This application presents a program of research and training that focuses on the factors of housing environments that are critical for adaptive functioning in community settings for persons with serious mental illness (SMI). The objectives of this proposal are (a) to develop the PI?s expertise in the assessment of adaptive functioning of persons with SMI living in community settings and (b) to test a model, developed by the PI of housing environment factors that promote adaptive functioning. The model examines how (1) housing environment, (2) personal characteristics, and (3) behavioral health symptoms interact to affect adaptive functioning. Housing environment factors are conceptualized as consisting of three components: physical environment, social environment, and interpersonal relationships associated with housing (e.g., landlords & neighbors). Personal characteristics relevant to housing experience include: gender, ethnicity/race, income, homelessness history, and social support. The training will be supervised by Robert E. Drake, MD, Ph.D. and will take place at the New Hampshire-Dartmouth Psychiatric Research Center and Yale University, Department of Psychiatry, Division of Prevention and Community Research. The proposed study will be conducted at a large, urban mental health center operated by the Yale University Department of Psychiatry in which co-sponsors Dr. Snow and Dr. Tebes have senior leadership roles. Three hundred clients will participate in a longitudinal study of the influence of their housing environments on their adaptive functioning. Half of the sample will have their own apartments through supported housing programs; 150 clients will be matched comparisons who also have their own apartments but do not participate in housing programs. Each research participant will complete a baseline interview of current adaptive functioning in community settings and a follow-up interview 12 months after baseline. Assessment of functioning will include indices of (a) residential tenure, (b) crisis service use, (c) social role functioning, (d) community involvement, and (e) quality of life. Structural Equation Modeling will be used to test the model. I expect that the career award will enable me to refine my model and will lay the groundwork for a career investigating the risk and protective factors of community-based living.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZRG1-SNEM-1 (01))
Program Officer
Juliano-Bult, Denise M
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University of South Carolina at Columbia
Schools of Arts and Sciences
United States
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Castellow, Jennifer; Kloos, Bret; Townley, Greg (2015) Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses. Community Ment Health J 51:674-84
Townley, Greg; Kloos, Bret (2014) Mind over matter? The role of individual perceptions in understanding the social ecology of housing environments for individuals with psychiatric disabilities. Am J Community Psychol 54:205-18
Townley, Greg; Kloos, Bret (2011) Examining the psychological sense of community for individuals with serious mental illness residing in supported housing environments. Community Ment Health J 47:436-46
Kloos, Bret; Townley, Greg (2011) Investigating the relationship between neighborhood experiences and psychiatric distress for individuals with serious mental illness. Adm Policy Ment Health 38:105-16
Townley, Greg; Kloos, Bret; Green, Eric P et al. (2011) Reconcilable differences? Human diversity, cultural relativity, and sense of community. Am J Community Psychol 47:69-85
Townley, Greg; Kloos, Bret; Wright, Patricia A (2009) Understanding the experience of place: expanding methods to conceptualize and measure community integration of persons with serious mental illness. Health Place 15:520-31
Flory, Kate; Hankin, Benjamin L; Kloos, Bret et al. (2009) Alcohol and cigarette use and misuse among Hurricane Katrina survivors: psychosocial risk and protective factors. Subst Use Misuse 44:1711-24
Kloos, Bret; Flory, Kate; Hankin, Benjamin L et al. (2009) Investigating the roles of neighborhood environments and housing-based social support in the relocation of persons made homeless by hurricane Katrina. J Prev Interv Community 37:143-54
Townley, Greg; Kloos, Bret (2009) Development of a measure of sense of community for individuals with serious mental illness residing in community settings. J Community Psychol 37:362-380
Flory, Kate; Kloos, Bret; Hankin, Benjamin L et al. (2008) Clinical Research After Catastrophic Disasters: Lessons Learned From Hurricane Katrina. Prof Psychol Res Pr 39:107-112

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