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What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)

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  • Peter McPherson

    (Division of Psychiatry, University College London (UCL), London W1T 7NF, UK)

  • Joanna Krotofil

    (Division of Psychiatry, University College London (UCL), London W1T 7NF, UK)

  • Helen Killaspy

    (Division of Psychiatry, University College London (UCL), London W1T 7NF, UK)

Abstract

Inconsistent terminology and variation in service models have made synthesis of the supported accommodation literature challenging. To overcome this, we developed a brief, categorical taxonomy that aimed to capture the defining features of different supported accommodation models: the simple taxonomy for supported accommodation (STAX-SA). Data from a previous review of existing classification systems were used to develop the taxonomy structure. After initial testing and amendments, the STAX-SA and an existing taxonomy were applied to 132 supported accommodation service descriptions drawn from two systematic reviews and their performance compared. To assess external validity, the STAX-SA was distributed to a sample of supported accommodation managers in England and they were asked to use it to classify their services. The final version of the STAX-SA comprised of five supported accommodation ‘types’, based on four domains; Staffing location ; Level of support ; Emphasis on move-on ; and Physical setting . The STAX-SA accurately categorized 71.1% ( n = 94) of service descriptions, outperforming the comparison tool, and was not affected by publication date or research design. The STAX-SA effectively discriminated between ‘real world’ service models in England and 53.2% ( n = 17) of service managers indicated that the taxonomy was ‘ Very effective ’ or ‘ Extremely effective ’ in capturing key characteristics of their service. The STAX-SA is an effective tool for classifying supported accommodation models and represents a promising approach to synthesizing the extant effectiveness literature. The authors recommend the development of reporting guidelines for future supported accommodation publications to facilitate comparison between models.

Suggested Citation

  • Peter McPherson & Joanna Krotofil & Helen Killaspy, 2018. "What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA)," IJERPH, MDPI, vol. 15(2), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:190-:d:128431
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    1. Barbato, Angelo & Civenti, Graziella & D’Avanzo, Barbara, 2017. "Community residential facilities in mental health services: A ten-year comparison in Lombardy," Health Policy, Elsevier, vol. 121(6), pages 623-628.
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    1. Taina Ala-Nikkola & Sami Pirkola & Minna Kaila & Grigori Joffe & Raija Kontio & Olli Oranta & Minna Sadeniemi & Kristian Wahlbeck & Samuli I. Saarni, 2018. "Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable," IJERPH, MDPI, vol. 15(6), pages 1-16, May.
    2. Ceridwen Owen & James Crane, 2022. "Trauma-Informed Design of Supported Housing: A Scoping Review through the Lens of Neuroscience," IJERPH, MDPI, vol. 19(21), pages 1-27, November.
    3. Francisca Vargas Lopes & Pieter Bakx & Sam Harper & Bastian Ravesteijn & Tom Van Ourti, 2022. "The effects of supported housing for individuals with mental disorders," Health Economics, John Wiley & Sons, Ltd., vol. 31(S2), pages 115-133, October.
    4. Liza Murlender & Karen Choe & Marina Ayelén Fernandez & Martin Agrest & Sara Elena Ardila-Gómez, 2024. "‘We see they are abandoned’: Social support between people discharged from long-term psychiatric hospitalizations and their neighbors in Argentina," International Journal of Social Psychiatry, , vol. 70(3), pages 498-506, May.
    5. Bárbara Pedrosa & Graça Cardoso & Sofia Azeredo-Lopes & Deborah Aluh & Ugnė Grigaitė & Margarida Dias & Manuela Silva & José Caldas de Almeida, 2023. "Experiences of care perceived by users of supported accommodations for people with serious mental disorders: Can they impact quality of life?," International Journal of Social Psychiatry, , vol. 69(3), pages 626-638, May.

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