Predictors of management problems in supported housing: a pilot study

The study examined predictors of management problems among residents of a supported single room occupancy hotel (SRO) for persons with severe and persistent mental illness (SPMI). Case workers completed questionnaires on the prior six months. We found that medication-compliant residents without drug abuse were rarely disruptive, while those with co-morbid substance abuse were often disruptive. Residents non-compliant with medication also tended to cause management problems whether or not they abused drugs. Supported residences should be staffed and organized to minimize medication non-compliance and substance abuse which are associated with behavioral disruptiveness.