Follow the mentally Ill client from the time they enter the hospital till they leave. It highlights the Obstacles the client faces when the transition back into the community.

1. The Perceived Obstacles That the Mentally Ill
Face When Transitioning into the Community
Delta Lacey
December 2, 2010

2. Introduction and Background
 The mentally sill suffer
- A failing system of care, prejudice, discrimination
and stereo typing (Mohlmman, 2005)
 A new generation of mentally ill are growing up in
hospitals and prisons
 A crisis still thrives
 More mentally ill are placed in hospitals and prisons

3. Introduction and Background
 Length of stay in mental health residential settings
and hospital too long (Statesman Journal, 2009)
 This is causing backups throughout the system
 Lack of supported housing
 Allocation of money

4. Introduction and Background
 Community based programs work (DeBenedictis,
1992)
 Community based programs improve youth
performance (Medical News Today, 2009)
 Federal legislation key force
- The Community Mental Health Services Act of
1963 (Bentley, 1994).

5. Problem Statement
Evidence shows that community treatment
programs work, allowing the mentally ill to become
independent and to remain complaint in their daily
life (DeBenedictis, 1992). The transition from the
hospital to community is slow, which restricts access
to community treatment programs. This can result in
dependency and increased recidivism among the
mentally ill client. This qualitative case study is based
on surveys conducted with hospital administration
and personnel and foster home providers who work
with the mentally ill found not guilty by reason of
insanity.

6. Problem Statement
These surveys will be use to identify those perceived
obstacles that that keep the mentally ill client from
accessing community treatment programs. The
location for this study will be Salem Memorial
Hospital, Salem State Hospital, and Four foster
homes that care for those individuals with mental
illness found not guilty by reason of insanity within
the city of Salem, Oregon.

7. Purpose Statement
The purpose of this qualitative case study is to
explore the obstacles that the mentally ill face in
accessing community treatment programs. This study
will use open ended survey questions to explore
hospital administration and personnel and foster
home provider’s which work with the mentally ill
found not guilty by reason of insanity concerning
their perceived ideas that limit the mentally ill in
accessing community treatment programs and
services. The qualitative case study is appropriate
because it is mainly concerned with the analysis of
qualitative evidence in a reliable manner. This
enables the

8. Purpose Statement
reviewer to note the various perceived experiences
that the mentally ill client has in accessing
community treatment programs and services
(McNamara, 2008). The location for this study will
be Salem Memorial Hospital, Salem State Hospital,
and four foster homes who care for individuals with
mentally ill found not guilty by reason of insanity
within the city of Salem, Oregon.

9. Significance of the Study
 The perceived obstacles and enablers of hospital
administrators and personnel and foster home
providers.
 The mentally ill patient on conditional release will
lower hospital census.
 Lower rates of mentally ill house in jails and
prisons.

10. Significance of the Study
 The community will be safer as fewer crimes will
be committed by the mentally ill.

11. Research Questions/Hypotheses
RQ: What are the hospital administrators and personnel
and foster home providers perceived obstacles and
enablers that mentally ill face when transitioning into
the community?

12.  Qualitative case study
 Appropriateness of the study
- This case study is appropriate because researchers
are interested in learning how or why something
occurs and when the research focuses on events
(Harvard Educational Review, 2004).
 Interviews with hospital administrators and personnel
and foster home providers
Nature of the Study

13. Nature of the Study
 Information and the importance of community base
treatment (DeBenedictis, 1992).

14. References
DeBenedictis (1992). Community Treatment Programs
Work. Retrieved June 17, 2009 from EBSCOhost
database
Gustafson, Alan (November 19, 2009). Mental health
services critiqued. The Statesman Journal 1A-2A.
Harvard Educational Review (2004). Case Study
Research: Designs and Methods. Retrieved
November 21, 2009 from ProQuest database.
McNamara, Carter (2008). Basics of Developing Case
Studies.. Retrieved June 20, 2009 from ProQuest
database.

15. References
Mohlman, Donna M. (2005). The value and Importance
of Treating Mental Illness: The Cost of Overlooking
Mental Illness. Retrieved June 17, 2009 from
EBSCOhost database.
NAMI (2001). New Report Shows Dramatic Increase in
Prices of Affordable Housing for Non-elderly Adults
With Mental Illness. Retrieved November 6, 2009
from Internet search
Torrey, Fuller E. (1995). Editorial: Jails and Prisons-
America’s New Mental Hospital. Retrieved from
EBSCOhost database.