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My father has now been living at the rest home for nearly a year. This has been his longest stretch without a hospitalization in nearly a decade. It's not a coincidence."I feel like it's home here now," he recently told me.The best way to describe the rest home is as a dorm for adults with mental illness. Being in Massachusetts, most of the residents pay for care through state health insurance, as well as through disability payments. There are two floors, with common rooms for watching television and shared bathrooms where the staff can assist with shaving and other needs. In the small dining room, meals are offered three times a day, and staff members distribute psychiatric medications and coordinate doctor's appointments. Residents can come and go as they please, giving them a much-needed sense of independence.Twenty-seven percent of discharges from state mental hospitals are homeless within six months.
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It's no secret that stable, accessible housing improves outcomes for the mentally ill. In 1990, New York City initiated the New York/New York Agreement to House the Homeless Mentally Ill, a program that offered permanent supported housing and communal living options to formerly homeless people with mental illness. Studies of the program found that participants were less likely to be hospitalized, had shorter stays if they were hospitalized, and were less likely to be incarcerated. A UPenn study found that the program cost an additional $995 in public funding per person annually, compared to providing no housing. But in the long term, the program saved thousands in emergency care and incarceration costs.Now he goes for walks, and writes, and even has a girlfriend, another resident at the home.
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