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Casas Primeiro / Housing First in Lisbon

Insert your logo here. Casas Primeiro / Housing First in Lisbon. José Ornelas ISPA – University Institute. Casas Primeiro (Homes First) . Immediate access to individualized and permanent housing.

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Casas Primeiro / Housing First in Lisbon

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  1. Insert your logo here Casas Primeiro / Housing First in Lisbon José Ornelas ISPA – University Institute

  2. Casas Primeiro (Homes First) • Immediate access to individualized and permanent housing. • People are not required to participate in psychiatric treatment or attain a period of sobriety in order to obtain housing. • Scatter site apartments in mainstream neighborhoods in Lisbon. Apartments are not in the same building or street. • Rental subsidy. Tenants pay 30% of their monthly income towards rent. • Provides – off site – services (7-24 on call) to help consumers keep housing, facilitate recovery and community integration.

  3. Participants Criteria of priority: • People with mental illness • People who are living on the street • People who are the longest in the situation of homeless

  4. Participants Sex Age • 91,6% have Portuguese nationality • All participants were unemployed or inactive • Only 28 participants had some source of income

  5. Participants Addictions Diagnosis 29.2% also present a co-occurring substance abuse disorder

  6. Length of homelessness 50% of the participants were homeless for more than six years, and 6,9% for more than 16 years.

  7. Support services • Team (6 staff – ratio 1 staff to 10 participants) • Home visits at least 6 times per month per participant. All tenants must agree to regular home visit. • Support services are provided in the community (access to community resources and services) • Team use a recovery focus and assist with community integration. Participants can beneficiate from others AEIPS programs (e.g. supported employment)

  8. Ecological approach

  9. Housing Stability Of the 60 participants that are still housed by the program, 58.3% remained in housing for one year or more

  10. Changes in income Income The number of participants that had a monthly income increased substantially from 28 to 70 (social benefits and salary).

  11. Changes of quality of life The impacts of housing in participants’ perceived quality of life are clearly significant, in terms of personal safety, nutrition, level of stress, sleeping habits, social life health and mental health.

  12. Changes in emergency service use The number of participants reporting having to use 112 emergency service decrease 87%. The number of admissions in psychiatric hospitals decreased by 90%. No one reported having spent the night on a police squad after move into housing.

  13. Individual projects 22 participants involved became involved in school, training, employment or other activities

  14. Satisfaction with housing Satisfaction with neighbourhoods: the resources nearby and the relationship with neighbours. Satisfaction with the house: privacy, tranquillity, comfort and sense of control over the space.

  15. Program satisfaction All participants were satisfied with the program, pointing out as important aspects • the speediness of the process • the support of the team in: • solving immediate problems • managing the house • facilitating access to existent neighborhood services.

  16. Support needs changed over time 60% of participants considered that in the short term, there will be no major changes 32% consider that their needs for support will decrease over time and only 4% considered they will need greater support from the team

  17. Overall changes On the referred improvements participants highlight the gains in a large sentiment of freedom and hope, a wide range of study opportunities, getting a job, fulfilling personal projects and the development of social connections

  18. Costs • Casas Primeiro – 16,40 euros per client per day (€498,83 per month) • Night Shelters – 18,60 euros per client per night • Hostels rooms – 30,77 euros per client per day • Psychiatric hospitalization in acute wards have a one time cost of €2500 per client

  19. Research • Community integration & Recovery • qualitative narrative interviews • interviews with quantitative measures • community integration • recovery • choice • satisfaction with housing and support services • Social change • key informant interviews • landlords interviews

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