person-centered, activity- and recovery-oriented intervention-model, designed for the context of integrated, personalized, long-term, and time-set rehabilitation for residents living in supported accommodations, supported by active collaboration between the resident, occupational therapist, and housing staff. ELR includes a web-based training package for housing staff, rehabilitation staff, and housing managers, as well as tools for collaboration, and methods for collegiate learning.



Results: ELR has shown significant outcomes in feasibility studies, and currently an RCT is underway in northern and middle Sweden, for the purpose of establishing the effect of ELR, along with cost-effectiveness. In parallel, qualitative studies and process evaluations are conducted to explore the usefulness and implementation aspects of ELR.

Preliminary results will be presented and discussed, in light of residents´ personal recovery pathway, and quality of life.  Additionally, implementation and organizational readiness will be illuminated.



Discussion: This project offers insights into the significance of engaging in meaningful activities for the personal recovery process.