Top

Published in:

18-07-2023 | Original Paper

Variables Associated with Quality of Life Among Individuals Living in Permanent Supportive Housing

Authors: Bahram Armoon, Nadia L’Espérance, Marie-Josée Fleury

Published in: Community Mental Health Journal | Issue 2/2024

Abstract

This study identified individual sociodemographic and clinical characteristics and service use patterns associated with quality of life (QoL) among 308 individuals living in permanent supportive housing (PSH) in Québec (Canada). Data were collected between 2020 and 2022, and linear multivariate analyses produced. Results demonstrated that better individual psychosocial conditions were positively associated with higher QoL. As well, living in PSH located in good neighborhoods for at least 5 years, higher self-esteem and community integration were positively associated with greater QoL. Met needs, satisfaction with housing support services, and no use of acute care were also linked with positive QoL. Comprehensive efforts to improve treatment for mental health disabilities responsive to the needs of PSH residents, and sustained long-term housing may reinforce QoL. Encouraging active participation in community-based activities, incorporating biophilic design into the neighborhoods around PSH, and promoting satisfaction with care may also enhance QoL.

Armoon, B., Fleury, M. J., Bayat, A. H., Bayani, A., Mohammadi, R., & Griffiths, M. D. (2022). Quality of life and its correlated factors among patients with substance use disorders: A systematic review and meta-analysis. Archives of Public Health, 80(1), 179. https://doi.org/10.1186/s13690-022-00940-0.CrossRefPubMedPubMedCentral

Aubry, T., Nelson, G., & Tsemberis, S. (2015). Housing first for people with severe mental illness who are homeless: A review of the research and findings from the at Home—Chez soi Demonstration Project. Canadian Journal of Psychiatry, 60(11), 467–474. https://doi.org/10.1177/070674371506001102.CrossRefPubMedPubMedCentral

Aubry, T., Bloch, G., Brcic, V., Saad, A., Magwood, O., Abdalla, T., Alkhateeb, Q., Xie, E., Mathew, C., Hannigan, T., Costello, C., Thavorn, K., Stergiopoulos, V., Tugwell, P., & Pottie, K. (2020). Effectiveness of permanent supportive housing and income assistance interventions for homeless individuals in high-income countries: A systematic review. The Lancet Public Health, 5(6), e342–e360. https://doi.org/10.1016/S2468-2667(20)30055-4.CrossRefPubMed

Barbalat, G., Plasse, J., Gauthier, E., Verdoux, H., Quiles, C., Dubreucq, J., Legros-Lafarge, E., Jaafari, N., Massoubre, C., Guillard-Bouhet, N., Haesebaert, F., & Franck, N. (2022). The central role of self-esteem in the quality of life of patients with mental disorders. Scientific Reports, 12(1), 7852. https://doi.org/10.1038/s41598-022-11655-1.CrossRefPubMedPubMedCentral

Barton, J., & Rogerson, M. (2018). The importance of greenspace for mental health. BJPsych International, 14(4), 79–81. https://doi.org/10.1192/S2056474000002051.CrossRef

Baxter, A. J., Tweed, E. J., Katikireddi, S. V., & Thomson, H. (2019). Effects of Housing First approaches on health and well-being of adults who are homeless or at risk of homelessness: Systematic review and meta-analysis of randomised controlled trials. Journal of Epidemiology and Community Health, 73(5), 379–387. https://doi.org/10.1136/jech-2018-210981.CrossRefPubMed

Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1995). The Alcohol Use Disorders Identification Test (AUDIT): Validation of a screening instrument for use in medical settings. Journal of Studies on Alcohol, 56(4), 423–432. https://doi.org/10.15288/jsa.1995.56.423.CrossRefPubMed

Braçe, O., Garrido-Cumbrera, M., Foley, R., Correa-Fernández, J., Suárez-Cáceres, G., & Lafortezza, R. (2020). Is a view of green spaces from home associated with a lower risk of anxiety and depression? International Journal of Environmental Research and Public Health, 17(19), 7014. https://doi.org/10.3390/ijerph17197014.CrossRefPubMedPubMedCentral

Canada Statistics. (2016). Canadian Community Health Survey (CCHS). Available at: https://www23.statcan.gc.ca/imdb/p3Instr.pl?Function=assembleInstr&Item_Id=260675.

