Home Environment: Permanent Supportive Housing

week 1

Home promotess

• A place for control and self determination

• A place for privacy and freedom

• A place for engaging in daily life

Limitations of Linear Continuum approach

Early models of housing for persons with psychiatric disabilities provided sequential and graded reintroduction into community life, primarily from institutions (linear continuum paradigm)

Risk and impact of being unhoused

Serious consequences for one’s recovery

increased long term psychological, social emotional, health risks, increased trauma and assault

Impact of poverty

Limits an individual’s access to the basics needed for everyday life
Seriously restricts full participation in meaningful roles
Constrains the ability to secure access to safe, affordable housing

Custodial Housing

Congregate-living environments that are most often operated for profit by private landlords, including residential care homes, boarding homes, and board and care homes

Board and care home

Describes living arrangements that provide shelter, food, and 24-hour supervision or protective oversight and personal care services to residents.
 Limited site-based activities, rarely are matched to personal preferences
 Few assist residents in accessing recreational and cultural activities in the community

Stigma and Discrimination

may occur when
 Individuals document that they are unemployed or receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI)
 Individual does not have well established tenancy histories
 multiple or extended periods of psychiatric hospitalization or homelessness

Public Policy

Americans with Disabilities Act

Olmstead Integration Mandate

The right to fair housing and equal access

Right to affordable housing (HUD)

Elements of Permanent Supportive Housing

1. Choice of housing

2. Functional separation of housing and services

3. Decent, safe, and affordable

4. Housing integration Access to housing

OT in Permanent Supportive Housing

May serve as direct service providers or consultants to other team
members

Facilitating transition

Providing flexible support

Developing neurocognitive supports

Sensory processing strategies

Mediating hoarding practices

Occupational engagement

addressing comorbid health conditions