1. Robert Bernstein, PhD Court Monitor Robert.del@verizon.net

2. Some context. 2

3. Institutionalized Segregation 3

4. 4

5. The "Cottage for Colored Women" (Maryland Hospital for the Insane c. 1906) 5

6. The Back Ward 6 The Back Ward.

7. 7 Deinstitutionalization

8. 8 Levels of Care

9. The Nursing Home. 9

10. The Group Home. 10

11. Over-Representation of People with Serious Mental Illness 11

12. The ADA “…individuals with disabilities are a discrete and insular minority … subjected to a history of purposeful unequal treatment, and relegated to a position of political powerlessness in our society… resulting from stereotypic assumptions not truly indicative of the individual ability of such individuals to participate in, and contribute to, society; … the Nation’s proper goals regarding individuals with disabilities are to assure equality of opportunity, full participation, independent living, and economic self-sufficiency …” 12

13. The Olmstead Decision “Institutional placement of persons who can handle and benefit from community settings perpetuates unwarranted assumptions that persons so isolated are incapable or unworthy of participating in community life.” 13 “Unjustified isolation, we hold, is properly regarded as discrimination based on disability..”

14. 14 Understanding de-segregation Separate is Unequal More than Proximity to the Mainstream Contact with the Broader Community Meaningful Opportunity Separate is Unequal More than Proximity to the Mainstream Contact with the Broader Community Meaningful Opportunity

15. 15 The housing services will ensure that people with SPMI can live like the rest of Delawareans, in their own homes, including leased apartments, or living with their family.

16. 16 An Ordinary Life: Stable housing. Owning something.

17. 17 The Assessment Process

18. 18 Move Services, Not People.

19. 19 Reasonable Accommodations: Leveling the Playing Field

20. Quantifying Integration: The “20-2” Rule?

21. Retooling for Integrated Housing 21