The current debate about how to provide housing for persons with persistent psychiatric disabilities should be informed by empirical information from a variety of sources.
Data from a study of 17 residents discharged from Regeneration House Inc., illustrates the value of consumer perceptions in the evaluation of supportive housing. Extensive exploration of the positive and negative aspects of living in a group home from the perspective of experienced residents provides useful input for programme planning.
The implications of the findings for the individual programme and the wider field are discussed.
Get full access to this article
View all access options for this article.
References
1.
Andrews, G., Teesson, M., Stewart, G. & Hoult, J. (1990) Follow-up of community placement of the chronic mentally ill in New South Wales. Hospital and Community Psychiatry , 41:2, 184-188.
2.
Arce, A., Vergare, M., Adams, R. & Lazarus, L. (1982) Task Force on Community Residential Services: A Typography of Community Residential Services. Washington, D.C.: American Psychiatric Association.
3.
Budson, R.D. (1978) The Psychiatric Halfway House: A Handbook of Theory and Practice. Pittsburgh: University of Pittsburgh Press.
4.
Carling, P.J. & Ridgway, P.A. (1985a) Community Residential Rehabilitation. An Emerging Approach to Meeting Housing Needs. Boston UniversityCenter for Psychiatric Rehabilitation.
5.
Carling, P.J. & Ridgway, P.A. (1985b) Overview of a rehabilitation approach to housing . In Psychiatric Rehabilitation: Programs and Practices (eds. W.A. Anthony & M.A. Farkas). Baltimore, MD: John Hopkins University Press.
6.
Cook, J.V. (1988) Goffman's legacy: the elimination of the chronic mental patient's community. A review of selected literature. Research in the Sociology of Health Care, 7, 249-281.
7.
Coulton, C.J., Holland, T.P. & Fitch, V. (1984) Person-environment congruence and psychiatric patient outcome in community-care homes. Administration in Mental Health, 12, 71-88.
8.
Cournos, F. (1987) The impact of environmental factors on outcome in residential program. Hospital and Community Psychiatry , 38:8, 848-852.
9.
Crotty, P. & Kulys, R. (1985) Social support networks: the views of schizophrenic clients and their significant others. Social Work, July-Aug. 301-309.
10.
Daniels, L.V. & Carling, P.J. (1986) Community Residential Servicesfor Psychiatrically Disabled Persons in Kitsap County. Boston: Boston UniversityCenter for Psychiatric Rehabilitation .
Dion, G. & Anthony, W.A. (1987) A review of psychiatric rehabilitation research . Rehabilitation Counselling Bulletin (March), 132-144.
13.
Everett, B. & Steven, L.D. (1989) Working together: a consumer participation research project to develop a new model of high-support housing. Canada's Mental Health (June), 28-32.
14.
Fairweather, G. (ed) (1980) The Fairweather Lodge: a 25 year retrospective. In New Directions for Mental Health Services No. 7. San Francisco: Jossey Bass.
15.
Fields, S. (1990) The relationship between residential treatment and supported housing in a community system of services. Psychosocial Rehabilitation Journal, 13:4, 105-113.
16.
Frank, R., Salzman, K. & Fergus, E. (1977) Correlates of consumer satisfaction with outpatient therapy assessed by postcards. Community Mental Health Journal , 13, 37-45.
17.
Goering, P., Durbin, J., Foster, R., Boyles, S., Babiak, T. & Lancee, W.Social networks of residents of supportive housing. Community Mental Health Journal, in press.
18.
Goering, P., Paduchak, D. & Durbin, J. (1990) Housing homeless women: a consumer preference study . Hospital and Community Psychiatry, 41, 790-794.
19.
Hellman, I.D., Green, L.R., Morrison, T.L. & Abramowitz, S.I. (1985) Organizational size and perceptions in a residential treatment program. American Journal of Community Psychology, 13, 99-105.
20.
Hoge, M.A., Farrell, S.P., Strauss, J.S. & Posner, M.M. (1989) Functions of a short-term partial hospitalization in a comprehensive system of care. International Journal of Partial Hospitalization, 4:3, 177-188.
21.
Keck, J. (1990) Responding to consumer housing preferences: the Toledo experience. Psychosocial Rehabilitation Journal, 13, 51-58.
22.
Larsen, D.K., Atkinson, C.C., Hargreaves, W. & Nguyen, T. (1979) Assessment of client/ patient satisfaction: development of a general scale. Evaluation and Programme Planning, 2, 197-207.
23.
Linn, L.S. (1975) Factors associated with patient evaluation of health care. Millbank Memorial Fund Quarterly (Health and Society ), 531-548.
24.
Linn, M.W. (1981) Can foster care survive? In New Directionsfor Mental Health Services: Issues in Community Residential Care (ed. R. Budson). San Francisco: Jossey Bass.
25.
Nelson, G. & Smith Fowler, H. (1987) Housing for the chronic mentally disabled. II Process and outcome. Canadian Journal of Community Mental Health, 6, 79-91.
26.
Nelson, G. & Earls, M. (1986) An action-oriented assessment of the housing and social support needs of long-term psychiatric clients. Canadian Journal of Community Mental Health, 5, 19-30.
27.
Randolph, F., Zipple, A., Rowan, C., Ridgway, P., Curtis, L. & Carling, P. (1989) A Survey of Selected Residential Programs for People with Psychiatric Disabilities. Boston University, Center for Psychiatric Rehabilitation.
28.
Regeneration House Inc. (1990) Living and Leaving: A Follow-up Study of the Regeneration House Supportive Housing Programme. Final Report submitted to Ontario Ministry of Health.
29.
Ridgway, P. (1988) The voice of consumers in mental health systems: a call for change. A literature review. Report of Center for Community Change through Advocacy and Support. University of Vermont.
30.
Ridgway, P. & Carling, P.J. (1987) A User's Guide to Needs Assessment in Community Residential Rehabilitation. Boston Community Residential Rehabilitation Projects , Center for Psychiatric Rehabilitation: Boston University and Center for Change through Housing and Community Supports, University of Vermont.
31.
Ridgway, P. & Zipple, A.M. (1990) The paradigm shift in residential services: from the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13:4, 11-31.
32.
Segal, S.P., Everett-Dille, L. & Moyles, E.W. (1979) Congruent perceptions in the evaluation of community-care facilities. Journal of Community Psychology, 7, 60-68.
33.
Solomon, P., Bedo, S. & Gordon, B.A. (1988) A comparison of perspectives on discharges of extended care facility clients: views of families, hospital staff, community mental health workers and clients. Administration in Mental Health , 15:3, 166-174.
34.
Stein, L. & Test, M. (1985) The training in community living model: a decade of experience. In New Directionsfor Mental Health Services (ed. H.R. Lamb). San Francisco: Jossey-Bass.
35.
Strauss, J.S. (1986) The life course of schizophrenia. Psychiatric Annals, 16, 609-612.
36.
Wolins, M. & Wozner, ( 1982) Revitalising Residential Settings. San Francisco: Jossey-Bass.
