Editorial: From Residential Care to Supported Housing
Bibliographic record
Abstract
From Residential Care to Supported Housing Residential care and supported housing are two models of accommodation for people with mental disorders in post-institutional mental health systems.In residential care, the emphasis is on treatment and rehabilitation provided by professionals in staffed facilities belonging to community psychiatric services, whereas in supported housing the emphasis is on outreach need-led support to people living on a permanent basis in their own home integrated in the community.The supported housing approach grew from a dissatisfaction with the original model of residential facilities, developed in the early wave of downsizing or closure of mental hospitals, based on the concept of a "linear continuum", in which persons were supposed to gradually progress from hospitals, through less supervised accommodations, halfway houses, group homes, to reach finally independent housing.However, this model failed in most cases to move people toward independent lives and trapped many people in small segregated residential settings.This was also due to the confusion between accommodation and care.Instead, a core aspect of the supported housing model is the separation between accommodation and treatment services.The papers by Farkas and Coe and by Dorvil and Tousignant-Groulx present conceptual and historical overviews of these developments in the USA and Canada, suggesting a number of relevant questions, addressed by other papers representing the multifaceted nature of community-based residential settings.The challenges to be met include the balance of isolation versus treatment and support (Fossey et al.; Dorvil and Tousignant-Groulx), the difficulties of assessing the effectiveness of supported housing models (Killaspy et al.), and the evidence that the recovery orientation of a residential facility is not linked to facility type (Rapisarda et al.; Fletcher et al.).All papers, taken together, point out that a new home represents a turning point for people with mental health problems.Arguably, access to adequate housing is both a human right and a necessary prerequisite for recovery.Worldwide surveys of mental health services and literature in the field both reveal an amazing array of residential solutions and a lack of agreement on the definition and classification of residential models (1).Although some recent proposals tried to lay the foundations for a coherent classification (2), this issue is still far from settled and is a barrier to practice, policy and research.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.031 |
| Meta-epidemiology (narrow) | 0.005 | 0.001 |
| Meta-epidemiology (broad) | 0.004 | 0.003 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.005 | 0.003 |
| Scholarly communication | 0.010 | 0.007 |
| Open science | 0.004 | 0.002 |
| Research integrity | 0.022 | 0.023 |
| Insufficient payload (model declined to judge) | 0.026 | 0.021 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".