Alcohol and housing policy overview yvonne maxwell l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 27

Alcohol and Housing: Policy Overview Yvonne Maxwell PowerPoint PPT Presentation


  • 154 Views
  • Uploaded on
  • Presentation posted in: Sports / Games

Alcohol and Housing: Policy Overview Yvonne Maxwell. Housing Learning and Improvement Network. Is the national network for promoting new ideas and supporting change in the delivery of housing , care and support services for older and vulnerable people. Part of a wider DH Care Networks .

Download Presentation

Alcohol and Housing: Policy Overview Yvonne Maxwell

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Alcohol and housing policy overview yvonne maxwell l.jpg

Alcohol and Housing:Policy OverviewYvonne Maxwell


Housing learning and improvement network l.jpg

Housing Learning and Improvement Network

Is the national network for promoting new ideas and supporting change in the delivery of housing , care and support services for older and vulnerable people.

Part of a wider DH Care Networks .

Part of the Putting People First Team.


National alcohol strategy l.jpg

National Alcohol Strategy

A focus on 18-24 binge drinkers and harmful drinkers.

Working together to promote sensible drinking.

Long term goal : “To minimise the health harms, violence and antisocial behaviour associated with alcohol , while ensuring that people are able to enjoy alcohol safely and responsibly”

Actions :

More help for people who want to drink less.

Public Information campaigns to promote a new sensible drinking culture.

Local alcohol strategies.


Slide4 l.jpg

Why do alcohol services and supported housing need to work together?

People who live in supported housing or receive floating support may also have an alcohol problem.

This includes people with mental health problems, older people, physical disabilities and learning disabilities.

Strategies, access to services and information campaigns will need to address how to reach and engage them.

Housing and support can help with this. They need to be involved and informed and ways to reach people developed.

Some groups may get missed such as older people or those with a learning disability. Different approaches will need to be developed.


Rough sleepers strategy l.jpg

Rough Sleepers Strategy

Cross Government Strategy lead by CLG.

A focus on preventing rough sleeping , moving away from reactive to proactive and preventive services

Partnerships at both national and local level, between Government Departments and locally with community groups , health and local authorities and homelessness agencies.

Sustainable outcomes and a focus on building people’s skills to maintain tenancies, address underlying issues that have contributed to their homelessness such as mental health, substance and alcohol misuse and routes into training and employment .

Improving the health of rough sleepers and their access to services

User involvement and empowerment, including using individual budgets

There are 15 actions points under 4 chapter headings :

Right help, right place, right time

Empowering communities

Understanding problems/solutions

Making it happen


Links with alcohol l.jpg

Links with alcohol

The Strategy identifies that many rough sleepers have problems with alcohol. For example a survey in London found :

“Roughly 87% of people contacted by outreach teams are male and many have problems relating to drugs (41%), alcohol(49%) and mental health (35%) with around a quarter having a combination of these problems. People who have been in prison or the care system are overrepresented”

There is a commitment in the Strategy to work with the Alcohol Network.


Slide7 l.jpg

Action 3 “We will extend positive activities that motivate and empower people to take greater control in their lives.”Action 4 “We will promote and enable opportunities for homeless people to break out of worklessness.”

“For many people getting off the streets into a hostel, or even getting their own flat, will not necessarily deal with underlying problems. Anxiety, depression, low self-esteem, self-harm or challenging behaviour, often exacerbated by misuse of alcohol and drugs, means that people can feel stuck in a life that is damaging to themselves and others.”


Slide8 l.jpg

  • The strategy wants to increase opportunities for people moving away from rough sleeping to take part in activities that give hope, build skills, increase confidence and self-esteem and above all strengthen positive relationships.

  • For some people this will be needed before they are able to take more formal steps towards employment.


Slide9 l.jpg

ACTION 5 “We will further improve access to health and social care services for people with multiple needs who are sleeping rough or in hostels.”

Among people who sleep rough or who have moved into hostels is a group of individuals with severe, complex and multiple health and social care needs. The nature of these needs and the competing priorities of survival on the streets can mean that, without specialist or targeted help, they often do not access health and social care services at all .


Slide10 l.jpg

Some homelessness agencies report that it can be difficult for people with multiple needs to access services including registration with local primary care services or treatment for alcohol dependency or mental health problems. Better co-ordination of statutory and non-statutory services is needed as well as this group being part of the assessment of need and commissioning process.

In some areas promising approaches have been developed such as joint outreach between outreach workers and drugs/nurses/mental health workers and the piloting of ‘wet’ drop in sessions. These are staffed by several agencies who engage with clients who may be excluded from other drop-ins and services due to consistent alcohol use.


Slide11 l.jpg

“Ensuring the engagement of particularly vulnerable and hard to reach to reach groups , those with complex medical and social care needs and those experiencing exclusion will be one of the significant challenges of Joint Strategic Needs Assessment (JSNA). Their involvement is important , since they are more likely to suffer from poor health and wellbeing and from inequalities, and their engagement with JSNA will best shape services to meet their needs . Third sector and local user-led organisations often have considerable experience in identifying need within these groups.”

Guidance on JSNA

There will be ongoing work around the development of the JSNA process and CLG.


