Deck 35: The Home Environment: Permanent Supportive Housing

Question 1

Omar was diagnosed with schizophrenia 15 years ago. He has been living in a skilled nursing facility for the past 10 years. Recently, he was discharged and moved into his own apartment. He is excited to have the opportunity to be living in the same apartment building as people without mental illness. Which core element of permanent supportive housing does this best represent?

A) Separation of housing and services
B) Choice of housing
C) Housing integration
D) Decent, safe, and affordable housing

Answer 1

C

Question 2

Nationally and internationally, public policy initiatives have been utilized to address housing needs for persons with mental illness. In the United States, which public policy initiative resulted from what has been described as a "landmark" Supreme Court decision to ensure community integration for persons with mental illness?

A) Americans with Disabilities Act (ADA)
B) Olmstead Integration Mandate
C) Fair Housing Act
D) Money Follows the Person (MFP)

Answer 2

B

Question 3

You want to get a better idea of Omar's cognition and how it affects his ability to engage in daily activities. You decide to use an assessment that incorporates an interview with Omar, as well as observations of Omar engaging in a variety of self-care and instrumental activities of daily living (IADL) tasks. Which assessment would you choose?

A) Occupational Performance History Interview-II
B) Residential Environment Impact Scale
C) Allen Diagnostic Modules
D) Routine Task Inventory-Expanded

Answer 3

D

Question 4

Having one's own housing and a sense of "home" can facilitate recovery for persons with mental illness. Which option best represents one way in which this can happen?

A) It simply means you are not in a hospital, and recovery can never happen in a hospital.
B) It allows a person to use successful street-dwelling skills in a new environmental context.
C) It provides an increased opportunity for privacy and freedom from surveillance.
D) It reduces societal impact of homelessness and cost of long-stay residential care.

Question 5

The Department of Housing and Urban Development's housing rental assistance program best addresses which of the following?

A) Right to live in the community
B) Right to affordable housing
C) Permanent supportive housing
D) Linear continuum paradigm

Question 6

Which of the following best describes the impact of poverty on an individual's access to housing?

A) It limits access to benefits such as the Supplemental Nutrition Assistance Program.
B) It increases the risk of trauma and assault.
C) It contributes to the "not in my back yard" attitude.
D) It interferes with access to the basic needs of daily living.

Question 7

Legislation such as the Americans with Disabilities Act and the Olmstead Integration Mandate are examples of ________________.

A) An individual's right to live in the community
B) Stigma and discrimination
C) An individual's right to affordable housing
D) Impact of poverty

Question 8

Occupational therapy practitioners have the opportunity to contribute to the successful housing needs of individuals with mental illness. Which of the following is most reflective of what an occupational therapy practitioner can contribute to addressing these housing needs?

A) They access financial resources to assist the individual in paying his or her rent.
B) They assist with medication management to reduce the risk of recidivism.
C) They make discharge placement decisions to assure the successful transition to permanent supportive housing.
D) They assess independent living skills an individual needs to be successful in transitioning to permanent supportive housing.

Question 9

Permanent supportive housing is an alternative approach to addressing the problems associated with what was called the linear continuum approach to housing for persons with mental illness. Which option best identifies key criticisms leveled at the linear continuum approach?

A) It was too costly because it required multiple types of housing options as the person moved from one level to another.
B) It didn't meet the needs of persons with mental illness who did not have the necessary independent living skills.
C) Families rejected this approach because their loved ones were often placed in housing too far away for them to visit.
D) Moving from level to level disrupted interpersonal relationships and adjusting to each new context was stressful.

Question 10

Despite the development of permanent supportive housing, custodial housing settings such as residential care homes, boarding homes, and board and care homes remain part of the mental health system of care. Which option best represents the limitations of such settings for promoting recovery?

A) These settings are typically licensed by local governments, but seldom inspected or audited for adherence to standards.
B) There is limited availability of individually tailored site-based or community-level occupational opportunities.
C) Staffing levels are low and focused mostly on providing basic needs-food, shelter, personal care, and medications.
D) Because other residents are persons with mental illness, there is limited opportunity for social interaction.

Question 11

Having the ability to make decisions regarding their home is an example of which aspect of the "sense of home" contributing to mental health recovery?

A) Control and self-determination
B) Right to privacy and freedom
C) Place for engaging in daily life
D) Rebuilding of sense of identity

Question 12

Which of the following most accurately reflects the contribution an occupational therapy practitioner can make to address the impact of neurocognitive functioning on housing?

A) Make recommendations on sensory processing preferences to increase successful home management routines
B) Educate housing teams on how to implement life skills training in regards to the cognitive aspects of activities of daily living
C) Mediate hoarding behaviors with the use of the Community Clutter & Hoarding Toolkit
D) Maintain ability to provide interventions for comorbid health conditions

Question 13

Omar is also excited because his ability to live in his apartment is not based on his compliance with mental health treatment. Which core element of permanent supportive housing does this best represent?

A) Separation of housing and services
B) Choice of housing
C) Housing integration
D) Decent, safe, and affordable housing