Caramenti, M., & Castiglioni, I. (2022). Determinants of self-perceived health: The importance of physical well-being but also of mental health and cognitive functioning. Behavioral Sciences, 12(12), 498. https://doi.org/10.3390/bs12120498.CrossRefPubMedPubMedCentral

Caron, J. (1996). The scale of social provisions: Their validation in Quebec. Santé Mentale au Québec, 21(2), 158–180.CrossRefPubMed

Caron, J., Mercier, C., & Tempier, R. (1997). Une validation québécoise du satisfaction with life domains scale. Santé Mentale au Québec, 22(2), 195–217.CrossRefPubMed

Chan, D. V. (2018). Examining quality of life for people with disabilities who were once homeless. Journal of Rehabilitation, 84(4), 13–21.

Darke, S., Torok, M., McKetin, R., Kaye, S., & Ross, J. (2011). Patterns of psychological distress related to regular methamphetamine and opioid use. Addiction Research & Theory, 19(2), 121–127. https://doi.org/10.3109/16066351003695631.CrossRef

Ding, K., Slate, M., & Yang, J. (2018). History of co-occurring disorders and current mental health status among homeless veterans. Bmc Public Health, 18(1), 751. https://doi.org/10.1186/s12889-018-5700-6.CrossRefPubMedPubMedCentral

Elkington, K. S., Bauermeister, J. A., & Zimmerman, M. A. (2010). Psychological distress, substance use, and HIV/STI risk behaviors among youth. Journal of Youth and Adolescence, 39(5), 514–527. https://doi.org/10.1007/s10964-010-9524-7.CrossRefPubMedPubMedCentral

Fernández, R. S., Crivelli, L., Guimet, N. M., Allegri, R. F., Picco, S., & Pedreira, M. E. (2022). Psychological distress and mental health trajectories during the COVID-19 pandemic in Argentina: A longitudinal study. Scientific Reports, 12(1), 5632. https://doi.org/10.1038/s41598-022-09663-2.CrossRefPubMedPubMedCentral

Flanagan, S., Damery, S., & Combes, G. (2017). The effectiveness of integrated care interventions in improving patient quality of life (QoL) for patients with chronic conditions. An overview of the systematic review evidence. Health and Quality of Life Outcomes, 15(1), 188. https://doi.org/10.1186/s12955-017-0765-y.CrossRefPubMedPubMedCentral

Gentil, L., Grenier, G., Bamvita, J. M., & Fleury, M. J. (2020). Satisfaction with health and community services among homeless and formerly homeless individuals in Quebec, Canada. Health & Social Care in the Community, 28(1), 22–33. https://doi.org/10.1111/hsc.12834.CrossRef

Harris, M. G., Hobbs, M. J., Burgess, P. M., Pirkis, J. E., Diminic, S., Siskind, D. J., Andrews, G., & Whiteford, H. A. (2015). Frequency and quality of mental health treatment for affective and anxiety disorders among australian adults. Medical Journal of Australia, 202(4), 185–189. https://doi.org/10.5694/mja14.00297.CrossRefPubMed

Henwood, B. F., Matejkowski, J., Stefancic, A., & Lukens, J. M. (2014). Quality of life after housing first for adults with serious mental illness who have experienced chronic homelessness. Psychiatry Research, 220(1), 549–555. https://doi.org/10.1016/j.psychres.2014.07.072.CrossRefPubMed

Hodgson, K. J., Shelton, K. H., van den Bree, M. B. M., & Los, F. J. (2013). Psychopathology in young people experiencing homelessness: A systematic review. American Journal of Public Health, 103(6), e24–e37. https://doi.org/10.2105/AJPH.2013.301318.CrossRefPubMedPubMedCentral

Hwang, S. W., Gogosis, E., Chambers, C., Dunn, J. R., Hoch, J. S., & Aubry, T. (2011). Health status, quality of life, residential stability, substance use, and health care utilization among adults applying to a supportive housing program. Journal of Urban Health, 88(6), 1076–1090. https://doi.org/10.1007/s11524-011-9592-3.CrossRefPubMedPubMedCentral

