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Housing First: Effective Solution

Housing First: Effective Solution. What is Housing First? . Significant departure from traditional ‘linear’ models of provision for homeless people with complex needs ‘Housing’ First as opposed to ‘Treatment’ First Platform for Recovery . Essential Elements of the approach:.

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Housing First: Effective Solution

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  1. Housing First: Effective Solution

  2. What is Housing First? • Significant departure from traditional ‘linear’ models of provision for homeless people with complex needs • ‘Housing’ First as opposed to ‘Treatment’ First • Platform for Recovery

  3. Essential Elements of the approach: Aim: To reduce re-occurring homelessness by supporting individuals with poor mental health or addiction issues Underlying principles: • Independent accommodation in scattered site housing • No requirement for housing readiness • Harm reduction approach • Provision of permanent housing and holistic support • Respect for service user choice re: apartment, levels of engagement, location and times of support • 24/7 support from multidisciplinary team • Targets most vulnerable – those that have difficulty coping with traditional services, resistant to service engagement

  4. Self Actualisation Platform for Recovery: • Self Esteem • Love/ Belonging • Safety/ Security • Physiological Needs Ongoing Recovery

  5. Housing First - Glasgow

  6. Tenancy Sustainment Outcomes:

  7. Tenancy Sustainment Outcomes No Evictions! • 2 x supported to give up tenancy due to prison sentences over 13 weeks • 1 x supported to move from tenancy due to harassment in local area

  8. Service User Achievements to date: • Supporting individuals who have never engaged with any service • 7 service users involved in education and training – including a university course • 5 service users regularly attending day services (including community based addiction programmes) • 2 service users involved in voluntary work • 1 service user gained full time employment since engaging with Housing First

  9. Substance Misuse Outcomes: Number of individuals now abstinent from their problematic substance of choice

  10. Housing First Europe

  11. Housing First in Europe

  12. Housing First Europe – test sites • 5 different test sites and 5 different welfare regimes • Relatively high staff- client ratios 1:3-5 to 1:11 • Mix of congregate housing and scattered housing in Copenhagen, all others used scatter site housing • Use of social housing in 3 cities, using allocation rights with priority for homeless people in social housing. (UK and Denmark) • Budapest is a special case

  13. Each service reflects the city and culture that it resources:

  14. Housing retention rates in Housing First Europe

  15. Housing First United States of America: In the beginning ---------- • Impact on Homelessness from Reagan recession 1979/80s • Development of warehouse type shelters by Federal and local Governments to increase provision • Those with mental health and/or addiction issues lost in the multiple systems • Creation of institutionalisation of mental health services in hospitals • Reagan cut-backs from 1981 on public housing only response accommodation

  16. Creation of Pathways and Housing First in USA

  17. Pathways - Assertive Community Treatment Team • First created in New York • Respond to mental health issues but equally support the individual in their tenancy • ACT teams are likely to include: psychiatrists, nurse practitioners, outreach nurses, occupational therapists and support workers, employment and education support worker and peer support workers

  18. Canada’s positive response: • In USA, Pathways Housing First tackles homelessness for those suffering with mental illness • 2008 – Canada invited 5 cities to develop ‘At Home’ (Chez Soi) programmes • Visited Calgary and Vancouver and spent time with an ACT team in each city. • Sustained funding recently agreed by Canadian government although staff funding moving to funding via health services.

  19. Churchill visits and learning: • Visited services in Toronto, Calgary, Vancouver, Minneapolis, Washington/ Philadelphia and New York • Application of Pathways model within our services • Responses to homelessness in general and not just ‘single’ homelessness - family responses (as per Minneapolis) • Housing First support to Veterans • Sustained growth of the Recovery Network/ WRAP models

  20. For more information:Contact: Ian Irvine (Operations Manager)T: 0141 427 8200 E: ianirvine@turningpointscotland.com Emma Hamilton (Development Manager)T: 0141 427 8200 E: emmahamilton@turningpointscotland.com W: www.turningpointscotland.com SCO28827

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