Transcript Specialist Housing Services for People with Alcohol Problems (ppt

SPECIALIST HOUSING SERVICES
FOR PEOPLE WITH ALCOHOL
RELATED PROBLEMS
Sally Scriminger, Rugby House-ARP
introduction

housing context

challenges for supported housing

RH-ARP supported housing services
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harm reduction in supported housing

opportunities for service development
Rugby House-ARP’s perspective:
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London based
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c. 7000 service users p.a.
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alcohol and drug treatment services
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social learning model
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harm reduction & abstinence based services
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resettlement service
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Horizon training & assessment centre
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registered social landlord
Rugby House – ARP Services
Residential Care
(Tier 4)
15%
Community
Services
(Tier 2/3)
44%
Horizon T&A
1%
Central Office
9%
Supported
Housing
12%
Tenancy Support
15%
Partnership
Services
(Tier 1-3)
4%
alcohol related deaths
2005: £5,000
2009: £22,000
housing:
– “The Foundation of Community Care”
UK housing environment
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global recession
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public spending cuts
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5 million waiting for social rented homes
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national housing strategy review
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broader base of housing providers
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joint ventures for delivery of homes
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greater involvement of private sector
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local councils building again?
“golden age” of supported housing
today’s social housing environment
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1989 Housing Act
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end to 100% capital funding
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new challenges for social housing sector
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split capital & revenue
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rough sleepers strategies
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Supporting People…..
Supporting People
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emphasis on individual needs
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improved standards & accountability
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improvements to funding

broke link with tenure
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weakened strategic link to housing
the down side……
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time limited support
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isolation of self-contained housing
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“care” services ineligible
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housing based support options overlooked:


reprovision of shared housing
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reduced role for social housing providers
impact of tendering and cutting budgets
our services…
Housing care pathway
Detox
(2 weeks)
Successfully
retain tenancy
independent flat
• SP support
Tenancy
breakdown
Rehab
(12 weeks)
on the
street
shared
housing
Stage 1+2
• back home
• family/friends
• self contained housing
our service users
case studies
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Tim
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Joanne
meeting service users’ needs
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highest concentration hazardous & dependent
drinkers: 55+
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for many, alcoholism a chronic relapsing condition
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cycle of abstinence / relapse impacts on ability to
sustain stable housing
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50% street homeless have alcohol problem
meeting service users’ needs
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Question: should access to safe, secure housing
be dependent on sustained abstinence?
harm reduction model
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secure, shared housing
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key worker: low level support
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potential for flexibility
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something meaningful to do
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focus on health & harm minimisation
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tenancy sustainment
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not time limited stay
value for money
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detox and rehab: c.£10,000
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A & E bed: c.£4,000 pw
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EMI bed: £1,500 - £4,000 pw
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low-support housing: c.£150 pw
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(HB eligible rent & services: c.£115pw)
opportunities & challenges
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area based commissioning
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political will
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supply of suitable housing
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building service partnerships
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national housing strategy - ??
conclusions
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new services approaches needed
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harm reduction: proactive & preventative
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safe secure housing is the key
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local Vision and strategic planning
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build links between housing, social care &
treatment sectors
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explore new service models
Contact details:
[email protected]