Hyshka, E., Anderson, J. T., & Wild, T. C. (2017). Perceived unmet need and barriers to care amongst street-involved people who use illicit drugs. Drug and Alcohol Review, 36(3), 295–304. https://doi.org/10.1111/dar.12427.CrossRefPubMed

Jun, W. H., & Choi, E. J. (2020). The relationship between community integration and mental health recovery in people with mental health issues living in the community: A quantitative study. Journal of Psychiatric and Mental Health Nursing, 27(3), 296–307. https://doi.org/10.1111/jpm.12578.CrossRefPubMed

Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S. L. T., Manderscheid, R. W., Walters, E. E., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189. https://doi.org/10.1001/archpsyc.60.2.184.CrossRefPubMed

Krabbenborg, M. A. M., Boersma, S. N., van der Veld, W. M., Vollebergh, W. A. M., & Wolf, J. R. L. M. (2017). Self-determination in relation to quality of life in homeless young adults: Direct and indirect effects through psychological distress and social support. The Journal of Positive Psychology, 12(2), 130–140. https://doi.org/10.1080/17439760.2016.1163404.CrossRef

LaCalle, E. J., Rabin, E. J., & Genes, N. G. (2013). High-frequency users of emergency department care. Journal of Emergency Medicine, 44(6), 1167–1173. https://doi.org/10.1016/j.jemermed.2012.11.042.CrossRefPubMed

Lachaud, J., Mejia-Lancheros, C., Wang, R., Wiens, K., Nisenbaum, R., Stergiopoulos, V., Hwang, S. W., & O’Campo, P. (2020). Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study. Plos One, 15(4), e0232001. https://doi.org/10.1371/journal.pone.0232001.CrossRefPubMedPubMedCentral

Loubière, S., Lemoine, C., Boucekine, M., Boyer, L., Girard, V., Tinland, A., & Auquier, P. (2022). Housing First for homeless people with severe mental illness: Extended 4-year follow-up and analysis of recovery and housing stability from the randomized Un Chez Soi d’Abord trial. Epidemiology and Psychiatric Sciences, 31, e14. https://doi.org/10.1017/S2045796022000026.CrossRefPubMedPubMedCentral

Lutchmun, W., Gach, J., Borup, C., & Froeschl, G. (2022). Chronic diseases and multi-morbidity in persons experiencing homelessness: Results from a cross-sectional study conducted at three humanitarian clinics in Germany in 2020. Bmc Public Health, 22(1), 1597. https://doi.org/10.1186/s12889-022-14023-w.CrossRefPubMedPubMedCentral

Maniscalco, L., Miceli, S., Bono, F., & Matranga, D. (2020). Self-perceived health, objective health, and quality of life among people aged 50 and over: Interrelationship among health indicators in Italy, Spain, and Greece. International Journal of Environmental Research and Public Health, 17(7), 2414. https://doi.org/10.3390/ijerph17072414.CrossRefPubMedPubMedCentral

McColl, M. A., Davies, D., Carlson, P., Johnston, J., & Minnes, P. (2001). The community integration measure: Development and preliminary validation. Archives of Physical Medicine and Rehabilitation, 82(4), 429–434. https://doi.org/10.1053/apmr.2001.22195.CrossRefPubMed

Meadows, G., Harvey, C., Fossey, E., & Burgess, P. (2000). Assessing perceived need for mental health care in a community survey: Development of the Perceived need for Care Questionnaire (PNCQ). Social Psychiatry and Psychiatric Epidemiology, 35(9), 427–435. https://doi.org/10.1007/s001270050260.CrossRefPubMed

Moledina, A., Magwood, O., Agbata, E., Hung, J. H., Saad, A., Thavorn, K., Salvalaggio, G., Bloch, G., Ponka, D., Aubry, T., Kendall, C., & Pottie, K. (2021). A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness. Campbell Systematic Reviews, 17(2), e1154. https://doi.org/10.1002/cl2.1154.CrossRefPubMedPubMedCentral

