SCC Call for Evidence August 2015 Preventing and Responding to Homelessness Sheffield City Council Call for Evidence Response from Shelter What kind of support is most effective in terms of preventing homelessness? We use the following principles to deliver effective preventative services informed by experience, use of external best practice and co-producing services with current, former and potential service users. Whole household approach: supports an individual to create and sustain a home by addressing the needs of each household member. Person-centred support: a holistic support plan is produced with each individual to identify the presenting and underlying root causes of the problems faced. We regularly review these plans to capture the changing and emerging needs of clients, ensuring the right interventions are in place. Multi-agency, coordinated support with a single point of contact: support worker as the single point of contact, who navigates and coordinates support from different agencies, in addition to direct delivery. This approach enables clients with learning difficulties, mental health needs, and substance misuse problems to access specialist services. Small caseload ratios (worker to client) are also imperative to develop and maintain trust and engagement with services. Timely access to the right interventions: The success of interventions identified by the support plan are often dependent on their sequencing. Co-production of support plans: Identifying and sequencing interventions with each service user to ensure plans are personalised and aligned with their needs and aspirations. Support plans initially focus upon immediate crisis intervention; then, when clients have greater stability other needs are assessed. Co-producing support plans builds trust between us and clients; also, clients feel supported to make informed choices, which increases ownership of their recovery. We have also found the following points important to consider in the effective delivery of preventative services: Identifying and addressing needs of vulnerable households early: stops issues escalating and leading to homelessness. Preventative services must reflect the complexity of individual circumstances (e.g. mental & physical ill-health, family background and substance misuse) and external ‘structural’ factors (e.g. limited access to affordable housing, economy). Investment of time and flexibility: we have found that short interventions are unlikely to be successful, especially when working with clients who have entrenched needs www.shelter.org.uk Shelter, registered charity (263710) 1 SCC Call for Evidence August 2015 Flexibility in delivery: Flexibility in supporting clients should be reflected in preventative services contracts. Structural benefit changes: introduction of the benefit cap and removal of the spare room subsidy, have impacted the provision of preventative support. In particular, we have found that clients with multiple and complex needs are more likely to be claiming inappropriate benefits, find difficulty in complying with benefit requirements and may not be accessing all their entitlement. Indeed, we have seen a number of clients who have lived without any income for a number of months at the point of accessing our services. Effective partnership working: services must include partnership working with LAs, health professionals and other agencies that may encounter households at risk of homelessness at an early stage, e.g. specialist training to professionals, e.g. specialist training for professionals, consultancy support lines. What works best for entrenched homeless people with complex and multiple needs who fail to engage with services and live chaotic life styles? This client group face numerous barriers to engaging with any form of help; individuals can have chaotic lifestyles, complex emotional and psychological needs, deep-rooted mistrust of other people and negative peer groups. Services also pose barriers to engagement, e.g. service eligibility and thresholds, accessibility and balancing caseloads. These factors mean that progression towards a safe, secure and stable home for this group is rarely linear and disengagement is common. A snapshot of our current clients found 28% of HPR’s single / childless couples were affected by all factors of severe and multiple disadvantage (homelessness, substance misuse and / or alcohol, offending and /or mental health as defined within the ‘Hard Edges Report’1). When working with this client group, we have found the following principles work best. 1 Multi-agency with a single point of contact: listening to service users has identified that a coordinated, multi-agency approach works best to prevent individuals from falling through the gaps. It is important to have a single point of contact e.g. Support Worker, who can coordinate support from different agencies, in addition to direct delivery. Small caseload ratios (worker to client) are crucial to develop and maintain trust and engagement in the service; also, we have found that Support Workers accompanying clients to initial meetings with other professionals is helpful. Peer mentors to sustain engagement: peer mentors with lived experience act as a positive role model and can provide practical support e.g. attending appointments. These can be voluntary or paid roles. Lankelly Chase Foundation, 2015: ‘Hard Edges, mapping severe and multiple disadvantage’. www.shelter.org.uk Shelter, registered charity (263710) 2 SCC Call for Evidence August 2015 Pre-engagement: a crucial step in progressing towards independent living is building trust and accepting support. There should be provision for an experienced support service to pro-actively engage with individuals before any formal support begins, e.g. drop-ins and crisis intervention. Common assessment techniques, supported by information sharing