FEASIBILITY STUDY FOR THE ESTABLISHMENT OF A COMMON GROUND IN THE ACT May 2012 1 Table of Contents Part 1: Literature Review Findings and Consultation Feedback ................................. 8 1. 1 Literature Review Findings ............................................................................. 8 1.1.1 Core elements of Housing First................................................................. 8 1.1.2 Targets ..................................................................................................... 9 1.1.3 Service Models ......................................................................................... 9 1.1.4 Cost benefits........................................................................................... 10 1.1.5 Effectiveness .......................................................................................... 10 1.2 Consultation Feedback .................................................................................. 11 1.2.1 Accommodation ...................................................................................... 11 1.2.2 Allocations .............................................................................................. 12 1.2.3 Service Model ......................................................................................... 13 1.2.4 Security .................................................................................................. 14 1.2.5 Evaluation ............................................................................................... 14 1.2.6 Systemic Collaboration ........................................................................... 14 Part 2: Jurisdictional Analysis of Common Ground Models...................................... 15 2.1 Overview of Other Models in Australia ........................................................... 15 2.1.1 Victoria ................................................................................................... 15 2.1.2 Tasmania ................................................................................................ 16 2.1.3 South Australia ....................................................................................... 18 2.1.4 New South Wales ................................................................................... 19 2.1.5 Queensland ............................................................................................ 21 2.2 Key findings from other jurisdictions .............................................................. 22 2.2.1 Tenant mix .............................................................................................. 22 2.2.2 Concierge ............................................................................................... 22 2.2.3 Tenancy Management ............................................................................ 23 2.2.4 On-site Supports ..................................................................................... 23 2.2.5 Physical Space ....................................................................................... 24 Part 3: Data Analysis and Review of Existing Services ............................................ 25 3.1 Data Analysis ................................................................................................ 25 3.1.1 National Data .......................................................................................... 25 3.1.2 ACT Data ................................................................................................ 25 3.1.3 Street to Home Data ............................................................................... 27 3.1.4 Toora Day Refuge Data .......................................................................... 28 3.1.5 First Point Data ....................................................................................... 29 3.1.6 Data summary ........................................................................................ 30 3.2 Existing Services ........................................................................................... 31 3.2.1 Programs targeting unaccompanied persons with complex needs .......... 31 3.2.2 Programs targeted at families ................................................................. 34 3.2.3 Summary of Existing Services ................................................................ 35 Part 4: Service Model .............................................................................................. 36 4.1 Service Specifics ........................................................................................... 36 4.1.1 Tenant Mix .............................................................................................. 36 4.1.2 Safety ..................................................................................................... 37 4.1.3 Tenancy Management ............................................................................ 37 4.1.4 Onsite supports ...................................................................................... 39 4.2 Systemic Management Arrangements and Responsibilities ........................... 40 4.2.1 Identification and allocation of Common Ground tenancies..................... 40 4.2.2 Governance ............................................................................................ 42 4.2.3 Integrated Service Delivery ..................................................................... 42 Part 5: Physical Accommodation ............................................................................. 43 5.1 Requirements for the Physical Form .............................................................. 43 5.1.1 Quality .................................................................................................... 43 5.1.2 Security .................................................................................................. 44 2 5.1.3 Integrated Spaces................................................................................... 44 5.1.4 Service/Program Spaces ........................................................................ 44 5.1.4 Location .................................................................................................. 45 5.1.5 Scale ...................................................................................................... 45 5.2 Site Options ................................................................................................... 47 5.2.1 St Johns Site Reid .................................................................................. 47 5.2.2 Community Facilities Land in Hackett ..................................................... 50 5.2.3 Surplus Property in Belconnen................................................................ 52 5.2.4 Summary of Site Options ........................................................................ 53 Part 6: Financial Modelling ...................................................................................... 54 6.1 Funding Requirements .................................................................................. 54 6.1.1 Capital Funding Needs ........................................................................... 54 6.1.2 Recurrent Funding Needs ....................................................................... 54 6.1.3 Additional First Year Expenses ............................................................... 55 6.2 Cost/Benefit Analysis ..................................................................................... 56 6.2.1 Reduced Emergency Service Use .......................................................... 56 6.2.2 Cost Comparison with Existing Accommodation Models ......................... 57 6.3 Identification of Financial Challenges............................................................. 58 6.3.1 Ongoing Security Needs ......................................................................... 58 6.3.2 Set Up of Units and Common Spaces..................................................... 58 6.3.3 Brokering Additional Services ................................................................. 58 6.3.4 Reliance on Affordable Housing Rental Returns ..................................... 59 6.4 Partnership Opportunities .............................................................................. 59 6.4.1 Other Directorates and Mainstream Services.......................................... 59 6.4.2 Commonwealth Government .................................................................. 60 6.4.3 Private Business and Philanthropic ......................................................... 60 6.4.4 Common Ground Canberra and ACGA. .................................................. 61 Part 7: Conclusions and Recommendations ............................................................ 62 7.1 Conclusions ................................................................................................... 62 7.2 Recommendations......................................................................................... 63 Appendix A: Literature Review on Housing First...................................................... 65 Appendix B: Jurisdictional Comparisons.................................................................. 79 Appendix C: Common Ground Consultations .......................................................... 87 Appendix D: Additional Resources .......................................................................... 88 3 Executive Summary Addressing homelessness has been a long term commitment of the ACT Government with a range of new initiatives implemented under the National Partnership Agreement on Homelessness (NPAH) that built upon work already under taken by the ACT Government through the 2004 Homelessness Strategy- Breaking the Cycle. This strategy focused on four strategic themes: • Integrated and Effective Service Responses; • Client Focus and Outcomes; • Access to Appropriate Housing and Housing Assistance; and • Supporting and Driving Innovation and Excellence. In 2008, the strategy was further enhanced by the launch of the ACT Homelessness Charter which recognises that people experiencing homelessness should have the right to inclusion, dignity, respect, non-discrimination, safety and freedom. In 2009, the ACT Government released The Road Map- a discussion paper on the way forward for homelessness and related services in the ACT. The paper highlights the reform priority to move towards a Housing First approach where possible, recognising that wrap around supports are needed to ensure long-term positive outcomes for individuals and families who have experienced homelessness (ACT Department of Disability, Housing and Community Services (DHCS) 2009:7). In this context it is recognised that Housing First without support does not lead to positive long term outcomes for the most vulnerable in our community. In many cases, the most vulnerable people require long term rather than time limited supports with some requiring life long support to sustain a tenancy on their own. Collectively, the rights based approach along with the ACT Government’s continuing commitment to addressing homelessness will be needed to move towards a Housing First model that adequately recognises that addressing homelessness requires more than providing a roof over somebody’s head. Chronically homeless people usually present with a range of significantly disabling conditions, including biological and psychological health conditions, substance addictions, and physical and emotional conditions caused by domestic and street violence. Dr Andrew Davies from the Perth based Mobile GP service notes that homelessness can be caused by poor health. Likewise homelessness can also cause or exacerbate health conditions. Because of this, chronically homeless people live an average of 38.7 years less than the general Australian public, with a life expectancy of just 43.3 years of age (Davies, A: 2011). Wentworth Community Housing Coordinator Stephanie Brennan also notes that the majority of chronically homeless people supported into 4 accommodation have significant affects associated with trauma and mental illness. The complex issues associated with chronic homelessness lead to early onset of age related conditions and exacerbate the need to rely on emergency services such as hospitals, psychiatric inpatient units, and community treatment teams. The ACT Human Rights Act 2004 notes that “Everyone has the right to life. In particular, no-one may be arbitrarily deprived of life”. Given the connection between chronic homelessness and significantly reduced life expectancy, the imperative to end chronic homelessness is particularly strong. This imperative is supported by the Community Services Directorate’s Human Rights Policy that recognises that particular target groups are especially vulnerable (including people with serious physical or mental health issues), requiring the fair allocation of resources to those most in need (CSD: 2011, pp 5-6). The Common Ground model, originally developed by Roseanne Haggerty in New York in 1990, seeks to reach those in highest need, providing permanent housing with assertive on site support in newly converted inner city apartments. The original model used a partnership framework to redevelop abandoned hotels into affordable housing sites catering for 50% low income and 50% previously homeless tenants. The Common Ground model is based on the Housing First philosophy and aims to address long term, chronic homelessness by providing housing first with on-site and assertive supports available to flexibly meet the needs of individuals accommodated. Today, Common Ground models have been developed throughout the US and Australia, and provide permanent housing options with on site support to meet the needs of highly vulnerable people experiencing long term, chronic homelessness. Despite the reported success of the Common Ground model in the US and in other parts of Australia, establishing a Common Ground in the ACT would require careful planning and evaluation of the suitability of the model to meet the needs of the ACT community. In 2011, The ACT Government announced a funding allocation of $150,000 to conduct a feasibility study into establishing a Common Ground model in the ACT. 5 The study has been conducted in the following stages: • • • • • • • Thematic analysis of the literature on Housing First service models such as Common Ground; Jurisdictional analysis of Common Ground models established or under construction in Australia; Analysis of ACT homelessness data and existing accommodation services; Development of service model options, including accommodation, support services, and systemic requirements; Financial modeling, including capital and recurrent funding requirements, cost benefit analysis and identification of financial challenges; Partnership opportunities, including philanthropic, government and business contributions; and Development of final recommendations. As part of the feasibility study, site visits to Common Ground models in Melbourne, Hobart, Adelaide and Sydney were carried out. Meetings were also held with a range of stakeholders and interested organisations, including the Australian Common Ground Alliance, Common Ground Canberra and representatives from the ACT Homelessness Sector. A list of consultations is provided at Appendix C. A steering committee comprised of government, community and business sector representatives was established to guide the study. The committee met regularly to discuss the stages outlined above, along with other issues that developed over the course of the study. The report follows the structure outlined in the above list of stages, to provide for a thorough understanding of the issues and requirements associated with establishing a Common Ground in the ACT. In particular, the report outlines a proposed model for an ACT Common Ground. A summary of the option is provided in Part 7 Conclusions and Recommendations. The committee considered both this and a larger scale option. Based on the information outlined in section 5.1.5 (scale), only one option has been presented in this report. In addition, the report provides a range of recommendations for an ACT Common Ground. Most notably, the report recommends that a Common Ground model should be considered by the ACT Government to assist in addressing chronic homelessness for highly vulnerable people. Further recommendations are linked under the following core themes: 1. Service Model recommendations The Service Model components recommended outline the intended target for an ACT Common Ground, including consideration of the appropriate tenant mix between low income and previously homeless tenants. The proposed 6 target is singles and couples without children, over 18 years of age and experiencing chronic homelessness. The recommendation further notes that the service model should focus on connecting tenants with mainstream services where possible and should maintain a separation between tenancy management and support worker roles. A Program Officer role was also recommended to ensure coordination of social inclusion and engagement activities for Common Ground tenants. The ability to transfer out of Common Ground was noted as important for ensuring long term positive outcomes for previously homeless tenants, with a diverse entry point system considered important for the identification of vulnerable people. 2. Physical Form recommendations Ensuring adequate physical safety was considered important, including the provision of CCTV cameras in common and program spaces, swipe card access, and a single entry point. Ensuring line of sight throughout common spaces was also noted as an important design feature for a Common Ground. The recommendation highlights the need to ensure each unit contains independent bathroom, kitchen and laundry facilities, with one bedroom apartments preferred over bed sits or two bedroom options. It is further recommended that the physical form contain a range of spaces that allow for social inclusion activities and casual interaction, along with dedicated program and service spaces to support on-site activities. 3. Funding Model recommendations The Funding Model components recommended for the Common Ground include consideration of rental payments and remittances to Housing ACT, with a portion of affordable rental payments to be retained by the service provider to offset part of the operational expenses. The capital, recurrent and initial funding requirements are outlined in the report. 4. Partnership Framework recommendations The Partnership Framework components recommended allow for a coordinated effort to address chronic homelessness that includes a range of ACT Government Directorates delivering services to vulnerable Canberrans, along with community, business and philanthropic organizations. Partnership with the Commonwealth Government is also highlighted as important in order to establish a successful Common Ground model in the ACT. A full outline of recommendations is included in Part 7 of this report. 7 Part 1: Literature Review Findings and Consultation Feedback 1. 1 Literature Review Findings A literature review on the Housing First approach to addressing homelessness is included at Appendix A of this report. The review identified the following key themes relevant to an analysis of the approach and the implications for establishing a Common Ground Supportive- Housing First model in the ACT: • • • • • Core elements of Housing First; Targets; Service models, including accommodation and supports; Cost benefits; and Effectiveness. 