Homelessness and Housing – Moving from Policy to Action - Frank Murtagh

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Homelessness and Housing – Moving from Policy to Action - Frank Murtagh
Presentation delivered by Frank Murtagh at the Housing First conference organised by Athlone Institute of Technology and Midlands Simon on 30 September 2013

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Homelessness and Housing – Moving from Policy to Action - Frank Murtagh

  1. 1. Housing First ~ From Policy to Practice Housing First From Policy to Practice
  2. 2. Housing First ~ From Policy to Practice FORMAT  Background to Significance of Housing & Independent Living for People  A Look at Some Evidence  Opportunities for Effective Policy Implementation  Success Factors  Practical Issues
  3. 3. Housing First ~ From Policy to Practice BACKGROUND  Community Integration Programme (Housing NIHE)  Learning Disability, Muckamore Abbey, Antrim  Mental Ill-Health  Older People Dem, Intensive Support & Multi Disciplinary Teams  Young People  Transforming Your Care is Current Guidance Tool  Community Care in Ireland  Reviews of Homelessness Services Carried out by M & P in 8 of 9 Regions in State Profiling Incidence and Responses  Addictions Work in Ireland
  4. 4. Housing First ~ From Policy to Practice WHAT IS INDEPENDENT LIVING/HF?  Social Inclusion Measure/Intervention  Freedom, Choice, Dignity & Control In Society & Live Ordinary Life  Place Of Your Own  Privacy  Simple Dignities of Life & Self Determination  Make Your Own Meals  Own Front Door (rather than Other Collectives)  Right to Fail  Captures changing paradigm of service provision from control to freedom.  Core to supported living is the belief that “every person has the right to lead their own life – determine how they live, with whom they live, who provides them with help and support and how they live their lives” (Kinsella 1993)  Permanent Housing & Type is an Essential
  5. 5. Housing First ~ From Policy to Practice RATIONALE SUMMARY  People Want a Place of Their Own  Independent Living as Pre-Requisite to Addressing Health, Social & Occupational Needs & Precedes it  Housing Before Treatment – victimising the victim  Early Intervention (Longitudinal Studies Young People etc)  Improved Tenancy Sustainment  Ideally Dispersed Randomly Throughout Community
  6. 6. Housing First ~ From Policy to Practice GLASGOW RE-PROVISIONING  Longitudinal Study - 1 and 3 years After Implementation of Re-Provisioning from 2 Large Hostels  Significant Impact on Quality of Life Outcomes  General and Mental Health Improvements  Better Personal Finance Management  Decrease in Drinking and Drug Use  Improved Social & Emotional Support  Relationships – Family and Friends  High Tenancy Sustainability & Few Returned to Homelessness  Some Loneliness & Few People Working
  7. 7. Housing First ~ From Policy to Practice LOCAL STRATEGIC OUTCOMES  8% - 14% of People Who Access Services Are Settled  Approx 4% of Dedicated Statutory Funding for Settlement  Residents Access Emergency Services Too Often and Stay for Too Long  Housing First Strategy in its Infancy in Ireland  Sometimes Adopted as an Exceptional Option Rather than a Cultural Shift eg Allocated Houses by LAs, Demonstration Projects etc  Good Policies are Important and Necessary … but are not Sufficient
  8. 8. Housing First ~ From Policy to Practice SUGGESTED SUCCESS FACTORS  Predicated on Homelessness as Persistent Event  Transformation of Service – Housing First Culture  Effective Partnership Arrangements HATs etc  Person Centred Rather than Services-Led Throughcare  Primary Focus – Exit Emergency & Temporary Housing into Permanent Housing with Independent Living with Supports Key Working  Floating Support – Defines Independent Living  Identify, Research and Apply Controllable Factors
  9. 9. Housing First ~ From Policy to Practice ONGOING LEVEL OF HOMELESSNESS  No Evidence that Incidence of Homelessness will Desist – People’s Homelessness Will End, Pressure on Resources  Emergency Accommodation and Responses Will Always be Required – Pathways, BCAT, GSC etc  Implementation of Housing First Focus & Culture Will Determine the Effectiveness of Response  Assumption of Ending Incidence of Homelessness Leads to Poor Planning  Resources  Management & Staff Effectiveness
  10. 10. Housing First ~ From Policy to Practice TRANSFORMATION OF SERVICE  Services Configuration Where Local Structures/Culture Conform or Approach to HF/IL Criteria  Carlow - HAT, RAS, LA Dedicated Settlement Officer  Kilkenny - HAT, RAS, GSC  Midlands - HAT, RAS, 4 Settlement Workers, LA Focus  Focus on  Prevention  Housing People Expeditiously From Emergency Accommodation  Supporting Residents with Proactive Personal Plan
