EYHC 2011: Working Together for Better Outcomes

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Kings Cross attracts significant numbers of young people who are at risk of becoming entrenched in a high risk lifestyle involving long term homelessness; substance abuse issues; mental health; violence; problematic sex work; criminal activity and self harm.

The Inner City Youth at Risk Project was established in 2005 as a coordinated interagency early intervention strategy for young people. There are 15 partner agencies participating in the project.

The Project involves three key strategies including coordination by a project coordinator based in a health service who works with partner agencies; outreach sweeps conducted quarterly to collect data on the profile of young people; and brokerage available to support at risk young people in emergency situations and to support long term care plans and supported housing.

The project coordinator, Cindi Peterson, and her manager from South Eastern Sydney Local Health District, Amanda Webster, presented this presentation at EYHC 2011 in the Home & Place workshop stream.

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  • Mention categories of brokerage and amounts (emergency, case and project)
  • Includes supported into and maintained housing
  • Chronic health issues 2 hep C 1 Asthma Parenting 3 children in state care and 1 in care of mother
  • Explain outreach sweeps
  • Mention agencies that previously had not worked together eg. KRC and The Crossing
  • EYHC 2011: Working Together for Better Outcomes

    1. 2. Project Outline <ul><li>The Inner City Youth at Risk Project is part of the National Partnership on Homelessness NSW Implementation Plan (IP) and the Homelessness Action Plan and builds upon the successful Kings Cross Youth at Risk Project. </li></ul><ul><li>The project is a partnership project which draws together a range of government and non-government agencies to target and respond to young people who are homeless and or at risk in the inner city. </li></ul><ul><li>The project is undergoing an external evaluation undertaken by National Drug and Alcohol Research Centre (NDARC) </li></ul><ul><li>The project was Runner Up in the 2010 NSW Premiers Public Sector Awards for Excellence – Engaging the Community. </li></ul>
    2. 3. Project Deliverables <ul><li>10 young people (aged 16-25) per annum with high needs to receive the provision of social housing; </li></ul><ul><li>10 young people (aged 16-25) receiving the social housing will receive a package of intensive supports (up to 12 months) to assist them to maintain their tenancy; </li></ul><ul><li>110 young people per annum who are homeless or at risk of homelessness will have access to low to moderate brokerage support. </li></ul>
    3. 4. Steering Committee <ul><li>Family and Community Services </li></ul><ul><li>City of Sydney </li></ul><ul><li>Juvenile Justice </li></ul><ul><li>Kirketon Road Centre - South Eastern Sydney Local Health District </li></ul><ul><li>Oasis Youth Support Network - Salvation Army </li></ul><ul><li>Kings Cross Local Area Command – NSW Police </li></ul><ul><li>Yfoundations </li></ul><ul><li>St George Community Housing </li></ul><ul><li>Youth Health - South Eastern Sydney Local Health District </li></ul>
    4. 5. Outreach Coordination Committee <ul><li>Oasis Youth Support Network – Salvation Army </li></ul><ul><li>Kirketon Road Centre – South Eastern Sydney Local Health District </li></ul><ul><li>The Crossing – Mission Australia </li></ul><ul><li>ALIVE - Centacare </li></ul><ul><li>Reconnect – Inner City </li></ul><ul><li>The Wayside Chapel </li></ul><ul><li>The Come In Centre – St Francis Social Services </li></ul><ul><li>Juanita Neilson Centre Youth Program – City of Sydney </li></ul><ul><li>Medically Supervised Injecting Centre – Uniting Care </li></ul><ul><li>Kings Cross Adolescent Unit – Community Services </li></ul><ul><li>Program for Early Intervention and Prevention of Disability – St Vincent’s Hospital </li></ul><ul><li>Sex Workers Outreach Project – Aids Council of NSW </li></ul><ul><li>NEAMI/Way2Home </li></ul><ul><li>Juvenile Justice </li></ul><ul><li>Shopfront Youth Legal Service </li></ul>