1.1.1 Core elements of Housing First The literature review identified that the core elements of Common Ground Housing First models are: • • • • • • Permanence- there is no time limit on tenure (for formally homeless tenants); Safety- usually a 24 hour concierge service is provided to ensure security of access; Supportive- On site support services are provided free of charge; Integrated- there is a tenant mix of previously homeless and low income renters; Affordable- rent is paid at no more than 30% of income; and Quality- services operate from high quality and sustainably designed complexes. (Gilmore and Wheaden, 2010:16) These elements are consistent with the Australian Common Ground Alliance Guidelines and it is necessary to ensure that a Common Ground model in the ACT meets the standards required by the alliance to be considered a Common Ground. The literature review further highlighted that a key feature of Common Ground Housing First models is the separation of tenancy and support functions (Jope 2010:17). By separating access to housing from clinical compliance, the model aims to create an environment of physical stability from which further stability in one’s mental and emotional wellbeing can develop over time. 8 1.1.2 Targets The literature review identified three target groups suitable for a Housing First model, noting that each group requires a range of different supports and accommodation options. Older homeless people were identified as particularly disadvantaged, especially where mental illness, physical and cognitive impairment impact upon the capacity of individuals to sustain independent tenancies (FaHCSIA 2008:61). The review highlighted the need to ensure older persons’ accommodation is located close to transport and services, and provides a range of supports including house keeping, laundry and opportunities for regular check ins (Jope 2010:30-31). The review also identified people with mental illness both with and without substance abuse issues as suitable for a Common Ground model. While program evidence reported successful outcomes in both housing retention and reduced substance use for individuals with both mental illness and substance addictions, substance use was not reduced significantly for those with substance addictions alone. This highlights the need to ensure care when accommodating individuals with substance addictions alone within a Common Ground Housing model. Finally, the review identified homeless families as experiencing increased disadvantage due to the impact of multiple transitions, particularly on children (DHCS 2010:17). It should also be noted that families represent the largest homelessness group in the ACT context. The review further notes that accommodation for families must allow for children’s recreation with support services available to assist with access to childcare, after school programs, and family focused health and counseling services (Jope 2010: 27). The review notes that scattered sites or small residential complexes are most suitable for families (Jope 2010), suggesting that appropriate consideration of the physical accommodation needs of families must be considered in a separate Housing First model targeting this group. 1.1.3 Service Models a) Accommodation The literature review identifies a range of accommodation types suitable for Housing models. Common Ground models operate from a scattered single site model in which various apartments dedicated to the target group are scattered through out a complex but are not readily recognisable. 9 This model allows for normalising and community integration within the broader complex. Given the vulnerability of residents and the complexity of issues that chronically homeless people experience, the review highlights the importance of adequate security in Common Ground models ( Gordon 2007:3). The review further identifies that while large scale complexes create economic efficiencies, high-density complexes are not the preferred model for people with significant disabilities (O’Hare and Day, 2001:11). b) Supports The literature review highlights the need to provide flexible supports in recognition that different people will require different levels of support and for different periods of time (FaHCSIA 2008:47). The review also notes that wrap around support that ensures the coordination of all services required to meet individual needs is required. Given that accommodation in Common Ground models is not contingent on acceptance of support, the literature review identifies on-site, long-term assertive support as an important service element (Gordon 2007:3). The review also identifies social inclusion activities and access to life skills/ work skills training and employment services as important to encourage community engagement for Common Ground tenants (Gordon 2007:4). 1.1.4 Cost benefits The literature review highlights that cost benefit analysis from other jurisdictions suggest that addressing homelessness through a Common Ground model could reduce the costs associated with the use of emergency and related services. The review notes however that further investigation into the actual costs of homelessness and mainstream emergency services in the ACT is required in order to conduct an accurate cost benefit analysis for establishing a Common Ground model. This issue will be discussed in Part 6 of this report Financial Modelling. 1.1.5 Effectiveness The literature review found that housing retention rates were significantly increased in Housing First models compared to Treatment First models, which required compliance with treatment plans and support programs. The review further found that models that did not require the acceptance of support did not negatively impair the recovery of individuals with mental illness or substance addictions (Liou, Nutt, Dunham & Sanchez 2011:7). While the literature is divided on the relative merits of dispersed versus apartment complex based models, research suggests that social wellbeing 10 was increased through models operating from multi-unit complexes with appropriate levels of on-site support, due to the frequency of both formal and informal interaction between tenants and support workers (Kresky-Wolfe et.al. 2010, cited in Johnsen & Teixeira 2010:11). The review concluded that establishing an effective Common Ground model for the ACT context would require consideration of the homelessness population demographics to determine which sub-group or groups will be targeted and which relating service model would most effectively meet their needs. These issues will be discussed throughout this feasibility study report. 1.2 Consultation Feedback Throughout the duration of the feasibility study, a range of consultations were held with key stakeholders and interested organisations including the Australian Common Ground Alliance, the Canberra Common Ground Group and the specialist homelessness sector workers and services in the ACT. A full list of consultations conducted is included at Appendix C. Feedback received through the consultation process can be categorized according to the following key themes: • • • • • • Accommodation; Allocations; Service Model; Security; Evaluation; and Systemic Collaboration 1.2.1 Accommodation Feedback received consistently highlighted the importance of providing a high quality and affordable accommodation option for chronically homeless people. It was also noted that affordability for low income earners that are not eligible for social housing is an issue that could be addressed by a Common Ground model. The importance of ensuring that the physical design blends with the community was promoted, suggesting that smaller scale sites are preferred over large scale, multi-unit complexes. In general, townhouse models or one bedroom units were preferred over bedsits or shared accommodation designs. The involvement of service providers in the design was highlighted as important, along with the need to ensure minimal access points to the complex. Sector representatives raised concerns over the development of a new complex, suggesting that existing complexes such as Ainslie Village or 11 Havelock House could instead be redeveloped. It was noted that such sites require major upgrades but that stable communities are already established that would benefit from the increased security and support that a Common Ground model would provide. There were mixed views on the provision of secure tenure. Although it is a core element of the Common Ground model, some respondents noted that security of tenure can lead to tenant complacency and can prevent engagement with support services. 1.2.2 Allocations The majority of feedback was received in relation to the allocation of Common Ground tenancies. The need to ensure a diverse tenant mix was promoted consistently, including the need to ensure a mix of both high and low needs tenancies. It was generally agreed that the model should target those most vulnerable who would usually miss out on accessing housing through the usual system, rather than attempting to solve all housing issues. The use of a vulnerability index tool was highlighted, as well as the need to ensure a different identification and allocation process to the usual homelessness system. It was suggested that this would cater to people who do not have the ability, social skills, comprehension or willingness to negotiate the normal channels. It was suggested that allocation of properties to highly vulnerable people should be responsive to the individual’s willingness to accept support at a given time. It was suggested that support services should be able to identify appropriate referrals using a simple eligibility tool, such as a vulnerability checklist system, and that limited evidence should be required given the urgency of their situations. The issue of housing readiness was raised in relation to chronically homeless people being willing to move into permanent accommodation. In addition, it was noted that processes for the identification of homeless women would need to be considered given that women tend to remain hidden from the rough sleeping population for a range of reasons. While there was some inconsistency in regards to the accommodation of children in a Common Ground model, the majority of respondents urged against this form of accommodation for children due to the complexity of issues that chronically homeless people may have. An off-site or split site model was proposed for families with children, noting that while long term accommodation options were needed for this target group, a Common Ground model may not be the most suitable option due to the long term impacts on children of witnessing abusive behaviors which can occur with high and complex needs tenants. 12 It was suggested that where children are involved, some level of mutual obligation to engage with support would be more suitable, particularly where drug and alcohol issues are present within the family unit. It was suggested that the lack of mutual obligation for families with children would reduce the potential target to low needs families who would not fit with the high vulnerability target of Common Ground. It was also suggested that the existing transitional housing model may be more effective for this target group. The ability to provide safe places for children to visit parents on-site was however highlighted, noting that single fathers experiencing homelessness often have limited options for accessing their children due to the inappropriateness of accommodation options available. Given that allocation of Common Ground tenancies is likely to be out of turn, fair and transparent guidelines were suggested to ensure that allocation is made for exceptional circumstances only, and not treated as a short cut into public housing. 1.2.3 Service Model Feedback received highlight that the separation of tenancy management and support was an important element. The interrelation of both functions was also noted, suggesting that support is required to assist tenants with complex needs to sustain tenancies on their own. The lack of mutual obligation was raised as a concern for the long term stability of people with high and complex needs. It was suggested that the allocation of housing out of turn could create a reasonable expectation that tenants would engage in support to some degree. The importance of on-site support services such as dentistry, was highlighted but with an emphasis on linking with mainstream services where possible. It was noted that tenants with complex needs are often known as “difficult” by existing services, making it challenging to access supports off-site. Encouraging tenant participation was promoted, suggesting that a lead tenant model can increase tenant self esteem, build leadership skills, and ensure that all tenants have access to peer support. In addition, encouraging tenant participation in organising on-site activities and programs was also highlighted as a positive community building model and that clear strategies for managing neighbourhood disputes should be established from the start. The development of a therapeutic community was suggested, with a community garden, health and wellbeing programs, and creative arts programs provided on-site. 13 1.2.4 Security While a 24 hour concierge position was highlighted as important for large scale complexes, it was noted that the role may not be feasible in smaller scale complexes. In addition, it was noted that additional security measures may be required during the initial 12 months while tenants settle into their new environment. In general, there was a mix of views regarding the provision of 24 hour support. Some respondents felt that it was an essential element given the complex needs of tenants targeted in a Common Ground model. Other respondents preferred an after hours on-call or lead tenant model to encourage tenant independence and social skills. 1.2.5 Evaluation The need to ensure an effective evaluation framework is developed from the implementation of a Common Ground model was raised. In particular, it was noted that evaluation should be used to assess the benefits of the model for producing positive tenant outcomes, and in assessing the cost benefits in terms of reduced incidences of emergency service use by previously homeless tenants. 1.2.6 Systemic Collaboration Collaboration with other Government Directorates was highlighted as important given the complexity of needs that previously homeless tenants may have. In addition, it was suggested that pro-bono specialist services could be sourced to support the objectives of the Common Ground model and the responsibility of the whole community in addressing chronic homelessness in the ACT. In particular, dentistry and GP services were suggested for the Common Ground model as these services are difficult for low income and complex needs tenants to access through mainstream providers. It was suggested that inviting existing community groups to provide programs on-site would assist in integrating the Common Ground with the broader community and encourage the operation of on-site services. Programs could be offered to all tenants as well as the broader ACT community. 14 Part 2: Jurisdictional Analysis of Common Ground Models 2.1 Overview of Other Models in Australia 2.1.1 Victoria The Melbourne Common Ground was established in September 2010. The model operates from a purpose built inner city complex located within walking distance to transport, services and employment opportunities. The security access building contains CCTV thoughout, duress alarms, 24 hour concierge and after hours security to ensure the safety of tenants and guests Of the 161 units, 65 are fully furnished bedsits allocated to formally homeless people, 66 are unfurnished bedsits targeted at low income renters, and 30 are unfurnished 2 bedroom units targeted at low income families. There is no integration between singles and family units, with separate entrances and no common spaces. Each unit contains a private bathroom and kitchen with intercom access enabled between units and concierge to enable visitor access. There are no duress alarms inside units and tenants are required to use the shared laundry facility. Rent is charged at 30% of income which includes water and electricity costs. Yarra Housing retain all funds received through rent to meet costs associated with providing on-site tenancy management and maintenances services. 15 There are a number of common areas, including: • communal lounge and terrace; • roof top garden; • large conference room with small kitchen- used for breakfast club and planned programs; • Library; • Sewing room; • Computer room; and • Light recreation room. Service rooms are also available on-site, including: • Counselling room • Medical treatment room • Nurses station • Therapy room (for massage and acupuncture) Yarra Housing and the support provider HomeGround also have offices onsite. Two social enterprises (a recycling service and a catering service) rent space on the ground floor, providing employment and training opportunities for tenants. 2.1.2 Tasmania Common Ground Tasmania are currently constructing two sites in Hobart which are expected to be completed in December 2011. Both buildings will contains CCTV thoughout, secure swipe access, duress alarms and 24 hour concierge to ensure the security of tenants and guests. After hours security is also being considered during the initial months of operation. 16 The Liverpool Street site will contain 25 bedsits and 26 one bedroom apartments. It is intended that allocation of units to previously homeless and low income tenants will be mixed, however limitations are expected given that the one bedroom units are detached from support service and common facilities. The Campbell Street site will contain 28 bedsits and 24 one bedroom apartments. Previously homeless and low income tenants will be mixed through out the complex. Each unit will contain a private bathroom and kitchen. Like Melbourne there are no duress alarms inside units and tenants are required to use the shared laundry facility. All previously homeless units will receive establishment packs of furniture, linen and other essential items. All units will receive soft furnishings and white goods. There are a number of common areas at each site, including: Liverpool Street • Courtyard • Art and programs room • Common house for programs and gatherings • Shared kitchen/ dining area • Quiet activities area • Concierge area Campbell Street • Computer room, library and quiet activities room • Lockable art room • Common foyer and concierge area Service rooms are also available at each site, including: Liverpool Street • 4 treatment/ support rooms Campbell Street • Medical treatment room • 2 Consultation rooms • A staff office and breakout room is locate at the Campbell Street site. 17 2.1.3 South Australia Two Common Ground models have been established in Adelaide since 2008. The two inner city complexes are located within walking distance to transport, services and employment opportunities. A new Common Ground is also under development in Port Augustus which will be constructed in 2012-2013. Both existing buildings contain CCTV thoughout, secure swipe access, duress alarms and security patrols 3 times per night to ensure the security of tenants and guests. The Franklin Street complex contains 26 bed sits and 12 one bedroom units, distributed equally to previously homeless and low income tenants. The Light Square complex contains 36 bedsits and 16 one bedroom units, with one floor dedicated to mixed female tenancies. The Port Augusta complex will contain 15 bedsits, 15 one bedroom units and 5 two bedroom units in a single story scatter site model in order to blend in with the rural location. Each unit contains a private bathroom, kitchen and laundry facilities. All units have been fully furnished through donations. Rent is charged at 30% of income for previously homeless tenants and social housing tenants, and 75% of full market rent for affordable housing units. Common Ground SA also collect National Rental Affordability Scheme payments for affordable housing properties, helping to off set the debt on the Light Square building. 