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Housing for Persons With Serious Mental Illness: Consumer and Service Provider Preferences

Dr. Piat and Dr. Bloom are affiliated with the Department of Psychiatry, McGill University, and Douglas Mental Health University Institute, 6875 Boulevard LaSalle, Verdun, Québec, Canada H4H 1R3 (e-mail: myra.piat{at}douglas.mcgill.ca). Dr. Lesage and Dr. Boyer are with the Department of Psychiatry, University of Montreal, and Louis H. Lafontaine Hospital, Montreal, Quebec. Dr. Dorvil is with the Department of Social Work, University of Quebec in Montreal. Ms. Couture and Dr. Grenier are with the Douglas Mental Health University Institute.

OBJECTIVE: This study evaluated the housing preferences of a representative sample of consumers with serious mental illness living in seven types of housing in Montreal, Quebec, and compared these with their case managers' housing preferences for them. METHODS: An inventory of all housing for this population was developed in consultation with administrators of three psychiatric hospitals and the regional health board. The inventory included seven categories: housing in a hospital setting, hostels, group homes, foster homes, supervised apartments, social housing (low-income housing or cooperative), and private rooming homes. A stratified random sample of 48 consumers was selected in each category. In all, 315 consumers and their case managers completed the Consumer Housing Preference Survey. RESULTS: Most consumers preferred living in housing that offered them more autonomy than the housing in which they were currently living. Case managers preferred housing that offered some structure, such as supervised apartments. Forty-four percent of consumers preferred to live in their own apartment. More than a third of consumers preferred to live in their current housing. CONCLUSIONS: When evaluating housing preferences, it is important to elicit the viewpoints of mental health consumers as well as their case managers. Special attention should be given to the type of housing where consumers currently live. A variety of housing, not just autonomous housing, is needed to meet the specific housing preferences of individuals with serious mental illness.

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Psychiatr Serv 2008 59: 1004-1010. [Abstract] [Full Text] [PDF]

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