{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T13:46:18Z","timestamp":1765374378599,"version":"3.46.0"},"reference-count":39,"publisher":"Royal College of General Practitioners","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2024,10,31]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Co-location and integration of services within a psychologically informed environment (PIE) is recommended for people experiencing homelessness (PEH) but there are few examples of this in the UK. Such a centre opened in Edinburgh, Scotland in November 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate progress of the new centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>This was a mixed-methods pre\u2013post-test design study before (baseline) and 2 years after (follow-up) the move to the new co-located centre. The study took place in Edinburgh, Scotland. The baseline evaluation was conducted at two separate homelessness services and the follow-up evaluation at the new co-located centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Baseline and follow-up staff surveys measured knowledge of trauma-informed care (TIC), wellbeing, team climate, and job satisfaction. The follow-up staff survey also evaluated staff support and service improvements. In-depth staff interviews were conducted at baseline (\n                      <jats:italic>n<\/jats:italic>\n                      = 25) and follow-up and analysed thematically. A service-user survey was also conducted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The staff survey showed significant improvements between baseline and follow-up in TIC, burnout, and team climate, together with improvements in support, service integration, and service-user care. Service users reported high satisfaction with the new centre. Staff interviews identified a more PIE, better staff support, and improved opportunistic multidisciplinary working over the 2 years of the centre opening. However, a number of barriers were also identified relating to the building and the IT systems. Further work on the centre\u2019s vision, short and long-term integration plans, workload, and sustainability were felt to be needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Co-location of services for PEH in Scotland has led to reductions in staff burnout and improvements in team climate and service users\u2019 satisfaction over the first 2 years of opening. However, barriers remain and full integration requires a clearer vision and \u2018roadmap\u2019, requiring collaborative leadership and sustainable funding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2024.0198","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T13:25:18Z","timestamp":1737552318000},"page":"BJGPO.2024.0198","source":"Crossref","is-referenced-by-count":0,"title":["Staff and service user perspectives of a co-located homelessness centre in Scotland: a mixed-methods evaluation"],"prefix":"10.3399","volume":"9","author":[{"given":"Lauren","family":"Ng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddie","family":"Donaghy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Conway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-3664","authenticated-orcid":false,"given":"Stewart W","family":"Mercer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"2025111217104252000_9.3.BJGPO.2024.0198.1","unstructured":"Watts-Cobbe B Bramley G McMordie L et al (2024) The homelessness monitor: Scotland 2024. accessed. .. https:\/\/www.crisis.org.uk\/media\/ogcj2sun\/homelessness-monitor-scotland_report2024_v7.pdf. 16 Jun 2025."},{"key":"2025111217104252000_9.3.BJGPO.2024.0198.2","unstructured":"Organisation for Economic Co-operation and Development (2020) Better data and policies to fight homelessness in the OECD. accessed. https:\/\/www.oecd.org\/content\/dam\/oecd\/en\/publications\/reports\/2019\/11\/better-data-and-policies-to-fight-homelessness-in-the-oecd_0c635c9b\/0eef075a-en.pdf. 16 Jun 2025."},{"key":"2025111217104252000_9.3.BJGPO.2024.0198.3","doi-asserted-by":"publisher","DOI":"10.1080\/19491247.2021.1971033"},{"key":"2025111217104252000_9.3.BJGPO.2024.0198.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31869-X"},{"key":"2025111217104252000_9.3.BJGPO.2024.0198.5","doi-asserted-by":"publisher","DOI":"10.2174\/1874924001003010080"},{"key":"2025111217104252000_9.3.BJGPO.2024.0198.6","unstructured":"National Institute for Health and Care Excellence (2022) Integrated health and social care for people experiencing homelessness. 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