The paradigm shift in residential services: From the linear continuum to supported housing approaches.
ABSTRACT Describes a paradigm shift, beginning in the 1950s and reaching its zenith in the 1970s, toward supported housing models and deinstitutionalization of the mentally ill. The linear residential continuum model formed the basis for residential treatment and the provision of specialized environments that prepared patients/clients for life in the community. A supported housing paradigm shifts the primary role of the service recipient from patient to community and shifts the locus of control from staff to client. Other elements of the shift include an emphasis on (1) social integration rather than homogeneous grouping by disability and (2) the most facilitative environment and best functioning rather than the least restrictive environment and independence. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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ABSTRACT: Many housing programs for people with mental illnesses rely on models that require the person to adhere to treatment as a condition of continuing access to housing. These models that 'bundle' housing and treatment are relics of a past in which persons with mental illnesses were afforded little real choice in treatment, housing and other social supports. Conditioning access to housing in this manner is coercive and at odds with current thinking regarding treatment, as well as legal principles that shape the environment in which treatment is provided. This article summarizes the reasons why housing for people with mental illnesses should be provided free of the use of coercion.Behavioral Sciences & the Law 02/2003; 21(4):503-21. · 0.96 Impact Factor
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ABSTRACT: This paper discusses issues in the development of collaborative efforts among stakeholders in a community housing and support system dedicated to people with serious mental illness. Whereas community development efforts directed at localities are more common, the increasing recognition of the system‐level barriers facing marginalized groups requires community development efforts that are relevant to communities of stakeholders in service systems. The paper draws on work conducted by the authors to understand, to evaluate, and to support the development of a system of housing dedicated to people with serious mental illness in Ontario. Although these projects were not intended as community development, they have uncovered issues that are likely to arise in a community development effort in this context.Community Development. 01/2006; 37(3):35-45.
Dataset: Senate.brief.Mental Health