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Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
This handbook is the definitive resource for understanding current mental health policy controversies, options, and implementation strategies. It offers a thorough review of major issues in mental health policy to inform the policy-making process, presenting the pros and cons of controversial, significant issues through close analyses of data. Some of the topics covered are the effectiveness of various biomedical and psychosocial interventions, the role of mental illness in violence, and the effectiveness of coercive strategies. The handbook presents cases for conditions in which specialized mental health services are needed and those in which it might be better to deliver mental health treatment in mainstream health and social services settings. It also examines the balance between federal, state, and local authority, and the financing models for delivery of efficient and effective mental health services. It is aimed for an audience of policy-makers, researchers, and informed citizens that can contribute to future policy deliberations.
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.
Paper forms the basis for further comment on the housing needs of people with disabilities looking specifically at housing choice, demand, accommodation support, deinstitutionalisation, and other issues such as discrimination.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Revision of: Principles and practice of psychiatric rehabilitation / Patrick W. Corrigan ... [et al.].
The leading text and go-to practitioner resource on psychiatric rehabilitation is now in a thoroughly revised third edition, bringing readers up to date on current ideas, findings, and evidence-based best practices. The expert authors present the knowledge needed to help adults with psychiatric disabilities develop their strengths and achieve their life goals. The book describes effective ways to assess personal needs and aspirations; integrate medical and psychosocial interventions; implement supportive services in such areas as housing, employment, education, substance use, and physical health; and combat stigma and discrimination. "Personal Examples" throughout the text share the experiences of diverse individuals recovering from serious mental illness. New to This Edition *Increased attention to social determinants of health; for example, the impact of race, ethnicity, gender identity, sexual orientation, poverty, and criminal justice involvement. *Chapter on developing more equitable, culturally competent services. *Expanded coverage of physical health and wellness. *New and expanded discussions of community-based participatory research, peer recovery support providers, and other timely topics.