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A commentary on: Demonstrating the Effectiveness of Housing Support Services for People with Mental Health Problems: A Review by Nicholas Pleace and Alison Wallace, Centre for Housing Policy, University of York
- Author:
- JOHNSON Robin
- Journal article citation:
- Housing Care and Support, 14(4), 2011, pp.127-133.
- Publisher:
- Emerald
This paper provides a commentary on a recently published study by the Centre for Housing Policy (CHP) which discusses the complexities of research in housing related support in the UK context. It aims to explore the strengths and limitations of the study; and the potential wider relevance outside the UK research context. The CHP report raises important questions over the complexities of evidencing innovative services. Despite some omissions, it should be helpful to health local commissioners in assessing the value of services; and the further research the report proposes is to be welcomed. The report also provides an introduction to “housing related support” for an international research audience, less familiar with the UK social policy and funding context.
Can home come first?
- Author:
- -
- Journal article citation:
- Connect, 44, 2011, pp.18-19.
- Publisher:
- Homeless Link
Housing First is a model developed in the US in 1992. Designed specifically for people with a diagnosed mental health problem, the model prioritises housing people housed in their own accommodation before focusing on other areas of their lives, such as substance misuse or unemployment. This article looks at how the approach works and whether it would work in the UK.
The liaison worker's tale
- Author:
- WALKER Julie
- Journal article citation:
- Housing Care and Support, 14(1), 2011, pp.27-30.
- Publisher:
- Emerald
This paper presents a first person account of someone in the role of Mental Health and Housing Liaison Officer. The role involves dealing with any housing related issues that mental health service users may be experiencing, and involves working with people who are receiving services from inpatient, primary and secondary mental health services. The post is jointly funded by the Council and the Primary Care Trust (PCT). The paper offers insight into a day in the life of a liaison worker, including information about how they work and communicate with clients and their various different situations. It demonstrates that communication is central to delivering good and appropriate services for clients. It argues that joint working between housing and mental health needs to become the norm.
Social determinants of health and health outcomes in men and fathers with mental health issues
- Authors:
- MONTGOMERY Phyllis, BROWN Stephanie A., FORCHUK Cheryl
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.73-91.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article explores the health status of homeless men, particularly fathers, with mental health problems. Specifically, the study aimed to examine whether differences exist in social determinants of health and health outcomes between 3 groups of precariously housed men: fathers with young children; fathers with adult children; and non-fathers. The study involved a secondary analysis of data extracted from a larger project focusing on mental health and housing. The sample included 277 Canadian males with a history of psychiatric illness: 63 had children under the age of 18 years; 34 had children aged 18 years and over; and 178 were non-fathers. Yearly structured interview surveys collected data including psychiatric health status, housing status, social network, and health outcomes. Analysis showed that, although half of the fathers of younger children expressed a preference to parent, only 2 were parenting on a day-to-day basis. Compared with non-fathers, fathers were characteristically older, separated, unemployed, and homeless. Fathers reported poorer satisfaction with family relationships and greater struggles with substance misuse. Fathers of younger children had a higher rate of overall problem severity than fathers of adult children. The article concludes that fathers may require specialised supports to minimise the barriers to fulfil their desired role to parent.
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.
Tackling homelessness and exclusion: understanding complex lives
- Author:
- MCDONAGH Theresa
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- York
Homelessness is often something that is inextricably linked with complex and chaotic life experiences. Mental health problems, drug and alcohol dependencies, street culture activities and institutional experiences are often closely linked with the more extreme experiences of homelessness. This paper explores evidence collected as part of the Multiple Exclusion Homelessness (MEH) Research Programme. The programme provides a statistically robust account of MEH in seven UK cities, alongside evidence from the life histories and accounts of people with first-hand experience of MEH and reflections from front-line workers, managers and commissioners. The paper looks at services for people with complex needs and suggests ways that policy and practice can more effectively tackle homelessness. Key points show that most complex needs were experienced by homeless men aged between 20 and 49, and especially by those in their 30s. Where homelessness and housing support agencies take on primary responsibility for supporting people with multiple and complex needs, workers can often feel isolated and out of their depth. It has been suggested that housing support workers are now filling the gap left by the retreat of social workers from direct work with adults. The paper concludes that there needs to be an integrated response across health, housing and social care.
Mental health and home ownership
- Authors:
- KING Nigel: COPEMAN Ian, ABBEY David
- Publisher:
- National Housing Federation
- Publication year:
- 2011
- Pagination:
- 112p.
- Place of publication:
- London
- Edition:
- 2nd ed.
This book sets out how people with mental health problems can become homeowners and live with greater independence and stability. Much has changed since the first edition was published in 1998. In particular, the Home and Communities Agency product Home Ownership for People with Long Term Disabilities (HOLD) has recognised the value of low-cost home ownership for people with mental health problems. Despite the growth of the potential market and government-backed home ownership initiatives for disabled people, it can still be a challenge for people with mental health problems to own their own home and for housing providers to help make this happen. This second edition gives organisations interested in this area practical information and issues to consider in delivering home ownership. It provides an overview of the options and looks in detail at the concepts and mechanics of how funding works. This guide is aimed at housing associations involved in shared ownership, as well as families with disabled relatives, care managers, social services teams and others who support and advise people with mental health problems.
Mental health and housing: resources for commissioners and providers: a compendium of statistical data on mental health and learning disability in Yorkshire and Humber by local implementation team (LIT)
- Authors:
- APPLETON Steve, APPLETON Nigel
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 174p., tables
- Place of publication:
- London
Presents statistical data drawn from the PANSI (Projecting Adult Needs and Service Information) database relating to people aged 18-64 with mental health problems or learning disabilities in the Yorkshire and Humber region, projected to 2030.
Mental health and housing: resources for commissioners and providers: mental health and housing: housing on the pathway to recovery
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 36p.
- Place of publication:
- London
This resource tool has been produced to support health, social care and housing commissioners and providers who are seeking to deliver a more therapeutic pathway to recovery at lower cost. It starts from the premise that housing is recognised as a central part of the mental health recovery pathway. It is designed to support the continued development of a more outcome-based approach to commissioning on the one hand and a more integrated approach to service provision on the other. It is one of a series of papers commissioned by the NMHDU to help define the new relationships needed between NHS organisations and providers of housing related support services.
Mental health and housing: resources for commissioners and providers: payment by results
- Authors:
- MOLYNEUX Peter, VAN DOORN Andrew
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- London
This short briefing paper is one of a series commissioned by the NMHDU to help define the new relationships needed between NHS organisations and providers of housing related support services. This paper looks at Payment by Results and at Health of the National Outcome Scores HONOS/PbR. It discusses how it could be an effective tool for commissioning of housing and mental health by delivering outcome focused contracts. It provides the background context and how this could be developed further.