Skip to main content

Advertisement

Log in

The BMC ACCESS Project: The Development of a Medically Enhanced Safe Haven Shelter

  • Regular Article
  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

This paper describes the development and implementation of the Boston Medical Center (BMC) Advanced Clinical Capacity for Engagement, Safety, and Services Project. In October 2002, the BMC Division of Psychiatry became the first such entity to open a Safe Haven shelter for people who are chronically homeless, struggling with severe mental illness, and actively substance abusing. The low-demand Safe Haven model targets the most difficult to reach population and serves as a “portal of entry” to the mental health and addiction service systems. In this paper, the process by which this blended funded, multi-level collaboration, consisting of a medical center, state, city, local, and community-based consumer organizations, was created and is maintained, as well as the clinical model of care is described. Lessons learned from creating the Safe Haven Shelter and the development and implementation of the consumer-informed evaluation are discussed as well as implications for future work with this population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. Anderson D, Fernandes K, Green G, et al. Homelessness in the City of Boston Winter 2002–2003, Annual Census Report. Available at: http://www.ci.boston.ma.us/shelter/pdfs/report_02.pdf. Accessed April 6, 2006.

  2. National Coalition for the Homeless. NCH Fact Sheet #5: Mental Illness and Homelessness. June 2006. Available at: www.nationalhomeless.org. Accessed March 31, 2007.

  3. Shern D, Tsemberis S, Anthony W, et al. Serving street-dwelling individuals with psychiatric disabilities: outcomes of a psychiatric rehabilitation clinical trial. American Journal of Public Health. 2000;90(12):1873–1878.

    Article  PubMed  CAS  Google Scholar 

  4. Dennis DL, Buckner JC, Lipton FR, et al. A decade of research and services for homeless mentally ill persons. Where do we stand? American Psychologist. 1991;46(11):1129–1138. doi:10.1037/0003-066X.46.11.1129.

    Article  PubMed  CAS  Google Scholar 

  5. Fischer PJ, Breakey WR. The epidemiology of alcohol, drug, and mental disorders among homeless persons. American Psychologist. 1991;46(11):1115–1128. doi:10.1037/0003-066X.46.11.1115.

    Article  PubMed  CAS  Google Scholar 

  6. Hwang S. Mental illness and mortality among homeless people (Editorial). Acta Psychiatrica Scandinavica. 2001;103(2):81–82. doi:10.1034/j.1600-0447.2001.103002081.x.

    Article  PubMed  CAS  Google Scholar 

  7. Rosenheck R. Cost-effectiveness of services for mentally ill homeless people: the application of research to policy and practice. American Journal of Psychiatry. 2000;157(10):1563–1570. doi:10.1176/appi.ajp.157.10.1563.

    Article  PubMed  CAS  Google Scholar 

  8. Ward Family Foundations. Safe Havens: Analysis of Strategy and Operating Practices. July 2005. Available at: http://www.wardfamilyfoundation.org/shp.shtml. Accessed August 31, 2005.

  9. U.S. Department of Housing and Urban Development. (2001). In from the Cold-Safe Havens for Homeless People. Accessed at http://www.hud.gov/offices/cpd/homeless/library/havens/index.cfm. Retrieved April 12, 2006.

Download references

Acknowledgment

The Boston Medical Center (BMC) ACCESS (Advanced Clinical Capacity for Engagement, Safety and Services) Project was supported by a grant from the Substance Abuse and Mental Health Services Agency (TI14028).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alisa Lincoln PhD, MPH.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lincoln, A., Johnson, P., Espejo, D. et al. The BMC ACCESS Project: The Development of a Medically Enhanced Safe Haven Shelter. J Behav Health Serv Res 36, 478–491 (2009). https://doi.org/10.1007/s11414-008-9150-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-008-9150-2

Keywords

Navigation