18 There are a number of common areas at each site, including: Franklin Street • 1 apartment has been converted into a common room • support worker office Light Square • Common area- lounge, kitchen, dining and computer room • 2 courtyards Service rooms are also available at the Light Square site, including: Light Square • Counselling room • Dentist room • Medical treatment room Office spaces for Common Ground SA and a large meeting room for case conferencing is also available at the Light Square complex. 2.1.4 New South Wales A Common Ground model has recently been constructed in Camperdown, Sydney. The complex was officially opened in November 2011 and contains CCTV thoughout, secure swipe access, duress alarms and 24 hour concierge. 19 The site consists of 104 units, including 88 bedsits, 12 one bedroom units and 4 two bedroom units. Each unit contains a private bathroom and kitchen with provision for washing machines and dryers in bathrooms. All previously homeless units are expected to be furnished through donations. Rent is charged at 30% of income for all previously homeless and social housing tenants (total 62 units). Affordable housing tenancies will be charged 75 % of full market rent and will also attract National Rental Affordability Scheme payments. MA Housing will retain all funds received through rent to meet costs associated with tenancy management, maintenance and future support needs. There are a number of common areas, including: • • • • • • • Multipurpose room for living skills activities and breakfast club Activities room for planned program space Computer room Common living area and kitchen Courtyard Shared laundry Break out area on each floor Service rooms are also available on-site, including: • • 3 interview rooms 2 medical treatment rooms The complex includes office spaces for MA Housing and support workers. Space for a future social enterprise has also been included in the design. 20 2.1.5 Queensland A Common Ground model is currently under construction in Brisbane. The model is expected to open in mid 2012. The building will contain CCTV thoughout, secure swipe access, duress alarms and 24 hour concierge/security. Of the146 units, 33 will be adaptable studio apartments, 102 will be studio apartments, and 11 will be one bedroom apartments. Each unit will contain a private bathroom and kitchen. While the service provider MICAH, have been funded to furnish 50% of the units, the organisation intends to furnish all units if possible. Rent will be charged at 30% of income for all tenants who will be made up of 50% previously homeless and 50% social housing tenants. There are a number of common areas, including: • • • • • • • • • Foyer and concierge area, including internet kiosk, visitors lounge and mail boxes Training room, including computers and projectors for development courses Art room with adjoining courtyard Communal vegetable and fruit garden Gardens on every second floor, alternating with breakout lounges Multipurpose recreation room that can also be rented out to community groups for functions and meetings Roof top kitchen for functions and cooking classes Communal tenant lounge and roof top garden Pool room with pool table and separate quiet area Service rooms are also available on-site, including: • • 2 interview rooms Group work room Office spaces for tenancy managers and support workers, and future retail spaces have also been built into the design. 21 2.2 Key findings from other jurisdictions 2.2.1 Tenant mix All models aim for a 50:50 split between formally homeless and low income tenants however, the mix of low income tenants varies between social housing tenants and affordable housing tenants, and the mix of previously homeless tenants varies from high and complex needs to low and medium needs individuals. Common Ground SA note that attraction of affordable housing tenants can prove challenging however low income tenants are generally happy to accept the accommodation offer. Inability to attract a mix of tenants can lead to concentrations of social disadvantage and impact on the financial sustainability of the model which relies on the collection of affordable housing rents. The extent to which this is an issue varies considerably among the different Common Ground developments in Australia, depending on local conditions. All target singles and couples only, with the exception of Melbourne, however family units are not integrated with the broader Common Ground complex. All models also aim for a 50:50 split of males and females, however note that more males are referred to the programs. Mixed results have been achieved by allocating a single floor entirely to women. Adelaide has managed this successfully however, Melbourne have found that the women invite men in anyway, increasing the risk for women and support staff who may be exposed to violent visitors. Services note the importance of allocating tenancies based both on vulnerability and appropriate consideration of existing tenant mix. For example, Adelaide maintains a limited 10% intake of high needs homeless people with the remaining 40% drawn from the broader homeless population. In addition, no more than 3 drug users will be accommodated on any one floor. While Melbourne have designated 15 units to people exiting correctional facilities, Adelaide notes that their experience with this target group is that institutionalised behaviours can lead to bullying and intimidation of other vulnerable people. 2.2.2 Concierge Most models have been able to finance a 24 hour concierge role, however many doubt the ongoing viability of the role, noting that US models utilise rental income from larger complexes to finance the position. 22 Adelaide does not provide 24 hour concierge, instead offering an on call support service and a security patrol three times per night. It was suggested by the Adelaide Common Ground that the concierge role encouraged dependency and did not allow for the development of coping skills. In addition, it was noted that a concierge would require security back up in the event of an incident anyway. Brisbane will be outsourcing the concierge role to a security agency, noting that the high degree of drug use in the area is expected to be a challenge. It was suggested that if a security presence is not viable, consideration should be given to the target group accommodated and the location to ensure high security support is not needed. 2.2.3 Tenancy Management Despite the recognised need to separate tenancy management and support functions, the need to collaborate at some level was also apparent. While most models have separated the functions into separate agencies, Adelaide has successfully managed both services though Common Ground SA while ensuring separate tenancy management and support worker roles. In NSW, MA Housing will act as the lead agent and will also receive funding from Housing NSW to provide support to tenants. In most cases, the support funding is provided and the tenancy management is funded through the collection of rental income. It was suggested that a concierge role would be best funded through tenancy management income collection rather than through support funding, however in most cases this has not occurred due to the funding arrangements negotiated in each jurisdiction. 2.2.4 On-site Supports Each model has a different approach to the delivery of on-site supports. Melbourne has been highly focused on providing specialist supports on site, such as GP, psychiatrists, psychologists, drug and alcohol workers, nurses, massage and acupuncture. Sydney also has a focus on providing on site specialist supports, including an on-site GP, Mental Health Psychiatrist, a Brain Injury Psychiatrist, Mental Health Nurse, and a Psychologist. Adelaide however, have instead taken a case coordination focus, linking tenants to mainstream and external specialist support services where possible. To do this, Adelaide have brokerage funds available to ensure tenant access to services where needed. Support workers act as lead workers to ensure all relevant service providers are committed to and engaged in the case plan. 23 The University of SA Dentistry School will soon be operating a student clinic from the Franklin Street site. This service will be accessible to all tenants of the Common Ground as well as the broader homelessness sector. Brisbane will also take on a case coordination focus rather than providing specialist services on-site. Eligible tenants will however, have access to Home and Community Care. The program is also currently in discussions with a local hospital to provide a nurse on site for all tenants on an intermittent basis. 2.2.5 Physical Space Issues have been raised around shared laundries which have led to tenant disputes. Sydney and Adelaide have addressed this issue through the provision of laundry facilities within individual units. Issues have also been raised around the lack of parking available for residents with no Common Ground model providing parking facilities. Most models have focused on providing bike racks instead of car spaces, however many low income tenants in particular, have been inconvenienced due to the lack of parking options. Physical sites have been designed to allow for casual interaction rather than forced interaction. This is achieved through the creation of open common spaces, landscaped gardens and recreational areas. The need to provide inside/outside spaces for vulnerable people to choose the extent of interaction that feels comfortable to them was emphasised. Melbourne, Sydney and Brisbane have all used Grocon to construct the buildings. All feedback has suggested that significant savings allowed for higher quality designs and finishes. A full comparison table of Common Ground models discussed in this paper is at Appendix B. 24 Part 3: Data Analysis and Review of Existing Services 3.1 Data Analysis 3.1.1 National Data In 2009–10, 219,900 people (or 1 in every 100 Australians) used Government-funded specialist homelessness services nationally. Of these, 135,700 (62%) were adults and 84,100 (38%) were accompanying children. Aside from young people, the majority of service users were single men over 25 years of age at 25%, followed by women with children at 23% (not including the number of accompanying children) and single females over 25 years of age at 18%. The reasons for seeking assistance varied according to the sub-group represented. Single men aged 25 years and over commonly sought assistance because of financial difficulties (25%), health issues (19%) or as a result of substance use (11%). Homelessness as a result of substance use was significantly higher for this sub-group compared to other sub-groups which ranged between 1-3%. Single women and women with children commonly sought assistance because of issues in their interpersonal relationships, such as domestic or family violence or the breakdown of a relationship with a family member, spouse or partner (55-65% respectively). 3.1.2 ACT Data In 2010-11, 2,965 people accessed ACT Government funded specialist homelessness services. Of these, 1,750 (59%) were clients and 1,215 (49%) were accompanying children. The highest proportion of homeless people were those aged 20-24 years. Clients aged 25-44 were significantly more likely to experience repeat periods of homelessness, with this group making up 13% of all support periods provided. It should be noted that 79% of all clients experienced only one instance of homelessness during the reporting year. In 2010-11, a total of 1,015 (58%) clients were identified as female, and 735 (42%) identified as male. In addition, 13% of clients were identified as Aboriginal and/or Torres Strait Islanders and 3.7% of clients were born in Sudan (the second highest country of birth after Australia). 25 Of the 1,215 accompanying children, 595 (49%) were aged under 5 years of age and 430 (35%) were aged 5-12 years of age. Children in these age groups were significantly more likely to experience repeat periods of homelessness. Unaccompanied persons received 1,427 (55.8%) support periods, with 731 (28.6%) of support periods received by one parent families. Collectively, these two groups received 84% of support periods provided. The most prominent reason for seeking support was relationship/family breakdown, accounting for 13.3% of all reasons for support. Collectively, relationship/family breakdown, interpersonal conflict, domestic/family violence, and time out from family/other situations accounted for 35% of all reasons for support. Mental health issues, problematic substance use, health issues and psychiatric illness collectively accounted for 17.8% of all reasons for support. A full breakdown of reasons for seeking support is provided below: Ranking Reasons for seeking support 1 Relationship/family breakdown 2 Financial difficulty (other than items 11,16 and 22) 3 Interpersonal conflict 4 Domestic/family violence 5 Time out from family/other situation 6 Mental health issues 7 Physical/emotional abuse 8 Previous accommodation ended 9 Problematic drug/alcohol/substance use 10 Eviction/ asked to leave 11 Budgeting problems 12 Health issues (other than items 6 and18) 13 Issues other than those listed 14 Overcrowding issues 15 Recently left institution 16 Rent too high 17 Recent arrival to area with no support 18 Psychiatric illness 19 Itinerant 20 Emergency accommodation ended 21 Sexual abuse 22 Gambling 23 Gay/lesbian/transgender issues 24 No information provided Number 1,116 654 Percent 13.3% 7.8% 628 615 571 548 432 427 420 419 394 371 349 310 216 207 197 154 146 117 76 20 10 7 7.5% 7.3% 6.8% 6.5% 5.1% 5.1% 5% 5% 4.7% 4.4% 4.2% 3.7% 2.6% 2.5% 2.3% 1.8% 1.7% 1.4% 0.9% 0.2% 0.1% 0.1% While 40 people (2.3%) were identified as living on the streets prior to seeking support, a further 161 people (9.1%) were living in impoverished dwellings, in cars, in tents or in squatting conditions, and 131 people (7.4%) were living in a 26 boarding/rooming house. The majority of people were living in a house or flat at 1,002 people (56.9%). Of those people seeking assistance during the demand data collection, 59.6% were unaccompanied persons and 35.1% were one parent families. Across all unassisted persons, 59.6% required accommodation that night and only 27% were able to be accommodated within specialist homelessness services. 3.1.3 Street to Home Data The Street to Home program commenced in February 2010 and is operated by St Vincent de Paul. The Street to Home initiative coordinates the delivery of services to people on the streets, rather than requiring them to attend appointments in offices. The program provides support to up to 30 rough sleepers at any one time and helps them to overcome barriers to find and maintain appropriate housing. The 2011-12 ACT Government budget allocated an additional $504,000 over four years for the expansion of the program. This additional funding will ensure mental health support is available to all rough sleepers who need it. The program was also recently allocated 6 Housing ACT properties to provide crisis and long term accommodation options for rough sleepers in the ACT. Long term accommodation is provided on a Housing First basis, with outreach support continuing until stablisation is achieved. In 2010-11, Street to Home supported 53 people sleeping rough in the ACT. 100% of these people were clients in their own right. Street to Home did not support any accompanying children during the reporting period. The highest proportion of people sleeping rough was those aged 30-34 (18.9%) years, followed closely by those aged 45-49 years (17%). It should be noted that only two people experienced more than one instance of homelessness with 20.4% of people moving into a house or flat after receiving support. In 2010-11, a total of 15 clients (28.3%) were identified as female, and 38 clients (71.7%) were identified as male. Given that 58% of all homeless persons in the ACT were female, the significantly lower representation of females than males sleeping rough indicates that females are more likely to be hidden within the homeless population. In addition, anecdotal evidence suggests the females will be more likely to stay in dangerous or impoverished circumstances to avoid sleeping rough. 85% of people sleeping rough were born in Australia with no other country of birth represented significantly in the 2010-2011 reporting year. Unaccompanied persons received 81 (73.6%) support periods, with 7(6.4%) support periods received by couples without children. 27 Consistent with the broader homelessness population, the most prominent reason for seeking support was relationship/family breakdown, accounting for 13.2% of all reasons for support. Collectively, relationship/family breakdown, interpersonal conflict, domestic/family violence, and time out from family/other situations accounted for 37% of all reasons for support. Mental health issues, problematic substance use, health issues and psychiatric illness collectively accounted for 18.2% of all reasons for support. The consistency of data relating to reasons for support between those sleeping rough and the broader homelessness population, indicates that there is no significant increase in types of support required for those sleeping rough compared to the broader homeless population. A full breakdown of reasons for seeking support from Street to Home is provided below: Ranking 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Reasons for seeking support Relationship/family breakdown Time out from family/other situation Interpersonal conflict Financial difficulty (other than items 11 and 16) Mental health issues Previous accommodation ended Eviction/ asked to leave Physical/ emotional abuse Domestic violence Health issues (other than items 5 and 17) Budgeting problems Problematic drug/alcohol/substance use Recent arrival to area with no support Itinerant Recently left institution Rent to high Psychiatric illness Overcrowding issues Emergency accommodation ended Number 37 25 25 23 19 17 17 17 17 16 15 14 13 12 4 4 2 2 1 Percent 13.2% 8.9% 8.9% 8.2% 6.8% 6.1% 6.1% 6.1% 6.1% 5.7% 5.4% 5.0% 4.6% 4.3% 1.4% 1.6% 0.7% 0.7% 0.4% 3.1.4 Toora Day Refuge Data The Toora Day Refuge was established to support single women who have experienced or are experiencing homelessness. The day refuge aims to bring services to vulnerable women through a range of service partnerships and linkages. In 2010-11, the Toora Day Refuge supported 593 women. 100% of these people were clients in their own right as Toora Women’s Inc. does not support accompanying children. 28 In the January- June 2011 reporting period 49% of women supported were born in Australia with Africa the only other significant representation at (18%). In the same period, 14 women supported (5%) were identified as sleeping rough and 14 women (5%) had issues related to drug and/or alcohol dependency. The service reported that 36 women supported (13%) had experienced domestic violence prior to seeking support. While the service reports that profile data may be lower than reported due to the difficulties in obtaining information from the client group, a breakdown of client profiles reported is provided below: Ranking 1 2 3 4 5 Client Profile Domestic violence Sleeping rough Drug and/or alcohol issues Mental health issues Physical health issues Number 36 14 14 11 6 Percent 13% 5% 5% 4% 2% Supports and services accessed by women at the Toora Day Refuge in order of demand include; computer facilities (69%), groups programs (54%), emotional support (47%), laundry facilities (33%), shower facilities (7%), and food services (4%). Other services accounted for 39% of supports/services provided. 