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Residential mobility among individuals with severe mental illness: cohort study of UK700 participants

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Abstract

Background

There is limited research concerning residential mobility among people with severe mental illness.

Aim

To investigate residential mobility over 2 years among participants in the UK700 trial of intensive case management in severe mental illness.

Methods

Cohort study.

Results

Over 60% of participants had recently wanted to move or improve their accommodation but this was not associated with mobility. Mobility was strongly associated with younger age and drug and alcohol misuse and weakly associated with being unmarried and needs relating to a benefit claim. Among those likely to have been living in supported housing, mobility was also associated with being able to look after the home. Among those living independently, mobility was also associated with being an inpatient at randomisation.

Discussion

Wanting to move did not predict mobility. This contrasts with findings in the general population. Several of the associations found are possibly due to forced mobility. The association with younger age is likely to represent voluntary mobility as in the general population.

Conclusions

Future studies of residential mobility in severe mental illness should make use of a wider range of methods and should draw on the general population literature.

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References

  1. Lee S, Wong Y-LI, Rothbard AB (2009) Factors associated with departure from supported independent living programs for persons with serious mental illness. Psychiatr Serv 60:367–373

    Article  PubMed  Google Scholar 

  2. Social Exclusion Unit (2004) Mental health and social exclusion: social exclusion unit report. Office of the Deputy Prime Minister, London

    Google Scholar 

  3. Meltzer H, Singleton N, Lee A, Bebbington P, Brugha T, Jenkins R (2002) The social and economic circumstances of adults with mental disorders. Office for National Statistics, London

    Google Scholar 

  4. Social Exclusion Unit (2004) Mental health and housing: factsheet 6. Office of the Deputy Prime Minister, London

    Google Scholar 

  5. Kyle T, Dunn JR (2008) Effects of housing circumstances on health, quality of life and healthcare use for people with severe mental illness: a review. Health Soc Care Community 16:1–15

    PubMed  Google Scholar 

  6. Tulloch AD, Fearon P, David AS (2008) The determinants and outcomes of long-stay psychiatric admissions—a case-control study. Soc Psychiatry Psychiatr Epidemiol 43:569–574

    Article  PubMed  Google Scholar 

  7. Appleby L, Desai P (1987) Residential instability: a perspective on system imbalance. Am J Orthopsychiatry 57:515–524

    Article  CAS  PubMed  Google Scholar 

  8. Lamont A, Ukoumunne OC, Tyrer P, Thornicroft G, Patel R, Slaughter J (2000) The geographical mobility of severely mentally ill residents in London. Soc Psychiatry Psychiatr Epidemiol 35:164–169

    Article  CAS  PubMed  Google Scholar 

  9. Caton CL, Goldstein J (1984) Housing change of chronic schizophrenic patients: a consequence of the revolving door. Soc Sci Med 19:759–764

    Article  CAS  PubMed  Google Scholar 

  10. Dembling BP, Rovnyak V, Mackey S, Blank M (2002) Effect of geographic migration on SMI prevalence estimates. Ment Health Serv Res 4:7–12

    Article  PubMed  Google Scholar 

  11. DeVerteuil G, Hinds A, Lix L, Walker J, Robinson R, Roos LL (2007) Mental health and the city: intra-urban mobility among individuals with schizophrenia. Health Place 13:310–323

    Article  PubMed  Google Scholar 

  12. Lix LM, DeVerteuil G, Walker JR, Robinson JR, Hinds AM, Roos LL (2007) Residential mobility of individuals with diagnosed schizophrenia—a comparison of single and multiple movers. Soc Psychiatry Psychiatr Epidemiol 42:221–228

    Article  PubMed  Google Scholar 

  13. Lix LM, Hinds A, DeVerteuil G, Robinson JR, Walker J, Roos LL (2006) Residential mobility and severe mental illness: a population-based analysis. Adm Policy Ment Health 33:160–171

    Article  PubMed  Google Scholar 

  14. McCarthy JF, Valenstein M, Blow FC (2007) Residential mobility among patients in the VA health system: associations with psychiatric morbidity, geographic accessibility, and continuity of care. Adm Policy Ment Health 34:448–455

    Article  PubMed  Google Scholar 

  15. Clark WAV, Onaka JL (1983) Life cycle and housing adjustment as explanations of residential mobility. Urban Stud 20:47–57

    Google Scholar 

  16. Cadwallader M (1992) Migration and residential mobility: macro and micro approaches. University of Wisconsin Press, Madison

