going home staying home shs awareness sessions morning session
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GOING HOME STAYING HOME SHS Awareness Sessions Morning Session. Welcome and Introduction Session Objectives Update GHSH reforms (FACS) NSW Homelessness Action Plan (HAP) Evaluation Presentation (FACS). Going Home Staying Home Reform Awareness Sessions. Innovation Fund. - PowerPoint PPT PresentationTRANSCRIPT
GOING HOME STAYING HOMESHS AWARENESS SESSIONSMORNING SESSION
Slide 2GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Welcome and Introduction
Session Objectives
Update GHSH reforms (FACS)
NSW Homelessness Action Plan (HAP) Evaluation Presentation (FACS)
Going Home Staying Home Reform
Awareness Sessions
Innovation Fund
• Focus on service redesign • EOIs closed 19 April 2013• Successful projects announcement planned for June
2013
Industry Partnership &Industry Development Fund
• Industry partnership established • IDF EOI closed on 26 April • IDF focuses on organisational and structural change • 17 Initial projects already approved
Streamlined Access
• Preliminary scope for the state-wide information and referral service
• Access Practitioner Advisory Group (PAG) established
• Assessment framework completed
• Testing and consultation on the information, referral and assessment tools to occur mid to late 2013
Better Planning & Resource Allocation
• Short term priorities finalised.
• A resource allocation model is being developed that identifies service gaps and recommends resource allocation levels by region
Industry & Workforce Development
• Workforce development alliance between Industry Partnership and SHS Learning and Development Unit
• Long term workforce development plan
• SHS Learning & Development activities continuing with a focus on reform
Contracting, Quality & Continuous Improvement
• Quality assurance system and implementation plan
• Scope evaluation strategy
• Contracting is the mechanism to embed reforms from July 2014 onwards. Next steps for contracting (with indicative dates):
• Determine contracting approach (July 13)• Determine pricing approach (July 13)• Develop procurement plan (October 13)
Service Delivery Design
• Interim service delivery design guidelines completed • First version of fuller guidelines being developed (by May 2013)• Awareness sessions for SHS (May/June 2013)
For more information
Website
www.housing.nsw.gov.au/GHSH/
Email:
Phone: 8753 9215
NSW Homelessness Action Plan (HAP)Evaluation Strategy – Overview of Findings
What is the Homelessness Action Plan (HAP)?
• The NSW Homelessness Action Plan 2009-14 (‘the HAP’) outlines the five year whole-of- government effort to reduce homelessness in NSW
• The HAP aimed to drive reform of the NSW homelessness service system through:
– Increasing the focus on prevention– Implementing new approaches to long
term housing and support– Supporting coordination and
collaboration between services
HAP Evaluation Strategy - Overview
• The HAP has approx 100 initiatives• 55 projects are commitments under the National
Partnership Agreement on Homelessness (NPAH)• The challenge: large numbers of projects and diversity in
service approaches
Evaluation Strategy – What we Did
Key Service Approaches - What Worked
Local coordination groups comprising relevant agencies
• Provided clients with a “no wrong” door approach• Enabled integrated case planning• Maximised the use of local resources• Responded to the range of needs of a client• Increased the capacity of staff and services• Coordination groups needs resourcing
Key Service Approaches - What Worked
Access to flexible brokerage funding helped provide a tailored approach to client needs• Enabled a client centered approach• Facilitated the purchase, as required, of services (e.g.
