The ethics and efficacy of notifying neighbors in advance of the estab
lishment of group housing for the chronically mentally ill has generat
ed much controversy, and recent federal anti-discrimination legislatio
n has supported its discontinuation. In this study, representatives fr
om 72 Massachusetts mental health agencies were interviewed regarding
the siting strategies used in their most recent group housing developm
ent, and the community responses to that site. A majority of agencies
were found to have used advance notification, and there was a signific
ant association between notifying neighbors and community opposition.
Agencies using advance notification were also significantly more likel
y to initiate post-siting community outreach activities.