DDICT CAMH

Building the Path to Home

Links to sustainable housing
for people with dual diagnosis

Identifying the most appropriate type housing

This checklist that will help you identify the type of housing that is most appropriate for the person you are working with.

Section 1

Check all statements that apply to the person whom you are supporting.

  The person’s mental health problems (e.g., disturbed thinking, agitation, suicidal thoughts) are usually the primary reason that he or she needs support.
  The person needs help to manage medication
  The person needs some help and supervision, but does not need 24-hour support or supervision
  The person can get around on his or her own, or could learn to do so
  The person has good communication skills (can make his or her needs known)
  The person knows when he or she is in crisis and will ask for help
  The person exhibits appropriate behaviour (e.g., behaviour is not sexually inappropriate, physically aggressive)
  The person isn’t a danger to others in the community
  The person can cope with tasks of daily living (e.g., use a stove or kettle)
  The person can resist actions or suggestions of others that might put the person at risk of legal problems or in physical danger
 

Number of items checked __

Section 2

Check all statements that apply to the person whom you are supporting.

  The person has a diagnosed developmental disability
  The person has problems related to the developmental disability that are the primary reason that he or she needs support
  The person needs help with adaptive functioning and tasks of daily living
  The person needs supervision and support all (or most) of the time
  The person cannot get around on his or her own
  The person may be at risk of harming himself or herself or someone else
  The person may behave in ways that disturb others
  The person may have trouble resisting actions or suggestions of others that might put the person at risk of legal problems or in physical danger
  The person has lived, or attended programs, with  people who have developmental disabilities and has fit in well

Number of items checked __

Section 3

Check all statements that apply to the person whom you are supporting.

  The person does not need more than one hour a day of supervision to manage his or her mental health issues
  The person does not need more than one hour a day of supervision to manage problems related to developmental disability
  The person can learn the skills that would allow him or her to live independently
  The person can travel around the city on his or her own
  The person has good communication skills
  The person understands when he or she is at risk of a crisis and will ask for help
  The person demonstrates good judgment with regard to his or her personal safety; can cope with potential hazards in his or her living space (e.g., stove, kettle)
  The person can manage, or can learn to manage, medications independently 
  The person is not a safety risk to the community


Number of items checked __

Section 4

Compare the totals for each section.

If the Section 1 total is the highest, you will probably want to start by exploring housing options in the mental health sector.

If the Section 2 total is the highest, you will probably want to start by exploring housing options in the developmental services sector.

If the Section 3 total is the highest, you can look at generic social housing options.

Support checklist

Check all statements that apply to the person whom you are supporting.

  The person has a community worker or case manager who helps with monitoring supports
  The person has an up-to-date individual support and crisis plan
  The person has a doctor who will prescribe and monitor psychiatric medications (if medication is necessary)
  The person has an informal network in the community (e.g., friends, family, community groups)
  The person has some meaningful daytime activities
  The person has a regular source of income (including money from income support programs)

Number of items checked __

If the total is less than four, there are probably gaps in the person’s supports that may make it hard for him or her to find, and keep, housing. You will need to develop a plan to address the gaps.

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