Housing and use of leverage in mental health treatment

Background Low income housing in many parts of the United States, particularly in urban areas, is a scarce commodity. Because of the way metal health care is reimbursed in the US most people with persistent mental illness live on disability income (Social Security Income SSI). This puts people with mental illness below the poverty line and forces them to compete with other poor people for housing. It is also believed by some that people with mental illness need to be "housing ready" to live independently in the community. As a result, State mental health agencies often provide funding to community mental health providers to create different levels of supported housing for people with mental illnesses. Continued access to this type of housing is often conditioned on adherence to treatment. The intent of this study was to describe the use of housing as leverage with this population.