Finding the Way Home “ wnytiotgeirntts,ohertesacmitcblmelitcaoi,othedeouindot,g HatDwaneDuodio ,honecthich iiceisttdosesd7otdfoels eooolwrattHF ief thenohntoiePaceiplplerfhytluhtiw,8ndetesaarbinolthebwohiwhvawlneldbsmwsiyviePsheFhTPrniollaertanreraissenrtttanhiypdkiooyeleiroaffeogettpytsalwhnuoiyafIa like if you’ve got benzo Benzodiazepines most respects, including offering open-ended support. The addiction you are not eligible, or if you are multi- HFDP continues to work with people who are long term homeless and who have support needs even if a tenancy addicted, lots of issues around trying to get them cannot be sustained by them and remains with them until they that kind of help. can be re-housed on an open ended basis and may form the Service Provider. basis on which subsequent housing-led services are “ hheet eprtoblemsrofAifl,owepl irtobecautss veitotdofeioual dhortilerpaedha,t lhossntenlside ervuteonctoullonproerde a lower cost,mivt-gdosicilossve-gniiuse.mrteteodeevehTstlrutcnffimyhrlawee’lip,ohegpuroflfloethtot.odsnreelpaonrphmtlgaeoTt homelessness and that these services could wholly ‘replace’ clients would have mental health difficulties and more expensive systems with a lower cost and more ‘efficient’ also would have an addiction...it’s a real problem response was a particular concern for some service providers. for our clients, a real difficulty, even trying to get Some service providers reported a sense that Government them assessed, ‘oh well they have an alcohol thought housing-led policies were inherently cheaper to run addiction problem or another addiction problem’ than existing services, but could be safely introduced because it’s in no way effective. this model also had better outcomes. This was thought to be Service Provider. a flawed perception of the cost effectiveness of housing-led approaches by some service providers. degree on joint working with the welfare systems and health, “ I think the government has a fantasy of a cheapemostsaeltaottnailererasecivresdel-gnisuohfosmrofll A social care and mental health services in whichever country solution. I would worry about that...we have a they are operating. Some service models are less reliant on model that works relatively well, but it’s not external services than others, but while PHF and CHF services cheap, we have staff on site and quite a lot of directly provide extensive services, PHF and to some extent cost for our high support housing. It’s probably CHF models rely on case management which brings in still, you know, cheaper because it leads to external services (see Chapter 2). For the HFL services savings elsewhere, people are less likely to reliance on case management is total, these services function present to A&E, less likely to end up in prison by using case management to create packages of support and so on, so probably makes savings in that from other service providers (see Chapter 2). way, but on its own terms it is an expensive form and provision and we’d be worried about the Concerns about the implementation of a government wanting to cut that back. ‘housing-led’ policy in Ireland Service Provider. Service providers reported a concern that the model of housing-led services that was being suggested by Government was based on a narrow conception of what these services were. In essence, the concern was that what was being referred to when housing-led services were discussed was a (very) low intensity floating support service that devoted only very limited time to any individual and which was based on an assumption that support needs among people who were long- term homeless were short-term, i.e. that the new ‘housing-led’ services would be both low intensity and time-limited. 87 The HFDP does not include an ACT team (see Chapter 2). 27
Finding the Way Home
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