Experiences and expectations of residents and professionals of supported accommodations for people with serious mental disorders in Portugal

Purpose: Most studies on supported accommodations (SAs) for people with serious mental disorders have focused on effectiveness. Very few analysed the experiences and expectations of residents and professionals of SAs, which is fundamental to improving care. This study aimed to explore in depth the perspectives of residents and professionals of SAs in Portugal regarding the residents’ previous contacts with mental health services, current experiences, and expectations. Methods: A purposeful sample of 11 residents and 11 professionals from 11 different organisations managing SAs in Portugal was included. Semi-structured interviews were conducted using interview guides to assess previous experiences with mental health services, expectations, and suggestions to improve care. Thematic analysis was used. Findings: Residents had a long history of mental health problems and contact with mental health services. Most had been referred to SAs due to poor family or social conditions. The majority of residents expected to stay at the SAs in the long-term, and did not mention major suggestions to improve. Professionals suggested several improvements, such as having more time allocation to work with the residents and revising maximum limits of lengths of stay. Conclusions: Residents are seldom involved in decision-making. However, most were satisfied with care and hoped to remain in the SAs. Implications of this study apply to the political level (regarding the financing of SAs and the provision of community mental health care and other social supports) and to the clinical level (regarding training and family interventions).