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01-08-2010 | Brief Report

Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study

Authors: Jack Tsai, Gary R. Bond, Michelle P. Salyers, Jenna L. Godfrey, Kristin E. Davis

Published in: Community Mental Health Journal | Issue 4/2010

Abstract

Housing is a crucial issue for adults with severe mental illness and co-occurring substance use disorders, as this population is particularly susceptible to housing instability and homelessness. We interviewed 40 adults with dual disorders, living in either supervised or independent housing arrangements, to examine housing preferences, decision making processes surrounding housing choices, and perceived barriers to housing. We found that many clients indicated their housing preferences had changed over time, and some clients related housing preferences to recovery. Although the majority of clients preferred independent housing, many also described benefits of supervised housing. Clients’ current living situations appeared to be driven primarily by treatment provider recommendations and availability of housing. Common barriers to obtaining desired housing were lack of income and information. These findings have implications for supported housing models and approaches to providing housing for clients.

Atlas.ti Scientific Software Development GmbH. (2008). Atlas.ti. Berlin.

Allen, M. (2004). Just like where you and I live: Integrated housing options for people with mental illnesses. Washington, DC: Judge David L. Bazelon Center for Mental Health Law.

Blankertz, L., & White, K. K. (1990). Implementation of rehabilitation program for dual diagnosed homeless. Alcoholism Treatment Quarterly, 7, 149–164.CrossRef

Brunette, M. F., Mueser, K. T., & Drake, R. E. (2004). A review of research on residential programs for people with severe mental illness and co-occurring substance use disorders. Drug and Alcohol Review, 23, 471–481.CrossRefPubMed

Carling, P. J. (1990). Supported housing: An evaluation agenda. Psychosocial Rehabilitation Journal, 13, 95–104.

Clark, L. M. (2007). Landlord attitudes toward renting to released offenders. Federal Probation, 71(1), 20–30.

Corrigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (2008). Principles and practice of psychiatric rehabilitation: An empirical approach. New York: Guilford.

Davis, K. E., Devitt, T., Rollins, A. R., O’Neill, S., Pavick, D., & Harding, B. (2006). Integrated residential treatment for persons with severe and persistent mental illness: Lessons in recovery. Journal of Psychoactive Drugs, 38, 263–272.PubMed

Deegan, P. E., & Drake, R. E. (2006). Shared decision making and medication management in the recovery process. Psychiatric Services, 57, 1636–1639.CrossRefPubMed

Drake, R. E., & Mueser, K. T. (2000). Psychosocial approaches to dual diagnosis. Schizophrenia Bulletin, 26, 105–118.PubMed

Fakhoury, W. H., Murray, A., Shepherd, G., & Stefan, P. (2002). Research in supported housing. Social Psychiatry and Psychiatric Epidemiology, 37, 301–315.CrossRefPubMed

Friedrich, R. M., Hollingsworth, B., Hradek, E., Friedrich, H. B., & Culp, K. R. (1999). Family and client perspectives on alternative residential settings for persons with severe mental illness. Psychiatric Services, 50, 509–514.PubMed

Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.

Goldfinger, S. M., & Schutt, R. K. (1996). Comparison of clinicians’ housing recommendations and preferences of homeless mentally ill persons. Psychiatric Services, 47, 413–415.PubMed

Goldfinger, S. M., Schutt, R. K., Tolomiczenko, G. S., Seidman, L., Penk, W. E., Turner, W., et al. (1999). Housing placement and subsequent days homeless among formerly homeless adults with mental illness. Psychiatric Services, 50, 674–679.PubMed

Hogan, M. F., & Carling, P. J. (1992). Normal housing: A key element of a supported housing approach for people with psychiatric disabilities. Community Mental Health Journal, 28, 215–226.CrossRefPubMed

Holley, H. L., Hodges, P., & Jeffers, B. (1998). Moving psychiatric patients from hospital to community: Views of patients, providers, and families. Psychiatric Services, 49, 513–517.PubMed

Kloos, B., Zimmerman, S. O., Scrimenti, K., & Crusto, C. (2002). Landlords as partners for promoting success in supported housing: “It takes more than a lease and a key”. Psychiatric Rehabilitation Journal, 25(3), 235–244.PubMed

