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The St. Louis Community Homes Program: graduated support for long-term care

H Sandall, T T Hawley, G C Gordon

The American Journal of Psychiatry

|June 1, 1975

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A successful group-home program in St. Louis empowers former mental hospital patients to gain independent living skills. This community-based approach fosters personal growth and autonomy for individuals with chronic mental health conditions.

Area of Science:

Psychiatry
Community Mental Health
Social Work

Background:

Mental health deinstitutionalization has increased the need for community-based support.
Ex-mental hospital patients often face challenges in achieving independent living.
Traditional rehabilitation programs may not fully address long-term community integration needs.

Purpose of the Study:

To describe a successful group-home program for ex-mental hospital patients.
To evaluate the program's effectiveness in fostering independent living skills.
To explore the potential for personal growth and autonomy among participants.

Main Methods:

A group-home program was implemented in St. Louis, Missouri.
The program involved shared apartment living with minimal supervision.

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Participant progress in community living was monitored over three years.

Main Results:

The group-home program demonstrated sustained success over three years.
Participants showed an ability to adjust to minimally supervised living arrangements.
The program served as a catalyst for personal growth and increased autonomy.

Conclusions:

Shared living arrangements can be effective for long-term chronic mental health patients.
Community-based programs facilitate successful reintegration and independence.
This model supports the transition of ex-mental hospital patients towards autonomy.