How individuals with dual diagnoses make housing choices

Jack Tsai, Purdue University

Abstract

Housing is an essential component of psychiatric rehabilitation, particularly for individuals with dual diagnoses. This study utilized a mixed methods approach using both quantitative and qualitative methodologies to determine (1) whether housing preferences differ by stage of treatment, (2) whether clients who prefer certain housing types have preferences for certain characteristics and what the differences are between housing types, and (3) what is important to clients and what leads them to their housing. A total of 103 participants living in supervised housing, apartment housing, and single room occupancies completed quantitative questionnaires assessing their housing preferences, social support, choice, and satisfaction. Qualitative interviews were conducted on a subsample of 40 participants about their likes and dislikes about housing, their housing preferences, and what led them to their current housing. Results were as follows: (1) no specific stagewise housing preferences were found in the surveys, but during interviews some clients broadly related their housing preferences to their recovery. (2) Preference for supervised housing was associated with structure and staff and peer support while preference for apartment housing was associated with autonomy and privacy. Clients in single room occupancies had the least choice and lowest satisfaction. (3) Treatment provider recommendations and availability of housing were major factors in where clients were housed. Common barriers to obtaining desired housing were lack of income and of information. The implications for research and practice were discussed.

Degree

Ph.D.

Advisors

Bond, Purdue University.

Subject Area

Mental health|Clinical psychology|Public policy

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