Perceived occupational balance and well-being among people with mental illness living in two types of supported housing

Scand J Occup Ther. 2020 Aug;27(6):450-461. doi: 10.1080/11038128.2019.1622771. Epub 2019 Jun 7.

Abstract

Background: People with psychiatric disabilities often struggle with maintaining a satisfying occupational balance. Knowledge about factors of relevance for occupational balance in this group is therefore vital for improving their support.Aim: The aim was to describe perceptions of occupational balance among people with psychiatric disabilities living in supported housing (SH) or in own flat/house with housing support (OHS). Potential importance of housing context and socio-demographic, well-being and recovery factors for occupational balance was also explored.Methods: Participants from SH (N = 155) and OHS (N = 111) responded to questionnaires about sociodemographic situation, well-being (self-rated health, life satisfaction and self-mastery), personal recovery and occupational balance (work, leisure, home chores, self-care and general balance assessed by SDO-OB).Results: A majority in both groups reported being in balance regarding all five domains of occupational balance. The OHS group reported being more under-occupied for home chores and self-care. Self-mastery was the most important contributor in both groups in the domains of work, domestic chores and self-care. Day center attendance was vital for general occupational balance.Conclusion: Both groups generally perceived occupational balance. Control over one's life situation and possibilities for regularly participating in occupations outside the home environment should receive high priority in housing support.

Keywords: Activity; life balance; occupation; psychiatric disabilities; supported accommodation.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Disabled Persons
  • Female
  • Health Status*
  • Housing* / economics
  • Humans
  • Leisure Activities
  • Male
  • Mental Disorders / psychology*
  • Middle Aged
  • Perception
  • Self Care
  • Self-Control
  • Surveys and Questionnaires
  • Work-Life Balance