3.1.5 First Point Data First Point, the ACT’s Central Intake Service for homelessness services, provides a single access point into the ACT homelessness system ensuring that clients do not have to negotiate multiple agencies to access the services they need. The service operates through a telephone system to assist in matching those in need of support to social housing and homelessness services. First Point provides placement into homelessness and housing support services for people in the ACT, and will facilitate access to other relevant services as required. In January- June 2011 a total of 1,800 individuals contacted First Point for the first time, with an average of 78 new clients engaging with the service each week. Of those clients, 737 individuals (41%) were identified as having the highest level of housing need and vulnerability according to the organisations vulnerability/risk assessment matrix. During the reporting period, First Point assisted 496 individuals (28%) to access homelessness accommodation services, of which 287 were placed in 29 crisis accommodation and 209 were placed in transitional accommodation services. First Point referred 456 individuals (26%) to housing support and outreach services to support existing tenancies and provided 95 instances of brokered accommodation (total of 697 bed nights). A total of 2,626 individuals have been supported by First Point since the commencement of the service in November 2010. In addition to the data received directly from First Point, a telephone survey was conducted by Housing ACT during census week 2011 of all clients on the First Point waiting list. Analysis of survey respondents compared to those clients who could not be contacted during census week revealed a potential bias towards technological access. The survey respondents were more likely to be in the younger age group, in employment or in receipt of youth allowance, presenting as a couple with or without children, and with some form of tenure. With the majority of telephone numbers provided by clients being mobile phone numbers, a potential link exists between lack of access to mobile phones and the reduced ability to contact older individuals, unemployed, and those with no existing tenure. 3.1.6 Data summary The ACT data demonstrates that unaccompanied people and one parent families are the highest demand groups for accommodation and support services. It should be noted that single people with complex needs and one parent families require different types of support and would benefit from differing models of service delivery. Relationship issues in general, constitute the most prominent reasons for seeking support, followed closely by health related issues including, mental, psychiatric, physical, and substance abuse issues. The data also demonstrates that women are more likely to be at risk of remaining in vulnerable living conditions to avoid sleeping rough. This target group is disproportionately represented in the broader homelessness data compared to the Street to Home data which measures specifically rough sleepers. These findings are supported by the consistency between the representation of females in the Street to Home data with the representation of females sleeping rough in the Toora Day Refuge data. In addition, it was highlighted that older individuals without employment or tenure of any kind are potentially at risk of vulnerability due to reduced capacity to access First Point when mobile phone technology is not available. This is especially prudent given that vacancies allocated through First Point 30 require the service to be able to contact the individual concerned who may have no fixed address and therefore no fixed contact option. Addressing primary homelessness in the ACT should consider the identification of vulnerable people who may not be able to access First Point, as well as the differing needs of unaccompanied people with complex needs, and families. A range of existing services are already in place to support these groups. These services will be discussed below. 3.2 Existing Services Each of the programs below have been designed to meet the needs of differing target groups, in recognition that no one model will meet the needs of all people who are experiencing homelessness in the ACT. While it is recognised that individuals and families experiencing long term homelessness can not simply be categorised into pre-determined categories, it is useful to outline the programs available in order to recognise gaps in addressing identified areas of need. 3.2.1 Programs targeting unaccompanied persons with complex needs a) Managed Accommodation Programs (MAPs) The Managed Accommodation Programs have been established to support men and women exiting detention at the Alexander Maconochie Centre, the ACT’s new prison. Accommodation is initially provided under a head tenancy arrangement, with clients housed in place and signed to their own tenancies when support is no longer required. Properties have been sourced from Housing ACT stock. The women’s component of the program also operates a transitional property for women who are not ready to move into their own property straight away. Key outcomes of the programs include securing and maintaining long-term accommodation, improving basic living skills, addressing complex health and substance abuse issues, and re-engaging with their families and community. As each individual’s experience of incarceration will differ in time, cause and progress made against existing needs, no single exit plan is appropriate to suit the needs of all people exiting the corrections system. While the majority of people engaged in the program will require a period of intensive support during their initial release, others will be ready to move into a housing first model with minimal support needs straight away, and some will require ongoing support for an extended period of time. 31 b) The Mental Health Housing and Support Initiative The Mental Health Housing and Support Initiative (HASI) was established in the ACT to increase tenancy and clinical support for tenants with a mental illness. Three new Client Support Coordinators will also be engaged by Housing ACT to support tenants with disruptive behaviours that may impact upon their capacity to sustain their tenancies. A particular emphasis of these roles will be on supporting tenants with drug and alcohol dependencies. HASI operates as a three-way service delivery partnership in the ACT: • Accommodation, support and rehabilitation associated with the individual’s needs are provided by four non-government organisations (funded by ACT Health); • Clinical care and rehabilitation are provided by ACT Mental Health Services; and • Long–term secure and affordable housing and property and tenancy management services are provided by Housing ACT. The aim of HASI is to provide integrated support packages of housing and mental health support, to provide sustainable tenancies in public housing for people with moderate to severe mental health issues. The HASI program has achieved an effective partnership arrangement between key agencies and clinicians to ensure that services are delivered to clients in a coordinated and timely manner. The success of the program has enabled 67% of clients to sustain their tenancies for over 12 months and has led to a 50% expansion of the program from July 2011. c) Our Place The ACT’s ‘Our Place’ program operates on a “set aside units” model in which 15 units within the 42 unit complex (2 of the 5 blocks) are dedicated to housing young people who have experienced or are at risk of homelessness. Our Place provides long term (up to 3 years) supported accommodation for young people aged 16-21 on entry. Our Place combines affordable, quality accommodation, education, training and employment opportunities, mentoring and life skills development to enhance the long term outcomes for young people. The service operates from a planned community site in Braddon which also provides affordable housing, general public housing and older persons housing. Young couples and young parents can also be accepted into the program. 32 A key challenge for the program has been the development of external service linkages and support partnerships. While the Rotary Club of Canberra has been an active partner in the program, it has been difficult to gain support from other agencies and business partners. It is anticipated that the Governance Board convened to oversee the implementation of the program will play a role in bringing together external support networks in future years. d) Men’s Accommodation Support Service (MASS) In addition to the Men’s component of the Managed Accommodation Programs, Canberra Men’s Centre also supports men who are homeless who have not been involved in the corrections system. The service provides accommodation and support for single men with high and complex needs, including mental illness and substance use issues. Key outcomes of the program include securing and maintaining long-term accommodation, improving basic living skills, addressing complex health and substance abuse issues, and re-engaging with their families and community. The MASS program utilises a head lease-Housing First approach whereby the tenancy can be transferred once stabilisation and sustainability can be ensured. This is achieved by the provision of safe and secure accommodation to stabilise the man’s environment, complemented by a continuum of support to break the cycle of homelessness. The service recognises that some individuals with complex needs will not be ready to commit to engaging in a compact of support in order to access housing and may require long periods of assertive outreach before a rapport can be developed. e) Street to Home The Street to Home program discussed in section 3.1.3 predominantly supports singles sleeping rough in the ACT. The service manages 6 Housing ACT properties in order to provide both crisis and long term accommodation options for people seeking to move off the streets. The four long term properties are operated on a Head Lease-Housing First model with tenancies transferred into the tenants name when stabilisation has occurred. The service notes that transitioning rough sleepers into accommodation takes time and requires a degree of flexibility to ensure clients are comfortable within their new environment. For example, the service has allowed rough sleepers to initially spend a couple of nights a week in the property during the transition period. 33 3.2.2 Programs targeted at families a) A Place to Call Home The ‘A Place to Call Home’ program (APTCH) provides accommodation and short term support to people who are homeless and housing ready. APTCH seeks to address the hurdles that homeless families face by providing long term, secure accommodation with wrap around outreach support based on a Housing First service model. APTCH targets families experiencing disadvantage due to a history of drug and alcohol misuse, mental illness, domestic violence or disability related issues. In addition, it is considered that families who have experienced repeat periods of homelessness would benefit from a Housing First approach in order to stabilise complex issues that have prevented sustainability of accommodation in the past. When capability to sustain a tenancy is established, the lease agreement is transferred from the supporting agency to the individual/family, eliminating multiple moves through the crisis, transitional and public housing system. The ACT’s APTCH initiative operates on a scattered accommodation model providing 20 new, 4-5 bedroom, and high quality properties in various locations through out the ACT. Completed properties have been built with high energy efficiency ratings and have taken into account the need to construct properties with lower maintenance costs to ensure sustainability of the program into the future. b) The Head Lease Program The Head Lease Program (HLP) is a preventative program designed to support Housing ACT tenants at risk of losing their tenancy due to the impacts of high support needs that can not be resolved by the Housing ACT Client Support Coordinators. Tenants engaged in the HLP are linked with a support agency who takes on the property lease on their behalf. Eligible tenants may be individuals or families. The support agency is also responsible for providing case management support to the individual or family, to address issues that put their tenancy at risk and work towards improving the sustainability of the tenancy in the long term. When capability to sustain the tenancy is re-established, the lease agreement is transferred from the supporting agency back to the individual or family, preventing homelessness that may otherwise have occurred. 34 Prior to this point, the supporting agency will work with the individual or family to ensure that linkages to mainstream services are established, where appropriate. It is expected that the supporting agency will continue to provide occasional low-level support, if required, while the individual or family develops greater confidence in managing independently. The HLP provides medium to long term support for as long as the tenant needs in order to ensure a long term positive housing outcome. c) Transitional Housing Programs A number of services in the ACT provide transitional accommodation to vulnerable families and individuals experiencing homelessness. Clients accommodated in transitional housing properties can often wait for over six months before permanent accommodation can be obtained. Increasingly, where stabilisation of tenant circumstances has occurred and clients express an interest in remaining within the transitional housing property, the tenancy can, in many cases, be transferred into their name, preventing the need to move in order to access permanent accommodation. This approach allows transitional housing programs to provide a permanent housing solution to clients, with a new property allocated to the transitional program to support another family or individual experiencing homelessness. While formal processes for the transfer of transitional properties are still under development, the collaboration of Housing ACT staff and specialist homelessness services has allowed for the successful transfer of a number of Housing ACT properties to vulnerable tenants accommodated in transitional programs. 3.2.3 Summary of Existing Services While there are a range of services targeted at unaccompanied persons with complex needs and families, demand data indicates that ‘insufficient accommodation available’ accounted for 46.1% of cases where accommodation could not be provided in 2010-11. Analysis of accommodation services available indicates that a significant number of long term unaccompanied person services are targeted at males, increasing the risk for unaccompanied women to remain in crisis and transitional accommodation services, or in dangerous and impoverished conditions. Services targeted at females tend to be transitional in nature, suggesting a need for long term accommodation options. The data indicates that identification of women will require a deliberate and determined approach outside of those people supported by Street to Home. This will require careful consideration in the identification and allocation process to ensure equitable distribution of tenancies to both gender groups. 35 Part 4: Service Model 4.1 Service Specifics As discussed in section 2 Jurisdictional Analysis, there are a number of differences between Common Ground models that would need to be considered in the development of a Common Ground model for the ACT. Each of the key findings will be discussed below in relation to their application in the ACT. 4.1.1 Tenant Mix a) Singles and couples only The ACT data indicates that unaccompanied persons with complex needs and one parent families with children compose the highest demand groups for accommodation services. All Common Ground models established or under construction in Australia have restricted eligibility to singles and couples without children, noting that the complexity of high needs tenants creates an environment unsuitable for children. The literature review also highlights the different needs in terms of both accommodation and support for families with children, suggesting that a Common Ground model attempting to target both of these groups would be difficult to achieve. Given that Common Ground models do not require tenants to address underlying causes of homelessness, such as mental illness and substance addictions, it was largely considered throughout the consultations to be an inappropriate model for families where children’s safety can be compromised by those issues. b) Diversity of needs and tenancy types The experience of existing Common Ground models suggests that appropriate consideration of tenant mix and support needs is important. This has been achieved in South Australia by restricting high support needs clients to 10% of the total population and ensuring that people with complex issues such as substance addictions are not accommodated closely with others who may impact on their capacity for recovery. Ensuring a 50:50 split of previously homeless and low income tenants will require the attraction of both social and affordable rental tenants. In particular, students, apprentices and key workers can provide a stable base of tenants to support the development of community within the complex. Although flexibility will be required in tenancy allocations, the table below outlines an approximate proposed tenant mix: Canberra Common Ground Tenancies Low income Affordable Social Housing Housing 25% 25% Previously Homeless High Needs Medium Needs 25% 25% 36 4.1.2 Safety a) Physical Safety In order to ensure the protection of vulnerable people accommodated in the Common Ground, CCTV cameras in common areas and program spaces should be used. CCTV cameras along with a single entry point can also be used to monitor tenants bringing visitors into the complex after hours. Vulnerable people are often targeted by associates wishing to stay at their properties. Often this leads to property damage, illegal activities and general abuse of the tenant’s inability to say no. CCTV cameras provide a deterrent to this behaviour as security patrol and support workers can act to remove such visitors as a breach of the occupancy agreement. In addition, swipe card access and consideration of the physical design that allows for line of sight into common spaces should be used to discourage uninvited guests from loitering in the premises, potentially risking the safety of tenants and staff. b) Managed Safety A smaller Common Ground would require a lower level of managed safety measures than other large scale models developed in larger cities. This should include 16 hour a day on-site support and after hours on-call support. It is anticipated that after-hours security patrol during the first 12 months will be required regardless of the scale to ensure that access to the site is limited to tenants and appropriate guests. It is anticipated that security requirements will be greater during the initial implementation and will tailor off as tenants stabilise in their new environment. This is consistent with the experiences of Common Ground models established in Australia. It is also anticipated that as security requirements decline, tenant participation in maintaining the safety of their environment and neighbours could be encouraged. This has been successfully achieved in South Australia where stabilised tenants have been able to take on positions of responsibility such as fire wardens and lead tenants. 4.1.3 Tenancy Management a) Separation of roles While the separation of tenancy management and support services is considered important, evidence from Common Ground models in Australia indicates that this can be effectively achieved by one agency or two. The tenancy management framework should allow for collaboration with support providers where tenancies are at risk, while protecting the rights of the tenant not to disclose information relating to individual case plans, treatment plans or support needs. 