Predictors of discharge from hospital to supported accommodation and support needs once in supported accommodation for people with serious mental illness in Scotland: a linked national dataset study.

Michele Harrison - orcid:0000-0001-6088-2998 orcid:0000-0001-6088-2998 ; Donald Maciver - orcid:0000-0002-6173-429X orcid:0000-0002-6173-429X ; AM replaced with VoR 2024-09-23 ; Background: Many individuals with serious mental illness live in supported accommodation. Decisions regarding type of supported accommodation required and level of support to meet individual’s needs are crucial for continuing rehabilitation and recovery following admission to hospital. This study aimed to identify personal and contextual predictive factors for (1) discharge from hospital to different levels of supported accommodation and (2) self-directed support needs of individuals with serious mental illness once they are in supported accommodation in Scotland. Method: Linked data from the Scottish Morbidity Record – Scottish Mental Health and Inpatient Day Case Section and the Scottish Government Social Care Survey were analysed using multinomial regression and multivariable logistic regression to identify personal and contextual factors associated with accommodation destination at the time of discharge and four self-directed support needs: personal care; domestic care; healthcare; social, educational and recreational. Results: Personal factors (age and having a diagnosis of schizophrenia, schizotypal or delusional disorder) were associated with individuals moving to supported accommodation with higher levels of support. One contextual factor, compulsory detention when admitted to hospital, decreased the likelihood of moving to any type of supported accommodation. The personal and contextual factors associated with identified self-directed support needs varied by need. Support provided by the local authority was associated with all self-directed support needs, with having a diagnosis of schizophrenia, schizotypal or delusional disorder associated with identifying domestic care, healthcare and social, educational and recreational needs, while living in the most deprived areas was associated with identifying healthcare needs. Advancing ...