Monday, November 30, 2009

Meeting basic needs first

You may have already heard about the project being launched by the Mental Health Commission of Canada that aims to study the link between mental illness and homelessness (see Toronto Star article here).

In this research study (which is the largest project in Canada's history to study this link), over 1300 people nationally will be given a place to live and receive social services. Participants will have weekly access to psychiatrists and front-line staff to receive medical and emotional help. And they'll be given choices - after they're housed - about how to cope with their mental health or addiction problems.

Traditionally, people had to be quite stable (clean and sober) before being offered housing. Dr. Jayne Barker, project director of the At Home initiative, very appropriately asks, "How can people who have to worry about where they will sleep tonight or where their next meal is going to come from...start to think about their depression or anxiety or schizophrenia?" The philosphy behind this study is quite ingenius, really - provide people with housing first and the rehabilitation will follow. It's too bad that American psychologist Abraham Maslow first proposed his "Hierarchy of Needs" in 1943. According to him, basic physiological needs must first be met (like food, water, shelter) before other higher needs (such as safety, employment, love, self-esteem) can be attained. Makes you wonder what they've been thinking all this time...