Supervised housing for people with severe mental illness in Asturias: restrictive environment or open to the community?

Abstract

Community care model and philosophy of psychosocial rehabilitation as engine key recovery personal, social and employment of people with severe mental disorder is assumed from the psychiatric reform process begun in Spain in 1985. In this sense, the accommodation is an essential component to the extent that there is sufficient evidence to assert that the provision of adequate accommodation represents a critical condition to ensure community care, becoming one of the most important programs of social support. The aims of the study are to evaluate housing supervised for people with severe mental disorder in Principado of Asturias in its aspects of infrastructure and the inner workings of the same. This uses the Environmental Index (AI), and the scale of opportunity to the Basic Everyday Living Schedule (BELS), as well as the information provided by the residential programs and key informants of the same. Housing obtained from half a score in the environmental index of 17,29 on a maximum of 55, giving it a more open than the institutional, although far environments functionality yet of the supervised homes of other residential programs. In short, outcomes provide a level of considerable independence to carry out basic and social skills of the users, but true danger of institutional environment in its daily operation, in aspects such as the network of users, formed largely by the staff of the housing, time who is residing in them or their low participation and social integration is denoted.

Keywords

• Pedagogía social
• enfermedad mental
• vivienda
• comunidad
• integración social
• educación social