Mowpay, Feanuany 12,2001 ele eek During « consultation and train lLouisvilesky., in November 1998, we and Stephen Peking, exacts deer, of Welapang dix Si tesderée for homeless women with sefocs mental liness and chemical dependency. lwettpreg nes beonon the cuting segs feos ing housing and rehabilitation services for with mental liness. With the advent of Journey House, ftwas pressing even hurherinto uncharted feat, “renting Hench’, Ge tasitonl residential programm ‘both the men- fal ilness andthe substance abuse dlagnosio as [primary inesses and treats them simultaneously. ory Beers ety ae kenrg eee oe enc eae eats ee pistes age aer panies Eprasecyaeetmetre “Sey ete attained ae a li fanaa olierenne momen who Rave shown teks srg Sar taut Macnee hare eee mand Stooaendcete lion, there were lnon in peychiatse symptoms and an visit in Incest i independent ving sls (6 percent Ihe‘avrage length of say ws wouter: Guaster mesiho, We hope ha hs period of ie Se scrateranioe REaviguasshate ie ogg nt oir eh trate te lerg eatoot tations cians of '29 women served in the +48 percent diagnosed with schizoatective ‘isdrder 15 percent schizophrenia; 26 percent bipolar disorder 9 percent major depression; fd 2 percent other serious mental ness. +83 percent addicted to crack cocaine; 72 cedvused crackend other drugs and | cotlectivety they averaged over six months of TRomeleseness in the Year prior to Journey ‘House. - [+ 86 percent had been physically abused; 76 Paces ETc and Katharine R. Dobbins Ky. dual-diagnosis residence yields remarkable outcome percent had been sexually abused. + @ percent had lost custody of their children| due to abuse or neglect. oe ee andes aman sows fe hr Spe Sry Hotere neyo | pote ache ot Sus cues bomen rae ae cael ce ape pet ee test was ool Yemen tats a eters pire la we rclones ol Foey He cing Dok Pee sieeet heehee Se rom oe ea Os see aiucelen incase pines ty piace intervening sorte include’ pace-by-phase-infervensions that meanure each ChentsFeaineas to engege in 2 proces of change arose muluple disondes. A ‘dmconfonttonsl approach that Includes re pea for each perks needs and ably | Flstipate in the proces of ange sense. “restment and eduction for dual disorder i included: Gutcomelsmeasuredininerements hat sa emt eats ecdiae o adcae ent disorder: Comprehensive clini asvesament for dal duccder provides inportant nformaton. During recent meetings with Sciacea, each resident commented upon the very elements that tre being put forth, Fecings of respect, space to Evetonard chang, unten ay wee om part to the paradigm set forth by Perkins on his erpectve of therapeutic effects of environment: as liferentiated ffom dual-diagnosia dient ser vice providers who ae shel provider, Waly Shit Sn emphasis on providing attractive, home: like environments. THis creates a more nurturing and dentalfirming space which gives the work {rust bulding and recovery a runing start.” Kathlen Scicer is ¢ nationally known dul- diagnosis consultant he can be reached at (212) 886. 5985) e-mail boz.coms or vist tp commdualdiagnos. Katharine’ R. Dobbins Program director at Wellepring; she con be reached oa Erma f- dbbnsk@igiow. com (rasan teem Fem Convane Low 10 Roncouct Tat Raucanon ot Ast Pomon or Wino ne Pluses Poneto.