Although there is a shift towards smaller-scale, individualised housing, limited research exists on the long-term experiences of people with neurological disability and complex needs in these settings. This Australian study explored the experiences of adults who had lived for two years in a “10 + 1” housing model, which consists of ten accessible apartments integrated into a larger mainstream development, with an additional unit for 24-hour support, as required. 

Fifteen adults with neurological disability participated in semi-structured interviews exploring quality of life, participation, social connections, support and the built environment. Three themes included: getting housing and support right for me; taking control; and personal growth. A core category of 'becoming and being settled' underpinned these themes. 

Key findings

• While many participants described increased security and independence, challenges related to accessibility and support sometimes limited their sense of being settled. 
• Accessible apartments can support safety, independence and personal growth for people with neurological disability.
• Ongoing improvements in design and onsite support are needed. 
• A diverse housing market is essential to support choice, and rehabilitation should include planning for housing that aligns with individual needs and preferences. 

Implications for rehabilitation

• Inclusive accessible apartments with onsite support can enable control over daily routines and foster self-determination and personal growth by helping people with neurological disability feel settled. 
• Rehabilitation should include planning for housing that allows individuals to choose where they live, including housing options that align with their needs and preferences. 
• Collaborative approaches that integrate housing, support services and rehabilitation are essential to address ongoing design and support challenges.