Journal article

The outcomes of individualized housing for people with disability and complex needs: a scoping review

Housing for people with disability Supported accommodation People with disability

Purpose: Worldwide, disability systems are moving away from congregated living towards individualised models of housing. Individualised housing aims to provide choice regarding living arrangements and the option to live in houses in the community, just like people without disability. The purpose of this scoping review was to determine what is currently known about outcomes associated with individualised housing for adults with disability and complex needs.

Methods: Five databases were systematically searched to find studies that reported on outcomes associated with individualised housing for adults (aged 18–65 years) with disability and complex needs.

Results: Individualised housing was positively associated with human rights (i.e., self-determination, choice and autonomy) outcomes. Individualised housing also demonstrated favourable outcomes in regards to domestic tasks, social relationships, challenging behaviour and mood. However, outcomes regarding adaptive behaviour, self-care, scheduled activities and safety showed no difference, or less favourable results, when compared to group homes.

Conclusions: The literature indicates that individualised housing has favourable outcomes for people with disability, particularly for human rights. Quality formal and informal supports were identified as important for positive outcomes in individualised housing. Future research should use clear and consistent terminology and longitudinal research methods to investigate individualised housing outcomes for people with disability.

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