Abstract
The development of innovative alternatives to nursing homes is critical, especially in the context of OBRA mandates and the growing geriatric population. This article examines the experience of one urban county in Washington State in providing supported housing for the OBRA-affected mentally ill elderly. The significance of this demonstration project is its “bold” new approach in applying this emerging model to the elderly. It illustrates the perspectives and experience of both consumers and care-givers in implementing the supported housing approach, and the tensions between consumer preferences and staff, organizational and funding constraints.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Action Committee to Implement the Mental Health Recommendations of the 1981 White House Conference on Aging.Mental health services for the elderly: Report on a survey of community mental health center, Vol. II. Washington, DC., 1984.
Blanch, A., Carling, P., & Ridgway, P. Normal housing with specialized support: A psychiatric rehabilitation approach to living in the community.Rehabilitation Psychology, 33 (1), 1988, 47–55.
Butler, R., & Lewis, M.Aging and mental health. St. Louis: C.V. Mosby, 1982.
Carling, P. Major mental illness, housing and supports: The promise of community integration.American Psychologist, 45, 1990, 969–975.
Fisher, W., Geller, J., Pearsall, D., Simon, L., & Wirth-Cauchon, J. A continuum of services for the deinstitutionalized, chronically mentally ill elderly.Administration and Policy in Mental Health, 18 (6), 1991, 397–410.
Freiman, M., Arons, B., Goldman, H., & Burns, B. Nursing home reform and the mentally ill.Health Affairs, 48, 1990 (Winter), 47–60.
Government Accounting Office.The Elderly remain in need of mental health services. Publication GAO/HRD 82–112, 1982. Washington, DC: Government Printing Office.
——.Medicaid: Addressing the needs of mentally retarded nursing home residents. Washington, DC: Government Printing Office, 1987.
Health Care Financing Administration. Medicaid program: Conditions for Intermediate Care Facilities for the mentally retarded (Final rule).Federal Register, 1988, p. 20448.
--. Proposed rule: Medicare and Medicaid programs: Preadmission screening and annual resident review.Federal Register, March 23, 1990, pp. 10851–10881.
Hogan, M., & Carling, P. Normal housing: A key element of a supported housing approach for people with psychiatric disabilities.Community Mental Health Journal, 28 (3), 1992, 215–225.
Institute of Medicine.Improving the quality of care in nursing homes. Washington, DC: National Academy Press, 1986.
Mitchell, D., & Braddock, D. Historical and contemporary issues in nursing home reform.Mental Retardation, 28 (4), 1990, 201–210.
National Association of State Mental Health Program Directors.Position statement on housing and support for people with long-term mental illness. Alexandria, VA: Author, 1987.
National Institute of Mental Health.Guidelines for meeting the housing needs of people with psychiatric disabilities. Rockville, MD: Author, 1987.
Pepper, B., & Rygliewicz, H. The role of the state hospital: A new mandate for a new era.Psychiatric Quarterly, 57, 1985, 230–251.
Ridgway, P., & Zipple, A. The paradigm shift in residential services: From the linear continuum to supported housing approaches.Psychosocial Rehabilitation Journal, 13 (4), 1990, 11–31.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sohng, S.S.L. Supported housing for the mentally ill elderly: Implementation and consumer choice. Community Ment Health J 32, 135–148 (1996). https://doi.org/10.1007/BF02249751
Issue Date:
DOI: https://doi.org/10.1007/BF02249751