37 b) Rent and transitional agreements While previously homeless and social housing tenants would be required to pay no more than 25% of their income (consistent with Housing ACT rental practices), those not eligible for a rental rebate would be charged an affordable rent of no more than 74.9% of full market rent. It should be noted however that difficulties in attracting affordable housing tenants may present a risk in the viability of the model. The strong demand for affordable housing in the ACT may lower this risk and make the development more attractive to affordable housing tenants. All tenants may also be required to remit Commonwealth Rental Assistance to the housing manager as part of their rental contribution. Once a vacancy is allocated to a chronically homeless person, flexibility during the transition stage will be required. While the Residential Tenancies Act 1997 requires that an occupancy agreement commence on the day that the tenant takes possession of the premises, chronically homeless people should be allowed to occupy the premises on an informal/casual basis for an initial period prior to signing an occupancy agreement. This may take affect as an initial short term agreement (with or without rent payable) prior to signing up to a formal ongoing occupancy agreement. This would recognise the difficulties that chronically homeless people often face in committing to a formal agreement straight away. c) Capacity for transfers Previously homeless tenants and social housing tenants should remain on the social housing register to allow for transfers out of the Common Ground should the accommodation become unsuitable to their needs. For example, if persistent neighbourhood disputes cannot be resolved or the tenant no longer requires community housing. This is consistent with existing practices for people taking up shared housing through the social housing register and should be expanded to include Common Ground tenancies. In this way, permanent tenure does not necessarily require permanent housing within the Common Ground complex but rather, ensures for security of tenure while allowing for the transition of accommodation in order to meet the changing needs of the tenant. In addition to creating the flexibility to respond to changing needs, permanent tenure rather than permanent housing would also allow for a degree of flow through necessary to ensure the Common Ground model continues to respond to the needs of the most vulnerable chronically homeless people in future years. The experience of the longest running Common Ground in Australia (Franklin Street, Adelaide), indicates that previously homeless tenants move on from Common Ground accommodation after an average of 55 weeks while low income tenants move on after an average of 85 weeks. While it should be noted that average stay may not be consistent with the mean length of 38 accommodation (with some staying longer and some staying for shorter periods of time), this does suggest that despite the capacity for tenants to stay permanently, many tenants choose to move on once stabilisation of their circumstances has occurred. While it is recognised that for some people who have experienced chronic homelessness, Common Ground support services will always be required, the following diagram represents an idealized pathway through Common Ground tenancies for individuals who stablise within their environment and choose to move on overtime: Previously Homeless TenancyHigh Support Needs New Common Ground Allocation Previously Homeless TenancyMedium Support Needs Low Income Tenancy Independent Tenancy- Public Housing, Community Housing, Private Rental etc… 4.1.4 Onsite supports a) Case coordination The support model should focus on case coordination and link with mainstream services where possible. Dedicated treatment rooms on-site can be used as outreach clinics for mainstream and specialist practitioners to attend on an alternating basis. This would ensure that tenants have access to services that they can continue to utilise within the community should they move out of the Common Ground complex in time. Specialist services would be sourced from existing funded programs interested in providing services on site, from medicare funded practitioners, and from pro bono and partner sponsored arrangements. The experience of the ACT Street to Home program suggests that this model would work effectively if specialist and mainstream services are encouraged to contribute to the objectives of the Common Ground approach. On-site support workers would be responsible for coordinating case plans for individual tenants (previously homeless and those at risk), including collaborating with mainstream and specialist practitioners to ensure the coordinated delivery of support to the tenants concerned. 39 Flexibility in the provision of tenancy management and program operation can be used to ensure that a minimum of two to three staff members are on site during the core business hours each day. b) Program delivery In addition to case coordination, on-site programs such as literacy and numeracy programs, drug and alcohol programs, health and wellbeing programs, and social inclusion activities should be facilitated according to tenant needs. A dedicated program officer will be important to ensure that social inclusion and engagement activities are developed to meet the needs of tenants accommodated. This role would also be responsible for coordinating access to life-skills and work-skills training, linking tenants with employment opportunities and developing partnerships with external organisations that may provide community engagement opportunities for tenants. 4.2 Systemic Management Arrangements and Responsibilities 4.2.1 Identification and allocation of Common Ground tenancies Under the Public Rental Housing Assistance Program 2008, the housing commissioner can determine that a particular property is a specified dwelling for the purpose of accommodating individuals with special needs outside of the general allocation provisions. Consistent with sub clause (6), Common Ground tenancies can be allocated to chronically homeless individuals on the basis of their particular housing requirements “arising as a result of their age, physical or mental capacity or residency status”. In addition, participation on the social housing register allows for increased flexibility in the identification and allocation of potential tenants by allowing for the consideration of tenant mix, needs and circumstances. In this way, the Common Ground can reasonably define the parameters of eligibility and allocate with consideration of individual requirements. While the allocation of properties “out of turn” often raises concerns over the fairness of such allocations, Director of the Curum Research institute, Mr Brian Lee Archer, suggests that fair allocation of resources does not have to mean equal allocation because of the relative disparity in starting positions/needs of different applicants. Lee Archer recognises that equal allocation regardless of circumstances can lead to over servicing of those with low needs and under servicing of those with high needs. Given the finite resources available, Lee Archer suggests that those resources would most fairly be allocated to those with the highest needs, such as chronically homeless people. This is consistent with the existing allocation of Housing ACT properties to applicants assessed as on priority due to their existing circumstances and housing needs. 40 a) Previously Homeless Tenants Given that Common Ground seeks to target those who would not other wise be able to negotiate the existing homelessness system, consideration of the identification and allocation process is required. The ACT Common Ground should work closely with First Point as the central intake service, however should also allow for flexibility in the identification process. This can be achieved through clear articulation of the Common Ground objectives and eligibility requirements to all specialist homelessness services and other services supporting highly vulnerable people, such as Centrelink, the Domestic Violence Crisis Service, ACT Mental Health etc… Increasing awareness of the Common Ground objectives and eligibility, will allow services that come into contact with vulnerable people in their day to day operations, to act as a point of contact for those who may otherwise fall through the gaps of the existing homelessness system. Once identified, assessment and consequent accommodation offers should be made through an assertive outreach model rather than depending on telephone contact or requiring vulnerable individuals to make contact with First Point themselves. This would provide a diverse entry point system using workers and organisations already in contact with chronically homeless and vulnerable people to refer suitable applicants to First Point for assessment by the Common Ground service provider. b) Low Income Tenants To ensure the creation of a mixed community, low income tenancies should be identified through a variety of sources, including public housing, community housing, and affordable housing pathways. Identification of low income tenants would come partially from the Social Housing Register, which allows for eligible applicants to be reviewed and selected by the accommodation provider. This would allow the service provider to make appropriate consideration of existing tenant mix and allow for the specification of singles/couples only accommodation. In order to participate on the Social Housing Register, the Common Ground service provider would be required to register as a non-government community housing provider with the ACT Office of Registrar. In addition, affordable housing tenancies should be advertised publically to encourage students, apprentices and other key workers to apply. Given the complexity of needs associated with the previously homeless group, careful consideration of tenant mix will be important and will require the 41 scattering of tenancies between previously homeless and low income tenants to prevent segregation within the complex. 4.2.2 Governance The Canberra Common Ground Group has an existing network of interested people committed to advancing the objectives of Common Ground in the ACT. It is anticipated that this group would be responsible for fundraising, networking and capacity building for any Common Ground model developed, in conjunction with the successful service provider/s and the Australian Common Ground Alliance. In addition, an evaluative body should be established comprising the Common Ground service provider, representatives from the Canberra Common Ground Group and representatives from relevant Government Directorates. The evaluative body would be responsible for assessing the impact of the Common Ground model on tenant outcomes, resourcing, service/program demand, and integration with the surrounding community. A high level Service Partnership Agreement should be developed between the Community Services Directorate, Health Directorate, Justice and Community Safety Directorate, and the Education and Training Directorate as key partners in the delivery of services to Common Ground tenants. The Service Partnership Agreement should outline core responsibilities and processes for effectively integrating service responses. 4.2.3 Integrated Service Delivery While the Common Ground would be funded to provide case coordination to previously homeless tenants, it is recognised that integration with mainstream and specialist services will be required to meet the needs of the target group. A multidisciplinary team of mainstream workers drawn from the participating Directorates should be established to provide coordinated case planning and delivery of support services. Members of the multidisciplinary team would be called upon as needed by the Common Ground support workers, according to the needs of individual clients. Where possible, Common Ground tenants should be assisted to access mainstream and specialist support services off-site to encourage integration with the broader community and independence from the Common Ground complex. Where mainstream and specialist services are not accessible off-site, partnership arrangements with pro bono service providers should be sourced to provide medicare funded services on-site to Common Ground tenants, for example, dentistry, general medical services, and some psychiatric services. It is not anticipated that such services would be available everyday, rather on an alternating but regular basis. 42 Part 5: Physical Accommodation 5.1 Requirements for the Physical Form A corner stone of the Common Ground model is that physical accommodation should be of a high quality, secure and conducive to the development of an integrated internal community. At the same time, Common Ground accommodation needs to be affordable and allow for the connection with the broader community through proximity to appropriate transport routes, social spaces and external support services. Common Ground accommodation should be developed in consideration of the following requirements: 5.1.1 Quality Building quality is important in not only promoting pride in one’s place, but also in ensuring high standards of sustainability, maintainability and community acceptance. The experience of the ACT’s A Place to Call Home program indicates that high quality construction leads to lower unplanned maintenance costs, reporting in 2009-10 that 100% of tenants had lower than average tenant responsible maintenance. In addition, the high quality A Place to call Home properties have been constructed with high energy efficiency ratings, reducing utility costs for low income tenants and contributing to overall affordability. The program reported 100% of tenants were less than $500 in arrears during 2009-10, indicating that sustainable constructions also contribute to sustainable tenancies. Importantly, Common Ground units should provide for personal space with independent units rather than shared accommodation. Each unit should contain bathroom, kitchen and laundry facilities, with a separation between the bedroom and living areas. Shared laundry facilities were cited as challenging by the Common Ground team in Melbourne, as they had led to tenant disputes and reluctant usage. In addition, homelessness sector consultations suggested that one bedroom units are preferred over bedsits as they reduce feelings of institutionalisation that can occur in largely bedsit complexes. Ensuring high quality personal and common spaces will be required to meet the requirements of the Australian Common Ground Alliance guidelines and to encourage affordable housing tenancies, a critical component for the financial viability of the model. 43 5.1.2 Security Section 4.1.2 Safety (a) Physical Safety, highlights the need to provide CCTV cameras in common and program spaces, swipe card access to the building and units, and to ensure line of sight where possible to ensure the safety of tenants and staff. In addition, a single, secure entry point will also allow for the monitoring of guests entering and leaving the building and deter the presence of unintended visitors who may present a risk to vulnerable tenants. Careful planning during the design stage will be necessary to ensure a high level of security whilst maintaining the sense of community integration necessary to encourage interaction, inclusion and participation in formal programs as well as informal gatherings. 5.1.3 Integrated Spaces The level of social isolation experienced by chronically homeless people can not be overestimated. It is important to ensure a range of spaces that allow for varied levels of interaction within the Common Ground model. This has been achieved in the Brisbane Common Ground through the creation of mini neighbourhoods within the Common Ground community. Each group of neighbours have their own common lounge and garden area, while the larger community have access to the shared dining hall, program spaces and foyer area. It is important that Common Ground models allow for casual interaction through flow through design principles rather than forcing interaction through the construction of closed common spaces. A shared multipurpose dining room can be used to promote integration through shared community meals. The multipurpose dining room can also be used to provide life skills training and offer the opportunity for a range of social enterprise activities such as a café, catering or hospitality training. A commercial kitchen servicing the shared dining room would be needed to ensure flexible use of the space. An external landscaped garden can also provide an important social element within the Common Ground. This space should be designed to encourage casual interaction and community gatherings within the protected environment of the Common Ground. Outside spaces can be used to provide physical engagement activities such as gardening and grounds maintenance. These activities can also be used to provide employment and/or social enterprise opportunities for tenants. 5.1.4 Service/Program Spaces On-site services require appropriate facilities in order to protect the privacy of tenants accessing these services. A medical treatment room can be used to accommodate a range of outreach specialists providing services on-site. 44 Likewise, a welcoming and comfortable interview room can be used to provide counseling services, psychiatric services and case management support. The design of service spaces should complement the building to encourage a sense of connection to the Common Ground model, whilst allowing for discretion regarding which tenants are accessing these services. While line of sight is important within common spaces, service spaces should allow for a degree of anonymity without disregarding the need to ensure the safety of service providers. Duress alarms could be considered in service rooms subject to the tenant mix supported. A dedicated program room can be used to provide educational and engagement activities such as computer skills, literacy and numeracy, art classes and other programs of interest. The program room should be lockable after hours to ensure that computers and other costly items are secure. In addition to the service spaces and program room, support staff offices and a meeting room for case coordination should be available on-site. 5.1.4 Location A location within close proximity to transport and services is important for Common Ground. Many previously homeless and low income tenants will not have access to personal transportation. Given that the majority of chronically homeless people currently access free food, mental health and other services in and around the city centre, it is important that the Common Ground be accessible to those services. This is particularly important given that the transition phase for chronically homeless people is likely to involve the encouragement to access Common Ground support services prior to committing to a formal lease agreement. Locating the program within proximity to existing services or on an easily accessible transport route will allow potential tenants to engage with the Common Ground and current tenants to remain connected to existing support networks. 