Montgomery, A. E., Gabrielian, S., Cusack, M., Austin, E. L., Kertesz, S. G., & Vazzano, J. (2019). Applying the Housing First approach to single-site permanent supportive housing. Journal of Social Distress and Homelessness, 28(1), 24–33. https://doi.org/10.1080/10530789.2018.1546796.CrossRef

Moran, P., Leese, M., Lee, T., Walters, P., Thornicroft, G., & Mann, A. (2018). Standardised Assessment of personality – abbreviated scale (SAPAS): Preliminary validation of a brief screen for personality disorder. The British Journal of Psychiatry, 183(3), 228–232. https://doi.org/10.1192/bjp.183.3.228.CrossRef

National Health Care for the Homeless Council (2011). Disability, Employment and Homelessness. 2011 Policy Statement. Available online at: http://www.nhchc.org/wp-content/uploads/2011/09/disability2011_-final.pdf (Accessed August 10, 2012).

Nyamathi, A. M., Leake, B., & Gelberg, L. (2000). Sheltered versus nonsheltered homeless women. Journal of General Internal Medicine, 15(8), 565–572. https://doi.org/10.1046/j.1525-1497.2000.07007.x.CrossRefPubMedPubMedCentral

O’Campo, P., Stergiopoulos, V., Davis, O., Lachaud, J., Nisenbaum, R., Dunn, J. R., Ahmed, N., & Tsemberis, S. (2022). Health and social outcomes in the Housing First model: Testing the theory of change. eClinicalMedicine, 47, https://doi.org/10.1016/j.eclinm.2022.101387.

O’Connell, J. J., Quick, Z. B., Anderson, P. D., Perret, S. F., Dalton, Y. M. (2007). M,. Documenting Disability: Simple Strategies for Medical Providers. Nashville, TN: Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council. In A. o. a. http://www.nhchc.org/wpcontent/uploads/2012/02/DocumentingDisability2007.pdf (Ed.).

Omerov, P., Craftman, Å. G., Mattsson, E., & Klarare, A. (2020). Homeless persons’ experiences of health- and social care: A systematic integrative review. Health & Social Care in the Community, 28(1), 1–11. https://doi.org/10.1111/hsc.12857.CrossRef

Parcesepe, A. M., & Cabassa, L. J. (2013). Public stigma of mental illness in the United States: A systematic literature review. Administration and Policy in Mental Health and Mental Health Services Research, 40(5), 384–399. https://doi.org/10.1007/s10488-012-0430-z.CrossRefPubMed

Patterson, M., Moniruzzaman, A., Palepu, A., Zabkiewicz, D., Frankish, C. J., Krausz, M., & Somers, J. M. (2013). Housing First improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia. Social Psychiatry and Psychiatric Epidemiology, 48(8), 1245–1259. https://doi.org/10.1007/s00127-013-0719-6.CrossRefPubMed

Perkins, D. D., & Long, D. A. (2002). Neighborhood sense of community and social capital: A multi-level analysis psychological sense of community: Research, applications, and implications (pp. 291–318). New York, NY, US: Kluwer Academic/Plenum Publishers.

Petkari, E., & Pietschnig, J. (2015). Associations of quality of life with service satisfaction in psychotic patients: A meta-analysis. Plos One, 10(8), e0135267. https://doi.org/10.1371/journal.pone.0135267.CrossRefPubMedPubMedCentral

Ponka, D., Agbata, E., Kendall, C., Stergiopoulos, V., Mendonca, O., Magwood, O., Saad, A., Larson, B., Sun, A. H., Arya, N., Hannigan, T., Thavorn, K., Andermann, A., Tugwell, P., & Pottie, K. (2020). The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review. Plos One, 15(4), e0230896. https://doi.org/10.1371/journal.pone.0230896.CrossRefPubMedPubMedCentral

Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD countries for the period 1995–2015. Archives of Public Health, 78(1), 20. https://doi.org/10.1186/s13690-020-00402-5.CrossRefPubMedPubMedCentral

Raven, M. C., Niedzwiecki, M. J., & Kushel, M. (2020). A randomized trial of permanent supportive housing for chronically homeless persons with high use of publicly funded services. Health Services Research, 55(S2), 797–806. https://doi.org/10.1111/1475-6773.13553.CrossRefPubMedPubMedCentral

