Community Mental Health Journal

, Volume 31, Issue 2, pp 139–152

Housing choice and community success for individuals with serious and persistent mental illness

  • Debra Srebnik
  • Joy Livingston
  • Lawrence Gordon
  • David King


Consumer choice is a central principle of psychosocial rehabilitation and supported housing approaches. This study assessed level of housing choice and the relationship of choice to community success in supported housing demonstration projects in five states. Assessment of level of choice about housing revealed very limited housing options and a high degree of influence from service providers over housing choice. Despite few options, most respondents liked their housing option(s), and felt they had enough information to make a good housing decision. The relationship of choice to community success over time demonstrated that choice was positively related to housing satisfaction, residential stability, and psychological well-being. Discussion focuses on implications of the findings for mental health services and public policy.


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  1. Anthony, W. (1991).The philosophy and practice of psychiatric rehabilitation. Boston University: Center for Psychiatric Rehabilitation.Google Scholar
  2. Anthony, W. & Blanch, A. (1989). Research on community support services: What have we learned.Psychosocial Rehabilitation Journal, 12(3), 55–81.Google Scholar
  3. Blanch, A., Carling, P., & Ridgway, P. (1988). Normal housing with specialized supports: A psychiatric rehabilitation approach to living in the community.Rehabilitation Psychology, 33(1), 47–55.CrossRefGoogle Scholar
  4. Braun, P., Kochansky, G., Shapiro, R., Greenberg, S., Gudeman, J., Johnson, S. & Shore, M. (1981). Overview: Deinstitutionalization of psychiatric patient—A critical review of outcome studies.American Journal of Psychiatry, 138, 736–749.PubMedGoogle Scholar
  5. Brigham, (1979). In L. Perlmuter & R. Monty (Eds.)Choice and perceived control. New York: Wiley.Google Scholar
  6. Campbell, A., Converse, P., & Rodgers, W. (1976).The quality of American life New York: Russell Sage.Google Scholar
  7. Chamberlin, J. (1978).On our own: Patient controlled alternatives to the mental health system. New York: McGraw-Hill.Google Scholar
  8. Cnaan, R., Blankertz, L., Messinger, K., & Gardner, J. (1988). Psychosocial rehabilitation: Toward a definition.Psychosocial Rehabilitation Journal 11(4), 61–77.Google Scholar
  9. Corah, N. & Boffa, J. (1970). Perceived control, self-observation, and response to aversive stimulation.Journal of Personality and Social Psychology, 16, 1–4.Google Scholar
  10. Endicott, J., Spitzer, R., Fleiss, J., & Cohen, J. (1976). The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 33, 766–771.PubMedGoogle Scholar
  11. Farkas, M., Anthony, W., & Cohen, M. (1989). Psychiatric rehabilitation: The approach and its programs. In M. Farkas & W. Anthony (Eds.)Psychiatric rehabilitation programs: Putting theory into practice. Baltimore, Maryland: Johns Hopkins University Press.Google Scholar
  12. Ferrari, N. (1963). Freedom of choice.Social, Work, 8, 104–106.Google Scholar
  13. Goffman, E. (1961).Asylums: Essays on the social situation of mental patients and other inmates Garden City, New York: Doubleday Anchor.Google Scholar
  14. Gurin, G., Veroff, J., & Feld, S. (1960).American's view of their mental health New York: Basic Books.Google Scholar
  15. Harding, C., Zubin, J., & Strauss, J. (1987). The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM-III Criteria for schizophrenia.American Journal of Psychiatry, 144(6), 727–735.Google Scholar
  16. Harvey, J. & Harris, B. (1975). Determinants of perceived choice and the relationship between perceived choice and expectancy about feelings of internal control.Journal of Personality and Social Psychology, 31(1), 101–106.Google Scholar
  17. Janoff-Bulman, R. & Marshall, G. (1982). Mortality, well-being, and control: A study of a population of institutionalized aged.Journal of Personality and Social Psychology, 8(4) 691–698.Google Scholar
  18. Jellison, J. & Harvey, J. (1973). Determinants of perceived choice and the relationship between perceived choice and perceived competence.Journal of Personality and Social Psychology, 28(3), 376–382.Google Scholar
  19. Jerrell, J. & Hargreaves, W. (1989).Community Program Philosophy Scale (CPPS): Preliminary Report. Services Research, Berkeley California.Google Scholar
  20. Krantz, D. & Schultz, R. (1980). A model of life crisis, control and health outcomes: Cardiac rehabilitation and relocation of the elderly. In A. Baum & J. Singer (Eds.).Advances in environmental psychology: vol. 2 Applications of personal control Hillsdale: Erlbaum.Google Scholar
