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37 J. Soc. & Soc. Welfare 123 (2010)
Housing for People with Serious Mental Illness: Approaches, Evidence, and Transformative Change

handle is hein.journals/jrlsasw37 and id is 709 raw text is: Housing for People with Serious Mental Illness: Approaches, Evidence, and Transformative Change GEOFFREY NELSON Wilfred Laurier Department of Psychology The evolution of housing approaches for people with serious mental illness is described and analyzed. A distinction is made between three different approaches to housing: (a) custodial, (b) supportive, and (c) supported. Research evidence is reviewed that suggests the promise of supported housing, but more re- search is needed that compares supported housing with differ- ent supportive housing approaches. It is argued that the cur- rent move to a supported housing approach represents a funda- mental shift or transformative change in mental health policy and practice. Strategies to facilitate this shift are discussed. Key words: housing approaches, mental illness, homelessness, housing first Prior to the 1950s and 1960s, people with serious mental illness were confined to mental hospitals (Foucault, 1965). Goffman (1961) characterized these hospitals as total insti- tutions that encompassed all aspects of life for the patients who resided within them. Mental hospitals typically had long stay wards for so called chronic mental patients, and some even had their own graveyards where deceased patients were Journal of Sociology & Social Welfare, December 2010, Volume XXXVII, Number 4 123

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