protocols: these are important to establish between relevant agencies so that the needs and history of the client are fully understood. We also recommend minimising the use of paper based assessment forms as these can present a barrier to engagement. Person-centred support, focusing on presenting needs and root causes: holistic support plans needs to be co-produced to identify the presenting and underlying root causes of the problems faced, ensuring that the right interventions are accessed. There must be flexibility on the length of support and ability of the client to come in and out of service. Psychologically informed approaches: services need to address the behaviours and perceptions of the client, as well as practical approaches. Workers need to be trained and skilled in dealing with the complex nature of client behaviour and how to navigate a way through. Timely access to the right interventions: success of interventions are often dependent on their sequencing. Continual improvement and service co-production with clients: Past, present and potential future clients should be involved in service design, delivery and evaluation. This ensures that services remain relevant and address any emerging needs that create barriers to progressing to independent living. What works best for entrenched homeless women with complex and multiple needs who fail to engage with services and live chaotic life styles? In our work, we have encountered the following barriers to female engagement with services that should be considered when delivering services to women. Services dominated by male clients: We have found that the domination of many services by male clients can present a barrier to female clients. For example, we have an anecdotal case of a female client with substance misuse issues who was too intimidated to enter a service centre with a Support Worker due to the number of males inside who were under the influence, swearing, and being aggressive. Women-only services and provision of female staff should be a considered when delivering services to this client group. www.shelter.org.uk Shelter, registered charity (263710) 3 SCC Call for Evidence August 2015 Fear of losing children: Women may fear that engagement with services will lead to Social Services taking away their children; that service engagement will be negatively perceived by Social Services is something that we repeatedly hear. Addressing this fear before engagement with support is extremely important in improving access and increasing engagement amongst female clients. What models of accommodation with support work best for homeless young people (16 and 17 year olds in particular) to enable them to become successful adults and avoid becoming trapped in a lifecycle of homelessness? Options include supported accommodation, supported lodging, shared accommodation and floating support services. The model of accommodation with support will vary depending on a person’s needs and circumstances. Given the mix of housing and housing support providers in Sheffield at present we believe that any of these options would be viable, none would be more preferable in a general sense and each option would therefore need to be chosen as informed by individual need on a case by case basis. Further information on the approach to delivering homelessness prevention services to young people is provided below in case this is of use to the panel: Pathway approach: The goal of the pathway will be for young people to access and sustain long-term settled housing. The stages on the pathway will not necessarily be followed in any particular order. Some young people may move straight from their family home to their own tenancies, while others will move back and forward between different options until they are able to sustain independent living. Assessment and preventing crisis: Central to the pathway approach is a shift in emphasis - instead of focusing resources on reacting to housing crisis, the focus here is on early intervention and prevention. This is achieved through identifying and assessing young people at risk of homelessness, and providing mediation and family support to prevent young people leaving home before they are ready, or to facilitate their return if they have left already. Dealing with crisis - specialised support: If a young person does then have to leave home, the focus is on providing access to appropriate services while working towards family reconciliation. For young people unable to return to the family home, a supported pathway would help them with housing and support. To help young people experiencing housing crisis, advice provision can focus on accommodation and support options, such as: o securing appropriate emergency accommodation in tandem with support to enable either a return home or a planned move to settled accommodation. o accessing short-term supported accommodation and planning for moving on to more independent accommodation. www.shelter.org.uk Shelter, registered charity (263710) 4 SCC Call for Evidence o August 2015 opportunities for training, work and education, as well as improving general life skills. Progress - moving on and settling down: Whether as part of a planned and supported move, or suddenly due to crisis, young people will eventually require skills and support to sustain independent living in the private or social rented sector. At this stage, young people would benefit from: o advice on settled accommodation, tenancy access schemes and tenancy support o reality checks on housing availability, affordability and tenure o support in understanding rights and responsibilities as tenants o benefits advice and money management skills Further information in can be found on our web pages dedicated to organisations working with young people (youngpeopleoutcomes.shelter.org.uk). www.shelter.org.uk Shelter, registered charity (263710) 5