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In late 2003, inspired by the recommend. of the Pres.¿s New Freedom Comm. on Mental Health, the Bazelon Center for Mental Health Law undertook a study of board & care homes for people with psychiatric disabilities. A draft report was produced, then on Nov. 18 & 19, 2004, the Bazelon Center hosted a nat. strategy meeting to discuss the findings. This final report incorp. the discussion & recommend. from the Nov. 2004 meeting. It discusses the impact of short-term quality improvement measures in the use of board & care homes. It also calls for a fresh approach to providing housing for people with psychiatric disabilities -- a recovery-oriented approach that revolves around the principles of consumer self-direction & community integration.
As an evidence-based practice, Housing First has not only been proven to be successful in ending homelessness, but is also embraced as the most cost-effective solution. Today, the Housing First model is being implemented in hundreds of communities across the United States, Canada and Europe. As the model evolves one thing remains constant: Housing First ends homelessness. Housing First is simple: provide housing first, and then combine that housing with supportive treatment services in mental and physical health, substance abuse, education, and employment.Housing First details:solid, actionable information about the program's philosophy, operations, and administrationthe composition, staffing structures, and day-to-day operations of the clinical and support servicespractices in client assessment and engagementproperty management operationsthe best protocols for assisting clients with the search for housing, relationships with landlords, and the overall "settling in" processthe research evidence for the effectiveness of the Pathways modelThe Pathways model has been remarkably successful in ending chronic homelessness. Since its founding, housing retention rates have remained at 85 – 90 percent even among individuals who have not succeeded in other programs. Not only is Housing First effective at keeping people housed and working toward recovery, it has also proven to be incredibly cost-effective.
In this book, Sue Popkin tells the story of how an ambitious—and risky—social experiment affected the lives of the people it was ultimately intended to benefit: the residents who had suffered through the worst days of crime, decay, and rampant mismanagement of the Chicago Housing Authority (CHA), and now had to face losing the only home many of them had known. The stories Popkin tells in this book offer important lessons not only for Chicago, but for the many other American cities still grappling with the legacy of racial segregation and failed federal housing policies, making this book a vital resource for city planners and managers, urban development professionals, and anti-poverty activists.
This book provides a unique portrayal of Housing First as a 'paradigm shift' in homeless services. Since 1992, this approach has spread nationally and internationally, changing systems and reversing the usual continuum of care. The success of Housing First has few parallels in social and human services.
Housing has emerged as a popular and central topic of research, mental health system development, and social and mental health policy in recent years. The field has rapidly evolved in a number of ways: first, with the introduction and popularization of the Housing First approach; second, there are now a growing number of randomized controlled studies to evaluate the lives of people living in this housing; and third, there is increasing recognition of housing as a cornerstone of mental health policy and community mental health systems. Housing, Citizenship, and Communities for People with Serious Mental Illness provides the first comprehensive overview of the field. The book covers theory, research, practice, and policy issues related to the provision of housing and the supports that people rely on to get and keep their housing. A special focus is given to issues of citizenship and community life as key outcomes for people with serious mental illness who live in community housing. The book is grounded in the values, research traditions, and conceptual tools of community psychology. This provides a unique lens through which to view the field. It emphasizes housing not only as a component of community mental health systems but also as an instrument for promoting citizenship, social inclusion, social justice, and the empowerment of marginalized people. It serves as a resource for researchers, practitioners, and policy-makers looking for up-to-date reviews and perspectives on this field, as well as a sourcebook for current and future research and practice trends.
In Canada and elsewhere, recent political, economic, and social shifts have brought gender to the forefront of politics as never before, from gender-based analyses and “feminist budgets” to the #MeToo, Idle No More, and Black Lives Matter movements. Detailing these gendered and turbulent political times, this book features state-of-the art scholarship from diverse contributors that encompasses both contemporary challenges as well as avenues for change now and into the future. This collection represents a complex treatment of both gender and politics, in which gender is examined in light of other collective identities and their intersections and politics refers to both institutional and movement and countermovement politics.
This compendium of 17 articles addresses the goals set forth by the President's New Freedom Commission on Mental Health in its 2003 report, Achieving the Promise: Transforming Mental Health Care in America. The report represents the first time since the Carter Administration that such a high-level group evaluated U.S. mental health care. The report painted a dismal picture of the nation's mental health system, saying the system was so broken that it was "beyond simple repair." The Commission said that current services focused on "managing disabilities" rather than helping patients achieve a meaningful life in their communities. It also stated that mental health service providers ignored the preferences of consumers and their families. The articles in Transforming Mental Health Services: Implementing the Federal Agenda for Change, originally published between 2006 and 2009 in Psychiatric Services (journal of the American Psychiatric Association), offer recommendations to assist adults with serious mental illness and children with serious emotional disturbances. They include a series of reforms in which the emphasis is on recovery as an achievable goal, and the need for a person-centered orientation in service delivery. There is also discussion of the reasons many service providers resist using a recovery orientation and how this can be remedied. Transforming Mental Health Services: Implementing the Federal Agenda for Change consists of updates of papers written by the Commission's subcommittees addressing issues fundamental to those living with mental illness. It is organized into four sections: The first focuses on the interface between mental health and general health, and on employment, housing, and Medicaid financing. The second continues addressing financing and Medicaid as well as issues related to school mental health, recovery, transformation of data systems, and acceleration of research. The third includes reports from four states with transformation initiatives designed to ensure that consumers have a strong voice in the development of recovery-oriented services. The final section describes progress five years after the President's Commission Report and concludes with a proposal by the current director of the Center for Mental Health Services for a public health model of mental health care for the 21st century. This compilation of well-researched and well-written articles offers an excellent resource for frontline care providers, facility administrators and advocates. It serves as an equally valuable resource for state policy makers who wish to present a convincing case that change is happening and that the recommendations can be translated into effective policies. Although consumers and their families will receive support for their perception that service providers ignore their needs, they will also be encouraged that change for the better is coming to the U.S. mental health care system.