Tracking residential outcomes of supported independent living programs for persons with serious mental illness

This study seeks to document patterns and reasons of leaving housing, and identify factors associated with different types of exits for a cohort of 452 residents with serious mental illness entering supported independent living (SIL) in Philadelphia, PA. The study cohort was tracked through an integ...

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Bibliographic Details
Published in:Evaluation and program planning 2008-11, Vol.31 (4), p.416-426
Main Authors: Wong, Yin-Ling Irene, Poulin, Stephen R., Lee, Sungeun, Davis, Morris R., Hadley, Trevor R.
Format: Article
Language:English
Subjects:
Behavioral health services
Health Care Services
Homelessness
Housing
Housing with support services
Independent Living
Leaving
Living arrangements
Mental health
Mental health Homelessness Behavioral health services Housing with support services
Mental Illness
Mentally ill people
Outcomes
Residential Patterns
Shelters
Sociodemographic Factors
Supported living
Treatment Programs
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Summary:This study seeks to document patterns and reasons of leaving housing, and identify factors associated with different types of exits for a cohort of 452 residents with serious mental illness entering supported independent living (SIL) in Philadelphia, PA. The study cohort was tracked through an integrated administrative database comprised information on basic demographic and clinical characteristics, length of stay, homeless shelter use, and publicly funded behavioral health services use. A convenience sample of 46 SIL leavers and their support staff provided data on scenarios of leaving. The findings of this study suggest that departure from SIL is not a unitary phenomenon, but involving plausibly favorable as well as unfavorable circumstances. Multivariate analysis based on administrative tracking data suggests demographic and clinical factors, housing setting, and service use factors to have effects on leaving SIL and distinct types of exit examined in this study. Data procured from the convenience sample highlight the potential roles that program rules and resident–staff relationships play in affecting housing tenure. Implications of the findings for the development of permanent supportive housing for persons with serious mental illness are discussed.
ISSN:0149-7189
DOI:10.1016/j.evalprogplan.2008.07.001