Search results for ‘Subject term:"mental health problems"’ Sort:
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A place to live: securing stable accommodation for offenders with mental health problems
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2011
- Pagination:
- 18p.
- Place of publication:
- London
Ensuring that offenders with mental health problems have a safe and stable home is a key part of their recovery and rehabilitation. Noting the current changing policy context and public spending pressures, this briefing paper examines and discusses homelessness, mental health and offending. It covers stable accommodation and mental health, stable accommodation and offending, pathways into stable accommodation, the role of local authorities, the voluntary sector, the supporting people programme, the criminal justice system, ex-service personnel, housing support for people with multiple needs, welfare reform, the localism agenda, the homelessness duty, spending pressures, cross government working, and outcomes and recovery. It concludes that instability in housing appears to be linked to both poor mental health and offending, that offenders with mental health problems can become trapped in a cycle of offending and homelessness, and that timely access to appropriate housing support could be an important factor in breaking this cycle. It makes recommendations about how people particularly vulnerable to homelessness could be better supported in order to improve outcomes for individuals and their community.
Understanding models of support for people facing multiple disadvantage: a literature review
- Authors:
- McCARTHY Lindsey, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2020
- Pagination:
- 44
- Place of publication:
- Sheffield
This literature review brings together broad, multidisciplinary evidence about access to services, transitions within services, and understanding about how the system behaves for people facing multiple disadvantage, including homelessness, mental health, substance misuse, and offending. The review sought to produce a more detailed understanding about how particular groups within the Fulfilling Lives target population have different experiences due to the diverse effects of social and cultural factors. The review considers systemic barriers to accessing support for people facing multiple disadvantage and factors which help facilitate this access; explores support journeys of particular populations and how these are influenced by pervasive social and cultural norms; discusses how trauma-informed care practices are implemented in services, and how these are gender and culturally-sensitive; presents specific good practice examples of trauma-informed care practices from services working with people facing multiple disadvantage; and concludes by outlining the key gaps identified in the literature reviewed. (Edited publisher abstract)
MEAM Approach evaluation: year 3 report
- Author:
- CORDIS BRIGHT
- Publisher:
- Cordis Bright
- Publication year:
- 2020
- Pagination:
- 42
- Place of publication:
- London
This is the year 3 report for the longitudinal evaluation of the MEAM Approach, exploring the implementation and impact of local work using the MEAM Approach in 27 areas. The Making Every Adult Matter (MEAM) coalition is formed of the national charities Clinks, Homeless Link, Mind and associate member, Collective Voice. In 2013, MEAM developed the MEAM Approach, a non-prescriptive framework to help local areas design and deliver better coordinated services for people facing multiple disadvantage. As at July 2020, it is currently being used by cross-sector partnerships of statutory and voluntary agencies in 31 local areas across England. The evaluation finds that clients are making improvements in key areas of their life, and especially in their accommodation situation. The available quantitative evidence of these improvements is more robust than in previous years. There is also evidence of decreased A&E attendance and arrests, which is associated with cost reductions. The successful transition of many clients from rough sleeping into accommodation generates an increase in accommodation costs for those clients but constitutes a positive outcome of the MEAM Approach work. The report indicates that local areas in the MEAM Approach network have developed a range of operational and strategic partnerships and structures to support their work – co-production is a key facet of the MEAM Approach and areas are progressing in implementing it. Finally, the evaluation finds that coordination of support for individuals has improved and there are signs that this is achieved by input from both operational and strategic staff. Long-term sustainability is closely connected to achieving and maintaining systems change, but securing sustainability of local work using the MEAM Approach remains challenging. (Edited publisher abstract)
MEAM Approach evaluation: year 2 report
- Author:
- CORDIS BRIGHT
- Publisher:
- Cordis Bright
- Publication year:
- 2019
- Pagination:
- 36
- Place of publication:
- London
An evaluation of the second of a five-year longitudinal evaluation of the MEAM Approach, which provides a framework to help local areas design and deliver better coordinated services for people facing multiple disadvantage. People facing multiple disadvantage are those facing a combination of problems, including homelessness, substance misuse, offending and mental health problems. The evaluation includes analysis of client data, consultation with clients and staff, and collaboration with an expert research group of people with lived experience of multiple disadvantage. It highlights nine key findings which show the impact of the MEAM Approach on individual wellbeing for clients, the effective use of resources in local areas, and the development of better local services and systems. These include that services are helping individuals are making improvements in key areas of their lives, there has been a significant reduction in rough sleeping, and local areas are delivering better coordinated interventions. Emerging evidence also suggests potential reductions in unplanned service use. (Edited publisher abstract)
The Care Act multiple needs toolkit
- Author:
- VOICES
- Publisher:
- VOICES
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Stoke-on-Trent
This toolkit has been developed to help people with multiple needs - defined as combinations of homelessness, mental ill-health, addiction, and offending – to record their needs for care and support services, in the context of the Care Act. It provides a step-by-step guide to working through the Care Act 2014 eligibility regulations, covering physical and mental health needs; ability to meet the eligibility criteria for support, and impact on wellbeing. It allows different the viewpoints to be recorded side by side: that of the person being assessed, their support worker or advocate and that of the social work assessor. It aims to help people with multiple needs, their support networks and advocates, and social care professionals to realise the potential of the Care Act and help improve access to care and support services. The toolkit does not aim to replace a thorough professional assessment. (Edited publisher abstract)
Addressing complex needs: improving services for vulnerable homeless people
- Author:
- GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2015
- Pagination:
- 22
- Place of publication:
- London
This report summarises the work of the cross-government Ministerial Working Group on Homelessness since its inception in 2010 and also looks at what still needs to be achieved in relation to homeless people with complex or multiple support needs. It outlines the specific needs of homeless people with overlapping mental health, offending or substance misuses problems and the estimated costs associated with meeting these needs. It then sets out a new approach to delivering services for homeless people with complex needs. This includes locally-led commissioning of services, giving the voluntary sector a key role in working with those with complex needs, and the use of payment by results and social investment. The final chapter presents a set of call for evidence questions to those working in the sector. (Edited publisher abstract)
Supporting people with multiple needs and exclusions: strategic briefing
- Author:
- TERRY Lucy
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2015
- Pagination:
- 44
- Place of publication:
- Dartington
People with multiple needs and exclusions face a combination of problems at once, including mental ill health, substance misuse, repeat offending, homelessness and poverty. This briefing explains how by working with key partners and contributing to a ‘whole area approach’, strategic leaders in adult social care can help to coordinate the kind of personalised, assertive and persistent support that has been shown to work for people facing multiple needs and exclusions. This has potential to improve health and well-being outcomes, and to save public money through more effective coordination of services and reduced demand in the long-run. This Strategic Briefing summarises the benefits of a whole area approach and provides guidance on how it can be achieved. It covers the themes of strategic leadership and collaboration; services working together; personalised support; assertive and persistent support; and non-punitive, positive approaches. For each theme the document provides a list of key points outlining what it means in practice, why it is important, and how it can be achieved. (Edited publisher abstract)
What are the barriers and facilitators to running an employment scheme for offenders?
