Housing is an essential component of psychiatric rehabilitation, particularly for consumers with dual diagnoses. Research has not clearly examined why and when consumers prefer different types of housing. This exploratory study examined 1) whether housing preferences differ between stage of treatment for substance abuse, 2) whether consumers who prefer certain housing types have preferences for certain characteristics, and 3) whether consumers living in different types of housing report differences in social support, choice, and housing satisfaction. A total of 103 participants living in supervised housing (n= 65), independent apartment housing (n= 22), single room occupancy hotels (n= 11), and with family (n= 5) completed self-report questionnaires. Results showed that 1) the majority of participants preferred their own apartment or house across different stages of treatment, 2) preference for supervised housing was associated with on-site staff and peer support while preference for apartment housing was associated with autonomy and privacy, and 3) consumers in single room occupancies reported the least choice and lowest satisfaction. These findings contribute to the understanding of consumers' housing preferences and the differences consumers perceive between certain housing types.
KeywordsHousing Preferences; Supported Housing; Residential Programs; Dual Diagnosis Adequate and appropriate housing is a necessary foundation for treatment and recovery from severe mental illness. Adults with dual diagnoses, i.e., a severe mental illness with a cooccurring substance use disorder, constitute a subgroup susceptible to housing instability (Drake & Mueser, 2000). Many dual diagnosis programs now incorporate the stages of treatment model (Drake, Mercer-McFadden, Mueser, McHugo, & Bond, 1995). The stages of treatment conceptualizes health behavior change as a progression through a series of stages and studies have demonstrated that individuals can be classified into these stages (Prochaska & Norcoss, 2001). However, the stages of treatment model is not commonly used in providing housing services to consumers with dual diagnoses, nor is much attention paid to housing preferences that may change. Although some clinicians have used a "linear continuum" model of transitioning consumers from restrictive housing settings to increasingly independent settings, this has not explicitly been done in the context of the (Bebout, Drake, McHugo, & Harris, 1997;Ridgway & Zipple, 1990).No prior study found has examined housing preferences of dual diagnosis clients by their stage of treatment. There are several interesting possibilities. Clients may have an increasing preference for independent housing as they progress through stages of treatment, clients may have a high preference for independent housing regardless of stage of treatment, or clients may have a high preference for supervised housing in the active treatment stage. There is some evidence suggesting the latter. Many homeless dual diagnosis consumers in the early sta...