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. 2025 Jul 25;22(8):1173.
doi: 10.3390/ijerph22081173.

Differences in Personal Recovery Among Individuals with Severe Mental Disorders in Private and Supported Accommodations: An Exploratory Study

Alessandra Martinelli  1 , Tecla Pozzan  2 , Doriana Cristofalo  3 , Chiara Bonetto  3 , Camilla D'Astore  2 , Elena Procura  4 , Corrado Barbui  2   3   5 , Mirella Ruggeri  2   3
Affiliations

Differences in Personal Recovery Among Individuals with Severe Mental Disorders in Private and Supported Accommodations: An Exploratory Study

Alessandra Martinelli et al. Int J Environ Res Public Health. .

Abstract

People with severe mental disorders (SMD) face long-term functional impairments requiring integrated, community-based, recovery-oriented care. Italy provides two main housing models for people with SMD: private accommodation (PA) and supported accommodation (SA). This exploratory study investigated differences in recovery outcomes across these settings using the Mental Health Recovery Star (MHRS). A six-month longitudinal study was conducted within the South Verona Community Mental Health Service. Nineteen trained mental health professionals assessed 25 people with SMD (14 in PA, 11 in SA) at baseline (BL) and follow-up (FU) using standardized tools for recovery (MHRS), functioning, psychopathology, functional autonomy, and needs. Group comparisons and within-group changes were analyzed using paired and independent t-tests. At BL, people with SMD in PA showed better functioning (p = 0.040) and fewer needs than those in SA (p = 0.008). Recovery goals differed, with people with SMD in PA focusing on health and networks, while people with SMD in SA emphasized functioning. At FU, people with SMD in PA improved across all MHRS domains (p < 0.001), with significant reductions in symptom severity and unmet needs. People with SMD in SA showed targeted improvements in functioning, autonomy, and MHRS social networks (p < 0.001), with increases in met needs but non-significant changes in unmet needs. When comparing PA and SA at FU, the differences were relatively modest. Recovery is achievable in both housing settings, although outcomes differ. People with SMD in PA experienced broader improvements, while people with SMD in SA progressed in their prioritized areas, likely reflecting more complex initial needs. These findings underscore the value of aligning recovery-oriented care with the specific needs and contexts of different residential settings. Further research is needed to confirm and expand these results.

Keywords: housing; mental health recovery; outcome assessments; severe mental disorder; social support.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Prioritizing area of the MHRS work plan by accommodation at BL and FU.
See this image and copyright information in PMC

References

    1. Reed G.M. What’s in a name? Mental disorders, mental health conditions and psychosocial disability. World Psychiatry. 2024;23:209–210. doi: 10.1002/wps.21190. - DOI - PMC - PubMed
    1. WHO Europe . The WHO European Framework for Action to Achieve the Highest Attainable Standard of Health for Persons with Disabilities 2022–2030. WHO Europe; Geneva, Switzerland: 2022. - PMC - PubMed
    1. WHO . Helping People with Severe Mental Disorders Live Longer and Healthier Lives. WHO Europe; Geneva, Switzerland: 2017.
    1. Parabiaghi A., Bonetto C., Ruggeri M., Lasalvia A., Leese M. Severe and persistent mental illness: A useful definition for prioritizing community-based mental health service interventions. Soc. Psychiatry Psychiatr. Epidemiol. 2006;41:457–463. doi: 10.1007/s00127-006-0048-0. - DOI - PubMed
    1. Killaspy H. The ongoing need for local services for people with complex mental health problems. Psychiatr. Bull. 2014;38:257–259. doi: 10.1192/pb.bp.114.048470. - DOI - PMC - PubMed

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