case worker) and goods (household furniture) as part of a case plan
• Responsive, timely approach to resolving critical issues to move a client to housing stability (eg rent arrears)
• Provided an incentive for service collaboration when combined with integrated case planning
Example – Coordination Groups
Riverina Murray Rural Interagency Project
4 Coordination Groups
Brokerage applied against areas in agreed case plan
Key Service Approaches - What Worked
Providing support for the period and intensity that a client needed• Linked to an agreed case plan with clear goals• Staged support worked – intensity decreasing over
time but capacity to increase if needed• Longer periods of consistent support with no one size
fits all (e.g. 12 months of support) enabled clients to stabilise housing
• Support needed to begin pre-exit for those in institutional settings
• The quality of the relationship between worker and client was critical to success
Key Service Approaches - What Worked
A whole of client/family perspective was needed to reduce the factors contributing to a client’s risk of homelessness• Inclusion of a child’s needs in the case plan of a
parent/carer• This reduces the drivers of homelessness within the
family such as a partner’s gambling
Key Service Approaches - What Worked
Short term investment up front when a tenancy is at risk• An average of 4 months support for clients at risk of
eviction helped stabilise their housing• Brokerage funding was critical to supporting clients
out of a critical situation• Case plans which included financial management and
a repayment plan builds the capacity of clients to sustain housing
Key Service Approaches - What Worked
Strong relationships with the private rental market (both landlords and agents) • Case management approach is not enough to secure
housing in the private rental market• Targeted strategies are needed with landlords and
real estate agents to build good communication and understanding of the issues
• Evidence that these relationships lead to more referrals to services and less evictions
• Availability of affordable housing – problems with support period ending without permanent housing (especially for young people and people exiting institutions)
• Access to specialised services in regional locations, particularly mental health and alcohol and drug services
• Workforce development, recruiting and maintaining staff in regional areas
• Commitment to integrated case management takes time and resources
• Late referrals meant services often worked with Aboriginal people already in crisis
Key Challenges in Implementation
23
Next Steps
Findings to inform the future directions for homelessness (National arrangements and Going Home Staying Home): How?• Evaluation reports on HNSW website• Evidence notes on service approach findings• Standard power point presentation • Briefings for key stakeholders• Summary of findings to inform GHSH Innovation Fund
and Industry Fund planning• Distribution to Commonwealth and other jurisdictions
Slide 25
CLIENT
SERVICE DELIVERY DESIGN
GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Prevention and early
intervention
Rapid re-housing
Crisis and transition response
Intensive responses for
complex needs clients
Slide 26
• Responses are not tied to crisis beds & allows a SHS to provide a range of care to their clients
• Allows a shift to early interventions• Articulates the breadth of existing service
approaches and allows for future innovations• Consistent understanding of good practice that can
be embedded across SHS service system
What makes it different from the current situation?
GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Slide 27
Consistent with the evidence of good practice whereby:
• intervening early to prevent homelessness is often the best outcome and a more effective use of resources
• rapidly re-housing people where possible reduces the time a client spends homeless
• crisis and transition responses will always be needed but there can be more effective ways of doing this & follow-up post-crisis support must be embedded into practice
• targeted and specialized approaches to people with complex needs can break the cycle of homelessness
WHY?
GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Slide 28
Fundamental to the new service delivery design
• Responses built around the needs of the client rather than programmatic responses
• Client at the centre of their own care • Recognises that individual needs change over time so
support must be flexible and portable
A CLIENT CENTERED APPROACH
GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Slide 29
CLIENT
TOOLS TO FACILITATE CLIENT CENTERED APPROACH
GOING HOME STAYING HOMESHS Awareness Sessions - Morning Session
Service Integration
Multi-agency coordination
groups
Case management
Pivotal role of case worker
Facilitating access to services
outside SHSBrokerage
funding
Duration and intensity of
support
Consumer choice & client involvement
Trauma informed
practice model
Slide 30GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Prevention aims to increase awareness of homelessness; andavoid the emergence of risk factors that may ultimately lead to homelessness.
Early intervention aims to address individuals and families who are at imminent risk of homelessness through assisting them to maintain personal and housing capacities before a crisis is reached.
PREVENTION & EARLY INTERVENTION - SHS
Slide 31GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Community awareness / Early identification
• Promote awareness of the causes of homelessness & the early warning signs
• Collaborative or partnership approaches to identify people at risk of homelessness early and appropriately respond
TYPES OF APPROACHES: Prevention
Slide 32GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Tenancy support – what are elements of good practice?
• Effective relationships with housing providers• Brokerage support arrangements • Affordable debt repayment arrangements• Portable support arrangements & outreach
strategies• Effective case management and service
coordination arrangements• Emphasis on learning budgeting & financial
management skills
TYPES OF APPROACHES: early intervention
Slide 33GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Post crisis – what are elements of good practice?
Ensuring client remains a client after exit
Providing outreach through visits, phone calls, emails, text message & social networking sites
Importance of on-going relationships
TYPES OF APPROACHES: early intervention
Slide 34
TYPES OF APPROACHES: early intervention
Assisting women and children affected by domestic and/or family violence to stay in their homes, where it safe to do so:• interagency cooperation and service coordination• provision of outreach services & court support • development of individualised safety plans• increased safety and security measures in the
home• personal support services
Slide 35GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Exit planning – what are elements of good practice?
• Participate in pre-exit planning
• Provide case management support tailored to individual needs
• Staged approach to service delivery (i.e. initial intensive support if required which is phased gradually down to minimal support)
TYPES OF APPROACHES: early intervention
Slide 36GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
• Responds quickly to fast track client into affordable, long term, suitable housing options including private rental, social housing or quality boarding houses
• Generally works for people who have previously lived independently in permanent housing
• Usually combined with low-level support and some follow-up but is not suitable for people with complex needs
RAPID RE-HOUSING
Slide 37GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
• Strategies to identify people as soon as they become homeless
• Establishing ‘business’ relationships with real
estate agents and effective relationships with local Housing NSW and community housing providers
Rapid re-housing – what are elements of good practice?
