Administration and Policy in Mental Health and Mental Health Services Research

, 33:226

The Use of Housing as Leverage to Increase Adherence to Psychiatric Treatment in the Community

  • Pamela Clark Robbins
  • John Petrila
  • Stephanie LeMelle
  • John Monahan

DOI: 10.1007/s10488-006-0037-3

Cite this article as:
Robbins, P.C., Petrila, J., LeMelle, S. et al. Adm Policy Ment Health (2006) 33: 226. doi:10.1007/s10488-006-0037-3

For people with mental disorder, access to subsidized housing may be used as “leverage” to obtain adherence to treatment. Interview data from 200 outpatients at each of five sites provided the first national description of the use of housing as leverage. Results indicated that housing is most likely to be used as leverage when it is “special” housing, available only to people with mental illness. Most frequently, respondents state that the requirement that they participate in treatment is imposed by their landlord, rather than by a clinician. The use of housing as leverage strongly increases respondents’ perceptions of coercion. Despite this, however, participants who experience housing as leverage are no less satisfied than other participants with the treatment that they receive, and are much more likely than other participants to believe that using housing as leverage is effective in helping people stay well.


housingleveragepressuremental healthtreatmentadherence

Copyright information

© Springer 2006

Authors and Affiliations

  • Pamela Clark Robbins
    • 1
    • 5
  • John Petrila
    • 2
  • Stephanie LeMelle
    • 3
  • John Monahan
    • 4
  1. 1.Policy Research Associates, Inc.DelmarUSA
  2. 2.Department of Mental Health Law and PolicyUniversity of South FloridaTampaUSA
  3. 3.New York State Psychiatric InstituteNew YorkUSA
  4. 4.School of LawUniversity of VirginiaCharlottesvilleUSA
  5. 5.Policy Research Associates, Inc.DelmarUSA