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Housing for People with Serious Mental Illness: Approaches, Evidence, and Transformative Change
"... The evolution of housing approaches for people with serious mental illness is described and analyzed. A distinction is made between three different approaches to housing: (a) custodial, (b) supportive, and (c) supported. Research evidence is reviewed that suggests the promise of supported housing, b ..."
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The evolution of housing approaches for people with serious mental illness is described and analyzed. A distinction is made between three different approaches to housing: (a) custodial, (b) supportive, and (c) supported. Research evidence is reviewed that suggests the promise of supported housing, but more re-search is needed that compares supported housing with differ-ent supportive housing approaches. It is argued that the cur-rent move to a supported housing approach represents a funda-mental shift or transformative change in mental health policy and practice. Strategies to facilitate this shift are discussed. Key words: housing approaches, mental illness, homelessness, housing first Prior to the 1950s and 1960s, people with serious mental illness were confined to mental hospitals (Foucault, 1965). Goffman (1961) characterized these hospitals as "total insti-tutions " that encompassed all aspects of life for the patients who resided within them. Mental hospitals typically had "long stay " wards for so called "chronic mental patients, " and some even had their own graveyards where deceased patients were
RECOVERY AS A GUIDE FOR ENVIRONMENTAL ENHANCEMENT IN GROUP HOMES FOR PEOPLE WITH A MENTAL ILLNESS: A SOCIAL-ECOLOGICAL APPROACH By
"... ii Background: As the paradigm underlying mental health care slowly shifts from an approach primarily institutional and medical in its orientation toward one more community-based and recovery-oriented, housing needs have come to the forefront. Many people with persistent mental illness accept group ..."
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ii Background: As the paradigm underlying mental health care slowly shifts from an approach primarily institutional and medical in its orientation toward one more community-based and recovery-oriented, housing needs have come to the forefront. Many people with persistent mental illness accept group home living situations that do not necessarily meet their needs, and do not align with the recovery vision. Research focused on recovery for residents of group homes is all but absent in the literature. Purpose: The purpose of this study was to identify the challenges and opportunities for enabling group homes to increase their capacity to serve as an environment that integrates the recovery vision. Method: Using ethnographic methods, this case study examined the cultural milieu of a group home, how recovery is understood within the setting, and the impact of policies and practices on enacting the recovery vision. By converging multiple strategies for data collection (participant observation, key informant interviews, and document analysis), a
BY
, 2011
"... Dr. Gavin Andrews, who provided valuable consultation and keen insight into this work. His writings on the intersection of nursing and geography were truly an inspiration for this study. My dissertation committee members, who have been there for me since the beginning. I would not have been able to ..."
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Dr. Gavin Andrews, who provided valuable consultation and keen insight into this work. His writings on the intersection of nursing and geography were truly an inspiration for this study. My dissertation committee members, who have been there for me since the beginning. I would not have been able to get through this process without their continual encouragement, friendship, flexibility, time, and most of all, their belief in the importance of this work. My academic advisor Joan Liaschenko, who has a brilliant mind and passionate heart. Joan has been an ever-present support to me and continually challenges my notions of society, social justice, and the obligations of nursing. She taught me to stand up for those who do the real 'care ' work in our world, and for that, I am grateful. My husband John Petroskas, who I deeply love, admire, and respect. John has been reaching out to those without a home for over 15 years and has worked tirelessly to house hundreds of extraordinary people. His life and their stories have been a light to me in dark and lonely times. Words can not express how thankful I am for this man- he has softened and sharpened me in the best of ways.... and most of all …
By
, 2013
"... The purpose of the research study outlined in this document is to examine the social perceptions of homelessness in the City of Regina through the utilization of phenomenological theory and focus group methodology. This document identifies the underlying factors that contribute to poverty and homele ..."
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The purpose of the research study outlined in this document is to examine the social perceptions of homelessness in the City of Regina through the utilization of phenomenological theory and focus group methodology. This document identifies the underlying factors that contribute to poverty and homelessness in Canada, specifically Regina, as well as the external factors that maintain the cycle of reduced functioning of homeless individuals in society. Current social support endeavors are presented as a means of evaluating resource options for individuals experiencing homelessness. Data from the focus groups, comprised of Regina citizens, was synthesized through content analysis techniques associated with phenomenology and the results are presented thematically. The review of the literature, in conjunction with the analyzed focus group material, captured Regina citizens ’ perceptions of homelessness and acknowledged that this specific social issue has associated problems. The focus group participant feedback resulted in programming recommendations and public awareness suggestions which were provided to the Ranch Ehrlo Society – Ehrlo Housing Program for future programming
RESEARCH Predictors of quality of life t
"... ve ce or an ard subjective component refers to “well-being, ” “happiness ” Cross-sectional and comparative studies have identified ..."
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ve ce or an ard subjective component refers to “well-being, ” “happiness ” Cross-sectional and comparative studies have identified
Pahang River Community Satisfaction towards Their Quality of Life: The Case of Community in Pekan, Pahang
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Dementia � Violence � Crime � Behavioral disorders
, 2011
"... www.karger.com/dee This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (www.karger.com/OA-license), applicable to the online version of the article only. Distribution for non-commercial purposes only. ..."
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www.karger.com/dee This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (www.karger.com/OA-license), applicable to the online version of the article only. Distribution for non-commercial purposes only.
ORIGINAL CONTRIBUTION Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems
"... CONCERNS ABOUT HIGH PUBLICsystem costs incurred bychronically homeless indi-viduals have inspired nation-wide efforts to eliminate chronic home-lessness.1,2 Homeless people have high barriers to health care access gener-ally but use acute care services at high rates.3-5 Mortality rates among home-le ..."
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CONCERNS ABOUT HIGH PUBLICsystem costs incurred bychronically homeless indi-viduals have inspired nation-wide efforts to eliminate chronic home-lessness.1,2 Homeless people have high barriers to health care access gener-ally but use acute care services at high rates.3-5 Mortality rates among home-less adults are 3 or more times that of the general population.6,7 Chronically homeless peoplewith se-vere alcohol problems, sometimes re-ferred to as chronic public inebriates, are highly visible on the streets and are costly to the public through high use of publicly funded health and crimi-nal justice systems resources.8-12 Typi-cal interventions such as shelters, ab-stinence-based housing, and treatment programs fail to reverse these patterns for this population.10,13 Health condi-tions and mortality rates within this population are similar to those found in developing countries.14,15 Average age at death is estimated to be 42 to 52 years, with 30 % to 70 % of deaths re-lated to alcohol.7,16,17 The provision of housing reduces hospital visits, admissions, and dura-tion of hospital stays among homeless individuals,5,18,19 and overall public sys-tem spending is reduced by nearly as much as is spent onhousing.19One type
