Search results for ‘Subject term:"mental health problems"’ Sort:
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Supportive housing for addicted, incarcerated homeless adults
- Authors:
- HICKERT Audrey O., TAYLOR Mary Jane
- Journal article citation:
- Journal of Social Service Research, 37(2), March 2011, pp.136-151.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Homeless populations often suffer from mental illness, substance abuse, and criminality. Housing interventions have been effective in serving homeless persons with criminal experience, substance abuse issues, and mental illness. However, previous studies have noted the difficulty of working with this population and that success can be limited. This study examined outcomes for clients of a new supportive housing intervention. The Homeless Assistance Rental Program (HARP) provided supporting housing for homeless persons who were struggling with mental illness, in jail, in criminal justice programmes, in substance abuse programmes, or aging out of foster care. The sample for the study consisted of 102 individuals who participated in HARP at some point during its first 22 months of operation. Data was collected from 4 major sources: the Housing Authority; the Substance Abuse division; jail records; and the self-sufficiency matrix completed with HARP participants by their case managers. Use of formal treatment, jail contact, and community stability were compared pre- and post-housing. Jail bookings and residential substance abuse treatment significantly declined post-housing, while clients improved in income level, access to food, and housing stability. Results from official justice and treatment system data suggest that supportive housing can lead to significant changes.
Supportive housing for chronically homeless individuals: challenges and opportunities for providers in Chicago, USA
- Authors:
- QUINN Katherine, et al
- Journal article citation:
- Health and Social Care in the Community, 26(1), 2018, pp.e31-e38.
- Publisher:
- Wiley
Chronically homeless individuals often have extensive health, mental health and psychosocial needs that pose barriers to obtaining and maintain supportive housing. This study aims to qualitatively explore supportive housing providers’ experiences and challenges with housing chronically homeless individuals and examine opportunities to improve supportive housing systems of care. In 2014, the authors conducted qualitative in-depth interviews with 65 programme administrators and case managers of supportive housing programmes in Chicago, IL. Data were analysed using an inductive thematic content analysis. Analysis revealed four themes that capture the primary challenges faced by housing providers: housing priorities, funding cuts, co-ordinated entry and permanency of housing. Housing for the chronically homeless has been prioritised, yet service providers are being expected to provide the necessary services to meet the needs of this population without commensurate funding increases or agency capacity. Additionally, case managers and administrators discussed the tension over housing tenure and the permanency of supportive housing. Findings provide qualitative insight into the challenges providers face implementing supportive housing for chronically homeless individuals. (Publisher abstract)
Integrating permanent supportive housing and co-occurring disorders treatment for individuals who are homeless
- Authors:
- SMELSON David A., et al
- Journal article citation:
- Journal of Dual Diagnosis, 12(2), 2016, pp.193-201.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objectives: This pilot study examined the feasibility and preliminary outcomes of systematically integrating permanent supportive housing and an evidence-based co-occurring disorders intervention called Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (MISSION). Methods: This single-group open pilot enrolled 107 people with co-occurring disorders experiencing chronic homelessness from two Massachusetts inner-city and rural areas. Enrolled subjects were interested in receiving permanent supportive housing along with 1 year of MISSION services. Data were collected through baseline and 6- and 12-month follow-up assessments. Results: Participants were mostly male (76.6%), Caucasian (52.3%), and unemployed (86.0%), with an average of 8.34 years of homelessness. Self-reported lifetime problems with anxiety (75.7%) and depression (76.6%) were common, as was use of alcohol (30.8%), cannabis (31.8%), and cocaine (15.9%). Almost all participants (95.3%) were placed into permanent housing, which took on average 42.6 days from enrollment. Among those placed, nearly 80% of the clients were able to retain housing through the end of the study. Overall retention was high, with 86.0% remaining in MISSION treatment until the end of the study. While there were no significant changes in rehospitalisation, service utilisation, or substance use, there were modest significant mental health symptom improvements from baseline to program completion. Conclusions: This pilot study suggests that co-occurring disorder interventions like MISSION are feasible to integrate with permanent supportive housing despite the somewhat differing philosophies, and preliminary data suggested substantial improvements in housing and modest improvements in mental health symptoms. While caution is warranted given the lack of a comparison group, these findings are consistent with other rigorous studies using MISSION among homeless individuals who did not receive permanent supportive housing. (Edited publisher abstract)
Stability versus progress: finding and effective model of supported housing for formerly homeless people with mental health needs
- Authors:
- BOWPITT Graham, JEPSON Marcus
- Journal article citation:
- Social and Public Policy Review, 1(2), 2007, Online only
- Publisher:
- University of Plymouth
- Place of publication:
- Plymouth
Finding an effective model of support that enables homeless people with mental health needs to sustain accommodation has presented a continuous challenge to both policy makers and practitioners. This article is based on a study of a residential hostel for formerly homeless men with a variety of mental health conditions in a Midlands city. The hostel was selected because it appeared to work in terms of anecdotal evidence of reduced hospital re-admissions and engagement with support services. By studying the views, experiences and perspectives of all stakeholders, the research sought to understand what was distinctive about the hostel, what worked well and for whom. The findings revealed that three things were of particular importance to stakeholders: residents’ willingness to engage with support services; increased stability in residents’ lives; and increased independence. A common element in the factors that contributed to the hostel’s success against these criteria was the sense of community between staff and residents, which was maintained following moves to independent accommodation. The policy implications for the long-term sustainability of this model will be explored in the conclusion.
