Consumer choice over living environment, case management, and mental health treatment in supported housing and its relation to outcomes.

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  • Author(s): Tsai J;Tsai J; Rosenheck RA
  • Source:
    Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2012 Nov; Vol. 23 (4), pp. 1671-7.
  • Publication Type:
    Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Johns Hopkins University Press Country of Publication: United States NLM ID: 9103800 Publication Model: Print Cited Medium: Internet ISSN: 1548-6869 (Electronic) Linking ISSN: 10492089 NLM ISO Abbreviation: J Health Care Poor Underserved Subsets: MEDLINE
    • Publication Information:
      Publication: 2004- : Baltimore, MD : Johns Hopkins University Press
      Original Publication: Nashville, TN : Institute on Health Care for the Poor and Underserved, Meharry Medical College, c1990-
    • Subject Terms:
      Consumer Behavior* ; Ill-Housed Persons*/psychology ; Ill-Housed Persons*/statistics & numerical data ; Mental Health Services* ; Public Housing*; Adult ; Case Management/statistics & numerical data ; Female ; Humans ; Male ; Mental Disorders/psychology ; Mental Disorders/therapy ; Patient Outcome Assessment ; United States
    • Abstract:
      Choice and empowerment is commonly discussed as important for mental health consumers. Greater specificity is needed in identifying domains of consumer choice related to outcomes in supported housing. Using data from 534 chronically homeless adults participating in a supported housing initiative, mixed model regressions were used to test the predictive association between three factor-analytically derived domains of consumer choice (choice over living environment, case management, and mental health treatment) and housing and mental health outcomes. Controlling for sociodemographic characteristics, homeless history, and incarceration history, domains of consumer choice assessed at three months were not predictive of housing outcomes at six or 12 months. However, choice over living environment at three months was weakly predictive of psychological well-being and subjective quality of life at six and 12 months. Policy and clinical efforts to enhance consumer choice over housing and living options deserve support, although the magnitude of beneficial effects may be small.
    • Publication Date:
      Date Created: 20130524 Date Completed: 20140219 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      10.1353/hpu.2012.0180
    • Accession Number:
      23698681