5.1.5 Scale Consideration of scale requires the analysis of demand associated with the number of chronically homeless people requiring support in the ACT. Felicity Reynold’s, Chair of the Australian Common Ground Alliance provides the following definition for chronic homelessness: “Chronic homelessness is a long term condition perpetuated by complex needs such as developmental disability, mental illness, traumatic brain injury, history of abuse, addictions, and so on (Reynolds, 2007:4)”. In addition, it should be noted that not all chronically homeless people will accept accommodation. This is supported by the Street to Home program who 45 reported on 27 October 2011, that 13 of the 16 rough sleepers supported at that time were refusing any form of accommodation. This is also consistent with ACT SAAP data 2010-11 that indicates that 29.6% of accommodation offers were not accepted. In 25% of cases where accommodation was not accepted, clients did not show up. A further 25% were because the accommodation offer was not in the right area and 25% because the client wanted a different type of accommodation option. This indicates that the number of chronically homeless people who will accept Common Ground accommodation at anyone time may be lower than the total number requiring support. The following target criteria have been used to assess demand in order to determine the appropriate scale: a) Highly vulnerable Vulnerability is a core requirement of eligibility for Common Ground and is demonstrated by a range of complex needs as noted in the definition of chronic homelessness provided. First Point data from census night 2011 indicates that 56 presenting units were identified as the most vulnerable (Priority A), experiencing both significant housing need and significant support needs. Of those, 28 were men and 28 were women. b) Aged over 18 years Consistent with findings from the Literature Review, Common Ground is not targeted at youth. It is anticipated therefore, that tenancy allocation will focus on those over 18 years of age. First Point data from census night 2011 indicates that 48 Priority A clients were aged over 18 years of age, with the highest proportion aged 25 to 34 years of age. c) Singles or couples Given the restriction on accommodating children in Common Ground, eligibility is restricted to singles and couples without children. First Point data from census night 2011 indicates that 44 Priority A clients were singles. A further 1 presenting unit was a couple without children. d) Long term homeless (homeless for more than six months) First Point data from census week 2011 indicates that 60% of Priority A clients surveyed had been without their own place to stay for more than 6 months. Considered in relation to the 45 Priority A singles or couples presenting, it is estimated that the proportion of homeless people suitable for Common Ground is around 27 people at any one time. It should be noted that this does not take into consideration the number of singles or couples below 18 years of age. 46 When the 70.4% accommodation uptake indicator is applied to the Priority A eligible group, the total estimated demand is approximately 19 potential tenancies at any one time. The original definition used for chronic homelessness requires both significant and long term homelessness, combined with high support needs. Under this definition, Common Ground would be most suitable for Priority A clients, creating a scale requirement of 40 units to allow for a 50:50 mix of previously homeless and low income tenancies. A 40 unit scale would also be consistent with homelessness sector feedback suggesting a preference for a smaller Common Ground model in the ACT and the ACT Government’s development strategy that has moved away from large scale complexes where pockets of disadvantage can occur. This scale would be suitable for 16 hours a day on-site support with on-call after hours, due to the relatively low number of tenants with significant support needs. A larger option was also investigated as a potential model for the ACT. The larger facility would provide economies of scale to support higher levels of security, such as a 24 hour concierge service. It would also enable more onsite support services to be delivered cost-effectively. The larger model was estimated to cost approximately $24 million to construct and $970,000 per annum in recurrent funding, compared to the smaller option that would cost approximately $11 million dollars to construct and $700,000 per annum in recurrent funding. Due to the increased operational costs associated with the larger model, this option was judged to be unsupportable in the current budget context and this report focuses on a 40 place facility. 5.2 Site Options A range of site options were investigated as part of the feasibility study, including vacant land and existing Housing ACT properties for redevelopment. The impact on existing tenants was considered a significant barrier to the redevelopment of Housing ACT stock, along with the need to ensure a specific physical form as outlined in section 5.2.1 Requirements for the Physical Form. The requirement for a central location with proximity to transport and city services restricted the availability of site options significantly, however, is considered essential to the success of the model. The site options discussed below represent the most suitable locations in terms of both proximity to the city and capacity to construct the proposed scale for the Common Ground. Each site presents a range of benefits and issues to be considered as outlined below: 5.2.1 St Johns Site Reid Vacant land is available on the St John’s Anglican Church site on Amaroo Street in Reid. The church parish provided in-principle support for a 47 social housing development on the site, such as a Common Ground service model. It is proposed that a Common Ground model be considered on the section outlined in red on the site plan below: a) Site Benefits • Location The land is centrally located and close to transport, services and the adjacent Canberra Institute of Technology (CIT). The site allows for a residential building up to three storeys high and would take advantage of the Constitution Avenue upgrades planned for November 2012. According to the National Capital Plan, the Constitution Avenue upgrades will require an integrated public transport system, a diversity of uses and active street frontage to increase pedestrian activity and accompanying passive surveillance. These upgrades aim to result in a vibrant and engaging street atmosphere in direct proximity to the proposed site that will assist in creating a positive place to live for Common Ground tenants. • Adjacent to CIT The site offers the advantage of being located adjacent to the CIT, offering potential training and educational opportunities for tenants and increasing the ability to attract students that may contribute to a diverse tenant mix. b) Site Issues • Proposed Road 48 Both CIT and the St John’s Diocese have produced master plans for their sites that take into consideration a proposed road that may run from Constitution Avenue to Amaroo Street, increasing the street frontage and access to both sites. While the road is not guaranteed at this stage, it is anticipated that the proposed road would impact on the existing St John’s site by increasing the commercial use of the site and reducing the current land availability. Advice from the Directorate of Territory and Municipal Services indicates that the Constitution Avenue upgrades will provide a driveway access for the proposed road. In addition, the advice indicated that both CIT and St Johns had supported the proposed road, with construction likely to utilize a portion of both sites. A final decision on the proposed road would be required prior to acceptance of the site for a Common Ground model. • Non-Government Ownership of Land While the site provides for significant benefits in terms of the utilisation of vacant inner city land, the significant investment required to construct the building would need to be considered given that the site does not belong to the ACT Government. Constructing the Common Ground complex on land not owned by the Government would require a Deed of Grant that would not allow for the retention of the asset on the Government’s balance sheet. This would require the Government to account for the full expense in the initial year rather than through the depreciation of the asset over 40 years. Mitigating the negative budgetary effects of constructing on non-government land would require a suitable agreement with St John’s to lease the building back to the Government for the effective life of the building. The significant investment provided to construct the building would need to be provided on the condition that the investment is used to purchase a 25 year lease (the effective life of a building). This would allow the ACT Government to amortise the right to lease the building over 25 years rather than depreciating the asset over 40 years. At the completion of the lease agreement, St Johns would have the right to sell or retain the asset if they choose. Alternatively, building on Government land would ensure the long term ownership of the asset. • Service Operation The offer to utilise the vacant St John’s land has been provided on the condition that Anglicare Canberra and Goulburn (a subsidiary of the Anglican Church) are funded to operate the Common Ground model. The funding required to operate the model is likely to exceed the threshold of the Government Procurement Regulation Act 2009 that states that procurement above $200,000 should be conducted through an open tender process. 49 Under the Act, the Director General may approve to waive the threshold requirement subject to suitable conditions that determine a single organisation as most suitable to provide the service required. In this case, the ownership of the land combined with Anglicare’s experience in providing housing and homelessness services in the ACT could be a suitable condition. The provision of funding without a competitive tendering process may however prevent the identification of services more suitable to the operation of the model. In addition, the linking of funding to the ownership of land may impact on the ability to respond to issues of underperformance should they arise during the course of the agreement. A Service Funding Agreement with Anglicare would need to be negotiated that provides for the cessation of the funding arrangement under conditions of underperformance, without restricting the continued use of the building under the terms of the 40 year lease. These terms may impact on the land offer provided by St John’s. 5.2.2 Community Facilities Land in Hackett The ACT Government currently owns a vacant land site in Hackett. Block 12 of section 12 is classed as community facilities land that may be suitable for a Common Ground development. It is proposed that a Common Ground model be considered on the section outlined in red on the site plan below: a) Site Benefits • Location The site is located close to the city with effective transport routes available nearby. The site is also located close to the Dickson shops and to nearby 50 crisis accommodation providers such as Samaritan House (men’s crisis accommodation) and Toora House (women’s crisis accommodation). Given that a large number of chronically homeless people are regular service users of Samaritan House and Toora House, proximity to these services would assist in the transition to Common Ground. Likewise, proximity to these services would allow chronically homeless people not accommodated in Common Ground to access the on-site support services. • Open space The site is adjacent to playing fields that could be used to provide outside physical activities and contribute to the development of a therapeutic community for Common Ground tenants. • Privacy The site is set back from the street with trees lining the Madigan Street boundary and access limited to a small drive way on Maitland Street. This would provide privacy for vulnerable tenants and increase the capacity to monitor uninvited guests. b) Site Issues • Adjoining Service Operators The site forms part of the old Hackett school site which is currently shared by a number of service providers including the Blue Gum Community School. Consultation with current occupants would be required in the design and planning stage to ensure appropriate separation between the Common Ground and areas accessed by school children in particular. This may also require significant consultation with Hackett residents and the families of children attending Blue Gum Community School. Appropriate design principles can be used to ensure that physical separation is maintained while significant levels of on-site supports during school hours will assist in managing the behaviour of complex tenants accommodated in Common Ground. • Planning Issues Although the site is classified as Community Facilities Land, a recent variation to the Territory Plan has restricted the use of the site to disallow Supportive Housing Development. The definition provided for Supportive Housing requires the occupation of individuals to be “restricted by lease to persons with special housing needs for reasons of age or disability”. While Common Ground is not a Supportive Housing model according to this definition, negotiation with the ACT Planning and Land Authority will be required to determine if a Common Ground would be permissible on the site. 51 5.2.3 Surplus Property in Belconnen A surplus ACT Government property site exists in Belconnen that could be suitable for a Common Ground development. The site is currently the old police station and is set for redevelopment in 2.5-3 years time. It is anticipated that an earlier development date may be considered if a proposed Common Ground development is accepted for the site. It is proposed that a Common Ground model be considered on the section outlined in red on the site plan below: a) Site Benefits The site is located directly behind the Belconnen bus interchange, providing easy access to city services. The proximity to both the Belconnen commercial and services areas also provide a range of employment opportunities for both previously homeless and low income tenants. In addition to the employment and transportation benefits, the site offers the advantage of being within close proximity to the ACT Government Shop Front, Centrelink, Medical Centre, and a range of ancillary services including, optical, dentistry, and physiotherapy. The site is also within close proximity to the CIT’s Bruce campus and the Calvary Hospital, both accessible from the bus interchange opposite the site. The 2,800m2 site will allow for a four to six storey development with active street frontage creating a mix use site that could accommodate a range of community and specialist services. In addition to the Common Ground development, the site would have the capacity to include additional affordable housing apartments to encourage key workers and other tenants to move into the area. b) Site Issues 52 The surrounding area currently does not have any residential developments, reducing opportunities for neighbourhood integration outside of the Common Ground complex. It is proposed that a precinct plan be developed to allow for further residential development both in conjunction with the Common Ground proposed for the site and in the surrounding area where appropriate. 5.2.4 Summary of Site Options All three sites offer advantages in relation to proximity to services and transport routes. All three also have issues identified that may impact on the suitability of the sites for a Common Ground model. It is proposed that all three sites be pursued as potential site options subject to the resolution of issues identified and consultation with key stakeholders including local residents and business owners. 53 Part 6: Financial Modelling 6.1 Funding Requirements 6.1.1 Capital Funding Needs The physical accommodation requirements discussed in section 5.1 Requirements for the Physical Form are outlined below: • • • • • • • • • • • • 40 one bedroom units complete with bathroom, kitchen and laundry facilities; Multipurpose dining room with commercial kitchen; Medical treatment room; Interview room; Program room; Common Ground office; Case coordination/meeting room; Landscaped garden; Secure basement car parking; CCTV Cameras in common areas and service/program spaces; Single, secure entry point (monitored by CCTV and intercom access); and Swipe card access to building and individual units. Based on the construction costs funding formula used by Housing ACT, it is estimated that the Common Ground will cost approximately $11 million to construct. These estimates include design services and associated fees. Due to the significant costs associated with constructing the Common Ground, it is anticipated that Federal Government support may be required. Additional capital expenditure may also be required for the further development of the Belconnen site should this option be chosen for the Common Ground. Further development of the site would be outside of the scope of the Common Ground and would require partnering with an established affordable housing provider, the Federal Government (under the NRAS scheme), and/ or other private developers. 6.1.2 Recurrent Funding Needs The table below represents the estimated costs for operating a 40 unit Common Ground model with 16 hours a day of on-site and after hours on-call support. Aside from the on-site support workers, the estimated costing also allows for a dedicated program officer, a tenancy manager and a program coordinator: 54 Estimated Costs Per Annum- 40 units (16 hour on-site and after hours on-call support) Staff Costs $566,000 Admin costs $68,000 Transport costs $15,000 Rent costs -$54,000 Meal costs $13,000 Program costs $52,000.00 Brokerage costs $40,000.00 Funding Allocation $700,000 It is recommended that the rental income received from social housing and previously homeless tenants be remitted directly to Housing ACT. This would enable Housing ACT to provide cost effective maintenance services using economies of scale that span the broader social housing system. Given the ineligibility of affordable housing tenants for the Housing ACT rental rebate, it is recommended that Common Ground remit 33.3% of full market rent to Housing ACT and retains the difference between the amount remitted and 75% of full market rent received from the tenant. The amount retained has been factored into the costing tables to partially offset operational expenses. Recurrent costs per tenant would be lower under a larger scale model because the fixed component of these costs can be spread over a larger number. However, as noted earlier, this option has not been put forward in the report due to concerns over the costs and risks associated with a larger scale. 6.1.3 Additional First Year Expenses In addition to the recurrent funding estimated, additional expenses during the first year are outlined below: Additional First Year Costs Security Patrol Set up packages (20 x previously homeless units only) Total additional costs Funding Allocation $54,600 $100,000 $154,600 $160,000 The costing model above allows for a nightly security patrol for the first 12 months. The experience of other jurisdictions suggests that security requirements are greater during the initial 12 months as stabilisation of the community takes place. This is essential in order to establish an appropriate and beneficial culture from the start of the service. Set up packages for previously homeless tenants have also been allowed. Partnership opportunities may also be possible to offset this expense. This will be discussed further in section 6.4.3 Private Business and Philanthropic. 