Name of the Procedure:

Common name: Supported Housing
Medical term: Supported Housing, per diem (H0043)

Summary

Supported Housing refers to a residential service provided to individuals with mental health, substance use, or co-occurring disorders. It is a supportive living environment that helps individuals stabilize and transition into more independent living.

Purpose

Supported Housing aims to provide a stable living environment for individuals experiencing psychosocial stressors due to mental health or substance use disorders. The goals include improving social skills, enhancing community integration, and fostering independence.

Indications

This service is indicated for individuals who:

• Have a diagnosed mental health or substance use disorder.
• Require a structured living environment for stabilization.
• Are transitioning from inpatient care to community living. Patient criteria may include:
• Chronic homelessness.
• Frequent hospitalizations or emergency room visits.
• Lack of supportive family or community networks.

Preparation

Typically, no special preparation is required for supported housing. However, patients might undergo initial assessments, including:

• Comprehensive psychiatric evaluation.
• Substance use assessment.
• Social and functional skills assessment. Patients should communicate any ongoing medical treatments or special requirements before admission.

Procedure Description

The Supported Housing procedure involves:

1. Admission: The patient is admitted after an initial assessment.
2. Individualized Plan: A care plan is developed, focusing on the patient's specific needs.
3. Daily Living Support: Staff provides assistance with daily activities, such as cooking, cleaning, and personal care.
4. Therapeutic Interventions: Onsite or nearby access to mental health and substance use counseling.
5. Skill Building: Life skills training, including financial management, job readiness, and social skills.
6. Monitoring and Evaluation: Regular evaluations to monitor progress and adjust the care plan as needed.

Tools and equipment may include:

• Documentations for case management.
• Instruments for recreational and therapeutic activities.
• Communication devices for emergency and routine check-ins.

No anesthesia or sedation is applicable.

Duration

The duration of stay in supported housing can vary significantly, ranging from several weeks to multiple years, depending on the individual's progress and needs.

Setting

Supported Housing is provided in residential settings such as group homes, transitional housing units, or apartment complexes specifically designed for supportive living.

Personnel

The healthcare professionals involved:

• Case managers.
• Mental health counselors.
• Substance use specialists.
• Residential support staff. Occasionally, nurses, psychiatrists, or social workers may be involved depending on the individual's needs.

Risks and Complications

Common risks:

• Potential for relapse in substance use.
• Challenges in adjusting to the structured environment. Rare risks:
• Conflicts with other residents.
• Non-compliance with house rules, leading to discharge. Management involves continuous support, conflict resolution strategies, and individualized care plans.

Benefits

Expected benefits include:

• Improved mental health and reduced substance use.
• Increased independence and self-sufficiency.
• Enhanced life skills and better community reintegration. These benefits are typically realized progressively over weeks to months.

Recovery

Recovery in this context refers to achieving stability and independence. Post-procedure care involves:

• Continuous support and monitoring.
• Participation in therapeutic and skill-building activities.
• Regular follow-up with healthcare providers.

Expected recovery time varies, but residents often transition to more independent living within 6 months to 2 years. Periodic follow-up appointments may be necessary.

Alternatives

Other treatment options:

• Inpatient psychiatric care or substance use rehabilitation.
• Outpatient therapy and counseling.
• Staying with family or friends. Comparatively, supported housing provides a more structured and supportive environment for those needing intensive support, while the alternatives may offer lesser or more temporary benefits.

Patient Experience

Patients might initially experience adjustment challenges. Over time, they will likely feel increased stability and support. Comfort measures include:

• Continuous emotional and practical support from staff.
• Engagement in recreational and therapeutic activities.
• Access to mental health and substance use counseling. Pain management is typically not required unless for co-existing physical health conditions.