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Article   |    
A Ten-Year Perspective on Three Models of Sheltered Care
Steven P. Segal; Lawrence H. Liese
Psychiatric Services 1991; doi:
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This study was supported in part by the National Institute of Mental Health and the Robert Wood Johnson Foundation. The authors thank Carol Silverman and Jane Holschuh for their helpful comments.

Mental Health and Social Welfare Research Group at the School of Social Welfare, University of California, 120 Haviland Hall, Berkeley, California 94720

1991 by the American Psychiatric Association

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Abstract

Data from three surveys of California sheltered care residents and facilities were used to determine which of three models best describes the use of sheltered care by residents and the provision of services to residents between 1973 and 1983. The continuum-of-care model emphasizes a person's movement along a treatment continuum to greater independence. ln the residual model, the focus is on providing habitation for a chronic population from the era before deinstitutionalization. The developmental model emphasizes providing long-term care to persons who seek supported living arrangements at a particular point in their life cycle. Results indicated that the developmental model best describes the way residents used sheltered care, while service provision was based on the continuum-of-care model. In light of these findings, it should be determined whether service provision reflects the actual needs of this population.

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