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CASAS PRIMEIRO Program inPortugal – a community approach        José Ornelas/Inê Almas                        s           ...
What is “Casas Primeiro”?The "Casas Primeiro" Program supports homeless people with mental illness in Lisbon in accessing ...
ParticipantsCriteria of priority:   People with mental illness   People who are living on the street   People who are t...
What is “Casas Primeiro”?   Provides immediate access to individualized and    permanent housing   Consumer are not requ...
Independent Apartments•   Scatter site independent apartments.    Apartments are not in the same building or    street•   ...
Independent Apartments        EUROPEAN RESEARCH CONFERENCE  Homelessness, Migration and Demographic Change in             ...
Landlords as program            partnersThe partners have common goals: quality, safetyand well managed apartments•   Agen...
Others partners   Outreach teams   Social services   Plataform PSA Lisboa   Health services               EUROPEAN RES...
Support services•   Team (5 staff for 50 participants)•   Home visits at least 6 times per month per participant. All    t...
Participants                      Sex                                             Man                                     ...
Participants          Diagnosis                                           Schizophrenia                                   ...
Participants                 Additions                             Drugs                             17%      Not applicab...
Participants                     Length of homelessness40%30%20%10%0%      <1 year   1-2 years   3-5 years   6-10 years   ...
Length of housing80% of the participants were housed for more than sevenmonths.           EUROPEAN RESEARCH CONFERENCE    ...
Housing stability              Housing stability                          Yes                         90,5%               ...
Neighborhood and housing                satisfaction100%80%60%40%20% 0%            Neighborhood satisfaction              ...
Most valuable support                                                             Dealing with the landlord100%           ...
Changes in need for follow-up   60%          support   50%   40%   30%   20%   10%    0%              Increased      Staye...
Wellbeing and quality of life             improvements100%                                                            Pers...
Changes in emergency service              use                                          Before                   AfterCall ...
Overall changes         60%         40%                        62,5%         20%                                   32,5%  ...
Participants voices“This   project addresses the practical situation of the homeless. ""We     recovered our personal an...
Film      EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in                     Europe
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Housing First: A Project for Homeless People with Mental Illness in Lisbon

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Presentation given by Inês Almas, Portugal, at a FEANTSA Research Conference on "Homelessness, Migration and Demographic Change in Europe", Pisa, Italy, 2011

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  • Introduction FEANTSA Information from FEANTSA’s members Specific look at some countries (not IE and UK)
  • Transcript of "Housing First: A Project for Homeless People with Mental Illness in Lisbon"

    1. 1. CASAS PRIMEIRO Program inPortugal – a community approach José Ornelas/Inê Almas s AEIPS Interdisciplinary Center Sciences EUROPEAN RESEARCH CONFERENCE for peace’ Homelessness, Migration and Demographic Change in Europe Pisa, 16th September 2011
    2. 2. What is “Casas Primeiro”?The "Casas Primeiro" Program supports homeless people with mental illness in Lisbon in accessing and maintaining independent apartments, rented from community landlords in mainstream neighborhoods. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    3. 3. ParticipantsCriteria of priority: People with mental illness People who are living on the street People who are the longest in the situation of homeless EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    4. 4. What is “Casas Primeiro”? Provides immediate access to individualized and permanent housing Consumer are not required to participate in psychiatric treatment or attain a period of sobriety in order to obtain housing. Rental subsidy Provides – off site – services (7-24 on call) to help consumers keep housing, facilitate recovery and community integration. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    5. 5. Independent Apartments• Scatter site independent apartments. Apartments are not in the same building or street• Mainstream neighborhoods in Lisbon• Rental units available on the open market (350€ a 400€)• Tenants pay 30% of their monthly income towards rent. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    6. 6. Independent Apartments EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    7. 7. Landlords as program partnersThe partners have common goals: quality, safetyand well managed apartments• Agency that ensure rent is paid on time• Agency and landlord communication responsive to landlord concerns• Agency responsible for tenant damages EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    8. 8. Others partners Outreach teams Social services Plataform PSA Lisboa Health services EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    9. 9. Support services• Team (5 staff for 50 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) EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    10. 10. Participants Sex Man Woman 36% 64% EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
    11. 11. Participants Diagnosis Schizophrenia Bipolar 19% Others 10% 71% EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
    12. 12. Participants Additions Drugs 17% Not applicable Alcohol 59,5% 16,7% Alcohol and drugs 4,8% 40.5% of participants have dual diagnosis EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
    13. 13. Participants Length of homelessness40%30%20%10%0% <1 year 1-2 years 3-5 years 6-10 years 11-15 years 16-20 years 62% were homeless for more than 6 years EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
    14. 14. Length of housing80% of the participants were housed for more than sevenmonths. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    15. 15. Housing stability Housing stability Yes 90,5% No 9,5% 90.5% of participants remained in their houses EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
    16. 16. Neighborhood and housing satisfaction100%80%60%40%20% 0% Neighborhood satisfaction Housing satisfaction Participants are satisfied with their current housing and neighborhood. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    17. 17. Most valuable support Dealing with the landlord100% Social benefits80% Listening to concerns Budgeting60% Accessing health services40% Grocery shopping Finding employment20% Connecting to services in the neighbourhood Legal issues 0% EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    18. 18. Changes in need for follow-up 60% support 50% 40% 30% 20% 10% 0% Increased Stayed Decreased Don’t know the sameThe majority of participants considered that they will need tomaintain the support of the team, but for new projects (training,employment and other activities in the community). EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    19. 19. Wellbeing and quality of life improvements100% Personal safety80% Food Level of stress60% Sleeping habits40% Mental health Health20% Social interaction 0% EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    20. 20. Changes in emergency service use Before AfterCall 112 41,7% 4,2%Ambulance 45,8% 4,2%Hospitalization 45,8% 4,2%Get arrested 12,5% 0% EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    21. 21. Overall changes 60% 40% 62,5% 20% 32,5% 0% Improved a lot Improved somewhatAll participants feel they have more opportunities to study, get a job ordevelop other activities in community. EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    22. 22. Participants voices“This project addresses the practical situation of the homeless. ""We recovered our personal and human dignity. ""Life needs foundations. Home provides the foundation to realize ourdreams. "“Housing opens a range of possibilities for our life. ""Housing is fundamental to regain individualized citizenship: we areholding a key, we are neighbors, we have rights.”(Casas Primeiro participants) EUROPEAN RESEARCH CONFERENCE Homelessness, Migration and Demographic Change in Europe
    23. 23. Film EUROPEAN RESEARCH CONFERENCEHomelessness, Migration and Demographic Change in Europe
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