title: Relocating from out-of-area treatments: service users' perspective.
abstract: Asylum closures over recent decades resulted in mental health services being increasingly sited in the community. However, under provision of highly supported accommodation led to service users being placed away from their local area in 'out-of-area treatments' (OATs). OATs have raised major concerns in relation to enabling service users' recovery, owing to limitations in promoting autonomy, social dislocation and costs. In 2004, an OATs project was set up in a London Borough to address these concerns. In the first 4 years, the project succeeded in relocating 22 service users to less restrictive environments locally. This study aims to explore the outcome of relocation from service users' perspective. A qualitative methodology was utilized. Semi-structured interviews were carried out with seven service users who relocated. All seven service users shared a strong aspiration for independent living but there was associated loneliness. Five welcomed increased contact with family and friends, but lacked social confidence, inhibiting social inclusion. Service users with long-term and consistent care managers were more able to address fears. Five out of seven service users concluded that relocation increased their autonomy thus enhanced their quality of life.
authors.affiliation: Camden and Islington NHS Foundation Trust, Accommodation Team, Islington Rehabilitation and Recovery Services, London, UK. dolly.rambarran@candi.nhs.uk
authors.forename: D D
authors.initials: DD
authors.lastname: Rambarran
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D006782:Hospitals, Special / Q000191:economics; D006801:Humans; D057187:Independent Living; D007406:Interview, Psychological; D008131:London; D008132:Loneliness; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000451:nursing*; D008875:Middle Aged; D009735:Nursing Homes / Q000191:economics; D017060:Patient Satisfaction / Q000191:economics; D010360:Patient Transfer / Q000191:economics; D026684:Personal Autonomy; D012112:Residential Facilities / Q000191:economics; D012559:Schizophrenia / Q000191:economics / Q000451:nursing; D012931:Social Environment; D012951:Socialization; D013222:State Medicine / Q000191:economics