Post Discharge Transition
Program (Roberts House and
Hamilton House)
The Post Discharge Transition Program provides individuals who have a severe
and persistent mental illness and who are transitioning from the hospital to the
community with an alternative level of supported housing. Often they have not been
able to meet the criteria for living in other supported housing.
While the transition goal is six months, accommodations can be made for up to
one year, particularly in Roberts House. Individuals are able to have a period of
stabilization of their symptoms and illness in a community integrated setting, which
prevents their re-hospitalization.
The program allows clients to demonstrate a period of successful community
living, while at the same time establishing linkages to community supports and
resources and developing their skills. Through the partnership with Alberta Health
Services (access to nurse and psychiatrist) and referrals to other supports, clients
are provided seamless access to services from hospital through to stable community living.
Roberts House opened up for service in September 2012.
In 2012-2013:
also seen clients build supportive
friendships. Although success is often
seen in baby steps, she has seen great
improvement in clients. One of the
greatest successes was seeing two
clients move into more independent
housing.
“If they can improve independent living skills – cooking, cleaning,
hygiene, learn transit routes, maybe
looking for employment, getting financial assistance – then they can live on
their own,” Noelle says.
“That’s the ultimate goal: that people
can live independently after this.”
ROBERTS HOUSE
15
54
3
45
individuals were admitted
community referrals were
made
groups organized
group sessions
71%
HAMILTON HOUSE
25
99
4
129
individuals were admitted
community referrals were
made
groups
sessions were held
of clients transitioned to a suitable housing situation,
including their own apartment, an approved home,
CMHA Supportive Living, etc.
Annual Report to the Community 2012-2013
9