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. Housing First ~ From Policy to Practice
Housing First
From Policy to Practice
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. Housing First ~ From Policy to Practice
“When the Facts Change, I
Change My Mind. What Do
You Do?
John Maynard Keynes
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. Housing First ~ From Policy to Practice
Housing First
From Policy to Practice