Abstract
The World Health Organization (WHO) defines mental health as “a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community”. A person’s mental health is shaped by various social, economic, physical, and environmental factors, at different stages of life. Risk factors are heavily associated with social inequalities in the domains of employment, housing, and education. Theories of social determinants of health postulate the beneficial effects of factors exterior to medicine (regarding income, housing, education, and employment) on the health of individuals and populations. Recognition of the effect of social determinants on the health of vulnerable populations has been at the core of the intervention models and housing services developed by social service professionals in Québec. This article offers a review of housing services provided to psychiatric patients living in the community, over the last 50 years in Quebec. Different models of housing with social support which contribute to the autonomy, the security, and the empowerment of psychiatric patients are presented.
Highlights
Reviewed by: Giacomo Deste, Civil Hospital of Brescia, Italy Shulamit Ramon, University of Hertfordshire, United Kingdom
This has the consequence of leaving some individuals with mental illness not “housing-ready” and does not access the high rates of homelessness found in these individuals [36, 37]
We argue that more research using measures such as recovery would offer a broader picture of the efficacy of these different approaches
Summary
Defining the different services offered following the massive deinstitutionalization of housing for people with mental illness allows for a deeper understanding of their evolution in the last 50 years. Dorvil et al [7] conducted a qualitative study on the subjective effects of different housing models on residents in Quebec. The study presented four different housing models, in addition to the family homes model (living with one’s family)
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