Living Between the Cracks: America's Chronic Homeless : Hearing Before the Special Committee on Aging, United States Senate, Ninety-eighth Congress, Second Session, Philadelphia, PA, December 12, 1984

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Page 24 - For the more than 50 percent of the chronically ill population living at home or those with positive ongoing relationships with their families, programs such as respite care must be provided to enhance the family's ability to provide a support system. Where the use of family systems is not feasible, the patient must be linked up with a formal community support system. In any case, the entire burden must not be allowed to fall upon families as if this illness -- as compared to a physical illness —...
Page 21 - In the state hospitals, what treatment and services that did exist were in one place and under one administration. In the community, the situation is very different.
Page 23 - ... living there; and the staff of these agencies must be assigned individual patients for whom they are responsible. The ultimate goal must be to ensure that each chronically mentally ill person in this country has one person — a case manager, if you will — who is responsible for his or her treatment and care. For the more than 50 percent of...
Page 19 - Thank you very much. Your full statement will be placed in the record. (The prepared statement of Mr.
Page 25 - ... social services such as socialization experiences and training in the skills of everyday living (referred to in recommendation 3), there is also a pressing need for generic social services. Such services include escort services to agencies and potential residential placements, help with applications to entitlement programs, and assistance in mobilizing the resources of the family. 11. Ongoing asylum and sanctuary should be available for that small proportion of the chronically mentally ill who...
Page 22 - ... graduate to independent living, for the vast majority neither shelters nor mainstream low-cost housing are appropriate. Most housing settings that require people to manage by themselves are beyond the capabilities of the chronically mentally ill.
Page 19 - ... Hospital-Cornell Medical Center, it has been announced by Mr. Frederick K. Trask, Jr., President of The Society of the New York Hospital. The new arrangement will provide for staffing of the institution by the Cornell University Medical College and will integrate the program of the institution with that of the Payne Whitney Psychiatric Clinic of The New York Hospital, in New York City. The two units will be under the direction of Dr. William T. Lhamon, Director of the Payne Whitney Clinic and...
Page 21 - Mentally 111 pointed out in his chapter of our Report, "When the new psychoactive medications appeard along with a new philosophy of social treatment, the great majority of the chronic psychotic population was left in a state hospital environment that was now clearly unnecessary and even inappropriate for them, though it met many needs... Another powerful motivating force was concern about the civil rights of psychiatric patients (including issues surrounding competency and involuntary commitment)...
Page 24 - For these patients, there is pressing need for ongoing caring, quality asylum in long-term settings, whether in hospitals or in facilities such as California's locked skilled nursing facilities with special programs for the mentally ill.
Page 30 - Homeless was based on the premises, among others, that homelessness is essentially a local problem and that new federal programs for the homeless are not the answer. The problem of homelessness originates at the community level and the focus of efforts to resolve it must be at this same level.

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