An evaluation of Health Service   involvement in Homeless      Strategies in Ireland                Frank Mills        Nat...
Background• Health Act 1953• Housing Act 1988• Child Care Act 1991
Homelsss Initiative 1998• Homeless people dying on Streets• Joint Initiative by Dublin City Council and  Eastern Health Bo...
National Homeless Strategy• 2000. Cross-department team.• 2001. Homelessness – An Integrated  Strategy.• Clarified respons...
Homeless Preventative Strategy              2002A strategy to prevent homelessness among:• Patients leaving hospital and m...
Homeless Structures in Ireland         Cabinet Committee on Social Inclusion                          ↓        Cross Depar...
Wider Context• National Action Plan for Social Inclusion  2007-2016• Towards 2016 – national partnership  Agreement• Natio...
Targetted Health Services• Health teams in emergency  Accommodation and Day centres –  doctor, nurse, chiropodist, counsel...
Targetted Health Services• System in place for fast-tracking eligibility  for health services.• Protocols for discharge of...
Issues• Deficiences in mainstream health services  highlighted.• Dedicated Vs mainstream service  provision.• Partnership ...
Interaction between homelessness             and health• Health issues can lead to homelessness.• Homelessness can lead to...
Policy implications• More efective preventative measures.• Move people quickly out of homelessness.• Housing plus supports
Changing Environment in Ireland• New national Integrated Homeless  Strategy being developed.• Health services undergoing m...
New Homeless Strategy.• Comprehensive evaluation and  consultation in relation to previous  strategy – all stakeholders in...
Vision for New Strategy.• By 2010 long-term homelessness (more  than six months) and the need for people  to sleep rough w...
Health Transformation.Vision:• “Everybody will have easy access to high  quality care and services that they have  confide...
Health Transformation• Primary Care Teams and Networks.• Work underway to ensure the needs of  homeless people are effecti...
Conclusion• Health services have had long involvement in  meeting needs of homeless people.• Since 1998 this has been done...
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Evaluation of the strong involvement of the health sector in the Irish homelessness strategy

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Presentation given by Frank Mills, Director Social Inclusion, South West Area Health Authority, Ireland at a FEANTSA seminar on "Cooperation & networking to address homelessness: What are key partners for national/regional authorities and how should they be involved?", co-hosted by the Norwegian Housing Bank and FEANTSA, June 2007

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Evaluation of the strong involvement of the health sector in the Irish homelessness strategy

  1. 1. An evaluation of Health Service involvement in Homeless Strategies in Ireland Frank Mills National Planning Specialist Social Inclusion Health Service Executive Ireland
  2. 2. Background• Health Act 1953• Housing Act 1988• Child Care Act 1991
  3. 3. Homelsss Initiative 1998• Homeless people dying on Streets• Joint Initiative by Dublin City Council and Eastern Health Board• NGOs involvement• Co-ordinated response• 1999 New Post created within health services
  4. 4. National Homeless Strategy• 2000. Cross-department team.• 2001. Homelessness – An Integrated Strategy.• Clarified responsibilities between health services and local authorities.• Local homeless forums• Local action plans• Funding committment
  5. 5. Homeless Preventative Strategy 2002A strategy to prevent homelessness among:• Patients leaving hospital and mental health care;• Adullt prisoners and young offenders leaving custody;• Young people leaving care.
  6. 6. Homeless Structures in Ireland Cabinet Committee on Social Inclusion ↓ Cross Department Team on Social Inclusion ↓ ↓ National Consultative Committee on Homelessness Local Homeless Forum
  7. 7. Wider Context• National Action Plan for Social Inclusion 2007-2016• Towards 2016 – national partnership Agreement• National Development Plan
  8. 8. Targetted Health Services• Health teams in emergency Accommodation and Day centres – doctor, nurse, chiropodist, counsellor.• Dedicated outreach mental health team.• Dedicated dental service.• Outreach multi-disciplinary team• Alcohol and rehabilitation service
  9. 9. Targetted Health Services• System in place for fast-tracking eligibility for health services.• Protocols for discharge of homeless people from hospitals.• Linking of dedicated services – co- ordinator, unified computer system.
  10. 10. Issues• Deficiences in mainstream health services highlighted.• Dedicated Vs mainstream service provision.• Partnership and inter-sectoral working vital.• Shift from reliance on personalities to service level agreements, protocols etc.
  11. 11. Interaction between homelessness and health• Health issues can lead to homelessness.• Homelessness can lead to ill health and exaccerbate ill health.• Not possible to provide effective health service while people remain homeless.
  12. 12. Policy implications• More efective preventative measures.• Move people quickly out of homelessness.• Housing plus supports
  13. 13. Changing Environment in Ireland• New national Integrated Homeless Strategy being developed.• Health services undergoing major transformation.These present challenges and opportunities.
  14. 14. New Homeless Strategy.• Comprehensive evaluation and consultation in relation to previous strategy – all stakeholders including service users.• New strategy being drafted by Cross Department team.• Health Impact Assesssment and Poverty Impact Assessment being conducted on Draft strategy.
  15. 15. Vision for New Strategy.• By 2010 long-term homelessness (more than six months) and the need for people to sleep rough will be eliminated.
  16. 16. Health Transformation.Vision:• “Everybody will have easy access to high quality care and services that they have confidence in and staff are proud to provide”
  17. 17. Health Transformation• Primary Care Teams and Networks.• Work underway to ensure the needs of homeless people are effectively met by these teams
  18. 18. Conclusion• Health services have had long involvement in meeting needs of homeless people.• Since 1998 this has been done in partnership.• Since 2001 – clarity about precise responsibilities of the differerent players.• Partnership working can lead to win/win/win outcome.• Importance of Shared Vision.

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