Specialist Housing Services for People with Alcohol Problems (ppt
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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
harm reduction in supported housing
opportunities for service development
Rugby House-ARP’s perspective:
London based
c. 7000 service users p.a.
alcohol and drug treatment services
social learning model
harm reduction & abstinence based services
resettlement service
Horizon training & assessment centre
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
global recession
public spending cuts
5 million waiting for social rented homes
national housing strategy review
broader base of housing providers
joint ventures for delivery of homes
greater involvement of private sector
local councils building again?
“golden age” of supported housing
today’s social housing environment
1989 Housing Act
end to 100% capital funding
new challenges for social housing sector
split capital & revenue
rough sleepers strategies
Supporting People…..
Supporting People
emphasis on individual needs
improved standards & accountability
improvements to funding
broke link with tenure
weakened strategic link to housing
the down side……
time limited support
isolation of self-contained housing
“care” services ineligible
housing based support options overlooked:
reprovision of shared housing
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
Tim
Joanne
meeting service users’ needs
highest concentration hazardous & dependent
drinkers: 55+
for many, alcoholism a chronic relapsing condition
cycle of abstinence / relapse impacts on ability to
sustain stable housing
50% street homeless have alcohol problem
meeting service users’ needs
Question: should access to safe, secure housing
be dependent on sustained abstinence?
harm reduction model
secure, shared housing
key worker: low level support
potential for flexibility
something meaningful to do
focus on health & harm minimisation
tenancy sustainment
not time limited stay
value for money
detox and rehab: c.£10,000
A & E bed: c.£4,000 pw
EMI bed: £1,500 - £4,000 pw
low-support housing: c.£150 pw
(HB eligible rent & services: c.£115pw)
opportunities & challenges
area based commissioning
political will
supply of suitable housing
building service partnerships
national housing strategy - ??
conclusions
new services approaches needed
harm reduction: proactive & preventative
safe secure housing is the key
local Vision and strategic planning
build links between housing, social care &
treatment sectors
explore new service models
Contact details:
[email protected]