Housing Solutions

Abstract

Key features of a comprehensive housing program serving formerly homeless and at-risk adults with serious and persistent mental illness are described. The program combines intensive case management, integrated dual-diagnosis treatment, and other clinical services with a range of housing options which are operated under the auspices of a single agency. For individuals with co-occurring substance use disorder, housing responses are guided by a four stage model of treatment and recovery. The authors offer a rationale for the continuum approach's relevance for high risk populations, especially those in poor, urban settings where safety and harm-reduction are a high priority. A controlled study comparing the continuum housing approach to another leading model is underway. Primary outcomes of interest are engagement in services, establishing and maintaining high quality housing, and avoiding returns to literal homelessness.