- Author:
- KEIL Joanna
- Journal article citation:
- Prison Service Journal, 189, May 2010, pp.15-20.
- Publisher:
- Her Majesty's Prison Service of England and Wales
This article looks at the Sainsbury Centre for Mental Health’s study on employment opportunities for offenders with mental health problems, and identifies barriers and facilitators observed during 32 visits to 8 prisons, 4 probation areas, 10 voluntary agencies, 2 forensic services, 1 police-led scheme and 1 employer. Support was diverse and dependent on where an offender was within the criminal justice system. Some prisons have departments offering NVQ training in catering skills (e.g. HMP Durham, Newcastle College and Marriot Hotels), invite voluntary organisations (e.g. Thames Reach) to provide ‘through the gate’ support, use release on temporary licence (ROTL) to allow work experience (e.g. HMP Dartmoor and the Forestry Commission), and have individual placement schemes. The probation service plays a role in some, geographical areas. Some schemes observed were specifically for ex-offenders, people with mental health problems or the homeless. Barriers included lack of awareness/support of mental health problems by schemes and employers, ROTL, schemes too focused on training while in prison, poor continuity on release and poor outcomes. Facilitators included support once employed, payment of ex-offenders, involvement of employers within prisons, and motivated and enthusiastic professionals. There was evidence of the social exclusion of mentally disordered offenders from some schemes, and poor support, when accepted onto employment training. Good practice, by some employers was seen and often yielded successful employment outcomes for those with mental health problems.
West-Yorkshire Finding Independence (WY-FI): effectiveness, outcomes and impact
- Authors:
- CRISP Richard, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2020
- Pagination:
- 69
- Place of publication:
- Sheffield
This final report summarises the key findings emerging from a six-year evaluation of the West Yorkshire Finding Independence (WY-FI) project. WY-FI is part of the National Lottery Community Fund’s Fulfilling Lives programme which aims to improve the stability, confidence and capability of people with multiple and complex needs to lead better lives as a result of timely, supportive and co-ordinated services. The project focuses on adults with at least three needs including homelessness, reoffending, substance misuse and mental ill health and who are disengaged from services. The report draws upon evidence gathered from a series of 31 stakeholder interviews conducted in 2019 and 2020 to identify good practice and learning. The headline finding is that WY-FI has shown irrefutably that the approach works well although some will continue to need support beyond the programme period. The project has had a transformational impact on the lives of many men and women across West Yorkshire. Furthermore, implementation has validated the key principles underpinning the Fulfilling Lives Programme in terms of an asset-based approach that assumes people can improve their circumstances and life chances with the right support. However, the delivery of WY-FI has also highlighted a ‘hard core’ of individuals that are resistant to the approach. (Edited publisher abstract)
Blackpool Fulfilling Lives: report on the year five evaluation 2020
- Authors:
- HARRIS Jane, et al
- Publisher:
- Fulfilling Lives
- Publication year:
- 2020
- Pagination:
- 152
This report sets out the findings of the fifth evaluation of Blackpool Fulfilling Lives (BFL), a project to improve the lives of people with multiple and complex needs who are defined as people experiencing at least two of the following issues: homelessness, reoffending, problematic substance misuse, or mental ill health. It was originally intended that the report should cover the period from 1st October 2018 to 30th September 2019, but the scope of the evaluation was extended to explore the immediate response to the Covid-19 pandemic and its impact on people experiencing multiple disadvantage in Blackpool. The BFL navigator model contains many of the characteristics which are common to navigator models more generally, focusing particularly on: proactive outreach and engagement; flexible working in terms of location, time and format; support without time limits or conditions; and small caseloads. This evaluation has reinforced many of the conclusions set out in the year four evaluation report; in summary, these are: the need for additional support to enable people with complex needs to access and engage with services is not likely to disappear in the near future; the navigator model is effective in helping people to make progress in their lives; multi-agency working has improved and become embedded as a default way of working over the life of the project. Stakeholders who participated in the year five evaluation were almost unanimous in highlighting the positive impact BFL has had on beneficiaries and the need to sustain some kind of legacy beyond the lifetime of the project. Many expressed concern that the closure of BFL will leave a significant gap in service provision. (Edited publisher abstract)