Housing satisfaction, preference and need among the chronically mentally disabled in Hamilton, Ontario.

This paper examines housing satisfaction, preference and need among a sample of the CMD in Hamilton, Ontario. The research goes beyond simply documenting the gap in housing supply by examining issues of housing quality as expressed by clients themselves. Survey data were obtained in two rounds of interviews from 66 clients attached to three aftercare programmes. Various indicators were consistent in showing a relatively high level of satisfaction with the current living situation. At the same time, clients reported major housing difficulties due to lack of appropriate and affordable accommodation, unacceptable conditions and financial constraints. Housing satisfaction was a significant correlate of scores of coping indices. There was considerable variability in satisfaction within groups of the sample defined in terms of type of housing, location and living arrangement. Data on preferences and expressed needs correspond quite closely with normative prescriptions for a continuum of housing options ranging from restricted congregate care to autonomous individual living situations. These findings underline the heterogeneity of the CMD and their needs.

[1]  A. Arce,et al.  An overview of community residences as alternatives to hospitalization. , 1985, The Psychiatric clinics of North America.

[2]  TaylorS. Martin,et al.  Coping and Satisfaction Among The Chronically Mentally Disabled , 1987 .

[3]  William A. V. Clark,et al.  RECENT RESEARCH ON MIGRATION AND MOBILITY: A REVIEW AND INTERPRETATION , 1982 .

[4]  L. Appleby,et al.  Documenting the relationship between homelessness and psychiatric hospitalization. , 1985, Hospital & community psychiatry.

[5]  T. W. Freeman,et al.  Environmental Choice, Human Behavior, and Residential Satisfaction , 1978 .

[6]  H. Lamb,et al.  Discharged mental patients--are they really in the community? , 1971, Archives of general psychiatry.

[7]  J. Hull,et al.  Factors which contribute to normalization in residential facilities for the mentally ill , 1981, Community mental health journal.

[8]  H. Lamb The new asylums in the community. , 1979, Archives of general psychiatry.

[9]  J. Wolch RESIDENTIAL LOCATION OF THE SERVICE-DEPENDENT POOR∗ , 1980 .

[10]  C. Caton,et al.  The effects of the community environment on chronic psychiatric patients , 1983, Psychological Medicine.

[11]  J. Kruzich,et al.  Milieu factors influencing patients' integration into community residential facilities. , 1985, Hospital & community psychiatry.

[12]  J. Wolch,et al.  Dismantling the community-based service system. , 1985, Journal of the American Planning Association. American Planning Association.

[13]  S. Elliott,et al.  THE HOUSING EXPERIENCE OF CHRONICALLY MENTALLY DISABLED CLIENTS IN HAMILTON, ONTARIO , 1989 .

[14]  L. Bachrach Planning mental health services for chronic patients. , 1979, Hospital & community psychiatry.

[15]  S. Folkman,et al.  The relationship between coping and emotion: implications for theory and research. , 1988, Social science & medicine.

[16]  Michael Dear,et al.  Landscapes of Despair: From Deinstitutionalization to Homelessness , 1987 .

[17]  P. Binner,et al.  The Myths Of Deinstitutionalization: Policies For The Mentally Disabled , 1980 .

[18]  R. Peterson What are the needs of chronic mental patients? , 1982, Schizophrenia bulletin.

[19]  NelsonGeoffrey,et al.  An Action-Oriented Assessment of the Housing and Social Support Needs of Long-Term Psychiatric Clients , 1986 .

[20]  C. Smith BEING MENTALLY ILL – IN THE ASYLUM OR THE GHETTO , 1975 .

[21]  TruteBarry Sheltered Housing for the Chronic Psychiatric Patient: The Influence of Operators of Board and Care Facilities on Community Participation of their Residents , 1986 .

[22]  J. Sokolovsky,et al.  Schizophrenia and social networks: ex-patients in the inner city. , 1978, Schizophrenia bulletin.

[23]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[24]  M. Dear PSYCHIATRIC PATIENTS AND THE INNER CITY , 1977 .

[25]  P. Elton,et al.  A prospective randomised trial of the value of rehousing on the grounds of mental ill-health. , 1986, Journal of chronic diseases.

[26]  A C Brummell A model of intraurban mobility. , 1979, Economic geography.

[27]  NelsonGeoffrey,et al.  Housing for the Chronically Mentally Disabled: Part II — Process and Outcome , 1987 .