The Terms and Conditions for Treatment and Services
Supportive housing programs vary widely in the extent to which they require participation in mental health treatment and rehabilitation. A "low-demand” approach is characteristic of many housing-first programs in which services are based on client choice and there are few requirements other than the usual demands of tenancy (paying rent, not destroying property) and the need to prohibit illegal activities or unsafe behavior. Some low-demand programs may tailor requirements to an individual’s need for a representative payee to manage entitlement income, and a periodic visit from a case manager or community treatment team. A low-demand approach is typical of safe havens and some permanent supportive-housing programs. In contrast, a "high-demand” approach usually requires client participation in several programs, often including medication management and substance abuse treatment, as the individual progresses on a path out of shelter or street living through transitional placements to permanent supportive housing. Moreover, there are supportive housing placements that provide onsite support services 24 hours a day, seven days a week.