Leff, H. S., Chow, C. M., Pepin, R., Conley, J., Allen, I. E., & Seaman, C. A. (2009). Does one size fit all? What we can and can’t learn from a meta-analysis of housing models for persons with mental illness. Psychiatric Services, 60, 473–482.CrossRefPubMed

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.CrossRefPubMed

Mayes, J., & Handley, S. (2005). Evolving a model for integrated treatment in a residential setting for people with psychiatric and substance use disorders. Psychiatric Rehabilitation Journal, 29, 59–62.CrossRefPubMed

McCoy, M. L., Devitt, T., Clay, R., Davis, K. E., Dincin, J., Pavick, D., et al. (2003). Gaining insight: Who benefits from residential, integrated treatment for people with dual diagnoses? Psychiatric Rehabilitation Journal, 27(2), 140–150.CrossRefPubMed

Mechanic, D., Bilder, S., & McAlpine, D. D. (2002). Employing persons with serious mental illness. Health Affairs, 21, 242–253.CrossRefPubMed

Piat, M., Lesage, A., Boyer, R., Dorvil, H., Couture, A., Grenier, G., et al. (2008). Housing for persons with serious mental illness: Consumer and service provider preferences. Psychiatric Services, 59(9), 1011–1017.CrossRefPubMed

Ridgway, P., & Zipple, A. M. (1990). The paradigm shift in residential services: From the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13, 20–31.

Robert Wood Johnson Foundation. (1990). Public attitudes toward people with chronic mental illness. Boston: Robert Wood Johnson Program on Chronic Mental Illness.

Rog, D. J. (2004). The evidence on supported housing. Psychiatric Rehabilitation Journal, 27, 334–344.CrossRefPubMed

Rollins, A. L., O’Neill, S. J., Davis, K. E., & Devitt, T. S. (2005). Substance abuse relapse and factors associated with relapse in an inner-city sample of patients with dual diagnoses. Psychiatric Services, 56, 1274–1281.CrossRefPubMed

Rosenheck, R., Kasprow, W., Frisman, L., & Liu-Mares, W. (2003). Cost-effectiveness of supported housing for homeless persons with mental illness. Archives of General Psychiatry, 60, 940–951.CrossRefPubMed

Schutt, R. K., & Goldfinger, S. M. (2000). The contingent rationality of housing preferences: Homeless mentally ill persons’ housing choices before and after housing experience. Research in Community and Mental Health, 11, 131–156.CrossRef

Shulman, S. W. (2007). Coding analysis toolkit. Pittsburgh, PA: University of Pittsburgh.

Siegel, C. E., Samuels, J., Tang, D., Berg, I., Jones, K., & Hopper, K. (2006). Tenant outcomes in supported housing and community residences in New York City. Psychiatric Services, 57, 982–991.CrossRefPubMed

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, 139–151.CrossRefPubMed

Tanzman, B. (1993). An overview of surveys of mental health consumers’ preferences for housing and support services. Hospital & Community Psychiatry, 44, 450–455.

Tsai, J., Salyers, M. P., Rollins, A. L., McKasson, M., & Litmer, M. L. (2009). Integrated dual disorders treatment. Journal of Community Psychology, 37, 781–788.CrossRef

Weber, R. P. (1990). Basic content analysis (2nd ed.). Thousand Oaks, CA: Sage.

Wong, Y.-L. I., Filoromo, M., & Tennille, J. (2007). From principles to practice: A study of implementation of supported housing for psychiatric consumers. Administration and Policy in Mental Health and Mental Health Services Research, 34(1), 13–28.CrossRefPubMed

Yeich, S., & Mowbray, C. T. (1994). The case for a ‘supported housing’ approach: A study of consumer housing and support preferences. Psychosocial Rehabilitation Journal, 18(2), 75–86.

Title: Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study
Authors: Jack Tsai
Gary R. Bond
Michelle P. Salyers
Jenna L. Godfrey
Kristin E. Davis
Publication date: 01-08-2010
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 4/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-009-9268-6

Keynote webinar | Spotlight on medication adherence

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Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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