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Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness

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Abstract

This study tests components of Wong and Solomon’s (2002, Mental Health Services Research, 4(2), 13–28) model of community integration, identifying both the dimensions and predictors of integration. It evaluates community integration among adults with psychiatric disabilities assigned randomly to receive either independent scatter-site apartments with the Housing First approach (experimental) or services as usual (control). Factor analysis supported a definition of community integration that includes psychological, physical, and social domains, but also suggested the existence of another factor, independence/self-actualization. Regression analysis suggested that choice and independent scatter-site housing were predictors of psychological and social integration respectively. Psychiatric hospitalization, symptomatology and participation in substance use treatment were also found to influence aspects of integration. We discuss several issues that future studies should explore including the possibility that the same factor can differentially influence discrete aspects of integration, the role of person–environment fit, integration that is not based in the neighborhood, and, finally, conceptions of community integration from the perspective of consumers themselves.

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Author information

Authors and Affiliations

  1. New York University, New York, USA

    Leyla Gulcur Ph.D.

  2. Pathways to Housing, Inc., New York, USA

    Sam Tsemberis Ph.D.

  3. Columbia University, New York, USA

    Ana Stefancic M.A.

  4. University of Dundee, Dundee, Scotland, UK

    Ronni M. Greenwood Ph.D.

Authors
  1. Leyla Gulcur Ph.D.
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  2. Sam Tsemberis Ph.D.
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  3. Ana Stefancic M.A.
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  4. Ronni M. Greenwood Ph.D.
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Corresponding author

Correspondence to Leyla Gulcur Ph.D..

Additional information

Leyla Gulcur is affiliated with New York University, New York, USA. Sam Tsemberis is affiliated with Pathways to Housing, Inc., New York, USA. Ana Stefancic is affiliated with Columbia University, New York, USA. Ronni M. Greenwood is affiliated with University of Dundee, Dundee, Scotland, UK.

Address correspondence to Leya Gulcar, Ph. D., 48 Greenwich Avenue, #5C, New York, NY 10011, USA; email: leyla.gulcur@nyu.edu

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Gulcur, L., Tsemberis, S., Stefancic, A. et al. Community Integration of Adults with Psychiatric Disabilities and Histories of Homelessness. Community Ment Health J 43, 211–228 (2007). https://doi.org/10.1007/s10597-006-9073-4

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  • DOI: https://doi.org/10.1007/s10597-006-9073-4

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