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Cited by 173Schizophrenia research and treatmentMental Health and Patient InvolvementPsychiatric care and mental health services

Community-based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

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Killaspy, Helen, Harvey, Carol, Brasier, Catherine, Brophy, Lisa, Ennals, Priscilla, Fletcher, Justine, Hamilton, Bridget·2022·World Psychiatry
DOI 10.1002/wps.20940PMC PMC8751572
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Abstract

People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy-makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer-led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family-related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when "importing" interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable "real life" skills despite improvements in cognitive function. We also identified an emerging evidence base for peer-led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi-level stakeholder commitment and investment for successful implementation.

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  • Emerging evidence indicates that peer involvement in developing and delivering social interventions contributes to positive outcomes.

    “Given emerging evidence that peer involvement in developing and delivering social interventions contributes to positive outcomes (82), this is an important avenue for further development of time use focused interventions.”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [82]

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Research works printed but not linked: 8

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Authors
Killaspy, H., Harvey, C., Brasier, C., Brophy, L., Ennals, P., Fletcher, J., & Hamilton, B.
Affiliations
  • University College London (GB)
  • The University of Melbourne (AU)
  • La Trobe University (AU)
  • Neami National (AU)
ORCID
Venue
World Psychiatry
Publisher
Wiley
Published
2022-01-11
Volume
21
Issue
1
Pages
96-123
ISSN
  • 1723-8617 (ISSN-L)
  • 2051-5545
DOI
10.1002/wps.20940
PMC
PMC8751572
OpenAlex
W4206579320
Cited by
173
References
126
Citations by year
2026: 42 · 2025: 51 · 2024: 37 · 2023: 33 · 2022: 8 · 2018: 1
FWCI
5.53
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • World Psychiatry (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • Minerva Access (University of Melbourne) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
severe mental illness, supported housing, Housing First, supported employment, Individual Placement and Support, family psychoeducation, peer-led intervention, social skills training, community participation, recovery colleges, intervention transferability

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