The use of housing as leverage to increase adherence to psychiatric treatment in the community

For people with mental disorder, access to subsidized housing may be used as "leverage" to obtain adherence to treatment. Interview data from 200 outpatients at each of five sites provided the first national description of the use of housing as leverage. Results indicated that housing is m...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2006-03, Vol.33 (2), p.226-236
Main Authors: Robbins, Pamela Clark, Petrila, John, LeMelle, Stephanie, Monahan, John
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Drug abuse
Female
Health services
Housing
Housing subsidies
Humans
Interviews as Topic
Male
Mental disorders
Mental Disorders - therapy
Mental health care
Middle Aged
Patient Compliance
Substance abuse treatment
United States
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Summary:For people with mental disorder, access to subsidized housing may be used as "leverage" to obtain adherence to treatment. Interview data from 200 outpatients at each of five sites provided the first national description of the use of housing as leverage. Results indicated that housing is most likely to be used as leverage when it is "special" housing, available only to people with mental illness. Most frequently, respondents state that the requirement that they participate in treatment is imposed by their landlord, rather than by a clinician. The use of housing as leverage strongly increases respondents' perceptions of coercion. Despite this, however, participants who experience housing as leverage are no less satisfied than other participants with the treatment that they receive, and are much more likely than other participants to believe that using housing as leverage is effective in helping people stay well.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-006-0037-3