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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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Housing first effective solution

Housing First: Effective Solution

What is housing first

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

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

Ongoing recovery

  • Self Actualisation

Platform for Recovery:

  • Self Esteem

  • Love/ Belonging

  • Safety/ Security

  • Physiological Needs

Ongoing Recovery

Housing first effective solution

Housing First - Glasgow

Tenancy sustainment outcomes

Tenancy Sustainment Outcomes:

Tenancy sustainment outcomes1

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

Service user achievements to date

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

Substance misuse outcomes

Substance Misuse Outcomes:

Number of individuals now abstinent from their problematic substance of choice

Housing first europe

Housing First Europe

Housing first in europe

Housing First in Europe

Housing first europe test sites

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

Each service reflects the city and culture that it resources

Each service reflects the city and culture that it resources:

Housing retention rates in housing first europe

Housing retention rates in Housing First Europe

Housing first united states of america in the beginning

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

Creation of pathways and housing first in usa

Creation of Pathways and Housing First in USA

Pathways assertive community treatment team

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

Canada s positive response

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.

Churchill visits and learning

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

Housing first effective solution

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


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