Do adult homes for New York's residents with a mental illness needlessly segregate residents? Or simply because they are not a hospital, are they integrated in the community? This is part of the question that will be answered in U.S District Court. The lawsuit charges many of the privately operated adult homes lack supportive services. In 2003 New York Times reporter Clifford J. Levy called them "psychiatric flophouses." A lawsuit was brought that year by advocates including the Bazelon Center and Disability Advocates. Yesterday's ruling denied New York's request for a judgment and the case will now go to trial.