Chapter VII: Elements of an Effective Mental Health System

Policy Statement 38: Housing

Develop and enhance housing resources that are linked to appropriate levels of mental health supports and services.

Recommendation e: Develop an array of housing to meet the varied needs of individuals with mental illness.

Typically, community response is most favorable to development of housing that mixes people with mental illness with others who may require no support and/or who will rent at market rates. Most of the programs mentioned above are predicated on development of such "integrated" (also known as "scattered-site") housing. A building with eight units, for example, may include just one or two units for persons with mental illness. Developers and most community mental health agencies frown on development of properties with many units, all of which are to be occupied by people with mental illness. Such "congregate" housing is a target for community opposition and is seen by many advocates as inimical to the concepts of community integration and recovery. Just the same, it should be pointed out that some communities have seen opportunities arise for development or redevelopment projects that are targeted exclusively to people with mental illness.  Still, such projects are growing less common. [1]  

Example:  Project Renewal (NY)

Project Renewal, a New York City based nonprofit, has facilitated the construction of both "integrated" and "congregate" housing throughout the city. One of its several congregate housing facilities, Renewal at Clinton Residence, opened in 1990 and houses and provides services for 57 individuals with mental illness who were formerly homeless.  Project Renewal also maintains more than 90 units of "scattered-site housing," some of which are occupied by graduates from Project Renewal-run treatment programs.  Rent subsidies are provided by HUD and federal section 8 programs, among other funding sources.

It should be remembered that people with mental illness fall at different points on a continuum.  For some, independent housing with only occasional supports is appropriate.  For others, intensely supervised housing is necessary to ensure their safety and success in the community.  It would be a mistake for a community to institute a housing plan that doesn't account for this range of needs.  To ensure appropriate housing development, a community should assess the housing options available as well as indications of need, such as waiting lists for section 8 housing or the numbers of people with mental illness found to be inadequately housed in shelters, with relatives, or, indeed, in jails or prisons.

 

  1. Another reason for the decline in popularity of congregate housing is that, compared  with some integrated housing models, congregate housing can be more expensive.  This is due in large part to the extensive in-house services available, especially having 24-hour trained mental health staff on-hand.  Yves Ades, director, the Nathaniel Project, Center for Alternative Sentencing and Employment Services (CASES), interview, December 20001.

    back
Explore the Justice Center’s Websites
CSG Justice Center Criminal Justice / Mental Health Consensus Project Justice Reinvestment National Reentry Resource Center Reentry Policy Council