Westminster Joint Homelessness Team Homelessness Prevention Initiative

Transcription

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

2 HOMELESSNESS PREVENTION INITIATIVE

3 Identification 27 th Jan st March 2015

4 Identification Age (n=21) (n=52) (n=56) (n=38) (n=18) (n=4) Younger population than JHT Outreach Fewer entrenched rough sleepers Preventative work with younger people

5 Identification Gender Female (55) Male (130) Transgender (4) More women than JHT Outreach

6 American Bermudan Brazilian British Bulgarian Chinese Congolese Czech Dutch Eritrean Ethiopian French German Greek Cypriot Guinea-Bissau Iranian Iraqi Irish Italian Ivory Coast Jamaican Japanese Kenyan Kuwaiti Nigerian Norwegian Polish Portuguese Romanian Russian Swiss South African Somalian Spanish Swedish Identification Nationality (quarter-on-quarter Q1 Q4 14/15) Q1 Q2 Q3 Q4 0

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 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, stressrelated and somatoform disorders) F60 - F69 (Disorders of adult personality and behaviour)

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 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 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 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 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 Reconnection destinations outside the UK 9 Total Reconnections Outside the UK Total Reconnections Outside the UK 2 1 0

15 Reconnection destinations within the UK 2.5 Total Reconnections Within the UK Total Reconnections Within the UK 0

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 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 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 Housing Outcomes Housing status on closure (Tenancy at Risk) Q4 Pre-existing tenancy (5) Alternative in-borough accommodation (2)

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 Health and Social Care assessments HPI and the Ethics Committee - Nigerian man who has been in the UK since 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 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 HPI s future Expansion from Westminster into Kensington and Chelsea Recruiting another Social Worker and Peer Support Worker