Transcript PowerPoint-presentatie

Housing, Homelessness and
Substance Misuse
Housing for drug users - A Dutch model
Alex Roomer
senior policy officer &
project manager forensic care
8th February 2010
IrisZorg: activities
 Residential programmes (day centres, living
room projects)
 Sheltered home facilities
 3 clinics (1 for dual diagnosis)
 9 Outpatient clinics
 Methadone programmes
 Medical heroin outpatient clinic
 Safe drug use facilities
 Probation Services
 Case management for Children of addicted
parents
 Prevention and monitoring
60%
50%
40%
Alcohol
Opiate
30%
Cocaine
Cannabis
Other
20%
10%
0%
2004
2005
2006
2007
2008
Disorder
size of total
population
Axis I disorder
(exclusion addiction)
> 25%
Axis II disorder
> 33%
Addiction Problems
> 75%
Learning disabilities
> 25%
[1] Roomer, A. en Holsbeek, T. (2008) Cliëntprofielen IrisZorg Hoogeland Beekbergen.
Aims of the Plan of Action for Social Reliefs

By 2013, to reduce the size of the
group of the homeless or those at
risk of becoming homeless to 75% of
its size 2006.

Minimise the risk of homeless as a
result of house evicition or
discharge from prison

Ensure that by 2013, all the
homeless are included in
intervention programmes, and
that 60% have some form of
accommodation by 2010

Reduce public nuisance to 75% of
the 2006 level by 2013

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Central Access and registration
Client monitoring systems
Local care networks
Budget Management
Aftercare for ex-detainees
New housing schemes
Biopsychosocial Model

The Skaeve Huse
Hostel Plus
Individual Housing for drug
users/ Housing First
Hostel: the clients

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75% male, 93% single
89% have Dutch Nationality
average age: 41 (25-54)
Average of 7 years’
homelessness
Multiple substance use:

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Heroin: 80%
Cocaine/ crack: 96%
Methadone: 93%
average cost of substance use:
£ 900/ month
22,5% have been hospitalised in
a psychiatric setting
Hostel Plus
 Permanent, round-theclock staff present
 Substance use by
residents is permitted
 Group accommodation
with single rooms for
everyone
 Average of 13-16 hours’
counselling each client per
week plus work on 4 halfdays each week
Individual Housing for drug users
Thank you for your attention
Alex Roomer
(0031)26 8451150
[email protected]