Findings of a Formative Evaluation of a Transitional Housing Program for Forensic Patients Discharged into the Community

Figures & data

TABLE 1 Program Logic Model of TRHP

Inputs	Activities	Short-term outcomes	Long-term outcomes
City A:Housing stock: one apartment building with 1- and 2-bedroom units; remaining units in building occupied by other mental health consumersRent supplementsStaffing• 2 FTE community agency staff members• Hospital: nurse (1 FTE); psychiatric support as neededCity B:Housing stock: one 4-bedroom houseRent supplementsStaffing:• Hospital: 1 nurse (1 FTE); psychiatric support as needed• TCM: 1 FTE• Concurrent Disorders Treatment: .9 FTE• Supportive housing staff: 1 program manager, 5.5 FTE rehab worker positions, .5 FTE residential coordinator, 16 part-time relief workers as needed, and .5 FTE rehab work for the manager	Intake• Assessment• “Inreach” by agencies onto forensic rehab unit (City B)• Readiness-oriented programming (group and individual) in hospital• Engagement of client early in the process• Monthly intake meetings (City B)• Coordinated intake process (e.g., inpatient social workers at meetings; City A)Supervision and security• 24-hour supervision in the form of on-site staff supportProgramming• On-site and community programming• Intensive support for symptom management, decompensation• Psychosocial rehabilitation addressing mental health issues• Addictions-related services; concurrent disorder treatment• Personal and collaborative risk management planning• Skills teaching• Groups (City B): Illness management and recovery, wellness recovery action plan, recovery, community exploration• Link to generic mental health services• Outreach and education with community services• Weekly (City A) or biweekly (City B) case conferences• “Teaching apartment” available to clients (City B) Clinical supports• Psychiatric support provided by hospital	To improve forensic clients' access to generic housing and other servicesTo reduce recidivismTo turn over longer stay forensic treatment and rehab bedsTo prevent hospital readmissionTo reduce stigma for forensic clients	To promote community safetyTo promote a quality of life for forensic clients that is similar to that of individuals in generic housing and is characterized by successful citizenship/ independence/ communityTo promote community integration through the development of social networks, educational achievements, and vocational pursuits

FIGURE 1 Description of intended housing flow-through for TRHP clients.