Supportive housing for the chronically homeless with HIV/AIDS: an effective model
- Author:
- PRADASANI P Manoj
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 4(1), 2005, pp.23-38.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines an innovative supportive housing program for chronically homeless individuals with HIV/AIDS. A Better Place (ABP). a supportive housing program in New York City that provides housing and social services to HIV-positive individuals with multiple diagnoses (mental illness, mental retardation, developmental disability and/or chemical addictions), is offered as an example of an effective and economical model of service that aims to break the cycle of homelessness by providing comprehensive preventative care with positive long-term results. The structure and functioning of the program, along with two case summaries, are described in order to provide a service framework for practitioners engaged in this field of service. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Implementing peer-assisted case management to help homeless veterans with mental illness transition to independent housing
- Authors:
- WEISSMAN Ellen M., et al
- Journal article citation:
- Community Mental Health Journal, 41(3), June 2005, pp.267-276.
- Publisher:
- Springer
Formerly homeless mentally ill veterans are at an important crossroads when they move from living in an institutional setting such as a shelter or supportive residential facility to independent living. The authors hypothesized that peer advisors, veterans with severe mental illness who had been homeless previously, graduated from a Healthcare for Homeless Veterans programme, and subsequently maintained independent, stable housing could assist other veterans make a successful transition to independent living. Pilot data suggests that participants who received peer advisors were more likely to follow up with assessments than were controls. This article describes a pilot peer advisor programme, its implementation, and pilot data on programme administration.
Innovation and implementation in mental health services for homeless adults: a case study
- Author:
- FELTON Barbara J.
- Journal article citation:
- Community Mental Health Journal, 39(4), August 2003, pp.309-322.
- Publisher:
- Springer
Seeking to identify conditions that support newly implemented evidence-based practices, this case study examined an implementation in which an existing agency was invited to move into the neighboring county to introduce its “housing first” practice with seriously mentally ill homeless adults. Using a constructivist methodology to elicit the narratives of key actors and observers about the implementation and its attendant controversy, this study found three issues at the core of actors' experiences: mode of presentation, use of an outside agency and the questioned uniqueness of the new practice. Barriers rather than facilitators dominated participants' interpretations of events despite significant researcher-observed facilitators.
Resettled older people: what works and reasons for failure
- Authors:
- CRANE Maureen, WARNES Anthony M.
- Journal article citation:
- Housing Care and Support, 6(3), August 2003, pp.18-25.
- Publisher:
- Emerald
Examines the support needs of resettled older people. Evidence is from a longditunal study of resettled 64 older homeless people. At the end of 24 months, 34% had either abandoned accommodation or been evicted.
St Basils psychologically informed environments: meeting the emotional and psychological needs of young homeless people
- Authors:
- CUMMINGS Jennifer, SKEATE Amanda, ANDERSON Giles
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 9
- Place of publication:
- London
This case study outlines how a West Midlands based housing service providing supported accommodation and other services to young homeless people, has implemented and evaluated a bespoke psychologically-informed environment (PIE) to meet the emotional and psychological needs of their clients. The service found that that many clients had suffered from some degree of emotional trauma and have a history of abuse, neglect, broken relationships and were increasingly presenting with complex trauma and multiple needs. The case study focusses on the transformation of St Basils into a psychologically-aware housing service through developing a psychological framework, developing the physical environment and social spaces, staff training and support, managing relationships and ongoing evaluation and evidencing of impact. (Edited publisher abstract)
Case management models in permanent supported housing programs for people with complex behavioral issues who are homeless
- Authors:
- CLARK Colleen, GUENTHER Christina C., MITCHELL Jessica N.
- Journal article citation:
- Journal of Dual Diagnosis, 12(2), 2016, pp.185-192.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: This article examines two evidence-based models of case management for people with co-occurring disorders and histories of chronic homelessness and to better understand their roles in permanent supported housing. The two models are examined to see how they assist in ending homelessness, as well as the role they play in an individual's recovery from co-occurring disorders. Methods: Participants in two supported housing programs were interviewed at baseline and 6 months. One program used Critical Time Intervention (n = 144) and the other used Assertive Community Treatment (n = 90). Staff in both programs were interviewed about their experiences and fidelity assessments were conducted for each program. Results: Both programs operated at high levels of fidelity. Despite similar criteria for participation, there were significant differences between groups. Critical Time Intervention participants were older, were more likely to be male, were more likely to be homeless, and reported greater psychiatric symptoms and higher levels of substance use. Separate outcome analyses suggested that each program was successful in supporting people to transition from homelessness to stable housing; 88.6% of Assertive Community Treatment participants were homeless at baseline, while at 6 months 30% were homeless, and 91.3% of those in the Critical Time Intervention were homeless at baseline, while 44.3% were homeless at 6 months. Participants in the Critical Time Intervention program also showed significant decreases in alcohol use, drug use, and psychiatric symptoms. The preliminary results suggest that each case management model is helpful in assisting people with complex behavioural health needs and chronic homelessness to move to stable housing. Conclusions: Permanent supported housing seems to be an effective way to end homelessness among people with co-occurring disorders. Further research is needed to determine which case management models work most effectively with supported housing to help policy makers and program directors make informed decisions in developing these programs. (Edited publisher abstract)