Social inclusion is essential for an adequate rehabilitation process for people with serious mental illness (SMI). Various supported housing settings aim to promote housing competencies and social inclusion in service users. Nevertheless, there is a strong preference in service users for independent living. We aim to evaluate the effectiveness and efficiency of Independent Housing and Support (IHS) compared to institutionalised residential care settings and other treatment as usual conditions (RCS/TAU) in two cities in Switzerland. This is a prospective multi-centre, four-arm, non-inferiority cohort study investigating the effectiveness and efficiency of IHS and RCS/TAU for people with SMI. Effectiveness will be measured by a standardised measure of social inclusion as primary outcome as well as by measures of functioning and well-being. Efficiency will be analysed on the basis of service usage and costs associated with the different housing settings. Participants will be consecutively recruited and subsequently enrolled between April 2019 and December 2020 and assessed at baseline and after six, twelve and after 24 months. At one study site, 56 participants will be randomly assigned to one of the conditions; the other study site will be conducted as an observational study investigating 112 admitted participants. While the UN Convention of the Rights of People with Disabilities aims to promote the opportunity to choose one’s place of residence, the limited supply of alternative forms of housing does not guarantee genuine freedom of choice. Increased diversification and flexibility of housing support is essential. If IHS shows non-inferiority in terms of their effectiveness and efficiency, users should be allowed to choose their kind of housing support. ClinicalTrials.gov: NCT03815604, December 04, 2019. 

中文翻译：

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对患有严重精神疾病的非无家可归者的独立住房和支持：随机对照试验与观察性研究 - 研究方案。


社会包容对于严重精神疾病 (SMI) 患者的充分康复过程至关重要。各种受支持的住房环境旨在提高服务使用者的住房能力和社会包容性。尽管如此，服务使用者仍强烈偏好独立生活。我们的目的是评估瑞士两个城市的独立住房和支持 (IHS) 与机构化住宿护理环境和其他常规治疗 (RCS/TAU) 的有效性和效率。这是一项前瞻性多中心、四臂、非劣效性队列研究，调查 IHS 和 RCS/TAU 对 SMI 患者的有效性和效率。有效性将通过作为主要成果的社会包容的标准化衡量标准以及功能和福祉衡量标准来衡量。将根据与不同住房环境相关的服务使用和成本来分析效率。参与者将在 2019 年 4 月至 2020 年 12 月期间连续招募并随后入组，并在基线以及 6 个月、12 个月和 24 个月后进行评估。在一个研究地点，56 名参与者将被随机分配到其中一项条件；另一个研究中心将作为一项观察性研究来调查 112 名被录取的参与者。虽然《联合国残疾人权利公约》旨在促进选择居住地的机会，但替代形式住房的有限供应并不能保证真正的选择自由。增加住房支持的多样性和灵活性至关重要。如果 IHS 在有效性和效率方面表现出非劣势，则应允许用户选择自己的住房支持类型。临床试验。政府：NCT03815604，2019 年 12 月 4 日。