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Some context.
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Institutionalized SegregationInstitutionalized Segregation
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The "Cottage for Colored Women" (Maryland Hospital for the Insane c. 1906)
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The Back WardThe Back Ward.
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0
100,000
200,000
300,000
400,000
500,000
600,000
1950
1960
1975
1985
1995
2005
Deinstitutionalization
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Levels of Care
The Nursing Home.The Nursing Home.9
10The Group Home.The Group Home.
Over-Representation ofPeople with Serious Mental Illness
11General Population Homeless Population
0%
10%
20%
30%
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The ADAThe ADA
“…individuals with disabilities are a discrete and insular minority …
subjected to a history of purposeful unequal treatment, and relegated to a position of political
powerlessness in our society… resulting from stereotypic
assumptions not truly indicative of the individual ability of such
individuals to participate in, and contribute to, society; … the
Nation’s proper goals regarding individuals with disabilities are to
assure equality of opportunity, full participation, independent living,
and economic self-sufficiency …”
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The Olmstead Decision
“Institutional placement of persons who can handle
and benefit from community settings
perpetuates unwarranted assumptions that persons
so isolated are incapable or unworthy of participating in
community life.”
“Unjustified isolation, we hold, is properly regarded as discrimination based on disability..”
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Understanding de-segregation• Separate is Unequal• More than Proximity to the Mainstream• Contact with the Broader Community• Meaningful Opportunity
• Separate is Unequal• More than Proximity to the Mainstream• Contact with the Broader Community• Meaningful Opportunity
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The housing services will ensure that people with SPMI can live like the rest of Delawareans, in their own homes, including leased apartments, or living with their family.
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An Ordinary Life:
Stable housing. Owning something.
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The Assessment Process
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Move Services, Not People.
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Reasonable Accommodations: Leveling the Playing Field
QuantifyingIntegration:
The “20-2” Rule?
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Retooling for Integrated Housing
