Background
Methods
Concept Mapping
Participants
Participants brainstorming session (n = 17) | Participants brainstorming, sorting & rating (n = 14) | ||
---|---|---|---|
Gender | Male | 8 | 7 |
Female | 9 | 7 | |
Function | Board members of supported housing organizations | 2 | 1 |
Researchers | 3 | 3 | |
Policy makers | 5 | 4 | |
Professionals | 4 | 4 | |
Different | 3 | 2 |
Procedure
Brainstorming
Sorting and rating
Analysis
Interpretation
Results
Cluster 1 – housing rights
| BV | Rating mean (SD)* | |
---|---|---|---|
Importance Rating Values Results | 4.17–4.29 | ||
Nr. | Bridging Values Cluster | 0.78 | |
83. |
Housing rights
| 0.62 | 4.57 (0.62) |
84. |
Your own home
| 0.96 | 4.57 (0.49) |
30. | Housing is a fundamental right, even when things go wrong in a home, a client must continue to have the right to a home | 0.66 | 4.50 (0.63) |
47. | Review of concept of self-reliance by municipalities due to high expectations of citizens’ self-reliance in general | 0.87 | 3.86 (0.91) |
11. | Attention to entering into dialogue about the enormous growth of compulsion and coercion in the home situation | 0.77 | 3.39 (0.80) |
Cluster 2 – informal collaboration
| |||
Importance Rating Values Results | 4.17–4.29 | ||
Nr. | Bridging Values Results | 0.40 | |
41. |
Cooperation with and positioning of relatives
| 0.51 | 4.57 (0.49) |
70. |
Involving loved ones
| 0.38 | 4.57 (0.49) |
68. | Involving peer support | 0.46 | 4.50 (0.63) |
21. | Exchange of people and neighborhood, also positive exchange | 0.31 | 4.36 (0.72) |
66. | Protective factors: social network, close relatives, employment, and participation | 0.48 | 4.29 (0.45) |
71. | Working with Resource Groups | 0.27 | 4.29 (0.59) |
77. | A method in which the person determines who is involved, as in Open Dialogue | 0.43 | 4.29 (0.45) |
56. | Going beyond linking with the network, what can the informal network do concretely? | 0.36 | 4.21 (0.56) |
67. | Involving family experience experts in Resource Groups | 0.29 | 3.86 (0.83) |
27. | Scope for citizen- and consumer-run initiatives | 0.50 | 3.79 (1.21) |
Cluster 3 – reciprocity in the community
| |||
Importance Rating Values Results | 4.17–4.29 | ||
Nr. | Bridging Values Results | 0.43 | |
25. | Presence available when the need arises, also by neighborhood and family | 0.43 | 4.43 (0.49) |
82. | Organizing link with the neighborhood | 0.44 | 4.43 (0.49) |
81. | Opening existing facilities such as a community center in the neighborhood to everyone | 0.48 | 4.29 (0.59) |
16. | How can the mental health care sector, social domain, and network be more reciprocal/serving to the community | 0.37 | 4.07 (0.88) |
34. | Healthcare providers must contribute to the neighborhood community and not only request | 0.41 | 4.07 (0.7) |
Cluster 4 – normalization and citizenship
| |||
Importance Rating Values Results | 4.05–4.17 | ||
Nr. | Bridging Values Results | 0.49 | |
69. |
Using recovery-oriented work as a methodology
| 0.51 | 4.57 (0.62) |
13. | Open dialogue on autonomy/shared control | 0.51 | 4.36 (0.61) |
39. | Investing in discussing how to reach an agreement on recovery goals with different parties | 0.54 | 4.29 (0.45) |
76. | Not treatment goals, but the goals of the person concerned are leading | 0.55 | 4.21 (0.56) |
38. | An open discussion between all parties about the risks we do/do not want to take | 0.45 | 4.21 (0.41) |
14. | Make sure we transcend the patient role and just be neighbors | 0.42 | 4.14 (0.52) |
62. | Knowledge of the environment regarding how to deal with people with a vulnerability such as through mental health first aid training | 0.54 | 3.79 (0.41) |
7. | We are all a bit crazy, and craziness has an added value too | 0.38 | 3.64 (1.04) |
Cluster 5 - recovery
| |||
Importance Rating Values Results | 4.05–4.17 | ||
Nr. | Bridging Values Results | 0.57 | |
28. | Facilitating people’s autonomy | 0.57 | 4.50 (0.73) |
31. | Rights such as participation are basic principles, not favors | 0.49 | 4.50 (0.63) |
42. | Designing the curriculum of the Social Work program (senior secondary vocational education (MBO) & universities of applied sciences (HBO)) to focus on recovery and network psychiatry | 0.82 | 4.50 (0.50) |
65. | A good vision of citizenship and human rights in governments and organizations, care and welfare organizations, and the mental health care sector | 0.49 | 4.36 (0.81) |
61. | Focus on health rather than on illness or disability | 0.49 | 4.29 (0.70) |
50. | Attention to individual housing needs, such as the need for or lack of stimuli | 0.62 | 4.29 (0.59) |
46. | Normalizing vulnerability because no one is capable of complete self-reliance | 0.43 | 4.14 (0.64) |
53. | Positive attention, give people energy to take a new step | 0.48 | 4.14 (0.64) |
48. | Good balance between risk and growth of clients by care providers | 0.54 | 4.00 (0.53) |
32. | Recovery must also become the guiding principle in nursing education | 0.77 | 3.93 (0.59) |
23. | Seeing it as a public resource, normalizing it, and making it available to all | 0.41 | 3.64 (0.89) |
54. | Watchful Waiting because a proportion of people with mental health problems recover spontaneously | 0.51 | 3.57 (0.49) |
9. | Care providers must give up control to parties in a vulnerable position | 0.74 | 3.14 (0.52) |
Cluster 6 – sustainable funding
| |||
Importance Rating Values Results | 3.93–4.05 | ||
