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Record W4417161074 · doi:10.7870/cjcmh-2025-014

Cost Analysis of Psychiatric Care With and Without Supportive Housing for Patients With Severe Mental Illness in Canada: A Rapid Review

2025· article· en· W4417161074 on OpenAlexaffvenueabout
Maryann Rogers, Gavin Wong, M Skye Wilson, Craig Mitton

Bibliographic record

VenueCanadian Journal of Community Mental Health · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHomelessness and Social Issues
Canadian institutionsMcMaster UniversityUniversity of British Columbia
Fundersnot available
KeywordsMental illnessSupportive housingMental healthQuality of life (healthcare)Mental health careHousing FirstCost analysisIllness severity

Abstract

fetched live from OpenAlex

Canada faces a mental health crisis, with one in five citizens experiencing mental illness annually, contributing to an economic burden of $50 billion. Supportive housing for individuals with serious mental illness (SMI) has been shown to improve quality of life and reduce hospitalizations. This review examines the cost-effectiveness of psychiatric care with and without supportive housing. A review and narrative synthesis revealed supportive housing to be cost-saving, despite high initial costs, through reduced resource utilization. Policymakers should prioritize supportive housing as a cost-effective alternative to inpatient care for individuals requiring gradual community reintegration.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.021
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.169
Threshold uncertainty score0.460

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.021
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0040.005
Bibliometrics0.0120.025
Science and technology studies0.0010.001
Scholarly communication0.0040.001
Open science0.0020.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.040
GPT teacher head0.389
Teacher spread0.350 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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