  21. Langer, E., & Rodin, J. (1976). The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting.Journal of Personality and Social Psychology, 38(2), 191–198.Google Scholar
  22. Liem, G. (1975). Performance and satisfaction as affected by personal control over salient decisions.Journal of Personality and Social Psychology, 3, 232–240.Google Scholar
  23. McCabe, S., Edgar, B., King, D., Ross, E.C., Mancuso, L., & Emery, B. (1991).The Supplemental Security Income-HUD fair market rent: A comparative study. Center for Community Change through Housing and Support, University of Vermont, Burlington, Vermont.Google Scholar
  24. Mills, R. & Krantz, D. (1979). Information, choice, and reactions to stress: A field experiment in a blood bank with laboratory analogue.Journal of Personality and Social Psychology, 37(4), 608–620.CrossRefPubMedGoogle Scholar
  25. Monty, R., Geller, E., Savage, R., & Perlmuter, L. (1979). The freedom to choose is not always so choice.Journal of Experimental Psychology: Human Learning and Memory, 5(2), 170–178.CrossRefGoogle Scholar
  26. Monty, R. & Perlmuter, L. (1975). Persistence of the effect of choice on paired-associate learning.Memory and Cognition, 3, 183–187.Google Scholar
  27. Monty, R., Rosenberger, M., & Perlmuter, L. (1973). Amount and locus of choice as sources of motivation and paired-associate learning.Journal of Experimental Psychology, 97, 16–21.Google Scholar
  28. National Institute of Mental Health (1987 September).Guidelines for meeting the housing needs of people with psychiatric disabilities. Rockville, MD: Author.Google Scholar
  29. Prager, E. (1980). Evaluation in mental health: Enter the consumer.Social Work Research Abstracts, 4, 5–10.Google Scholar
  30. Ridgway, P. (1988a). The voice of consumer in mental health systems: A call for change. Unpublished manuscript.Google Scholar
  31. Ridgway, P. (1988b).Coming home: Ex-patients view housing options and needs. Proceedings of a national housing forum, Boston, Mass.Google Scholar
  32. Rodin, J., Rennert, K., & Solomon, S. (1980). Intrinsic motivation for control: Fact or fiction. In A. Baum & J. Singer (Eds.).Advances in environmental psychology: vol. 2 Applications of personal control, Hillsdale: Erlbaum.Google Scholar
  33. Rose, S. & Black, B. (1985).Advocacy and empowerment: Mental health care in the community. Boston: Routledge & Kegan Paul.Google Scholar
  34. Steiner, I. (1979). Three kinds of reported choice. In L. Perlmuter & R. Monty (Eds.)Choice and perceived control. New York: Wiley.Google Scholar
  35. Stotland, E. & Blumenthal, A. (1964). The reduction of anxiety as a results of the expectation of making a choice.Canadian Journal of Psychology, 18:139–145.PubMedGoogle Scholar
  36. Stroul, B. (1989). Community support systems for people with long-term mental illness: A conceptual framework.Psychosocial Rehabilitation Journal, 12(3), 9–26.Google Scholar
  37. Tanzman, B., Wilson, S., & Yoe, J. (in press). The Vermont consumer housing preference study. In J. Jacobson, S. Burchard, & P. Carling (Eds.).Clinical services, social Adjustment and work life in community living. Baltimore: Johns Hopkins University Press.Google Scholar
  38. Tanzman, B. (1990).Researching the preference of people with psychiatric disabilities for housing and supports: A practical guide. Center for Community Change through Housing and Support, University of Vermont, Burlington, Vermont.Google Scholar
  39. Turner, J. & TenHoor, W. (1978). The NIMH community support program. Pilot approach to a needed social reform.Schizophrenia Bulletin, 4, 319–349.Google Scholar
  40. Tversky, A. (1972). Elimination by aspects: A theory of choice.Psychological Review, 79, 281–299.Google Scholar
  41. Westcott, M. (1988).The psychology of human freedom: A human science perspective and critique. New York: Springer-Verlag.Google Scholar
  42. Wicklund, R. (1974).Freedom and reactance. New York: Wiley.Google Scholar
  43. Worchel, F., Copeland, D., & Barker, D. (1987). Control-related coping strategies in pediatric oncology patients.Journal of Pediatric Psychology, 12(1), 25–38.PubMedGoogle Scholar
  44. Zinman, S. (1986). Self-help: The wave of the future.Hospital and Community Psychiatry, 37(3), 213.PubMedGoogle Scholar
  45. Zinman, S., Howie the Harp, & Budd, S. (1987).Reaching across: Mental health clients helping each other. Sacramento, CA: The California Network of Mental Health Clients.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1995

Authors and Affiliations

  • Debra Srebnik
    • 1
  • Joy Livingston
    • 2
  • Lawrence Gordon
    • 2
  • David King
    • 2
  1. 1.University of WashingtonSeattle
  2. 2.University of VermontBurlington

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