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Housing preferences and choices among adults with mental illness and substance use disorders: A qualitative study
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Housing is a critical issue for adults with severe mental illness and co-occurring substance use disorders, because this population is particularly susceptible to housing instability and homelessness. This study interviewed 40 adults with co-occurring disorders, who were living in either supervised or independent housing arrangements, to examine their housing preferences, decision-making processes regarding housing choices, and perceived barriers to housing. The authors found that many consumers indicated their housing preferences had changed during time, and some consumers related housing preferences to recovery. Although the majority of consumers preferred independent housing, many also described benefits of supervised housing. Consumers' current living situations seemed to be driven primarily by treatment provider recommendations and availability of housing. Lack of income and information were common barriers to obtaining desired housing. These findings have implications for supported housing models and approaches to providing housing for clients.
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A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services