  11. 11. Housing First ~ From Policy to Practice HOUSING & COST RELATIONSHIP 0% 10% 20% 30% 40% 50% 60% 70% €0 €2,000 €4,000 €6,000 €8,000 €10,000 €12,000 Midlands North West North East South East Mid East South West West Dublin Total (8 Regions) Relationship Cost & Housing Outcome (M & P 2013) Cost PP pa % People with +ve Housing Outcome
  12. 12. Housing First ~ From Policy to Practice EFFECTIVE PARTNERSHIP  Key Partners include:  HSE  Local Authorities (DoEC&LG)  Emergency Accommodation Providers  Settlement/Tenancy Support Workers  Probation Service  Addictions Services  Is There Sufficient Housing Input?  Policy into Practice?
  13. 13. Housing First ~ From Policy to Practice PERSON CENTRED  Reference Points are Mainly Current Services  We Know More About People’s Needs Now - Could be Reflected in Response Design & Implementation  Different Pathways for Different Groups – but Always Housing Focussed – Cluster, GSC etc  Determines Resources – Design, Type & Quantum
  14. 14. Housing First ~ From Policy to Practice PRIMARY FOCUS (HF DETERMINANTS)  Prevent People from Entering Homelessness Services –  Front Door Services (In and Out)  Mediation Services  Planned Referral  Out of Emergency & Temporary Housing into Permanent Housing with Independent Living with Supports  Sustaining People in Permanent Housing
  15. 15. Housing First ~ From Policy to Practice FLOATING SUPPORT  Role of Emergency Services & Accommodation (Dependence)  Prevent Dependence  Minimise Dependence  Cost Effective (the more people supported by FS, more people will be sustained in IL)  Delivers Personal Development, Decision-making & Self Determination  Ensures Long-Term Support
  16. 16. Housing First ~ From Policy to Practice CONTROLLABLES/UNCONTROLLABLES  From Planning, Management & Frontline Point of View  Uncontrollable Factors will happen anyway …  Incidence of Homelessness – at some level  Housing Type and Quantum  Political Commitment & Social Views on Homelessness  Controllable Factors are Totally in Our Hands …  Design of Services  Focus of Strategy, Responses & Expected Outcomes  Essential Partners and Working Relationships  Job/Person Specifications  Budget Priorities
  17. 17. Housing First ~ From Policy to Practice HOUSING STOCK MIX (2011) Tenure Type Ireland England Scotland NI Owner Occupied 70% 70% 64% 62% Private Rented 22% 13% 11% 17% Rented from Local Authorities 6% 9% 15% 12% Housing Assoc (RAS, Vol S/T etc) 2% 9% 10% 3%
  18. 18. Housing First ~ From Policy to Practice HOUSING DATA IRELAND Number of: 2009 2010 2011 2009 – 2011 Average August 2012 Applications 48,888 43,301 36,968 43,052 Assessments 49,637 51,436 45,003 48,692 Home Visits 14,531 15,065 12,001 13,866 Allocations 10,416 8,771 8,774 9,320 Refusals 2,483 2,746 2,805 2,678 Waiting List August 2012 146,219
  19. 19. Housing First ~ From Policy to Practice TARGETING Tenure Type 2011 Owner Occupied 1,391,803 70% Local Authority/Social Housing 129,033 6% Private Rented 474,788 24% Total Ireland 2011 1,995,624 100%
  20. 20. Housing First ~ From Policy to Practice SUPPLY & DEMAND FOR HOUSING  Demand for Housing  Homelessness (Incidence) ~ 5,000  Applications for Social Housing ~ 40,000 (2011)  Allocation of Social Housing ~ 8,770 (2011)  Supply of Housing  Private Rented ~ 439,037  Local Authority ~ 129,033  Housing Associations, RAS etc ~ 39,912  Owner Occupied ~ 1,391,803  No Major Developments Planned  Rental Availability Sept 2013 ~ 9,000 (+ NAMA Supply)
  21. 21. Housing First ~ From Policy to Practice THE FUTURE  Major Cultural Shift Required  What it Means for Current Configuration  Measure of the Effectiveness of the Service is Not the Elimination of Homelessness but the Efficiency of the Responses to Its Incidence  Prevalence and Incidence Measurements  Transfer of Resources to Settlement, Independent Living, Housing First … To Augment Existing Skillbase in the Current Service Configuration
  22. 22. Housing First ~ From Policy to Practice THE FUTURE  Practicals for Housing First  Housing Focus Underlying All Responses to Homelessness  Design & Implement Local ‘House Search’ Approach as Essential  Build Cross Sector Social Landlord Portfolio of Permanent Accommodation  Search for Appropriate Housing Configuration with the Person Central to the Personal Plan  Liaise with Landlords and Advocate for Person  Continue Support for Person  Redeploy Current Resources to Housing and Settlement Focus  …. Some Things that Turn Policy into Practice …….
  23. 23. Housing First ~ From Policy to Practice “When the Facts Change, I Change My Mind. What Do You Do? John Maynard Keynes
  24. 24. Housing First ~ From Policy to Practice FINALLY Please Write Down Three Things That You Might Do in Your Agency as a Result of Listening to the Conversation Here Today. Note Your Agency Type and Hand to Conference Administrators at Rear of Room. 1. . 2. . 3. .
  25. 25. Housing First ~ From Policy to Practice Housing First From Policy to Practice

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