The field of residential services has used the residential continuum as its predominant model or paradigm for the last decade. The old paradigm is breaking down under pressures that demand attention to basic housing needs. This article describes the basic concepts inherent in the paradigm shift that is moving the field toward supported housing models.

Since the groundbreaking work of the Robert Wood Johnson Conference in 1998 identifying six evidence-based practices (EBPs) for people with severe mental illness (SMI), the mental health field has moved in the direction of re-examination and redesign of service systems. Surprisingly, one area that has not been fully explicated is the role that EBPs play in promoting community integration. In this paper, we explain how community integration is a unifying concept providing direction and vision for community mental health for people with SMI. As one crucial aspect of the recovery process, community integration clarifies the link between EBPs and recovery. We propose an alternate view, grounded in the empirical literature, to the assertion by Anthony, Rogers, and Farkas [2003, Community Mental Health Journal, 39, 101-114] that ''EBP research has rarely demonstrated a positive impact on recovery related outcomes.'' Gary R. Bond and Michelle P. Salyers are affiliated with the

Although mental health professionals have shown much enthusiasm for the concept "expressed emotion (EE)," little critical analysis of the concept has appeared in the literature. Placing families in dichotomous categories of high EE and low EE amounts to stereotyping; such an approach does little to help professionals in understanding the complexities of family life with a mentally ill relative. High EE is seen as a factor that maintains mental illness in a relative. Once more, families feel hurt and alienated. Once more, families feel negatively labeled, but not empathically understood.

A large percentage of the severely mentally ill in the community live with family members. Families look toward professionals as a major resource in assisting their disabled family members. Unfortunately, their relationships with professionals have often left families feeling blamed, discounted, and frustrated. The authors present a number of suggestions for what professionals can do to work more cooperatively with families.

This article describes the multiple roles that families can play in the psychiatric rehabilitation process and suggests ways for professionals to collaborate with them. The authors discuss the family's experience of loss and their process of recovery; their caregiving role; their role in supporting other families; their teaching and educational role; their advocacy role; their role as researchers and research subjects; and some suggestions for supporting family roles.