Advertisement

Community Mental Health Journal

, Volume 40, Issue 2, pp 133–150 | Cite as

Community Integration in the Early Phase of Housing Among Homeless Persons Diagnosed with Severe Mental Illness: Successes and Challenges

  • Philip T. Yanos
  • Susan M. Barrow
  • Sam Tsemberis
Article

Abstract

The present investigation used qualitative methods to explore the response to housing and experience of community integration of formerly homeless individuals diagnosed with severe mental illness recently housed in both independent and staffed residential settings. Findings indicate that entering into housing after a long period of homelessness is associated with improvements in community integration for most individuals diagnosed with severe mental illness. However, for a meaningful minority, the adaptation to housing may also be associated with challenges that can complicate the integration process. Implications of findings are discussed in the context of how best to tailor programs to meet the complex needs of persons diagnosed with severe mental illness and to maximize community integration.

homelessness community integration severe mental illness 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. Arons, B. S., & Weiss, S. R. (1997). Role of the public sector. In R. K. Schreter, S. S. Sharfstein, & C. A. Schreter (Eds.), Managing care, not dollars: The continuum of mental health services. Washington, D.C.: American Psychiatric Press.Google Scholar
  2. Carling, P. J. (1995). Return to community: Building support systems for people with psychiatric disabilities. New York: Guilford.Google Scholar
  3. Goffman, E. (1968). Asylums. Chicago: Alding.Google Scholar
  4. Gulcur, L., Stefarcic, A., Shinn, M., Tsemberis, S., & Fischer, S. (2003). Housing, hospital, and cost outcomes for homeless individuals with psychiatric disabilities.Google Scholar
  5. Hopper, K., & Barrow, S. M. (2003). Two genealogies of supported housing and their implications for outcome assessment. Psychiatric Services, 54, 50-54.Google Scholar
  6. Hopper, K., Jost, J., Hay, T., Welber, S., & Haugland, G. (1997). Homelessness, severe mental illness, and the institutional circuit. Psychiatric Services, 48, 659-665.Google Scholar
  7. Howie the Harp. (1990). Independent living with support services: The goals and future for mental health consumers. Psychosocial Rehabilitation Journal, 13, 85-89.Google Scholar
  8. Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 51-62.Google Scholar
  9. Levy, J. S. (2000). Homeless outreach: On the road to pretreatment alternatives. Families in Society, 81, 360-368.Google Scholar
  10. Lipton, F. R., Siegel, C., Hannigan, A., Samuels, J., & Baker, S. (2000). Tenure in supportive housing for homeless persons with severe mental illness. Psychiatric Services, 51, 479-486.Google Scholar
  11. Metraux, S., Marcus, S. C., & Culhane, D. P. (2003). The New York-New York housing initiative and use of public shelters by persons with severe mental illness. Psychiatric Services, 54, 61-71.Google Scholar
  12. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: Sage Publications.Google Scholar
  13. Nelson, G., Hall, G. B., & Walsh-Bowers, R. (1999). Predictors of the adaptation of people with psychiatric disabilities in group homes, supportive apartments, and board-and-care homes. Psychiatric Rehabilitation Journal, 22, 381-389.Google Scholar
  14. Nelson, G., Wiltshire, C., Hall, G. B., Peirson, L., & Walsh-Bowers, R. (1995). Psychiatric consumer;survivors' quality of life: Quantitative and qualitative perspectives. Journal of Community Psychology, 23, 216-233.Google Scholar
  15. Newman, S. J. (1994). The effects of independent living on persons with chronic mental illness: An assessment of the section 8 certificate program. The Millbank Quarterly, 72, 171-197.Google Scholar
  16. Newman, S. J. (2001). Housing attributes and serious mental illness: Implications for research and practice. Psychiatric Services, 52, 1309-1317.Google Scholar
  17. Newman, S. J., & Reschovsky, J. D. (1996). Neighborhood locations of section 8 housing certificate users with and without mental illness. Psychiatric Services, 47, 392-397.Google Scholar
  18. Newton, L., Rosen, A., Tennant, C., & Hobbs, C. (2001). Moving out and moving on: Some ethnographic observations of deinstitutionalization in an Australian community. Psychiatric Rehabilitation Journal, 25, 152-162.Google Scholar
  19. Schensul, S. L., Schensul, J. J., & LeCompte, M. D. (1999). Essential ethnographic methods: observations, interviews, and questionnaires. Ethnographers toolkit, volume 2. Walnut Creek, CA: AltaMira Press.Google Scholar
  20. Schutt, R. K., Goldfinger, S. M., & Penk, W. E. (1997). Satisfaction with residence and with life: When homeless mentally ill persons are housed. Evaluation and Program Planning, 20, 185-194.Google Scholar
  21. Segal, S. P., Baumohl, J., & Moyles, E. W. (1980). Neighborhood types and community reaction to the mentally ill: A paradox of intensity. Journal of Health and Social Behavior, 21, 345-359.Google Scholar
  22. Shern, D. L., Wilson, N. Z., Coen, A. S., Patrick, D. C., Foster, M., & Bartsch, D. A. (1994). Client Outcomes II: Longitudinal client data from the Colorado treatment outcome study. Milbank Quarterly, 72(1), 123-148.Google Scholar
  23. Srebnik, D., Livingston, J., Gordon, L., & King, D. (1995). Housing choice and community success for individuals with serious and persistent mental illness. Community Mental Health Journal, 31, 139-152.Google Scholar
  24. Strauss, A., & Corbin, J. M. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Thousand Oaks, CA: Sage.Google Scholar
  25. Susser, E., & Roche, B. (1996). Coercion and leverage in clinical outreach. In D. L. Dennis, & J. Monahan (Eds.), Coercion and Aggressive Community Treatment. New York: Plenum Press.Google Scholar
  26. Tsemberis, S., & Asmussen, S. (1999). From streets to homes: The Pathways to Housing consumer preference supported housing model. Alcoholism Treatment Quarterly, 17(1/2), 113-131.Google Scholar
  27. Tsemberis, S., & Eisenberg, R. F. (2000). Pathways to Housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities. Psychiatric Services, 51, 487-493.Google Scholar
  28. Ware, N. C., Desjarlais, R. R., AvRuskin, T. L., Breslau, J., Good, B., & Goldfinger, S. M. (1992). Empowerment and the transition to housing for the homeless mentally ill: An anthropological perspective. New England Journal of Public Policy, 8, 297-315.Google Scholar
  29. Wolf, J., Burnam, A., Koegel, P., Sullivan, G., & Morton, S. (2001). Changes in subjective quality of life among homeless adults who obtain housing: A prospective examination. Social Psychiatry and Psychiatric Epidemiology, 36, 391-398.Google Scholar
  30. Wong, Y-L. I., & Solomon, P. L. (2002). Community integration of persons with psychiatric disabilities in supportive independent housing: A conceptual model and methodological considerations. Mental Health Services Research, 4, 13-28.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2004

Authors and Affiliations

  • Philip T. Yanos
    • 1
  • Susan M. Barrow
    • 2
  • Sam Tsemberis
    • 3
  1. 1.Institute for Health, Health Care Policy, and Aging ResearchRutgers UniversityNew BrunswickUSA
  2. 2.New York State Psychiatric InstituteUSA
  3. 3.Pathways to Housing, IncUSA

Personalised recommendations