COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...
are perceived as necessary for state hospital discharge, even though individuals might have done very well being discharged into their own apartments or other residential settings of their own choosing had the necessary service supports and evidence based treatment practices been available. • The state requires the provider of CRRS and LTSR facilities (whether the county operates the program or sub-contracts to a provider agency), to own the property, and be the landlord to the residents. The costs associated only with housing (rent/mortgage, taxes, utilities, etc.) are built into the contracts or budgets for CRRS and LTSR’s operated by Counties and their contracted provider agencies. The money for this kind of program is allocated by the state to the county MH/MR program, and thus community housing for persons with a serious mental illness living in “group homes” is paid for by the state. Because staffing and support services are integrated into the CRRS program and are site based, the flexibility to separate housing from service components is not currently easy to do, limiting opportunities for creative change. • In the group home model, CRRS and LTSR’s are frequently perceived as the only choice for moving consumers from state hospitals to the community. In order to serve newly released persons at the top of the residential services pipeline the bottom must be free and clear. This means that individuals must continue to move into less restrictive settings at all levels of the program, so that new persons needing residential services can be placed, according to the level of supervision and staffing deemed appropriate, into an available “slot”. When the pipeline is clogged, i.e., no movement is occurring at the least restrictive staffed level, the whole system backs up, and is in effect static rather than dynamic. Hence, when persons are due to be moved from state hospitals into the community, new funding to develop additional CRRS must be appropriated and allocated. • Overall, the desire to serve persons with mental illness effectively in the community through a recovery oriented flexible system that can adapt to meet changing circumstances is hampered by the constraints of the most prevalent current residential model, which combines housing and treatment in one bundled service; and by failure in the system to support or encourage counties to develop appropriate recovery oriented supports and effective local housing options for consumers with mental disabilities. Re-thinking housing options - what can the OMHSAS do differently? The OMHSAS has promoted the development of alternatives to CRRS and LTSR’s for almost a decade, and a variety of local housing options, including supported housing have successfully been built. OMHSAS must: • Promote the concept that consumers should have choices, within reasonable funding constraints to live where they please in the community. 3
• Un-bundle the community residential rehabilitation service model, and separate housing from staff support. • Develop flexible, creative and effective consensus based best service practices which facilitate recovery, supported by affordable community housing options. Work with other responsible entities, such as local housing and redevelopment authorities; non-profit housing developers; community based housing consortiums and advocacy groups to provide housing opportunities for persons with serious mental illness. • Develop mobile recovery oriented service delivery models which bring the housing supports to the consumer, if needed to promote housing stability. • Under the assumption that one size does not fit all, the state should recognize the positive aspects of the CRRS and LTSR’s, and attempt to revitalize some of them to be viable short term options for some consumers. Needed changes should be made to assure that persons move through the group homes fairly quickly into permanent secure housing in the community. CRRS and LTSR’s should be a part of a community housing continuum, rather than the only option recognized and promoted by OMHSAS, the state hospitals and the County MH/MR Programs. What direction should the planning for creating better housing options take? Everything we do to enable, facilitate and support persons with SMI to live in the community should be based on the philosophy of the recovery process, and included in that process is the concept of informed consumer choice. Service system planning should also be based on the recovery concept, and, therefore, consumers should be included and actively participate in the planning process. There is also a housing philosophy, which supports the concept of recovery. The National Association of State Mental Health Program Directors “Position Statement on Housing and Supports for People With Psychiatric Disabilities” is that conceptual model. The statement reads: Housing Options It should be possible for all people with psychiatric disabilities to have the option to live in decent, stable, affordable and safe housing that reflects consumer choice and available resources. These are settings that maximize opportunities for participation in the life of the community and promote self-care, wellness and citizenship. Housing options should not require time limits for moving to another housing option. People should not be required to change living situations or lose their place of residence if they are hospitalized. People should choose their housing arrangements from among those living environments available to the general public. State mental health authorities have the obligation to exercise leadership in the housing area, addressing housing and support needs and expanding affordable housing stock. This is a 4
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• Un-bundle the community residential rehabilitation service model, and separate<br />
housing from staff support.<br />
• Develop flexible, creative and effective consensus based best service practices<br />
which facilitate recovery, supported by affordable community housing options.<br />
Work with other responsible entities, such as local housing and redevelopment<br />
authorities; non-profit housing developers; community based housing consortiums<br />
and advocacy groups to provide housing opportunities for persons with serious<br />
mental illness.<br />
• Develop mobile recovery oriented service delivery models which bring the<br />
housing supports to the consumer, if needed to promote housing stability.<br />
• Under the assumption that one size does not fit all, the state should recognize the<br />
positive aspects of the CRRS and LTSR’s, and attempt to revitalize some of them<br />
to be viable short term options for some consumers. Needed changes should be<br />
made to assure that persons move through the group homes fairly quickly into<br />
permanent secure housing in the community. CRRS and LTSR’s should be a part<br />
of a community housing continuum, rather than the only option recognized and<br />
promoted by OMHSAS, the state hospitals and the County MH/MR Programs.<br />
What direction should the planning for creating better housing options take?<br />
Everything we do to enable, facilitate and support persons with SMI to live in the community<br />
should be based on the philosophy of the recovery process, and included in that process is the<br />
concept of informed consumer choice. Service system planning should also be based on the<br />
recovery concept, and, therefore, consumers should be included and actively participate in the<br />
planning process.<br />
There is also a housing philosophy, which supports the concept of recovery.<br />
The National Association of State Mental Health Program Directors “Position Statement<br />
on Housing and Supports for People With Psychiatric Disabilities” is that conceptual<br />
model. The statement reads:<br />
Housing Options<br />
It should be possible for all people with psychiatric disabilities to have the option to live<br />
in decent, stable, affordable and safe housing that reflects consumer choice and<br />
available resources. These are settings that maximize opportunities for participation in<br />
the life of the community and promote self-care, wellness and citizenship. Housing<br />
options should not require time limits for moving to another housing option. People<br />
should not be required to change living situations or lose their place of residence if<br />
they are hospitalized. People should choose their housing arrangements from among<br />
those living environments available to the general public. State mental health<br />
authorities have the obligation to exercise leadership in the housing area, addressing<br />
housing and support needs and expanding affordable housing stock. This is a<br />
4