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Re: Housing for People with Mental Illnesses

We agree with Trainor et al (1) that there is a lack of adequate housing for the mentally ill in the community. The housing issue is complex since many factors have to be taken into consideration such as availability, funding for specialized needs, abilities of a resident, level of support needed, compatibility if sharing accommodations and mental stability. This is further complicated by those with mental illness who are noncompliant with treatment (including medications) and how noncompliance affects the ability of the mentally m (especially the chronic) to make reasonable decisions regarding accommodation preference. We support the concept of alternative housing since it has been our experience that this type of residential setting has allowed us to discharge patients from an institutional setting back into the community. However, it would seem that if meaningful change is going to occur in developing better residential options, mental health workers need to work together and advocate for this change.