Supplementary Material for: “We had unexpected reactions from everywhere”: a qualitative study on the impact of the COVID-19 pandemic on supported accommodations for people with serious mental disorders

Abstract
Background: Limited information is available on the impact of the COVID-19 pandemic on supported accommodations (SAs) for people with serious mental disorders. A quantitative study recently conducted in Portugal showed that these services struggled with a more challenging environment, residents’ fears, and lack of support from community services. We now aim to complement it by reporting qualitative data on the experiences of residents and professionals of SAs for people with serious mental disorders during the pandemic.

Methods: A purposive sample of 11 residents and 11 professionals from 11 different organisations responsible for SAs in Portugal was included. Data was collected through semi-structured interviews. The interview guide included questions regarding changes in the functioning of SAs and implemented measures during COVID-19, and the impact of the pandemic on the well-being of residents and professionals. Thematic analysis was used.

Findings: Some SAs had to close or relocate, and several procedures were changed. Residents felt that the most impactful changes included not being able to go outside or see loved ones. Despite some residents reporting anxiety or sadness, almost none relapsed. However, some professionals noted an impact on the autonomy and cognition of residents. Despite reporting a negative impact of the pandemic on their own well-being, professionals struggled to maintain the functioning of SAs and the well-being of residents. Residents recognised the effort done by professionals and felt supported by them during COVID-19.

Conclusions: The COVID-19 pandemic significantly impacted the functioning of SAs. In line with our findings, some actions seem fundamental to improve SAs’ resilience in the future. These relate to human resources, training, structural conditions, new technologies, and professionals’ well-being.