Skip to main content

Advertisement

SpringerLink
Log in

An Examination of Fulfilled Housing Preferences and Quality of Life among Homeless Persons with Mental Illness and/or Substance Use Disorders

  • Brief Report
  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

This study examined the types of housing features considered important to a sample of homeless persons diagnosed with a mental illness and/or substance use disorder and the relationship between the degree to which important features were obtained in subsequent housing and subjective quality of life, clinical and housing outcomes at 3-month and 1-year follow-up periods. After controlling for significant clinical and sociodemographic covariates, results from regression analyses indicate that the degree to which a client's individual housing preferences were realized in dwellings is significantly associated with greater quality of life in the future, but not clinical outcomes or housing tenure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. National Council on Disability. From Privileges to Rights: People Labeled with Psychiatric Disabilities Speak for Themselves. 2000. Available at: http://www.ncd.gov/newsroom/publications/privileges.html. Accessed August 20, 2003.

  2. President's New Freedom Commission on Mental Health. Achieving the Promise: Transforming Mental Health Care in America. 2003. Available at: http://www.mentalhealthcommission.gov/reports/FinalReport/toc.html. Accessed September 22, 2003.

  3. Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, and National Institute of Mental Health; 1999.

  4. Lenert LA. The reliability and internal consistency of an Internet-capable computer program for measuring utilities. Quality of Life Research. 2000;9:811–817.

    Article  PubMed  CAS  Google Scholar 

  5. Shumway M, Chouljian TL, Battle CL. Measuring preferences for schizophrenia outcomes with the time tradeoff method. The Journal of Behavioral Health Services & Research. 2005;32:14–26.

    Article  Google Scholar 

  6. Langer E, Rodin J. The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology. 1976;34:191–198.

    Article  PubMed  CAS  Google Scholar 

  7. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000;55:68–78.

    Article  PubMed  CAS  Google Scholar 

  8. Calsyn RJ, Morse GA, Yonker RD, et al. Client choice of treatment and client outcomes. Journal of Community Psychology. 2004;31:339–348.

    Article  Google Scholar 

  9. Calsyn RJ, Winter JP, Morse GA. Do consumers who have a choice in treatment have better outcomes? Community Mental Health Journal. 2000;36:149–160.

    Article  PubMed  CAS  Google Scholar 

  10. Thompson CE, Wankel LM. The effects of perceived activity choice upon frequency of exercise behavior. Journal of Applied Psychology. 1980;10:436–443.

    Article  Google Scholar 

  11. Kissen B, Platz A, Su W. Selective factors in treatment choice and outcome in alcoholics. In: Mello NK, Mendelson JH, eds. Recent Advances in Studies of Alcoholism. Washington, DC: U.S. Government Printing Office; 1971:781–802.

    Google Scholar 

  12. Rapp C, Shera W, Kisthardt W. Research strategies for consumer empowerment of people with severe mental illness. Social Work. 1993;38:727–735.

    PubMed  CAS  Google Scholar 

  13. Srebnik D, Livingston J, Gordon L, et al. Housing choice and community success for individuals with serious and persistent mental illness. Community Mental Health Journal. 1995;31:139–152.

    Article  PubMed  CAS  Google Scholar 

  14. Wehmeyer ML, Schalock RL. Self-determination and quality of life: Implications for special education services and supports. Focus on Exceptional Children. 2001;33:1–16.

    Google Scholar 

  15. Sen A. Development as Freedom. New York: Anchor Books; 1999.

    Google Scholar 

  16. Gutman J. A means–end chain model based on consumer categorization processes. Journal of Marketing. 1982;46:60–72.

    Article  Google Scholar 

  17. Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall, Inc.; 1980.

    Google Scholar 

  18. Schutt RK, Goldfinger SM. Housing preferences and perceptions of health and functioning among homeless mentally ill persons. Psychiatric Services. 1996;47:381–386.

    PubMed  CAS  Google Scholar 

  19. Hopper K, Barow SM. Two genealogies of supported housing and their implications for outcome assessment. Psychiatric Services. 2003;54:50–54.

    Article  PubMed  Google Scholar 

  20. Tsemberis S, Asmussen S. From streets to homes: The pathways to housing consumer preference supported housing model. Alcoholism Treatment Quarterly. 1999;17:113–131.

    Article  Google Scholar 

  21. Tsemberis S, Eisenberg RF. Pathways to housing: Supported housing for street dwelling homeless individuals with psychiatric disabilities. Psychiatric Services. 2000;51:487–493.

    Article  PubMed  CAS  Google Scholar 

  22. Carling PJ. Housing and supports for persons with mental illness: Emerging approaches to research and practice. Hospital & Community Psychiatry. 1993;44:439–449.

    CAS  Google Scholar 

  23. Chipperfield S, Aubry T. The supportive housing program in Winnipeg. Psychosocial Rehabilitation Journal. 1990;13:91–94.

    Google Scholar 

  24. Fischer EP, Shumway M, Owen RR. Priorities of consumers, providers, and family members in the treatment of schizophrenia. Psychiatric Services. 2002;53:724–729.

