Abstract
This chapter summarizes the state of knowledge on the housing arrangements of people with serious mental illness (SMI) in the United States. Americans with serious mental illness have the legal right to live in as integrated housing as feasible and we estimate that more than 90% of people with SMI live in the community and not in institutions or specialized programs. However, the lack of affordable housing, discrimination in the rental market, difficulties accessing community-based health services, and insufficient benefits still contribute to people with serious mental illness being at greater risk for homelessness, inadequate or unaffordable housing, or incarceration. This chapter describes what we know about the housing situations of people with SMI, the challenges they face in the rental housing market, and the effectiveness of different program models for providing housing and services. The chapter concludes with a discussion of emerging topics for research and policy on housing for people with SMI.
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References
Fisher, W. H., Geller, J. L., & Pandiani, J. A. (2009). The changing role of the state psychiatric hospital. Health Affairs, 28(3), 676–684.
Lyons, R. D. (1984, October 30). How release of mental patients began. New York Times.
Lamb, H. R. (1984). Deinstitutionalization and the homeless mentally ill. Psychiatric Services, 35(9), 899–907.
Bazelon Center. The Olmstead Case. Retrieved from http://www.bazelon.org/the-olmstead-case/.
Musumeci, M., & Claypool, H. (2014). Olmstead’s role in community integration for people with disabilities under Medicaid: 15 years after the Supreme Court’s Olmstead decision. Menlo Park: Henry J. Kaiser Family Foundation.
Health Affairs. (2015, September 17). Health policy brief: Rebalancing Medicaid long-term services and supports. Health Affairs.
Irvin, C. V., Lipson, D., Simon, S., Hodges, M., Bohl, A., Peebles, V., … Schurrer, J. (2017). Money follows the person 2015 annual evaluation report. Final report submitted to the Centers for Medicare & Medicaid Services, Division of Community Services Transformation, Disabled and Elderly Health Programs Group. Cambridge, MA: Mathematica Policy Research.
Frank, R. G., & Glied, S. A. (2006). Better but not well: Mental health policy in the United States since 1950. Baltimore: Johns Hopkins University Press.
Technical Assistance Collaborative. (2017). Priced out: The housing crisis for people with disabilities. Retrieved from http://www.tacinc.org/media/59493/priced-out-in-2016.pdf.
Joint Center for Housing Studies. (2015). The state of the nation’s housing: 2015. Retrieved from http://www.jchs.harvard.edu/sites/default/files/jchs-sonhr-2015-full.pdf.
Scally, C. P., Batko, S., Popkin, S. J., & DuBois, N. (2018). Shortfalls in federal housing assistance and gaps in evidence for proposed policy changes. Retrieved from https://www.urban.org/sites/default/files/publication/95616/case_for_more_not_less_1.pdf.
Newman, S., & Goldman, H. (2009). Housing policy for persons with severe mental illness. Policy Studies Journal, 37(2), 299–324.
Hammel, J., Smith, J., Scovill, S., Campbell, R., & Duan, R. (2017). Rental housing discrimination on the basis of mental disabilities: Results of pilot testing. Washington, DC: U.S. Department of Housing and Urban Development.
National Low Income Housing Coalition. (2016, Fall). The long wait for a home. Housing Spotlight, 6(1).
Dunton, L., Henry, M., Kean, E., & Khadduri, J. (2014). Study of PHAs’ efforts to serve people experiencing homelessness. Washington, DC: U.S. Department of Housing and Urban Development.
Center on Budget and Policy Priorities. (2017, March 30). United States fact sheet: Federal rental assistance. https://www.cbpp.org/sites/default/files/atoms/files/4-13-11hous-US.pdf.
Finkel, M., & Buron, L. (2001). Study on Section 8 voucher success rates. Volume I. Quantitative study of success rates in metropolitan areas. Prepared by Abt Associates for the U.S. Department of Housing and Urban Development, 2–3.
Folsom, D. P., Hawthorne, W., Lindamer, L., Gilmer, T., Bailey, A., Golshan, S., … Jeste, D. V. (2005). Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. American Journal of Psychiatry, 162(2), 370–376.
Choe, J. Y., Teplin, L. A., & Abram, K. M. (2008). Perpetration of violence, violent victimization, and severe mental illness: Balancing public health concerns. Psychiatric Services, 59(2), 153–164.
Ireys, H., Achman, L., & Takyi, A. (2006). State regulation of residential facilities for adults with mental illness (Mathematica Policy Research Report No. 5f0c6ec9796c41a3813f36cf4e38f7de). Mathematica Policy Research.
Wong, Y. L. I., Hadley, T. R., Culhane, D. P., Poulin, S. R., Davis, M. R., Cirksey, B. A., & Brown, J. L. (2006). Predicting staying in or leaving permanent supportive housing that serves homeless people with serious mental illness (Departmental Papers [SPP], 111). Washington, DC: U.S. Department of Housing and Urban Development.
Tsemberis, S. (2010). Housing first: The pathways model to end homelessness for people with mental illness and addiction manual. Minnesota: Hazelden.
Benston, E. A. (2015). Housing programs for homeless individuals with mental illness: Effects on housing and mental health outcomes. Psychiatric Services, 66(8), 806–816.
