Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Goldfinger, S. M. Articles by Caplan, B. Search for Related Content PubMed Citation Articles by Goldfinger, S. M. Articles by Caplan, B. Homeless Persons Patient Satisfaction, Quality of Life

Housing Placement and Subsequent Days Homeless Among Formerly Homeless Adults With Mental Illness

OBJECTIVE: The study examined the influence of group or individual housing placement and consumer characteristics on the number of days subsequently homeless among formerly homeless mentally ill persons. METHODS: A total of 303 homeless shelter residents with severe mental illness were screened for dangerousness, 118 were randomly assigned to either independent apartment or staffed group living sites, and 110 were followed for 18 months. Study participants' sociodemographic characteristics, diagnosis, and residential preferences and the residential recommendations made by clinicians were measured at baseline. RESULTS: Overall, 76 percent of the study participants were housed at the end of the 18-month follow-up period, although 27 percent had experienced at least one episode of homelessness during the period. The number of days homeless was greater for individuals assigned to independent apartments than for those placed in staffed group homes, but only for members of minority groups. Substance abuse was the strongest individual-level predictor of days homeless. Individuals whom clinicians identified as needing group living experienced more days homeless, irrespective of the type of housing they received. Consumers who stated a strong preference for independent living had more days homeless than those who were amenable to staffed group homes. CONCLUSIONS: Although consumers more frequently prefer independent living, placement in staffed group housing resulted in somewhat fewer days homeless for some groups of consumers. Further experience of homelessness by formerly homeless mentally ill individuals may be reduced by providing effective substance abuse treatment and by paying special attention to consumers identified by clinicians to be at particular risk for housing loss.

This article has been cited by other articles:

				T. P. Gilmer, W. G. Manning, and S. L. Ettner A Cost Analysis of San Diego County's REACH Program for Homeless Persons Psychiatr Serv, April 1, 2009; 60(4): 445 - 450. [Abstract] [Full Text] [PDF]

				D. K. Malone Assessing Criminal History as a Predictor of Future Housing Success for Homeless Adults With Behavioral Health Disorders Psychiatr Serv, February 1, 2009; 60(2): 224 - 230. [Abstract] [Full Text] [PDF]

				M. J. O'Connell, W. Kasprow, and R. A. Rosenheck Rates and Risk Factors for Homelessness After Successful Housing in a Sample of Formerly Homeless Veterans Psychiatr Serv, March 1, 2008; 59(3): 268 - 275. [Abstract] [Full Text] [PDF]

				R. K. Schutt, L. J. Seidman, B. Caplan, A. Martsinkiv, and S. M. Goldfinger The Role of Neurocognition and Social Context in Predicting Community Functioning Among Formerly Homeless Seriously Mentally Ill Persons Schizophr Bull, November 1, 2007; 33(6): 1388 - 1396. [Abstract] [Full Text] [PDF]

				T. E. Martinez and M. R. Burt Impact of Permanent Supportive Housing on the Use of Acute Care Health Services by Homeless Adults Psychiatr Serv, July 1, 2006; 57(7): 992 - 999. [Abstract] [Full Text] [PDF]

				A. L. Rollins, S. J. O'Neill, K. E. Davis, and T. S. Devitt Special Section on Relapse Prevention: Substance Abuse Relapse and Factors Associated With Relapse in an Inner-City Sample of Patients With Dual Diagnoses Psychiatr Serv, October 1, 2005; 56(10): 1274 - 1281. [Abstract] [Full Text] [PDF]

				M. C. Lennon, W. McAllister, L. Kuang, and D. B. Herman Capturing Intervention Effects Over Time: Reanalysis of a Critical Time Intervention for Homeless Mentally Ill Men Am J Public Health, October 1, 2005; 95(10): 1760 - 1766. [Abstract] [Full Text] [PDF]

				T. P. Gilmer, C. R. Dolder, J. P. Lacro, D. P. Folsom, L. Lindamer, P. Garcia, and D. V. Jeste Adherence to Treatment With Antipsychotic Medication and Health Care Costs Among Medicaid Beneficiaries With Schizophrenia Am J Psychiatry, April 1, 2004; 161(4): 692 - 699. [Abstract] [Full Text] [PDF]

				R. Rosenheck, W. Kasprow, L. Frisman, and W. Liu-Mares Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness Arch Gen Psychiatry, September 1, 2003; 60(9): 940 - 951. [Abstract] [Full Text] [PDF]

				L. J. Seidman, R. K. Schutt, B. Caplan, G. S. Tolomiczenko, W. M. Turner, and S. M. Goldfinger The Effect of Housing Interventions on Neuropsychological Functioning Among Homeless Persons With Mental Illness Psychiatr Serv, June 1, 2003; 54(6): 905 - 908. [Abstract] [Full Text] [PDF]

				H. L. McQuistion, M. Finnerty, J. Hirschowitz, and E. S. Susser Challenges for Psychiatry in Serving Homeless People With Psychiatric Disorders Psychiatr Serv, May 1, 2003; 54(5): 669 - 676. [Abstract] [Full Text] [PDF]

				C. Clark and A. R. Rich Outcomes of Homeless Adults With Mental Illness in a Housing Program and in Case Management Only Psychiatr Serv, January 1, 2003; 54(1): 78 - 83. [Abstract] [Full Text] [PDF]

				D. McCormack and J. MacIntosh Research with Homeless People Uncovers a Model of Health West J Nurs Res, November 1, 2001; 23(7): 679 - 697. [Abstract] [PDF]

				S. J. Newman Housing Attributes and Serious Mental Illness: Implications for Research and Practice Psychiatr Serv, October 1, 2001; 52(10): 1309 - 1317. [Abstract] [Full Text] [PDF]

				P. Hanrahan, D. J. Luchins, C. Savage, and H. H. Goldman Housing Satisfaction and Service Use by Mentally Ill Persons in Community Integrated Living Arrangements Psychiatr Serv, September 1, 2001; 52(9): 1206 - 1209. [Abstract] [Full Text] [PDF]

				L. Marks, R. B. Flannery Jr., and M. Spillane Placement challenges: Implications for Long-term care of dementia sufferers American Journal of Alzheimer's Disease and Other Dementias, September 1, 2001; 16(5): 285 - 288. [Abstract] [PDF]

				K. Stack, J. Cortina, C. Samples, M. Zapata, and L. F. Arcand Race, Age, and Back Pain as Factors in Completion of Residential Substance Abuse Treatment by Veterans Psychiatr Serv, September 1, 2000; 51(9): 1157 - 1161. [Abstract] [Full Text] [PDF]

				S. Tsemberis and R. F. Eisenberg Pathways to Housing: Supported Housing for Street-Dwelling Homeless Individuals With Psychiatric Disabilities Psychiatr Serv, April 1, 2000; 51(4): 487 - 493. [Abstract] [Full Text] [PDF]

				W. S Fenton Mentally ill adults had fewer homeless days in staffed group homes than in independent flats Evid. Based Ment. Health, February 1, 2000; 3(1): 16 - 16. [Full Text]

Get information about faster international access.

Privacy Policy

Copyright © 1999 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us