55 6.2 Cost/Benefit Analysis 6.2.1 Reduced Emergency Service Use Street to Home client data indicates that 9 out of 20 rough sleepers assisted were reported as accessing emergency services over the past six months. Of those services accessed, 14 clients were picked up by the Police for criminal activities, 3 clients visited hospital emergency wards for assessment and treatment, 4 clients visited the Psychiatric Services Unit, 6 clients were assisted by the Mental Health Crisis Team, and 8 clients accessed emergency accommodation services. Of those services accessed, Street to Home estimate that overnight accommodation comprised of approximately 3 nights in police custody, 12 nights in the Psychiatric Services Unit, and 56 nights in emergency accommodation services. While the service highlights that many incidents may have gone unreported, the results indicate that around 50% of chronically homeless people repeatedly access emergency services as a result of sleeping rough. In addition, the Street to Home team noted that a number of clients admitted to breaking the law in order to gain access to shelter, especially in winter. Average costs for providing emergency services are outlined below: Emergency Service Crisis Accommodation Prison Emergency Room Visit Mental Health Bed Hospital Bed Cost Per Night $133 $276 $439 $702 $1,100 Sources (cited by the Australian Common Ground Alliance 2011, Common Ground: A cost effective permanent supportive housing solution) 1. Crisis Accommodation- Australian institute of Health and Welface (AIHW) Government-funded specialist homelessness services SAAP National Data Collection Annual report 2008-2009 2. Prison- Productivity Commission: Report on Government Services 2010 3. Emergency Room Visit- Department of Health and Ageing (September 2009): National Hospital Cost Data Collection Cost report, Round 12 (2007-08); table 10A.71 (average of non-triage levels 1 to 5) 4. Mental Health bed- Federal Department of Health (2007-2008) figures: National Mental Health Report 2010 5. Hospital bed- AIHW August 2009: Estimating the impact of selected National Health and Hospitals Reform Commission (NHHRC) reforms on health care expenditure, 2003 to 2033 (acute care bed) Based on the figures above, the nine frequent emergency service users identified by Street to Home cost approximately $36,034 per year ($4,004 per person per year) in emergency service use alone. Those people cost a further $11,967 per year to be supported by the Street to Home team, 56 creating a total cost of $15,971 per year to support on the street. This does not take into consideration the cost of providing free food services and other charitable services supporting their basic needs. Given the additional resources provided an estimation of the total cost for supporting chronically homeless people would be closer to $20,000 per year. While a direct relationship can not be drawn between emergency service use and cost savings, other Common Ground models have indicated dramatic reductions in emergency service usage once clients are accommodated in supportive and stable housing. In addition, social benefits are associated with reduced emergency service use, including reduced demand on emergency services and improvements in individual wellbeing for chronically homeless people. 6.2.2 Cost Comparison with Existing Accommodation Models Given the social imperative to end chronic homelessness, a more effective cost benefits analysis would compare the costs of supporting people in a Common Ground model compared to other Housing First models already operating in the ACT. Residential Services Housing And Support Initiative (HASI) Managed Accommodation Programs (MAP) Common Ground $33,945 per year $93 per day $49,640 per year $136 per day $35,000 per year $96 per day Sources 1. HASI- ACT National Partnership Agreement on Homelessness Annual Report 2009-10 p 53 2. MAP-ACT National Partnership Agreement on Homelessness Annual Report 2009-10 p 49 The cost comparison outlined above indicates that supporting chronically homeless people in a Common Ground model is a cost equivalent model for individuals that would not meet the requirements of the Mental Health Housing and Assistance Program or the Managed Accommodation Programs. Both of those programs target individuals exiting institutions, including the Psychiatric Services Unit and the Alexander Machonochie Centre. A Common Ground model would provide a Housing First model that would not require direct previous involvement with institutions. This would meet the needs of chronically homeless people with a diversity of needs and circumstances. 57 6.3 Identification of Financial Challenges A range of initial and ongoing financial challenges need to be considered in order to ensure that the Common Ground model is capable of supporting chronically homeless individuals. These issues are discussed below: 6.3.1 Ongoing Security Needs The experience of other Common Ground models in Australia suggest that security requirements reduce over time, as stable communities are established. Reducing the physical presence of security after hours will be an important element in moving towards an independent and self sustaining community. At the same time, as new tenants move in to the Common Ground, issues of safety may arise that requires reinstating of security arrangements after the first 12 months. Capacity to ensure the ongoing safety of all tenants should be retained to some extent. This may require financial partnerships or pro bono security services, subject to the needs of the program in future years. 6.3.2 Set Up of Units and Common Spaces While the budget outlined in section 6.1.3 Additional First Year Expenses provides for set up costs for the previously homeless units, additional furnishings will be required for common spaces, treatment rooms and program specific spaces. This may also include items such as computers, art equipment, and medical equipment that are beyond the scope of the original funding model. In addition, ongoing set up costs will be required as tenants move onto other accommodation options. Items such as linen and basic pantry items will be required as new previously homeless tenants move into the complex. The experience of other Common Ground models in Australia suggests that business and philanthropic partnerships may be sourced to meet both initial and/or ongoing set up costs. 6.3.3 Brokering Additional Services A significant component of the Common Ground model will be ensuring access to mainstream and specialist services. Brokering these services may be required where access is limited or where extended wait lists are unable to meet instances of urgent need. In particular, homelessness sector consultations highlighted the need to provide general medical and dental services. It was noted that extended wait lists for medicare funded practitioners creates a significant barrier for people with complex needs in the ACT. 58 The Street to Home program has recently received support from the Calvary Hospital to provide a general practitioner and nurse on a pro bono basis as part of the night patrol service. Likewise, the South Australian Common Ground has received pro bono support from the University of South Australia Dental School who will be providing services on-site for all Common Ground tenants and the broader homelessness sector. Brokering support from local practitioners, medical schools and ancillary services through either pro bono or financial arrangements may be required to meet the diverse needs of individual tenants of the Common Ground. 6.3.4 Reliance on Affordable Housing Rental Returns As previously discussed, the financial viability of the model is contingent on the attraction of affordable housing renters. Victoria and South Australia have reported that the maintenance of target percentages of affordable renters has been difficult. Sydney however has reported no difficulties and Brisbane and Hobart are yet to be tenanted. The States and Territories have agreed to share information on this issue. Additional funding for the program may be required if affordable housing renters can not be attracted into the Common Ground model. 6.4 Partnership Opportunities In order to meet the initial and ongoing financial challenges associated with the Common Ground model, partnership opportunities must be considered. Such partnerships include both financial and non-financial arrangements to provide the breadth of service and support functions necessary to an effective service model. 6.4.1 Other Directorates and Mainstream Services As outlined in section 4.2.3 Integrated Service Delivery, partnership with relevant Directorates and Mainstream Service providers will be an essential component of a Common Ground model. This will require both high level commitment (through a Service Partnership Agreement), and practice level cooperation (through the multidisciplinary team) to ensure a coordinated and consistent approach. The University of Canberra’s Faculty of Health Clinics provides services in the areas of exercise physiology, dietetics, physiotherapy, pharmacy, and psychology. It may be possible to establish linkages through the clinics to provide the mutually beneficial exchange of clinical experience for final year students with the provision of supervised allied health services for previously homeless tenants. This has been achieved in the South Australian Common Ground through the recently established partnership with the University of South Australia Dentistry School as discussed in section 6.3.3 Brokering Additional Services. 59 6.4.2 Commonwealth Government In 2011, the Commonwealth Government announced the opening of the Camperdown Common Ground model in Sydney. Then Minister for Social Housing and Homelessness the Honorable Mark Arbib announced that the Common Ground model would provide a basis for future efforts to address homelessness in Australia. Given the significant costs associated with establishing a Common Ground model, Commonwealth support would likely be required to assist in the construction of the Common Ground complex. Despite the Commonwealth Government’s commitment to Common Ground models, the recent correspondence with the Commonwealth suggests that federal funding support for a Common Ground construction in the ACT may not be available The Commonwealth Government’s inability to commit to supporting a Common Ground development in the ACT will make it difficult for the ACT Government to fund the construction at this stage. Alternative options may need to be explored. 6.4.3 Private Business and Philanthropic Private business and philanthropic contributions can provide a unique opportunity to engage the broader ACT community in addressing chronic homelessness through practical and meaningful partnerships. Such partnerships have been the cornerstone of many Common Ground models that recognise that homelessness is a social issue that requires a whole of society effort. Whether through the donation of goods such as furniture, services such as legal advice, or direct financial contributions for the brokering of specialist supports, business and philanthropic partnerships have the capacity to make a significant impact on the capacity of the program to effectively meet the diversity of tenant needs. Organisations such as Social Ventures Australia (SVA), have committed to developing business and philanthropic partnerships to support social objectives. The Social Enterprise Hub established by SVA can provide a range of business supports including legal advice, marketing and website development that could be harnessed by the Common Ground to support social enterprise activities on-site. Social Enterprises provide for real employment and training opportunities for disadvantaged people, including the opportunity to encourage social inclusion and positive self esteem. The experience of the Our Place youth housing model indicates that such partnerships are difficult to broker and require substantial effort to obtain and maintain. The dedicated program officer would have a significant role to play in networking with and encouraging support from the business and philanthropic sectors as a core business activity for the model. These activities must be 60 allowed for and factored into the position to ensure that partnerships sought reflect the needs and interests of the tenant group. In addition, the Common Ground Canberra Group has also been actively involved in developing business and philanthropic partnerships should the Common Ground model be developed in the ACT. It is anticipated that such partnerships will play a significant role in meeting the financial challenges outlined in section 6.3 Identification of Financial Challenges. 6.4.4 Common Ground Canberra and ACGA. As discussed in section 4.2.2 Governance, the Common Ground Group in Canberra would have an important role to play in the promotion and delivery of Common Ground objectives. The group provides an important link to the business and philanthropic sectors and would assist in providing advice on Common Ground learnings from other jurisdictions through their involvement with the Australian Common Ground Alliance. The Common Ground Group in Canberra would provide both practical and strategic advice on the application process for utilisation of the Common Ground name, and would work with both the service provider/s and the Evaluative Body to ensure that any Common Ground model developed in Canberra would meet the needs of both the Australian Common Ground Alliance and key Common Ground partners. 61 Part 7: Conclusions and Recommendations 7.1 Conclusions The feasibility study identified that a Common Ground model developed in consideration of the unique needs of the ACT could assist in ending homelessness for chronically homeless people. The service model options outlined through this report provide for an integrated and responsive Housing First model, incorporating mainstream, business and community partnerships. A range of issues were raised in relation to the identification and allocation of Common Ground tenancies, location issues, and financial challenges. It was considered inappropriate for Common Ground to accommodate children, however it was further noted that the safety of children visiting and around the site must also be ensured. The design of the building is considered crucial to the success of the model in allowing for interaction and community inclusion whilst providing for the security and protection of vulnerable tenants. A diverse tenant mix will be essential in reducing the risk of creating a pocket of disadvantage and in normalising the living environment for people with complex needs. Importantly, the feasibility study indicates that Common Ground provides a cost equivalent model for addressing chronic homelessness, and could potentially contribute to reduced use of emergency services by people currently living on the streets. The imperative to end chronic homelessness was discussed in relation to the reduced life expectancy and vulnerability associated with living on the streets. This imperative has been a commitment of the ACT Government throughout the last decade. Common Ground provides an opportunity to create real in roads on the path to ending chronic homelessness through the provision of secure and affordable housing. It is also noted that the model requires significant capital and recurrent funding, which would likely be dependent on both Commonwealth and ACT Government support. A summary table of the model proposed is provided below: Specifications Aim Target Restrictions Scale Support Capital Costs Recurrent Funding Additional First Year Funding Cost per previously homeless tenancy Addressing Chronic Homelessness Priority A (Significant Housing Needs and Significant Support Needs) Must be over 18 years of age, singles and couples without children, and homeless for more than six months 40 units 16 hour a day on-site supports with after hours on-call support $11 million $700,000 $160,000 $35,000 62 7.2 Recommendations A summary of the recommendations made throughout this report are included below: 1. It is recommended that the ACT Government consider the establishment of a Common Ground Housing First model to assist in addressing chronic homelessness for highly vulnerable people in the ACT. 2. It is recommended that the service model consider the following components: a) The model should target singles and couples without children, and should aim for an equal tenant mix between low income tenants (including both social housing and affordable housing) and previously homeless tenants; b) The model should allow for the appropriate level of on-site support according to the preferred option outlined in section 7.1. c) The model should ensure the separation of tenancy management and support worker roles; d) The model should allow for transfers between Common Ground and alternative social housing options where required; e) The model should be based on a case coordination model, assisting tenants to access mainstream services where possible; f) The model should employ a dedicated Program Officer to ensure the coordination of social inclusion and engagement activities for Common Ground tenants; g) The model should allow for a diverse entry point system to identify chronic homeless people suitable for Common Ground; and h) The model should utilise the social housing register and external advertisement for the identification of low income tenants, with selection of tenants based on an assessed capacity to effectively participate in the Common Ground community. 3. It is recommended that the physical form consider the following components: a) b) c) d) The physical form should contain appropriate levels of physical safety measures including; CCTV cameras, swipe card access, single entry point, and line of sight through common spaces; The physical form should contain 40 one bedroom units, including individual bathrooms, kitchens, and laundry facilities; The physical form should include a range of spaces that allow for varied levels of interaction, a multipurpose space with kitchen facilities, and external landscaped garden; The physical form should include a medical treatment room, interview room, service provider offices, a meeting room for case coordination, and a dedicated program room; and 63 e) The physical form should be determined in consideration of the final site chosen for the Common Ground. 4. It is recommended that the funding model consider the following components: a) b) c) d) e) The funding model should allow for previously homeless and social housing tenants to pay 25% of income in rent, remitted to Housing ACT; The funding model should allow for affordable housing tenants to pay 75% of full market rent with 33.3% remitted to Housing ACT and the balance retained by the service provider; The funding model should allow for $11million for the construction of the ACT Common Ground; The funding model should allow for $700,000 in recurrent funding for the operation of the ACT Common Ground; and The funding model should allow for $160,000 in the initial year for additional security and set up expenses. 5. It is recommended that the partnership framework consider the following components; a) b) c) d) e) f) The partnership framework should include cooperation between the ACT Government and the ACT Common Ground Group (CGG), with the CGG responsible for fundraising, networking and capacity building; The partnership framework should establish an evaluative body to assess the impact of the Common Ground on tenant outcomes; The partnership framework should include a high level Service Partnership Agreement between ACT Government Directorates responsible for the delivery of services to people with complex needs; The partnership framework should establish a Multidisciplinary Team of mainstream workers from partner Directorates to provide case coordination support for Common Ground tenants; The partnership framework should investigate opportunities for partnerships with student clinics, pro-bono service providers, business and philanthropic organizations that can support the objectives of the Common Ground; and The partnership framework should investigate opportunities for partnerships with the Commonwealth Government to support the financing of the Common Ground development. 