A Place Called Home
Written by Yves Ades, Senior Vice President, Mental Health and HIV/AIDS Services
The word “home” conjures any number of images in our minds. We may imagine the place whose door we open with the keys in our coat pocket, or the place we left each morning and returned to after school, or even, perhaps, the farm in Kansas from which Dorothy Gale was whisked up by the tornado what landed her in Munchkinland. For most of us “home” usually means the place where we feel safe, where we find privacy, where we spend time with those we love and where we go to find refuge from the chaos and stresses of everyday life. Sometimes, however, we have been known to become so possessive and protective about the place we call home, that we have denied others the same cherished comforts and security because we perceived them as an infringement or a threat to our refuge. For most of the twentieth century the American view of “home” and the American right to “home” has also meant the exclusion of many from access to, opportunity for, and participation in, this most valued of American prerogatives.
There was a time, not so long ago, that certain people were confined to psychiatric asylums because they were considered dangerous, disruptive, and incapable of living among us. It is only in the last thirty years that the right to home has been afforded to people with mental illness. While there continue to be pockets of resistance to this notion on the part of many who remain uninformed, advocates and policymakers have encouraged and supported both the ethical and economic soundness of housing and community living for people with psychiatric disorders.
In the late 70′s and early 80′s in NYC, community based housing for people with mental illness was largely confined to Adult Homes and Single Room Occupancy Hotels scattered throughout the five NYC boroughs. As the concept of Supported Housing caught on with a burst of development in the mid 80’s, the real estate boom in NYC brought about an unprecedented increase in homelessness caused by the gentrification of low income housing and neighborhoods catering to welfare hotels. For the residents of those low income apartments, boarding houses, and welfare hotels, there was no place to go. Many landed in psychiatric emergency rooms, jails, shelters and the streets.
In response to this crisis the city and state doubled their efforts and merged resources to create housing for homeless people with mental illness. The 1990 New York/New York Agreement to House Homeless Mentally Ill Individuals was a historic joint effort by the State and City that created 3,615 units of supportive housing and licensed permanent and transitional housing for homeless mentally ill people in New York City. It was the largest housing initiative for homeless mentally ill people in history and, at its peak, had a significant impact on lowering the shelter census.
Most recently, New York/New York III, signed in 2006, added 5,500 units of housing for homeless people with serious mental illness, including 400 units for families and 200 units for young adults with mental illness transitioning from the child welfare and psychiatric treatment systems.
As a testament to the value and effectiveness of Supportive Housing, in the last thirty years the three N.Y./N.Y agreements have committed to the development of nearly 11,000 places called home for people with serious mental illness. At SUS, we work to ensure that one day, there will be a place called home for everyone that needs one.
In a Washington, DC Metro Station on a cold January morning in 2007, a man with a violin played six Bach pieces for about 45 minutes. During that time approximately 2,000 people went through the station, most of them on their way to work. After 3 minutes a middle aged man noticed there was a musician playing. He slowed his pace and stopped for a few seconds and then hurried to meet his schedule.
For many of the 1,600 SUS staff, that was not a possibility or even a thought – even though they may have their own children who they need to take care of now that they have a snow day.