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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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Presentation Transcript
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

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 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
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
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
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For more information:Contact: Ian Irvine (Operations Manager)T: 0141 427 8200 E: [email protected] Emma Hamilton (Development Manager)T: 0141 427 8200 E: [email protected] W: www.turningpointscotland.com

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