{"title":"Sheltered Care Facility Size and the Social Integration of Mentally Ill Adults.","authors":"Steven P Segal, Darwin Sawyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper examines the effects of facility size on the social integration of mentally ill residents in community-based sheltered care homes. Big facilities have come to be associated with many problems (documented and otherwise) related to residential housing for mentally ill adults. However, this image of large, impersonal, and overly restrictive living environments is often not substantiated by the empirical research on sheltered care. Indeed, the present study of sheltered care homes in California finds a much more complex and varied situation. It suggests that homes of all sizes may offer many of the same opportunities for social interaction and that larger homes in some instances may possess certain advantages over smaller facilities.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"10 2","pages":"75-87"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434103/pdf/nihms-1609651.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38294451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When the Neighbors Complain: Correlates of Neighborhood Opposition to Sheltered Care Facilities.","authors":"Carol J Silverman, Steven P Segal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neighborhood resistance to unwanted land uses is a much heralded but insufficiently investigated feature of recent decades. This paper investigates local opposition to sheltered care for a people with mental disabilities. Using data gathered in a 12 year follow-up of a probability sample of sheltered care facilities in California, the study looks at changes over time in local opposition and at correlates of local reaction. It concludes that opposition is not related to typically proposed factors such as social class, inner-city location, or neighborhood cohesion but instead to the amount of disability of the residents, the ties of the operator to the neighborhood and location in an outer suburb.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"10 2","pages":"137-148"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7853654/pdf/nihms-1657887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25329120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ownership Form and Quality of Care in Sheltered Care Facilities: Chain-Affiliated Business vs. Sole Proprietorship.","authors":"Steven P Segal, Jae-Sung Choi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mental health services are increasingly provided by private-for-profit organizations that are chain-affiliated businesses. The effect of this trend on quality of care is a growing concern. Sheltered care facilities (board and care, family care, and psychosocial rehabilitation facilities) servicing upwards of 400,000 (Goldman, Gattozzi, & Taube, 1981) seriously mental ill nationwide provide the lowest level of 24-hour supervised care to this population. This study explores the quality of care in 145 sheltered care facilities in California. Contrasts were made between 108 sole proprietorships and 37 chain-affiliated business facilities on several quality of care measures. Chain-affiliated businesses had poorer physical characteristics, higher costs, less experienced staff, and were more likely to be located in minority and lower class neighborhoods. Much of the negative stereotypes of chain-affiliated businesses were documented in our sample.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"10 1","pages":"28-37"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434105/pdf/nihms-1609680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38294449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differences in Daily Hassle Patterns Among California's Seriously Mentally Ill Sheltered Care Residents.","authors":"Steven P Segal, Debra J VanderVoort","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present study investigated the daily hassles of a severely mentally ill population in sheltered care facilities in California. The results show that financial problems, loneliness, boredom, crime, accomplishments, verbal and written expression, and health were their most frequent concerns, reflecting the life-style of a low income, socially isolated, population whose disability renders an active, upwardly mobile life difficult. Age, gender, racial, and residential status differences in the most frequent and most severe hassles were found with age differences being the most pronounced. Younger individuals reported more hassles than elderly individuals, the nature of their concerns focus more on social acceptance, while physical health issues were of greater importance for elders. Racial differences were second in prominence, with discrimination issues being high in the minds of minority members of the population. Sheltered care residents were less stressed by problems with crime and declining physical abilities and more stressed by problems with exploitation and confrontation than were community dwellers.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"10 1","pages":"54-65"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7513960/pdf/nihms-1628648.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38424006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who Belongs?: An Analysis of Ex-Mental Patients' Subjective Involvement in the Neighborhood.","authors":"Carol J Silverman, Steven P Segal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>What causes people with psychiatric disabilities to feel they belong in their neighborhood? This article examines predictors of belonging for a sample of former psychiatric patients in community settings. The authors consider what differentiates ex-patients who feel they belong in their neighborhoods from those who do not. For the sample as a whole, belonging primarily results from satisfaction with the dwelling. It depends neither on reception by neighbors nor on whether they live in sheltered care. Furthermore, there is nothing about sheltered care (i.e., a supervised residence) that makes people feel less belonging. For long-term sheltered care residents, belonging depends on neighbor relations and ease of arranging activities with house residents.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"8 2","pages":"103-113"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544154/pdf/nihms-1628647.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38476214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Survival of Sheltered Care Homes: Facility and Neighborhood Contributions.","authors":"Steven P Segal, Carol J Silverman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We use data from a representative probability sample of all 1973 California Sheltered Care facilities for ex-mental patients. Facilities were recontacted between 1983 and 1985. Based on several literatures, we hypothesized variables that might contribute to facility survival over this period including: neighborhood factors such as community reaction and gentrification and organizational and institutional characteristics such as profit motivation and legitimacy. Contrary to expectations, age of facility, appreciation in housing values, vacancy rates, neighborhood antagonism, gentrification and conservatism were not related to closure. Instead, the facilities were more likely to stay open when they possessed a steady income stream and when they were more businesslike and licensed. They were also likely to stay open when they were located in very poor and mixed use neighborhoods.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"7 2","pages":"88-103"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447195/pdf/nihms-1610494.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do We Need Board and Care Homes?","authors":"Steven P Segal, Pamela L Kotler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Board and care homes have proliferated in an unplanned ad hoc manner as a consequence of the deinstitutionalization of the mentally ill. Although board and care homes have received their share of negative publicity, they are a necessary component of the community mental health system. Four major societal functions provided by board and care homes are (a) bed of last resort (b) diversity (c) potential to prevent social deterioration (d) respite care. Some problems facing these homes are (a) need for closer monitoring (b) increased personal spending money for residents (c) utilizing multiple market strategies to fill the demand for more homes.</p>","PeriodicalId":87217,"journal":{"name":"Adult residential care journal","volume":"3 1","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486031/pdf/nihms-1626590.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38375196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}