The following excerpt is taken from Chapter
9
of Bipolar Disorders: A Guide to Helping Children and Adolescents
by Mitzi Walsh, copyright 2000 by O'Reilly & Associates, Inc. For book
orders/information, call (800) 998-9938. Permission is granted to print and
distribute this excerpt for noncommercial use as long as the above source is
included. The information in this article is meant to educate and
should not be used as an alternative for professional medical care.
Some disabled people in the US are eligible for financial assistance with
housing, and for housing preference programs through Housing and Urban
Development (HUD) programs, such as the Section 8 grant program. Section 8 is
especially flexible, because the monthly grant can be used to reduce the cost
of housing found on the open market, not just in a housing project or other
government-owned building. Some charitable organizations and churches also
manage low-income housing projects or voucher programs, and may have
preferential treatment for people with disabilities.
Subsidized housing ranges from adult foster homes with full-time staff on up
to private apartments with no support on site. The wait for housing can be long
(three years or more for Section 8 vouchers), so it's important to apply before
there's a pressing need. This may mean applying while a teenager is still in
high school.
Some subsidized housing is substandard, especially in urban areas where the
supply of low-cost units is tight. You'll need to pay special attention to
security concerns, such as locking doors and windows, having a personal
telephone in case of emergencies, and the safety of the surrounding
neighborhood for a person who may be particularly vulnerable to crime. Some
older housing projects and residential hotels are also very dirty, and may not
have fully functional plumbing, lighting, and heating. Landlords can be made
responsible for bringing units up to code, but they may not respond until the
tenant's family or a social services agency gets involved.
Group homes that stress independent living, including self-managed group
homes or co-ops, are also an option. Some of these programs may be covered by
long-term care insurance, health insurance, funds placed in trust, or monthly
payments made by you or your adult child. Your local NAMI chapter may have
information about special housing options for adults with mental illness, or
you can check in with a public or private social services agency. A number of
innovative housing options are starting to spring up, including subsidized
apartment buildings where each tenant has a maximum of personal autonomy
despite having on-site medical management staff, therapy groups, AA and NA
meetings, and the like.
Young adults with severe symptoms may need services to maintain themselves
in a regular apartment or home, rather than a special housing arrangement.
These are usually less expensive to boot, and may be available through
government or private social services. Options include housekeeping assistance,
self-care help, medication and case management, and special transportation
arrangements to help the person handle shopping, medical appointments, and
recreation needs.
There is a growing trend toward helping disabled adults purchase their own
homes. Sometimes grants are available for down payment assistance, along with
special loan programs, trust arrangements, and home buying and home ownership
training.
In Canada, the UK, Ireland, Australia, and New Zealand, your local housing
authority or council housing office can help you get on the waiting list, and
inform you of any preference programs for the disabled and their careers that
might move you up the queue faster. Charitable agencies and churches may also
have low-income housing programs.