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Homeless Prevention Initiative - Joint Homeless Team


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Homeless Prevention Initiative - Joint Homeless Team

  1. 1. Westminster Joint Homelessness Team Homelessness Prevention Initiative ‘Don’t worry – you’ll be allocated a Social Worker. They’ll get you a flat In Westminster’ Realistic housing solutions – changing ward cultures
  3. 3. Identification • 27th Jan 2014 – 31st March 2015
  4. 4. Identification Age 18-25 (n=21) 26-34 (n=52) 35-44 (n=56) 45-54 (n=38) 55-64 (n=18) 65-74 (n=4) • Younger population than JHT Outreach •Fewer entrenched rough sleepers •Preventative work with younger people
  5. 5. Identification Gender Female (55) Male (130) Transgender (4) •More women than JHT Outreach
  6. 6. Identification Nationality (quarter-on-quarter Q1 – Q4 14/15) 0 5 10 15 20 25 American Bermudan Brazilian British Bulgarian Chinese Congolese Czech Dutch Eritrean Ethiopian French German GreekCypriot Guinea-Bissau Iranian Iraqi Irish Italian IvoryCoast Jamaican Japanese Kenyan Kuwaiti Nigerian Norwegian Polish Portuguese Romanian Russian Swiss SouthAfrican Somalian Spanish Swedish Q1 Q2 Q3 Q4
  7. 7. Identification Types of homelessness Rough-sleeper (unverified) 15 Rough-sleeper (verified) 7 Other non-MH homeless hostel 2 Other 6 Tenancy at risk 6 LA temporary accommodation 1 • Quarter 4 14/15 figures (typical of the whole project) • Many people are new to the streets •‘Other’ includes staying with friends, family and in a hostel (all unsustainable)
  8. 8. Identification Diagnoses (since the beginning of the project until end of Q4) ICD Classification F00 - F09 (Organic, including symptomatic mental disorders) F10 - F19 (Mental and Behavioural Disorders due to psychoactive substances) F20 - F29 (Schizophrenia, schizotypal and delusional disorders) F30 - F39 (Mood [affective] disorders) F40 -F49 (Neurotic, stress- related and somatoform disorders) F60 - F69 (Disorders of adult personality and behaviour)
  9. 9. Contact • Attending whiteboard meetings • Contact with bed managers • Contact within 2 working days • Beginning health and social care assessment • Delivering the ‘right’ message re: entitlements
  10. 10. Reconnection offer • Changing ward culture (service users and staff) “He’s got his own flat so you will too” “Your social worker will come and sort out your benefits”
  11. 11. Reconnection offer • Changing the culture in community services Case study: - Italian national with no work history in the UK - Under secondary services mental health services - Currently in supported accommodation under s.117 (Mental Health Act, 1983) but limited accommodation options as his health improves
  12. 12. Reconnection offer • Working with London Reconnections, Barka and the Enhanced Reconnection Service Case study: - Portuguese national who had arrived to the UK a few days prior to admission - Plans to work in the UK never materialised - Difficult relationships with family in Portugal - Support from Thamesreach Reconnections to establish himself in Portugal
  13. 13. Reconnection offer • Working with embassies Case studies: Norwegian woman with a significant history of self harm Joint working with the embassy: - Liaising with the hospital in Norway - Liaising with the insurance company to fund the repatriation - Organising a timely repatriation with the inpatient team
  14. 14. Reconnection destinations outside the UK 0 1 2 3 4 5 6 7 8 9 Total Reconnections Outside the UK Total Reconnections Outside the UK
  15. 15. Reconnection destinations within the UK 0 0.5 1 1.5 2 2.5 Total Reconnections Within the UK Total Reconnections Within the UK
  16. 16. Reconnection offer • More success in reconnecting women than men (87% versus 69% across the project to date) • Women tend to come from more affluent European countries • Reason for coming to London tends to be illness-driven rather than working-seeking
  17. 17. Health and Social Care assessments • Assessments completed within 28 days • Provide information on eligibility and options as soon as possible • Relationships with inpatient services, statutory and voluntary sectors are key • HPI and the NRPF panel – streamlining making decision process
  18. 18. Housing Outcomes Housing status on closure (homeless on admission) Q4 14/15 TA in-borough 2 TA outside the borough 1 SPHP 2 Suported non-MH in-borough 2 Outside the UK 9 Discharge to the streets 5 Other 9
  19. 19. Housing Outcomes Housing status on closure (Tenancy at Risk) Q4 Pre-existing tenancy (5) Alternative in-borough accommodation (2)
  20. 20. Case Studies Pathways: - 27 year old British man with a long history of homelessness - Was under children’s and leaving care services - Not sustained a tenancy previously - Self harm history in the context of difficult life circumstances - Required support to negotiate systems
  21. 21. Health and Social Care assessments • HPI and the Ethics Committee - Nigerian man who has been in the UK since 2001 - Visa overstayer and no recourse to public funds - Admission to hospital after an altercation at a mosque - Diagnosis of schizophrenia but functions at a reasonable level - Consultant unwilling to discharge to the streets
  22. 22. Peer Support Navigation • Peer Support Workers are integral to the working of the team • Authenticity of the message • Assistance with practical tasks • First person part of the core assessments
  23. 23. HPI’s future • Expansion from Westminster into Kensington and Chelsea • Recruiting another Social Worker and Peer Support Worker