Slide 38GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
• Response/case plans developed immediately which focus on finding accommodation firstly
• Case management to support client to maintain tenancy & access range of services they need or ensure another service undertakes this role
Rapid re-housing – what are elements of good practice?
Slide 39GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
• Safe & affordable crisis or transitional accommodation with case management support
• Crisis responses which do not include crisis accommodation such as outreach for couch surfers or interventions to prevent a family breakdown
• Emphasis on exiting clients into long term arrangements with post crisis support
CRISIS & TRANSITION RESPONSES
Slide 40
• General support (advice, advocacy, living skills, court support), personal support for families and relationships, financial and employment support and basic support (meals, showers and transport)
• Support to access broader service system & programs that promote education, employment and independent living skills (such as a Foyer Model approach)
• Address the underlying cause of homelessness
CRISIS & TRANSITION RESPONSES (cont)
CHCCH16B, CHCCH24A and PRXPD33A Feb 2009
Slide 41GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
•Aim to stop the cycle of homelessness•Multidisciplinary & aim to integrate client into broader service system over time•Consistent with Housing First philosophy •Encourage community and family to play a role
INTENSIVE RESPONSES FOR COMPLEX NEEDS
Slide 42GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
Assertive outreach or street to home models for rough sleepers– what are elements of good practice?
• Persistent & practical outreach in situ which focuses on long-term goals & outcomes
• Multidisciplinary teams - generalist outreach workers, health workers, mental health workers, living skills counsellors
• Provide assessment, care planning and ongoing support in situ to clients with the ultimate goal of transitioning the clients to mainstream supports over time
• Emphasis on accessing long-term accommodation options
TYPES OF APPROACHES: intensive responses for complex needs
Slide 43GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
What are elements of good practice?• Focus on quickly transitioning clients into safe, secure,
affordable, long-term housing (i.e. Housing First approach)• Wrapping support around the client and assisting them to
navigate the service system • Establish multi-disciplinary case coordination group/s (if
required)• Trauma informed approach
TYPES OF APPROACHES: intensive responses for complex needs
Slide 44GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
What are elements of good practice (continued)
• Flexible brokerage funding (such as paying to move young people back home or removalist costs or buying in services)
• Support clients in their journey towards social inclusion over time
• Training & skills development to enhance self-esteem & provide participants with interpersonal, educational, practical, tenancy and vocational skills
TYPES OF APPROACHES: intensive responses for complex needs
Slide 45GOING HOME STAYING HOME
SHS Awareness Sessions - Afternoon Session
• Panel members will discuss significant/innovative changes/models within their organisation
• This is an opportunity for service providers to give real examples of how best practice approaches work in the field and what were the success factors
PANEL PRESENTATION
Slide 46GOING HOME STAYING HOME
SHS Awareness Sessions - Afternoon Session
The presentation will include:•Models that demonstrate good practice. •What was the impetus for change•How the changes were achieved•Innovative models •Some of the challenges providers experienced •Successful outcomes
Questions and discussion with panel members•Think about what is considered good practice and what opportunities we have to strengthen our response to homelessness
PANEL PRESENTATION (continued)
GOING HOME STAYING HOMESHS AWARENESS SESSIONSAFTERNOON SESSION
Slide 48GOING HOME STAYING HOME
SHS Awareness Sessions - Morning Session
1.Describe your organisation’s current service delivery practices that are similar to each of the core responses?
2.Describe what are the success factors/successful approaches?
3.What would you do differently to make this approach work more effectively?
QUESTIONS FOR DISCUSSION
Slide 49GOING HOME STAYING HOME
SHS Awareness Sessions - Afternoon Session
Where to from here? Think about what aspects of your current work is consistent with best practice and those that could be improved or reconfigured to be consistent with GHSH reform
•Discuss further in your staff meetings
•What further information would you like?
REFLECTION
Slide 50GOING HOME STAYING HOMESHS Awareness Sessions - Afternoon Session
We will be developing an eLearning resource that will contain further Going Home Staying Home Reform information.
This resource will contain information from these workshops and good practice examples of what services are doing in the homelessness sector.
Webinar in 7 weeks to follow up
What are your suggestions about ways to share information concerning GHSH reform?
Reflection (continued)