    Article  PubMed  Google Scholar 

  25. Holley HL, Hodges P, Jeffers B. Moving psychiatric patients from hospital to community: Views of patients, providers, and families. Psychiatric Services. 1998;49:513–517.

    PubMed  CAS  Google Scholar 

  26. Minsky S, Riesser G, Duffy M. The eye of the beholder: Housing preference of inpatients and their treatment teams. Psychiatric Services. 1995;46:173–176.

    PubMed  CAS  Google Scholar 

  27. Shutt RK, Weinstein B, Penk WE. Housing preferences of homeless veterans with dual diagnosis. Psychiatric Services. 2005;56:350–352.

    Article  Google Scholar 

  28. Kasprow WJ, Rosenheck RA, Frisman L, et al. Referral and housing processes in a long-term supported housing program for homeless veterans. Psychiatric Services. 2000;51:1017–1023.

    Article  PubMed  CAS  Google Scholar 

  29. Rosenheck R, Kasprow W, Frisman L, et al. Cost-effectiveness of supported housing for homeless persons with mental illness. Archives of General Psychiatry. 2003;60:940–951.

    Article  PubMed  Google Scholar 

  30. Rosenheck R, Kasprow W, Frisman L, et al. Integrating Health Care and Housing Supports from Federal Agencies: An Evaluation of the HUD-VA Supported Housing Program (HUD-VASH). West Haven, CT: Northeast Program Evaluation Center; 2002.

    Google Scholar 

  31. McLellan A, Luborsky L, Woody G, et al. An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease. 1980;268:26–33.

    Google Scholar 

  32. Lehman A. A quality of life interview for the chronically mentally ill. Evaluation and Program Planning. 1988;11:51–62.

    Article  Google Scholar 

  33. Lam J, Rosenheck R. Social support and service use among homeless persons with serious mental illness. International Journal of Social Psychiatry. 1998;45:13–28.

    Article  Google Scholar 

  34. Vaux A, Athanassopulou M. Social support appraisals and network resources. Journal of Community Psychology. 1987;15:537–556.

    Article  Google Scholar 

  35. Newman SJ, Reschovsky JD, Kaneda K, et al. The effects of independent living on persons with chronic mental illness: An assessment of the Section 8 certificate program. Milbank Quarterly. 1994;72:171–198.

    Article  PubMed  CAS  Google Scholar 

  36. Lam JA, Rosenheck RA. Correlates of improvements in quality of life among homeless persons with serious mental illness. Psychiatric Services. 2000;51:116–118.

    Article  PubMed  CAS  Google Scholar 

  37. Gulcur L, Stefancic A, Shinn M, et al. Housing, hospitalization, and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programmes. Journal of Community and Applied Social Psychology. 2003;13:171–186.

    Article  Google Scholar 

  38. Tsemberis SJ, Moran L, Shinn M, et al. Consumer preference programs for individuals who are homeless and have psychiatric disabilities: A drop-in center and a supported housing program. American Journal of Community Psychology. 2003;32:305–317.

    Article  PubMed  Google Scholar 

  39. Lehman AF, Dixon L, Kernan E, et al. A randomized trial of assertive community treatment for homeless persons with severe mental illness. Archives of General Psychiatry. 1997;54:1038–1043.

    PubMed  CAS  Google Scholar 

  40. Wasylenki DA, Goering PN, Lemire D, et al. The hostel outreach program: Assertive case management for homeless mentally ill persons. Year Book of Psychiatry and Applied Mental Health. 1997;7:251–252.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Yale Department of Psychiatry and Yale Program for Recovery and Community Health, 319 Peck Street, Building 6 Suite 1C, New Haven, CT, 06513, USA

    Maria O’Connell PhD (Instructor)

Authors
  1. Maria O’Connell PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert Rosenheck MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wesley Kasprow PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Linda Frisman PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Maria O’Connell PhD.

Additional information

This study was conducted at the Yale Department of Psychiatry, VA Northeast Program Evaluation Center, 950 Campbell Avenue, West Haven, CT 06516, USA.

Robert Rosenheck, MD, is a professor at the Yale Department of Psychiatry and Yale Department of Epidemiology and Public Health, and director of the VA Northeast Program Evaluation Center, 950 Campbell Ave., West Haven, CT 06516, USA.

Wesley Kasprow, PhD, is a project director at the Yale Department of Psychiatry and VA Northeast Program Evaluation Center, 950 Campbell Ave., West Haven, CT 06516, USA.

Linda Frisman, PhD, is a director of research at the Connecticut Department of Mental Health and Addiction Services, Hartford Connecticut, and University of Connecticut Department of Psychology, Storrs, CT, Psychology Building, Storrs Campus, 406 Babbidge Road, Storrs, CT 06269-1020, USA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

O’Connell, M., Rosenheck, R., Kasprow, W. et al. An Examination of Fulfilled Housing Preferences and Quality of Life among Homeless Persons with Mental Illness and/or Substance Use Disorders. JBHSR 33, 354–365 (2006). https://doi.org/10.1007/s11414-006-9029-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-006-9029-z

Keywords

Search

Navigation