Housing and the 'Right to Fail' For People With Severe Mental Illness (Full Documentary) | FRONTLINE
FRONTLINE PBS | Official・37 minutes read
A federal court ruling allowed New Yorkers with severe mental illness to live independently, raising concerns about transitioning from institutionalized settings. The challenges of moving into supported housing were explored, highlighting issues such as lack of supervision and coordination among implementing agencies.
Insights
- Transitioning individuals with severe mental illness from institutionalized settings to supported housing raises concerns about the adequacy of care and support provided, as seen in the challenges faced by Nestor and Bernard in adjusting to independent living.
- The lack of coordinated care and supervision in supported housing facilities, exemplified by Bernard's tragic death due to inadequate medication adherence and health monitoring, underscores the critical need for robust oversight and comprehensive support systems to ensure the well-being and success of vulnerable individuals in community living arrangements.
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Recent questions
What challenges do individuals face transitioning from institutionalized care to independent living?
Individuals transitioning from institutionalized care to independent living face various challenges, including adjusting to newfound freedom, managing their own care, and coping with the responsibilities of living on their own. The lack of a gradual transition can lead to difficulties in adapting to the new environment, potentially resulting in struggles with daily tasks and mental health issues. The move from adult homes to supported housing may be immediate, posing challenges for those who require extensive care and supervision. Concerns about the supported housing system's ability to cater to individuals needing significant support also contribute to the challenges faced during this transition.
How did Nestor's experience in supported housing differ from his time in an adult home?
Nestor's experience in supported housing differed significantly from his time in an adult home. While in the adult home, Nestor thought he was there for weeks but ended up staying for six years, highlighting the lack of progress and independence in that setting. However, in supported housing, Nestor was moved to an apartment where everything was set up for him, aiming to promote self-sufficiency and independence. Despite struggling with hallucinations, hearing voices, and memory gaps in supported housing, Nestor had the opportunity to receive the necessary support and care to help him flourish in his new living environment.
What challenges did Nestor face in his journey towards independent living?
Nestor faced numerous challenges in his journey towards independent living, including struggles with managing his own care, adjusting to living on his own, and coping with mental health issues. His lack of coordinated care led to financial problems, a messy apartment, and feelings of hopelessness. Additionally, Nestor's roommate, Bernard Walker, tragically passed away after only 16 days of living together, highlighting the difficulties and risks associated with independent living for individuals with severe mental illness. Despite these challenges, Nestor persevered and eventually found success in a special apartment with a higher level of care and support.
What concerns were raised about the care provided to individuals in supported housing?
Concerns were raised about the care provided to individuals in supported housing, particularly regarding the lack of supervision, coordination among implementing agencies, and support for vulnerable residents. The case of Bernard Walker, Nestor's roommate who passed away due to hypertensive cardiovascular disease, shed light on the challenges faced by individuals in these settings. The federal court monitor highlighted the need for better coordination and supervision to ensure the well-being and safety of residents in supported housing. Additionally, the lack of follow-up to ensure proper care and medication intake raised questions about the quality of support provided to individuals in these living arrangements.
How did Nestor's progress in supported housing impact his future care and well-being?
Nestor's progress in supported housing had a significant impact on his future care and well-being. Despite facing struggles and needing daily assistance, Nestor flourished in his new living environment with the necessary support and care. However, his progress could potentially lead to the removal of support, jeopardizing his well-being and survival. This raises concerns about the long-term sustainability of care for individuals with severe mental illness transitioning to independent living. Nestor's experience highlights the importance of ongoing support and monitoring to ensure the success and stability of individuals in supported housing programs.
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