    5. 6. Overview <ul><li>Brokerage </li></ul><ul><li>A Youth At Risk Brokerage Fund was established to support individuals move off the streets through direct and individualised brokerage packages. </li></ul><ul><li>Social Housing </li></ul><ul><li>11 Community Housing properties have been made available to the project. All properties have tenants who have maintained their tenancies for 3-13 months. </li></ul><ul><li>Outreach Sweeps </li></ul><ul><li>Regular joint outreach sweeps have been conducted across the broader Kings Cross area involving staff from a number of outreach services. </li></ul>
    6. 7. Brokerage <ul><li>Brokerage funding enables the project to support initiatives that help meet the unmet needs of the target group through a process of identifying service gaps at the local level and developing a tailored response to these issues. This can include a range of interventions such as provision of social housing; assistance with other accommodation; food; medical and vocational needs to support young people at risk in the Inner City area. Brokerage can also be used to support programs which build capacity in the service system and lead to improved intersectoral responses. </li></ul>
    7. 8. Gender of clients accessing brokerage 2010/11 (N=294)
    8. 9. Number of applications by month 2010/11
    9. 10. Type of brokerage provided 2010/11 (N=628)
    10. 11. Instances of brokerage applications by category (N=552)
    11. 12. Cultural Background of Brokerage Clients (N=294) Cultural background only recorded for Aboriginal clients in emergency brokerage category
    12. 13. Type of housing supported 2010/11 (N=115)
    13. 14. Risk factors experienced by ICYAR supported social housing clients (N=11)
    14. 15. Cultural Background of Supported Housing Clients (N=11)
    15. 16. Outreach Sweep – Risk Factors (N=99)
    16. 17. Capacity Building <ul><li>The provision of social housing has enabled young people to connect to a service system that has previously not been available to them </li></ul><ul><li>Collaborative service delivery has improved outcomes for young people with complex needs </li></ul><ul><li>Joint outreach sweeps to collect data on the number of and risk factors for young people in the inner city </li></ul><ul><li>Joint training and development opportunities for multiple partner agencies contributes to more consistent service delivery </li></ul><ul><li>Shared resources has led to a decrease in service duplication </li></ul><ul><li>Collaborative service delivery has increased the identification of service gaps </li></ul><ul><li>Improved relationship between health services, non government and other government service providers </li></ul>
    17. 18. Challenges <ul><li>Access to housing and location of properties </li></ul><ul><li>Head lease properties </li></ul><ul><li>Diversity of partners philosophy, capacity, model of service delivery </li></ul><ul><li>Co location of tenants </li></ul><ul><li>Changes in tenant circumstances eg. relationship breakdown, pets… </li></ul><ul><li>Support required exceeds 12 months for complex young people </li></ul><ul><li>Continued project funding and/or managing exit strategy with partners </li></ul>
    18. 19. <ul><li>The provision of brokerage for housing set up has made a huge impact on the clients who are able to address their secondary needs quicker, once stabilised in housing. Some of the secondary needs include but are not limited to; education, engaging with employment services, reviewing their health status, counselling and engaging with the wider community. </li></ul><ul><li>Having an independent Coordinator based outside the direct service system to negotiate service delivery and monitor the use of brokerage has been a strength. Placing the Coordinator in a mainstream government service also has positive impacts on mainstream service delivery and working with other sectors. Having a multi-agency Steering Committee to manage the project also adds strength to this model. </li></ul>Feedback from partners….
    19. 20. Contact details <ul><li>Amanda Webster –Youth Health Coordinator </li></ul><ul><li>[email_address] </li></ul><ul><li>Cindi Petersen – Project Coordinator </li></ul><ul><li>[email_address] </li></ul><ul><li>http://www.cityofsydney.nsw.gov.au/Community/YouthService/YouthPrograms/KXXYouthAtRisk.asp </li></ul>

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