    Google Scholar 

  17. Sell RR (1983) Analyzing migration decisions: the first step—whose decisions? Demography 20:299–311

    Article  CAS  PubMed  Google Scholar 

  18. Speare A (1974) Residential satisfaction as an intervening variable in residential mobility. Demography 11:173–188

    Article  Google Scholar 

  19. Lu M (1999) Do people move when they say they will? Inconsistencies in individual migration behavior. Popul Environ 20:467–488

    Article  Google Scholar 

  20. DeVerteuil G (2003) Homeless mobility, institutional settings, and the new poverty management. Environ Plan A 35:361–379

    Article  Google Scholar 

  21. Rahimian A, Wolch JR, Koegel P (1992) A model of homeless migration: homeless men in Skid Row, Los Angeles. Environ Plan A 24(1):317–336

    Google Scholar 

  22. Burns T, Creed F, Fahy T, Thompson S, Tyrer P, White I, Grp UK (1999) Intensive versus standard case management for severe psychotic illness: a randomised trial. Lancet 353:2185–2189

    Article  CAS  PubMed  Google Scholar 

  23. Walsh E, Leese M, Taylor PJ, Johnston I, Burns T, Creed F, Higgitt A, Murray R (2002) Psychosis in high-security and general psychiatric services—report from the UK700 and special hospitals’ treatment resistant schizophrenia groups. Br J Psychiatry 180:351–357

    Article  PubMed  Google Scholar 

  24. Walsh E, Hawey K, White I, Manley C, Fraser J, Stanbridge S, Murray RM, for the UK700 group (1999) Prevalence and predictors of parasuicide in chronic psychosis. Acta Psychiatr Scand 100:375–382

    CAS  PubMed  Google Scholar 

  25. Susser M (1991) What is a cause and how do we know one? A grammar for pragmatic epidemiology. Am J Epidemiol 133:635–648

    CAS  PubMed  Google Scholar 

  26. Oliver J, Huxley P, Bridges K, Mohamad K (1996) Quality of life and mental health services. Routledge, London

    Google Scholar 

  27. Slade M, Phelan M, Thornicroft G, Parkman S (1996) The Camberwell Assessment of Need (CAN): comparison of assessments by staff and patients of the needs of the severely mentally ill. Soc Psychiatry Psychiatr Epidemiol 31:109–113

    Article  CAS  PubMed  Google Scholar 

  28. Susser E, Finnerty M, Mojtabai R, Yale S, Conover S, Goetz R, Amador X (2000) Reliability of the Life Chart Schedule for assessment of the long-term course of schizophrenia. Schizophr Res 42:67–77

    Article  CAS  PubMed  Google Scholar 

  29. McGuffin P, Farmer A, Harvey I (1991) A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Arch Gen Psychiatry 48:764–770

    CAS  PubMed  Google Scholar 

  30. Griffin J (2005) INTCENS: Stata module to perform interval-censored survival analysis. http://ideas.repec.org/c/boc/bocode/s453501.html. Accessed 28 May 2009

  31. Rosenbaum PR, Rubin DB (1983) The central role of the propensity score in observational studies for causal effects. Biometrika 70:41–55

    Article  Google Scholar 

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Acknowledgments

The UK700 group was headed by Professor Tom Burns (St George’s Hospital), Professor Francis Creed (Manchester), Professor Tom Fahy (Maudsley and Kings College Hospitals) and Professor Peter Tyrer (St Mary’s Hospital). We are grateful to Dr. Elizabeth Walsh (Kings College London, Institute of Psychiatry) for practical assistance in providing various parts of the dataset. The paper is derived from a project performed at the London School of Hygiene and Tropical Medicine as part of an MSc in Public Health: Health Service Research under the supervision of Professor Nick Black. Dr. Tulloch is supported by an MRC Special Research Training Fellowship in Health Services Research.

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Authors and Affiliations

  1. Department of Psychiatry, Institute of Psychiatry, Kings College London, De Crespigny Park, London, SE5 8AF, UK

    Alex D. Tulloch, Paul Fearon, Tom Fahy & Anthony David

Authors
  1. Alex D. Tulloch
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  2. Paul Fearon
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  3. Tom Fahy
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  4. Anthony David
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Correspondence to Alex D. Tulloch.

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Tulloch, A.D., Fearon, P., Fahy, T. et al. Residential mobility among individuals with severe mental illness: cohort study of UK700 participants. Soc Psychiat Epidemiol 45, 767–777 (2010). https://doi.org/10.1007/s00127-009-0115-4

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  • DOI: https://doi.org/10.1007/s00127-009-0115-4

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