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Simple but effective: local solutions for adults facing multiple deprivation: adults facing chronic exclusion evaluation: final report
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 45p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report presents the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at the following outcome measures: accommodation status; employment status; use of health services; receipt of benefits; offending and victimisation; and subjective health and well-being. The report concludes that the work of the pilots was effective and inexpensive. They were effective in bringing about better outcomes for the individuals, particularly in terms of health, and persuading local services to engage with the client group. Some of the pilots were highly replicable and half have received continuation funding locally. The lessons for public sector reform, particularly how to make services more flexible and collaborative, are discussed.
Adults facing chronic exclusion programme: evaluation findings: summary
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report summary outlines the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at different outcomes measures including: accommodation status; employment status; use of health services; receipt of benefits; and offending and victimisation. The report summary concludes that the pilots were effective in achieving positive housing, health and well-being outcomes with the clients. The pilots reduced the cost of healthcare, but the positive outcome of securing accommodation and benefits for homeless people resulted in an overall net cost. The pilots demonstrate that long term, positive, outcomes can be secured for this client group, and that these interventions are likely to be cost effective.
Cost-effectiveness of assertive community treatment for homeless persons with severe mental illness
- Authors:
- LEHMAN Anthony F., et al
- Journal article citation:
- British Journal of Psychiatry, 174, April 1999, pp.346-352.
- Publisher:
- Cambridge University Press
Homelessness is a major public health problem among persons with severe mental illness. Evaluates the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in the USA. Concludes that ACT provides a cost effective approach to reducing homelessness among persons with severe and persistent mental illness.
Home from hospital: how housing services are relieving pressures on the NHS
- Authors:
- COPEMAN Ian, EDWARDS Margaret, PORTEUS Jeremy, HOUSING LEARNING AND IMPROVEMENT NETWORK
- Publisher:
- National Housing Federation
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- London
This report shows how housing services are helping to relieve pressure on the NHS by reducing delays in discharging people from hospital and preventing unnecessary hospital admissions. It features 12 case studies to show the positive impact these services have on people’s lives and the cost benefit to the NHS. The case studies highlight services that will benefit people most at risk of delayed discharge, such as older people, people with mental health problems and people experiencing homelessness. The case studies also demonstrate a diversity of housing and health services including: 'step down' bed services for people coming out of hospital who cannot return to their own home immediately; hospital discharge support and housing adaptation services to enable timely and appropriate transfers out of hospital and back to patients' existing homes; providing a new home for people whose existing home or lack of housing mean that they have nowhere suitable to be discharged to; and Home from Hospital services to keeping people well at home who would otherwise be at risk of being admitted or readmitted to hospital. The report also considers the impact and additional savings that could be made by housing providers if this work were to be scaled up. (Edited publisher abstract)
Costs and benefits of the supporting people programme: executive summary
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 8p.
- Place of publication:
- Cardiff
The Supporting People programme was launched in April 2003 to help vulnerable people to gain and retain independence by remaining in their own home. Supporting People services can help prevent or defer more costly support services, such as residential or nursing home support, hospitalisation, or use of temporary accommodation. This study was commissioned by the Welsh Assembly Government to measure the costs and benefits of the Supporting People programme. The research combined desk-based literature reviews, stakeholder consultation and economic modelling. Data were collected on costs and numbers of service users in the financing year 2005-2006. The following client groups were looked at: women seeking refuge from domestic violence; people with learning disabilities; people with mental health problems; people with alcohol dependency; problem drug users; young single homeless and young people leaving care; ex-offenders; homeless or potentially homeless people; and older people. The modelled savings to the public purse were grouped into the following thematic areas: health; independent living; social care; homelessness; and crime. The total financial benefits as a result of Supporting People modelled in this study were £180,064,389. This compares to a total modelled spend of £107,091,845. It should be noted that the model adopts a cautious approach to estimating the impact of Supporting People on the public purse and the findings can be considered to be conservative.
Costs and benefits of the supporting people programme
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 33p.
- Place of publication:
- Cardiff
The Supporting People programme was launched in April 2003 to help vulnerable people to gain and retain independence by remaining in their own home. Supporting People services can help prevent or defer more costly support services, such as residential or nursing home support, hospitalisation, or use of temporary accommodation. This study was commissioned by the Welsh Assembly Government to measure the costs and benefits of the Supporting People programme. The research combined desk-based literature reviews, stakeholder consultation and economic modelling. Data were collected on costs and numbers of service users in the financing year 2005-2006. The following client groups were looked at: women seeking refuge from domestic violence; people with learning disabilities; people with mental health problems; people with alcohol dependency; problem drug users; young single homeless and young people leaving care; ex-offenders; homeless or potentially homeless people; and older people. The modelled savings to the public purse were grouped into the following thematic areas: health; independent living; social care; homelessness; and crime. The total financial benefits as a result of Supporting People modelled in this study were £180,064,389. This compares to a total modelled spend of £107,091,845. It should be noted that the model adopts a cautious approach to estimating the impact of Supporting People on the public purse and the findings can be considered to be conservative.