Nr. | Bridging Value Cluster | 0.73 | |
19. | A pleasant place that feels like home | 0.94 | 4.36 (0.61) |
59. | Well-qualified staff who also look at the contribution of the team when the client is not doing well | 0.84 | 4.21 (0.56) |
12. | Full range instead of a meager product that must not cost too much | 0.81 | 4.14 (0.74) |
79. | Decompartmentalization of the financial flows | 0.55 | 4.14 (0.91) |
44. | Person-driven funding: does the client benefit, instead of fixed product | 0.51 | 4.07 (0.80) |
17. | The mental health care sector must have a more serving role instead of being a claimant in shared principles with the social domain | 0.50 | 3.86 (0.99) |
20. | Focus on safety in the home situation | 1.00 | 3.79 (0.56) |
24. | Deploying Intensive Home Support based on people’s needs and not because of housing shortages | 0.67 | 3.79 (1.15) |
Cluster 7 - equivalence
| |||
Importance Rating Values Results | 3.93–4.05 | ||
Nr. | Bridging Values Results | 0.39 | |
29. |
Seeing the client not only as a person who needs help but also as a person who has something to offer
| 0.30 | 4.64 (0.48) |
15. | It is about ordinary life wishes | 0.47 | 4.07 (0.80) |
6. | Recognizing another in being different | 0.37 | 4.00 (1.00) |
8. | Normalizing problem behavior by replacing the term autonomy with the term shared control/ownership | 0.40 | 3.36 (1.11) |
Cluster 8 – flexible, proactive 24/7 support
| |||
Importance Rating Values Results | 3.93–4.05 | ||
Nr. | Bridging Values Results | 0.21 | |
51. | Flexibility regarding time and hours and type of support | 0.16 | 4.50 (0.63) |
37. | Flexible, continuous, and close support | 0.10 | 4.29 (0.8) |
80. | Cooperation between supported housing supervision and any mental health care practitioners | 0.11 | 4.29 (0.88) |
5. | People can engage support themselves, including at night and on weekends | 0.40 | 4.21 (0.41) |
2. | Offering process guidance, job coaching, and daytime activities | 0.33 | 4.14 (0.74) |
63. | Good options in case of a crisis with 24-hour access to someone to talk to and the use of a crisis card | 0.02 | 4.07 (0.46) |
4. | Availability of an on-call service | 0.07 | 4.07 (0.59) |
52. | Also, pay attention when the client apparently asks for little help | 0.51 | 4.07 (0.59) |
57. | Scaling up in case of crisis, if necessary to Intensive Home Treatment level | 0.00 | 4.07 (0.46) |
60. | Good 24-hour accessibility of care, not only in the context of a crisis | 0.28 | 4.00 (0.38) |
75. | Cooperation with FACT | 0.15 | 4.00 (0.76) |
35. | Possibility for the client to seek contact and proximity to the support | 0.34 | 3.93 (0.46) |
3. | Also, provide support to people who do not have a request yet but need support | 0.37 | 3.93 (0.46) |
1. | Scaling down to outpatient support if someone is sufficiently independent that he/she makes less use of the comprehensive decision on the care required | 0.16 | 3.71 (0.59) |
49. | Preparing clients at supported accommodations in time for their desire to live independently | 0.17 | 3.64 (1.04) |
36. | Long-term support by a fixed team | 0.22 | 3.43 (0.73) |
Cluster 9 - public health and positive health
| |||
Importance Rating Values Results | 3.81–3.93 | ||
Nr. | Bridging Values Results | 0.33 | |
18. | Lifestyle interventions as a method of strong cooperation between the mental health care sector and social domain aimed at fulfillment | 0.34 | 4.14 (0.64) |
64. | Good access to comprehensive healthcare from a positive health vision for all citizens and all aspects of health | 0.37 | 4.14 (0.91) |
40. | Rediscovering and modernising Kwartiermaken (quarter-making) (after the book by Doortje Kal) | 0.30 | 3.79 (1.15) |
22. | Setting up as public care (in all areas, without selection or indication) | 0.32 | 3.36 (1.11) |
Cluster 10 - integrated cooperation in support at home
| |||
Importance Rating Values Results | 3.69–3.81 | ||
Nr. | Bridging Values Results | 0.29 | |
78. |
Decompartmentalization of different cultures of the mental health care sector, supported housing and social domain to promote cooperation
| 0.26 | 4.57 (0.49) |
58. | Do not tie everything down in a product description so that there is room to do what is needed at the moment | 0.37 | 4.00 (0.65) |
55. | A large number of hours of support per week is possible with room for scaling up when and for whom needed | 0.15 | 3.93 (0.59) |
33. | View Intensive Home Support as a supplement to normal WMO support and not only as an outflow from supported housing | 0.35 | 3.86 (0.99) |
73. | Cooperation with housing assistance | 0.25 | 3.79 (0.77) |
74. | Cooperation with supported housing | 0.26 | 3.79 (0.77) |
26. | Preventing it from becoming compartmentalized but accessible to everyone in society | 0.47 | 3.71 (0.8) |
72. | Falling back on a supported housing facility for company or a question | 0.19 | 3.36 (0.81) |
10. | The mental health care sector is in a position of power and must give up budget to the community to make self-organization possible | 0.41 | 3.29 (0.96) |
43. | Control support by specialized supported housing teams instead of in the mental health care | 0.20 | 3.14 (0.99) |
45. | The future of supported housing and Intensive Home Support to be placed in the social domain instead of the mental health care sector | 0.26 | 3.14 (1.06) |
*Rating: vary from 1 (not important) to 5 (very important) |