Long-Awaited Research Findings Signal Need to Pay Attention to Our Fragile System of Licensed Facilities Serving People with Mental Illness

A conversation with The Future Organization (Part one)

Season 4 | Episode 4 | October 18, 2023


This is Part One of a two-part podcast interview.

A long-awaited research study and report prepared by The Future Organization (TFO) helps to shine a light on an important, but fragile segment of our housing continuum for people with mental health conditions, many formerly homeless.  Colloquially referred to as “board & care homes,” they are officially referred to as Adult Residential Facilities (ARFs) and Residential Care Facilities for the Elderly (RCFEs).

Sponsored by Brilliant Corners and funded by the California Community Foundation and Cedars Sinai, the study was part of an initiative involving the participation of the LA County Department of Mental Health, the LA County Department of Health Services, and Genesis LA, with intention to draw attention to the issues affecting licensed residential facilities that care for people with serious mental illness in our communities.  

In this interview with the study’s authors, Aimery Thomas and Leila Towry of The Future Organization, we will learn about the scope of their research, the intent of the study, and explore some of the findings and insights from their year of research:

  • The “Market” in Los Angeles County, which consists of over 750 licensed facilities serving people with mental illness and elderly residents; 

  • “Market Users,” or the range of agencies, service providers, government partners and others who are connected with, or place clients into, licensed facilities; 

  • The Market’s residents: their demographics, perceptions, and unmet needs; and,

  • The owners and operators and their challenges, needs and perceptions.

This promises to be an eye-opening interview for anyone involved in the homeless housing sector as the importance of this housing resource in serving people with experience of homelessness is not often acknowledged or understood. In fact, as the study reports, owners and operators of these facilities feel invisible and disconnected from the policy and agency connections who could provide vital aid to sustain them in the important work they do in caring for the most vulnerable in our communities across Los Angeles County.

Part Two of this conversation will largely focus upon the recommendations of the study report.


Resources for this episode:

  • Summary of study findings from Brilliant Corners website re/ this study

  • Full report, Serving our Vulnerable Populations:  Los Angeles County Adult Residential Facilities and Residential Care Facilities for the Elderly, August 2023

  • August 26, 2023 article in LA Times summarizing key finding of TFO report

  • July 12, 2022 article in LA Times about continuing closure of board & care homes

  • Blog at Accoglienza.us

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Ten (10) Recommendations to Shore up Fragile LA County Licensed Residential Facilities

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Conservatorship: Inside California's System of Coercion and Care for Mental Illness