Putting people first l.jpg

Putting People First

‘Putting People First’: A shared vision and commitment to the transformation of adult social care…through personalisation, prevention and early intervention

signed by 6 Government Departments, the Local Government Association (LGA) and the Association of Directors of Adult Social Services (ADASS)


What putting people first says l.jpg

What ‘Putting People First’ says…

Supporting people to live in their own home for longer

Concentration on safeguarding adults

Universal information, advice and advocacy service

Common assessment processes – more self-assessment

Telecare as integral not marginal

Self directed support as the mainstream – personal budgets for all, direct payments for more people

Greater role for voluntary sector and user led organisations


What it doesn t say l.jpg

What it doesn’t say…

Not a prescriptive policy document – there is no detailed roadmap

There are many things to decide locally to ensure that personalisation works for us

Doesn’t say we’re doing a bad job – this is about building on what we do well already and extending choices to those using our services


Why this changes everything l.jpg

Why this changes everything…

Now...

Under Self-Directed Support...


Self directed support l.jpg

Self Directed Support

  • Personalisation and self-directed support

  • a common assessment framework for social care, including access to self-assessment when appropriate

  • mainstreamed person centred planning and self-directed support

  • personal budgets for all with increased uptake of direct payments

  • systems which proportionately address risk whilst enabling maximum choice and control

  • Resource Allocation Systems – want development by LAs together

  • Guidance on Fairer Contribution – clarifying money that service users may be asked to contribute towards IB – from 0% - 100%.


What s it all about l.jpg

What’s it all about?

The process by which state provided services can be adapted to suit users

Personalisation

Support that is determined and controlled by users, based on an assessment of need by the state. (Includes receiving cash, spending on services that meet user needs, to choosing which hospital you wish to attend)

Self directed support

Individual

budgets

Personal

budgets

Like an IB but solely made up of social care funding

Direct

payments

An indicative amount of money that can combine several funding sources that users can use to purchase services, from the public, private or voluntary sector

A cash payment paid directly to users so they can acquire their own services, rather than having them delivered by the council


Personalised services l.jpg

Personalised services

  • A continuum of options from:

    A block contract service which is flexible, person-centred and tailored to meet each person’s needs → →

    through to →

    → → direct payment of an Individual Budget for person to purchase what they choose (could be either an IB held by the Council or a direct payment to client or an IB held by a provider-but the service user has a key say over how it is to be spent)


Is this just about social care l.jpg

Is this just about social care?

No!

Personalisation affects many other public services – housing, education, health.

Darzi review confirmed personal budgets in Health.

Grew out of small movement in Learning Disabilities, scope is continually growing…

Impacts on the wider customer experience


Slide21 l.jpg

Universal services

  • General support and services available to everyone locally, including:

  • access to information, advice and support

  • transport

  • leisure

  • education

  • health

  • housing

  • community services e.g. libraries, adult education


Slide22 l.jpg

Early Intervention & Prevention

Support available to assist people who may need a little more help, their carers and supporters at an early stage to stay independent for as long as possible, such as to:

  • recover from effects of illness

  • safely maintain home and garden

  • training to get a job

  • return to work training after a break

  • start taking some exercise


Slide23 l.jpg

Choice and Control

Self directed support, e.g.

  • services available to meet people’s needs and those of their carers and families

  • access to information and advice

  • transparency of resources available

  • individual’s choose who provides that support and controls when and where the services are provided

  • help to negotiate their support needs

  • provide advocates to help people decide


Slide24 l.jpg

Social Capital

How society works to make sure everyone has the

opportunity to be part of a community, such as:

  • experience friendships and care that can come from families, friends and neighbours

  • positive interaction

  • participating in discussions about community life

  • volunteering

  • Community empowerment and user led organisations


Slide25 l.jpg

Supporting People

Authorities are spending more on services for people with alcohol problems (£18.5m in 06/07 to £19.5m in 07/08)

Services support around 3,500 people with alcohol problems and deliver positive outcomes. In 2007/08:

1,500 able to better manage physical health

1,100 able to better manage mental health

1,650 maintained accommodation and avoided eviction

670 accessed desired training and education

Removal of the ringfence on Supporting People funding from April 2009 provides opportunities to develop innovative ways to support vulnerable groups

CLG is developing a local toolkit which will provide evidence at a local level on the financial benefits of investing in housing-related support (to be available in Summer of 2009)


Characteristics of people with alcohol problems in support services l.jpg

Characteristics of people with alcohol problems in support services

Previous accommodation Move-on accommodation

27% general needs- 40% general needs

16% rough sleeping- 13% private sector/ownership

12% family/friends- 11% supported housing

12% supported housing- 9% family/friends

Service type accessedHighest needs

44% floating support- managing substance misuse

36% supported housing- maintaining accommodation

15% direct access hostel- greater choice/control/involvement

Highest achievement of needs

- maximising income

- access to services

- greater choice/control/involvement

- minimising harm from others


Further information l.jpg

Further Information

Housing Info - www.networks.csip.org.uk/housing

Yvonne Maxwell , Social Inclusion and Equalities Project Manager [email protected]


  • Login