Reilly, J., Ho, I., & Williamson, A. (2022). A systematic review of the effect of stigma on the health of people experiencing homelessness. Health & Social Care in the Community, 30(6), 2128–2141. https://doi.org/10.1111/hsc.13884.CrossRef

Rollings, K. A., & Bollo, C. S. (2021). Permanent supportive housing design characteristics associated with the mental health of formerly homeless adults in the U.S. and Canada: An integrative review. International Journal of Environmental Research and Public Health, 18(18), 9588. https://doi.org/10.3390/ijerph18189588.CrossRefPubMedPubMedCentral

Schick, V., Wiginton, L., Crouch, C., Haider, A., & Isbell, F. (2019). Integrated service delivery and health-related quality of life of individuals in permanent supportive housing who were formerly chronically homeless. American Journal of Public Health, 109(2), 313–319. https://doi.org/10.2105/AJPH.2018.304817.CrossRefPubMedPubMedCentral

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59 Suppl 20, 22–33;quiz 34–57.

Skinner, H. A. (1982). The drug abuse screening test. Addictive Behaviors, 7(4), 363–371. https://doi.org/10.1016/0306-4603(82)90005-3.CrossRefPubMed

Spector, A. L., Quinn, K. G., McAuliffe, T. L., DiFranceisco, W., Bendixen, A., & Dickson-Gomez, J. (2020). Health-related quality of life and related factors among chronically homeless adults living in different permanent supportive housing models: A cross-sectional study. Quality of Life Research, 29(8), 2051–2061. https://doi.org/10.1007/s11136-020-02482-w.CrossRefPubMedPubMedCentral

Sugiyama, T., Carver, A., Koohsari, M. J., & Veitch, J. (2018). Advantages of public green spaces in enhancing population health. Landscape and Urban Planning, 178, 12–17. https://doi.org/10.1016/j.landurbplan.2018.05.019.CrossRef

Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94(4), 651–656. https://doi.org/10.2105/ajph.94.4.651.CrossRefPubMedPubMedCentral

Üstün, T. B., Chatterji, S., Kostanjsek, N., Rehm, J., Kennedy, C., Epping-Jordan, J., Saxena, S., Korff, M., & Pull, C. (2010). Developing the World Health Organization disability assessment schedule 2.0. Bulletin of the World Health Organization, 88, 815–823. https://doi.org/10.2471/BLT.09.067231.CrossRefPubMedPubMedCentral

Vallières, E. F., & Vallerand, R. J. (1990). Traduction et validation canadienne-française de l’Échelle de l’Estime de Soi de Rosenberg. [French-Canadian translation and validation of Rosenberg’s self-esteem Scale]. International Journal of Psychology, 25, 305–316. https://doi.org/10.1080/00207599008247865.CrossRef

Whittaker, E., Flatau, P. R., Swift, W., Dobbins, T. A., & Burns, L. (2016). Associations of Housing First configuration and crime and social connectedness among persons with chronic homelessness histories. Psychiatric Services, 67(10), 1091–1097. https://doi.org/10.1176/appi.ps.201500446.CrossRefPubMed

WHO. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409. https://doi.org/10.1016/0277-9536(95)00112-K.CrossRef

Title: Variables Associated with Quality of Life Among Individuals Living in Permanent Supportive Housing
Authors: Bahram Armoon
Nadia L’Espérance
Marie-Josée Fleury
Publication date: 18-07-2023
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 2/2024
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-023-01167-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Variables Associated with Quality of Life Among Individuals Living in Permanent Supportive Housing

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2024

Reframing Mental Health Ethics

“These Places are easy to get into but Impossible to get out of”: Women’s Pathways to Psychiatric Institutions and Barriers to Community Reentry in India

Mental Health Care Access Among Arab Immigrants in the United States: Application of Public Arena Model

Elucidating Harm Reduction Principles in a Client-Centered Representative Payee Program

Contextual Factors of Mental Health Crisis Calls to Law Enforcement: A Brief Report

Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel’s Mental Health Reform