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Predictors of management problems in supported housing: a pilot study
M Grunebaum1, R Aquila, L Portera
1Residential Community Service, St. Luke's-Roosevelt Hospital, NY, NY 10025, USA.
Community Mental Health Journal
|July 21, 1999
Summary
Medication compliance and avoiding substance abuse are key to reducing disruptive behavior in supported housing for individuals with severe and persistent mental illness (SPMI). These factors significantly impact management problems.
Area of Science:
- Psychiatry
- Mental Health Services
- Social Work
Background:
- Supported single room occupancy (SRO) hotels provide housing for individuals with severe and persistent mental illness (SPMI).
- Management problems can arise in these supportive environments, impacting residents and staff.
- Identifying predictors of these problems is crucial for improving care.
Purpose of the Study:
- To examine predictors of management problems in an SRO hotel for persons with SPMI.
- To identify specific resident behaviors and conditions associated with disruptiveness.
Main Methods:
- Case workers completed questionnaires assessing resident behaviors over a six-month period.
- Data collected focused on medication compliance and substance abuse.
Main Results:
- Residents compliant with medication and without substance abuse were rarely disruptive.
- Co-morbid substance abuse was strongly associated with disruptive behavior.
- Medication non-compliance predicted management problems, irrespective of substance abuse status.
Conclusions:
- Minimizing medication non-compliance and substance abuse is essential in supported residences.
- Staffing and organizational strategies should target these key predictors.
- Interventions aimed at improving adherence and reducing substance use can enhance behavioral stability.