Dickson-Gomez, J., Quinn, K., Bendixen, A., Johnson, A., Nowicki, K., Ko Ko, T., & Galletly, C. (2017). Identifying variability in permanent supportive housing: A comparative effectiveness approach to measuring health outcomes. American Journal of Orthopsychiatry, 87(4), 414.
Tanzman, B. (1993). An overview of surveys of mental health consumers’ preferences for housing and support services. Psychiatric Services, 44(5), 450–455.
Nelson, G., & Laurier, W. (2010). Housing for people with serious mental illness: Approaches, evidence, and transformative change. The Journal of Sociology & Social Welfare, 37, 123.
Richter, D., & Hoffmann, H. (2017). Independent housing and support for people with severe mental illness: Systematic review. Acta Psychiatrica Scandinavica, 136(3), 269–279.
Simon, S., & Hodges, M. (2011). Money follows the person: Change in participant experience during the first year of community living. Mathematica Policy Research. Cambridge, MA. Retrieved from https://www.mathematica-mpr.com/our-publications-and-findings/publications/money-follows-the-person-change-in-participant-experience-during-the-first-year-of-community-living.
Perl, L., & Bagalman, E. (2015). Chronic homelessness: Background, research, and outcomes. Washington, DC: Congressional Research Service. Retrieved from https://fas.org/sgp/crs/misc/R44302.pdf.
Pearson, C., Montgomery, A. E., & Locke, G. (2009). Housing stability among homeless individuals with serious mental illness participating in housing first programs. Journal of Community Psychology, 37(3), 404–417.
Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94(4), 651–656.
Siegel, C. E., Samuels, J., Tang, D. I., Berg, I., Jones, K., & Hopper, K. (2006). Tenant outcomes in supported housing and community residences in New York City. Psychiatric Services, 57(7), 982–991.
Leff, H. S., Chow, C. M., Pepin, R., Conley, J., Allen, I. E., & Seaman, C. A. (2009). Does one size fit all? What we can and can’t learn from a meta-analysis of housing models for persons with mental illness. Psychiatric Services, 60(4), 473–482.
Greenwood, R. M., Schaefer-McDaniel, N. J., Winkel, G., & Tsemberis, S. J. (2005). Decreasing psychiatric symptoms by increasing choice in services for adults with histories of homelessness. American Journal of Community Psychology, 36(3–4), 223–238.
CSH. (2016). Integrated care for the chronically homeless. Houston, TX. Retrieved from https://www.nhchc.org/wp-content/uploads/2011/10/houstonfrequentuserinitiativeprofile_jan16.pdf.
Culhane, D. P., Metraux, S., & Hadley, T. (2002). Public service reductions associated with placement of homeless persons with severe mental illness in supportive housing. Housing Policy Debate, 13(1), 107–163.
Sadowski, L. S., Kee, R. A., VanderWeele, T. J., & Buchanan, D. (2009). Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: A randomized trial. JAMA, 301(17), 1771–1778.
Levanon Seligson, A., Lim, S., Singh, T., Laganis, E., Stazesky, E., Donahue, S., … Karpati, R. (2013). New York/New York III supportive housing evaluation: Interim utilization and cost analysis. A report from the New York City Department of Health and Mental Hygiene in collaboration with the New York City Human Resources Administration and the New York State Office of Mental Health.
Spellman, B., Khadduri, J., Sokol, B., & Leopold, J. (2010). Costs associated with first-time homelessness for families and individuals. Washington, DC: U.S. Department of Housing and Urban Development.
Brennan, M., & Galvez, M. (2017). Housing as a platform: Strengthening the foundation for well-being. Washington, DC: Urban Institute. Retrieved from https://www.urban.org/sites/default/files/publication/93606/housing-as-platform_1.pdf.
Woo, A. (2016, June 14). How have rents changed since 1960. Rentonomics. Retrieved from https://www.apartmentlist.com/rentonomics/rent-growth-since-1960/.
Kingsley, G. T. (2017). Trends in housing problems and federal housing assistance. Washington, DC: Urban Institute.
CSH. (2018). 2017 low income housing tax credit policies promoting supportive housing & recommendations for 2018–2019. Retrieved from http://www.csh.org/wp-content/uploads/2018/03/CSH_2017QAPReport_Final-1.pdf.
Sullivan, L., & Anderson, M. (2017). Affordable housing program costs more, shelters fewer. From all things considered. Broadcast, May 9. Retrieved from https://www.npr.org/2017/05/09/527046451/affordable-housing-program-costs-more-shelters-less.
Blumenthal, P., & Jordan, R. (2016). The cost of affordable housing: Does it pencil out? Urban Institute. Retrieved from http://apps.urban.org/features/cost-of-affordable-housing/.
Centers for Medicare and Medicaid Studies. (2015, June 26). CMCS informational bulletin: Coverage of housing-related activities and services for individuals with disabilities. Retrieved from https://www.medicaid.gov/federal-policy-guidance/downloads/cib-06-26-2015.pdf.
Spillman, B. C., Leopold, J., Allen, E. H., & Blumenthal, P. (2017). Developing housing and health collaborations. Washington, DC: The Urban Institute.
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Leopold, J. (2020). Housing for People with Serious Mental Illness. In: Goldman, H., Frank, R., Morrissey, J. (eds) The Palgrave Handbook of American Mental Health Policy. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-11908-9_14
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DOI: https://doi.org/10.1007/978-3-030-11908-9_14
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