title: Does supported accommodation improve the clinical and social outcomes for people with severe psychiatric disability? The Project 300 experience.
abstract: OBJECTIVE
  The present study was designed to investigate the clinical and social outcomes for a group of individuals (n = 181) discharged into supported accommodation from three long-stay facilities in Queensland.
  
  
  METHODS
  Data were collected prospectively using a battery of standardized measures and individual interviews at 6 weeks pre-discharge and again at 6, 18, 36, and 84 months post-discharge.
  
  
  RESULTS
  While there was little functional gain at follow up, the clients, as a group, did not deteriorate. Sixty per cent of the clients were engaged in some form of structured community activity and the need for hospitalization decreased significantly in the follow-up period. The ongoing costs of the programme, while remaining high, were significantly less than inpatient alternatives.
  
  
  CONCLUSIONS
  The provision of community accommodation with adequate clinical and non-clinical support is a suitable option for a large proportion of individuals with serious mental illness.
authors.affiliation: University of Queensland and Service Evaluation and Research Unit, The Park, Centre for Mental Health, Locked Bag 500, Sumner Park, QLD 4074, Australia. Thomas_Meehan@health.qld.gov.au
authors.forename: Tom
authors.initials: T
authors.lastname: Meehan
authors.forename: Terry
authors.initials: T
authors.lastname: Stedman
authors.forename: Samantha
authors.initials: S
authors.lastname: Robertson
authors.forename: Suzanne
authors.initials: S
authors.lastname: Drake
authors.forename: Robert
authors.initials: R
authors.lastname: King
mesh_terms: D000328:Adult; D001315:Australia; D003156:Community Mental Health Services / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006208:Halfway Houses / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000191:economics / Q000534:rehabilitation*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012944:Social Support; D013997:Time Factors