Insert your logo here  Casas Primeiro / Housing First            in Lisbon                              José Ornelas      ...
Casas Primeiro (Homes First)   Immediate access to individualized and permanent    housing.   People are not required to...
ParticipantsCriteria of priority:   People with mental illness   People who are living on    the street   People who ar...
Participants             Sex                                                                     Age• 91,6% have Portugues...
Participants                                                                 Addictions                                   ...
Length of homelessness        60%        40%        20%         0%                < 2 years                3-5            ...
Support services•   Team (6 staff – ratio 1 staff to 10 participants)•   Home visits at least 6 times per month per partic...
Ecological approach               European Research Conference       Access to Housing for Homeless People in Europe      ...
Housing Stability                              16,7%                                                                 Yes  ...
Changes in income                                    Income         80         60         40         20          0        ...
Changes of quality of lifeThe impacts of housing in participants’ perceived quality of life are clearly significant,in ter...
Changes in emergency service use                                                       Before             After           ...
Individual projects                             1                                                                  Job sit...
Satisfaction with housing         100%          80%          60%          40%          20%           0%                   ...
Program satisfactionAll participants were satisfiedwith the program, pointing outas important aspects the speediness of t...
Support needs changed over time            70%            60%            50%            40%            30%            20% ...
Overall changes                               2%                                                         Life overall impr...
Costs•   Casas Primeiro – 16,40 euros per client per day    (€498,83 per month)•   Night Shelters – 18,60 euros per client...
Research   Community integration & Recovery       qualitative narrative interviews       interviews with quantitative m...
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Casas Primeiro / Housing First in Lisbon

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A presentation given by José Ornelas, PT at a FEANTSA Research Conference on "Access to Housing for Homeless People in Europe", York, September 2012

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Casas Primeiro / Housing First in Lisbon

  1. 1. Insert your logo here Casas Primeiro / Housing First in Lisbon José Ornelas ISPA – University Institute European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  2. 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. European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  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 Access to Housing for Homeless People in Europe York, 21st September 2012
  4. 4. Participants Sex Age• 91,6% have Portuguese nationality• All participants were unemployed or inactive• Only 28 participants had some source of income European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  5. 5. Participants Addictions 11,1% Alcohol 15,3% Drugs Alcohol and drugs 2,8% Diagnosis Not applicable 70,8% 29.2% also present a co-occurring substance abuse disorder European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  6. 6. Length of homelessness 60% 40% 20% 0% < 2 years 3-5 > 6 years years50% of the participants were homeless for more than six years, and 6,9%for more than 16 years. European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  7. 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) European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  8. 8. Ecological approach European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  9. 9. Housing Stability 16,7% Yes No 83,3%Of the 60 participants that are still housed by the program, 58.3% remainedin housing for one year or more European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  10. 10. Changes in income Income 80 60 40 20 0 Before After The number of participants that had a monthly income increased substantially from 28 to 70 (social benefits and salary). European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  11. 11. Changes of quality of lifeThe 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. European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  12. 12. Changes in emergency service use Before After Called 112 46% 6% Admitted in psychiatric hospital 58% 6% Spent one night on police squad 20% -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. European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  13. 13. Individual projects 1 Job site training 3 School 1 9 Workshops 2 Community center Computer training University 6 22 participants involved became involved in school, training, employment or other activities European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  14. 14. Satisfaction with housing 100% 80% 60% 40% 20% 0% Satisfaction Satisfaction with the neigbourhood with the house 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 . European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  15. 15. Program satisfactionAll participants were satisfiedwith the program, pointing outas important aspects the speediness of theprocess the support of the team in:  solving immediate problems  managing the house  facilitating access to existent neighborhood services. European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  16. 16. Support needs changed over time 70% 60% 50% 40% 30% 20% 10% 0% Increase Staying the Decrease Dont know same60% of participants considered that in the short term, there will be no major changes32% consider that their needs for support will decrease over timeand only 4% considered they will need greater support from the team European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  17. 17. Overall changes 2% Life overall improvement Don’t know 98% 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 European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  18. 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 European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012
  19. 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 European Research Conference Access to Housing for Homeless People in Europe York, 21st September 2012

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