A longitudinal study of the impact of changing public policy on community mental health client residential patterns and staff attitudes

Three studies of perceived residential needs and community residential patterns of adults with severe and persistent mental illness over a period of 12 years are used to assess the effect of changing public policy in this area. During a period in which public policy shifted from advocacy of congrega...

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Bibliographic Details
Published in:Journal of mental health administration 1994, Vol.21 (1), p.71-79
Main Authors: Pandiani, J A, Edgar, E R, Pierce, J E
Format: Article
Language:English
Subjects:
Affordable housing
Apartments
Attitude of Health Personnel
Case management
Chronic Illness
Community living
Community Mental Health Services - legislation & jurisprudence
Community Mental Health Services - organization & administration
Community Mental Health Services - statistics & numerical data
Deinstitutionalization - statistics & numerical data
Group homes
Health administration
Health Policy - trends
Health Services Needs and Demand - trends
Housing
Housing needs
Housing Policy
Humans
Longitudinal Studies
Mental disorders
Mental Disorders - epidemiology
Mental health
Mental health care
Mental Illness
Mental Patients
Mentally ill people
Needs
Public Health Administration - trends
Public housing
Public Housing - statistics & numerical data
Public Housing - trends
Public Policy
Rehabilitation
Residences
Residential Facilities - statistics & numerical data
Residential Facilities - utilization
Severely
Social policy
Statistical analysis
Success
United States
Vermont
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Description
Summary:Three studies of perceived residential needs and community residential patterns of adults with severe and persistent mental illness over a period of 12 years are used to assess the effect of changing public policy in this area. During a period in which public policy shifted from advocacy of congregate living in treatment settings to independent living in generic community housing, there were significant changes in community residential patterns and in the attitudes of case managers. Clinical and demographic data collected in the most recent survey provides a much more complete profile of the community living situation of adults with severe and persistent mental illness than was previously available.
ISSN:0092-8623
1094-3412
1556-3308
DOI:10.1007/BF02521347