64 Appendix A: Literature Review on Housing First This Literature review seeks to analyse existing research on the Housing First approach and associated service models, including Common Ground. The findings of this literature review will inform the further development of an effective Housing First service model for the ACT context. It is recognised that many Housing First models do not provide ongoing and assertive support. For the purpose of this paper, Housing- First is defined as long term accommodation provided within an assertive support framework. While Housing First models have been successfully established in the USA, the UK and other parts of Australia, the unique characteristics of the ACT mean that establishing an effective model for the Territory will require tailoring and modification to ensure the right people are accommodated and the right amount of support is available to meet their needs. Understanding the core elements of the Housing First approach will be necessary in order to determine the right mix of accommodation and support for the ACT context. At the same time, it is important to recognise that the practical application of Housing First models have been as diverse as the contexts in which they have been applied. This section shall therefore, examine existing research and evaluations from a range of service models and research sources according to the following key themes: • • • • • Core elements of Housing First; Targets; Service models, including accommodation and supports; Cost benefits; and Effectiveness. This thematic analysis of the existing literature will form the basis of the feasibility study into the development of an appropriate Housing First approach for the ACT context. Core elements of Housing First models The core elements of the Housing First philosophy are that: • • Housing is not contingent on acceptance of support or on sobriety; Long-term stable accommodation is provided with the coordination of individualised supports according to the needs of the person or person/s accommodated; and 65 • Assertive outreach is provided to encourage tenants to address underlying issues that may lead to repeat periods of homelessness in the future (City of Melbourne 2007:3). More specifically, the core elements of Common Ground Housing First models are: • • • • • • Permanence- there is no time limit on tenure (for formally homeless tenants); Safety- a 24 hour concierge service is provided to ensure security of access; Supportive- On site support services are provided free of charge; Integrated- there is a tenant mix of previously homeless and low income renters; Affordable- rent is paid at no more than 30% of income; and Quality- services operate from high quality and sustainably designed complexes. (Gilmore and Wheaden, 2010:16) Housing First is based on the premise that stable housing is needed to address complex issues such as drug and alcohol addiction and mental illness, rather than the traditional approach that requires such issues to be addressed before a person can qualify for housing. In addition, the Housing First approach asserts that providing long term housing quickly and in combination with adequate support, is important in securing long-term stabilisation for chronically homeless people (Hansen 2010: 117-119). Johnsen and Teixeira (2010) assert that Housing First models seek to avoid the linear pathway of crisis, transitional and long term accommodation, by moving people directly into long term housing straight away. They attribute the origins of the Housing First philosophy to US psychiatrist Dr Sam Tsemberis from the New York ‘Pathways to Housing Organisation’ who used the model initially to support homeless people with mental health issues before adapting it to support homeless people with substance addictions. Key to Dr Tsemberis’ philosophy was that treatment should be a choice, where housing should be considered a right (Johnsen and Teixeira 2010:6). The traditional linear housing model which moves homeless people through accommodation types based on compliance with sobriety and predetermined rules for independence is a “treatment first” approach rather than a “Housing First” approach (Johnsen and Teixeira 2010). Although linear/treatment first approaches have been successful for some, for others with complex needs, such an approach can lead to attrition as clients fail to move on from one stage to the next (Johnsen and Teixeira 2010:8-9). Johnsen and Teixeira note that attrition can result from the sense of instability created, the lowering of supports over time, the lack of tailored support and autonomy, and the failure to respond adequately to complex clients that do not readily conform (2010:9).In addition, research into the treatment of both psychiatric disorders and addictions have indicated that recovery does not occur in a linear fashion, but requires individually tailored support capable of 66 meeting the varying levels of need through out the life of the problem being addressed (Johnsen and Teixeira 2010:9). Unlike the linear/treatment first approach, Housing First does not require individuals to prove that they are housing ready. (Reynolds 2007). Housing First aims to move individuals quickly from the street to the home once agreement has been made to move into accommodation, rather than waiting for the person to transition through crisis and transitional accommodation services. As noted above, under a Housing First model, support is available to the person accommodated however housing is not contingent on acceptance of support (Reynolds 2007:38), hence allowing for the accommodation of individuals with complex needs that may not be ready or willing to accept support in order to access housing. Although engaging in support is not a condition of the housing, residential tenancy laws still apply (Reynolds 2007:38). In this respect it is common in Housing First models to separate the management of the tenancy from the provision of support. Since landlords generally cannot impose discriminative rules on properties, for example, a no tolerance alcohol ban, like wise a Housing First approach can only address disruptive behaviours that may transgress tenancy laws (Reynolds 2007:39). This approach ensures that people with substance abuse issues can still access housing with the focus given to harm minimisation and behaviour modification strategies where necessary to protect their tenancy. The separation of tenancy and support functions is a key feature of many Supportive Housing First models such as the Common Ground project on Elizabeth Street, Melbourne which is delivered through a collaborative partnership of a community housing provider acting as the building owner and tenancy manager, a support provider delivering on site support and concierge, and the Victorian Government and a private developer constructing the purpose built apartment complex (Jope 2010:17). By separating access to housing from clinical compliance, the Housing First model aims to create an environment of physical stability from which further stability in ones mental and emotional wellbeing can develop over time. Target The Commonwealth Government’s The Road Home- A National Strategy for Reducing Homelessness(The Road Home) notes that specialist homelessness services that combine long-term stable accommodation with supports should be targeted at homeless families, older and chronically homeless people, and young people experiencing homelessness (Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) 2008:49). In a 2007 report titled To Examine Programs that Assist Vulnerable and Complex Chronically Homeless People, Felicity Reynolds notes “Chronic Homelessness is not Homelessness” (Reynolds, 2007:4). While anyone, at anytime can experience homelessness due to family breakdown, disaster, or illness, chronic homelessness is a long term condition perpetuated by complex 67 needs such as developmental disability, mental illness, traumatic brain injury, history of abuse, addictions, and so on (Reynolds, 2007:4). Johnsen and Teixeira define people with complex support needs as “those with moderate to severe mental health problems and/or active substance abuse problems (drugs, alcohol, or polysubstance misuse)” (Johnsen and Teixeira 2010:1). Johnsen and Teixeira further point out that Housing First models target the most vulnerable people who would be less capable of transitioning through the traditional linear homelessness system (Johnsen and Teixeira 2010:7). Housing First therefore is most suitable for addressing long-term homelessness and is not designed to provide early intervention or prevention for individuals and families experiencing homelessness for the first time (Gordon 2007). Given the complexity of needs associated with long term and chronic homelessness, an in depth assessment of ongoing support and accommodation needs is required prior to accommodating individuals or families in Housing First service models (Gordon 3007:2). An analysis of existing literature on Housing First models provides valuable input into the appropriateness of this service philosophy for a range of subgroups as discussed below: Chronically Homeless Singles Elderly Older homeless people often face significantly greater disadvantages than other older people and are more likely to experience mental illness, physical and cognitive impairment (FaHCSIA 2008:61). In addition older homeless people are more likely to have been homeless for longer periods of time and have a higher prevalence of drug and alcohol addiction (FaHCSIA 2008:61). Johnson and Teixeira note that older homeless people are more likely to maintain their housing long term as they are less likely to leave due to physical limitations (2010:12). Research indicates that Housing First for older people should combine quality accommodation located close to transport and services, with support services such as house keeping, transport and laundry (Jope 2010:30-31). In addition, these service models should provide regular check ups and social inclusion activities for older tenants and linkage with externally provided aged care and health care services (Jope 2010:30-31). Mental Health An evaluation of the Mental Health Housing and Support Initiative (HASI) in NSW indicated that men under 34 years of age with diagnosed schizophrenia are the predominant client group requiring accommodation and support (Fisher, Muir, Dadich, Abello & Bleasdale 2007:2). In addition, the report highlights that 71% of tenants indicated improved mental health as a 68 consequence of the program, which combines long-term stable accommodation with assertive outreach support (Fisher et.al. 2007:2). Fitzpatrick-Lewis, Ganann, Krisharatne and Ciliska (2011) compared the effectiveness of the Housing First approach for homeless people with both mental illness and drug and alcohol dependencies. The report indicated that homelessness decreased by 66% for clients housed first as opposed to the control group, with substance abuse treatment also reducing for those clients (Fitzpatrick et.al. 2011:13). Drug and Alcohol Fitzpatrick-Lewis et.al also compared the results of housing homeless people with drug and alcohol addictions in abstinence dependent and non-abstinence dependent accommodation. While co-morbidity results favoured non-abstinence dependent accommodation, the report showed that in the absence of mental illness, long term drug and alcohol abstinence was more effectively achieved when accommodation was contingent upon sobriety (Fitzpatrick et.al. 2011:12). Dr Tsembris’ Housing First philosophy however is based on a harm minimisation practice rather than requiring abstinence from substance use, in recognition that housing should be separated from a person’s addiction rather than contingent upon treatment (Johnsen & Teixeira 2010:7). While abstinence from substance use is not required, Johnsen and Teixeira provide evidence that substance use leads to greater tenancy failures than mental health alone because substance use increases the risk of disruptive and criminal behaviours that could impact upon tenancy requirements, for example, allowing others to occupy the premises to conduct drug deals (Johnsen and Teixeira 2010:12). The results highlight that Housing First can be appropriate for homeless people with combined mental illness and substance addictions however, care is required in accommodating individuals with substance addictions alone. Families The Road Home, notes that 2,000 families were accommodated in Australian homelessness services for over six months in 2006-2007 (FaHCSIA 2008:46). The strategy further highlights the need for families to move quickly from homelessness into long term stable accommodation, noting that a large number of people experiencing homelessness will transition through multiple homelessness services before stable accommodation can be achieved (FaHCSIA 2008:46). The ACT NPAH Annual Report 2009-10 also recognises that pathways through homelessness can create hurdles for homeless families that make stabilisation of complex needs difficult to overcome (DHCS 2010:17). Given the unique needs of family groups as opposed to homeless singles, Housing First models for families must consider appropriate housing options 69 that allow for children’s recreation and development of social and motor skills (Jope 2010). In addition, support services should include access to childcare and after school recreation, as well as child and family support services such as counselling and family health care (Jope 2010: 27). Jope (2010) notes that scattered sites or small residential complexes are best for this target group. Young People The Road Home notes that young people experiencing homelessness may also benefit from long-term accommodation options that are linked to participation in education and employment (FaHCSIA 2008:47). The strategy highlights that such models would benefit young people who require support and mentoring to attain independence (FaHCSIA 2008:47). Johnsen and Teixeira however suggest that permanent long term housing is not necessary for young people experiencing homelessness and that existing transitional models are most suitable for this target group, citing evidence that young people are less likely to sustain their housing long term (Malone 2009 cited in Johnsen and Teixeira 2010:2). The ACT’s Our Place initiative is focused on accommodating and supporting young people aged 16-25 in order to create long term stable housing and engagement with education and employment services. The service provides stability of tenure without the permanence required of Housing First service models. In this way, Our Place seeks to encourage young people to move on into independent living once education, training and employment goals are achieved (DHCS 2010:55). Given the evidence discussed above, Housing First is considered most appropriate for chronically homeless singles and families with multiple risk indicators such as mental health, substance use and domestic violence. Housing First service models should however consider the differing needs of each target sub-group when determining the appropriate service model. Service Models Accommodation Types Although the majority of Housing First models utilise apartment complexes aimed at accommodating single homeless people, a range of accommodation compositions have been established from small to large-scale complexes and with a mix of allocations to homeless and low-income people of between 50% to 100% (City of Melbourne 2007:4). In addition, the levels of on site support vary across Housing First models with larger complexes requiring a higher concentration of support hours than smaller residential units (City of Melbourne 2007:4). Jope (2010:37) identifies three accommodation types suitable for Housing First developments as outlined below: 70 i) Scattered single site in which various apartments that are scattered through out a complex are dedicated to the target group but not readily recognisable. This type would allow for normalising and community integration within the broader complex for individuals with medium to high intensity support needs. ii) Clustered in which smaller complexes are dedicated entirely to the target group to encourage peer support. This type would be most suitable for low-medium needs individuals that would benefit from the support of other residents but don’t necessarily require intensive support. iii) Set aside units in which sections within a larger complex are reserved for the target group to maximise supports for those with higher support needs. This type in particular would require adequate security and access considerations to be included in the building design, such as swipe cards, CCTVs and concierge requirements (Jope 2010:37-39). Gordon concurs that security on Housing First complexes is important given the vulnerability of residents and the complexity of issues that chronically homeless people experience (2007:3). It is also noted that while large scale complexes create economic efficiencies, high-density complexes are not the preferred model for people with significant disabilities. (O’Hare and Day, 2001:11) Pathways to Housing Unlike other approaches, the Pathways to Housing philosophy originally espoused by Dr Tsemberis asserted that accommodation should be scattered through out the community in order to create a normalising environment and encourage community integration (Johnsen & Teixeira 2010:7). In addition, Dr Tsemberis’ model involved privately rented properties head leased by the support provider with a maximum of 15% of properties within any complex to be used for homelessness accommodation (Johnsen and Teixeira 2010:7). Gordon (2007:2) concurs that accommodation options need not be limited to public housing supply and could consist of private rental subsidies, community housing or purpose built designs. Gordon (2007:3) further notes that accommodation should be of a desirable quality to encourage a sense of pride in one’s place and must be affordable, with rent charged at no more than 30% of the tenant’s income. The 2007 evaluation of the NSW Mental Health Housing and Support Initiative (HASI) indicated that the majority of HASI tenants lived alone in two bedroom apartments, with co-tenancy recognised as a barrier to long term stabilisation (Fisher et.al. 2007:2). The evaluation did however show that a cluster model approach was considered effective where there were no more than 3-4 tenants located within the cluster and where there was adequate consideration given to the tenancy mix (Fisher et.al. 2007:2). 71 Hansen argues that congregating groups of homeless people together has led to instances of functional homelessness and disadvantage in some cases, and cautions against unconsidered cluster models in developing a Housing First approach (2010:122). Other variations on the Pathways Housing First model have been created in which large apartment complexes are used rather than dispersed properties within the community, with some variations placing time restrictions on how long a person can stay accommodated before moving on to other long term accommodation options (Johnsen and Teixeira 2010:8). Common Ground Common Ground is one variation is which apartments are used to house complex needs homeless people along side low-income renters. This model provides permanent supportive housing with on site support for as long as the tenant requires (Johnsen &Teixeira 2010:13). The model originally developed in New York, provides a Housing First approach with assertive on site support, accommodating people from the streets in newly converted inner city apartments (Jope 2010:16). The original model used a partnership framework to redevelop abandoned hotels into affordable housing sites catering for 50% low income and 50% previously homeless tenants (Jope 2010:16-17). Common Ground was successful in reducing street homelessness in New York by 87% during the initial two years and reports an average length of tenure of 4.8 years (Johnsen & Teixeira 2010). Common Ground charges tenants 30% of income, be it Government pension or employment income, and has through self-evaluation reduced the eligibility requirements so that acceptance of mental health and substance use treatment is no longer required. The changes also removed exemptions for recently evicted homeless people and those having been released from correctional facilities (Johnsen & Teixeira 2010:14). Supports Housing First models recognise that housing is not enough to help chronically homeless people to address underlying issues. Housing must be combined with support to achieve longer term outcomes such as sustained accessing of health care and psychiatric services and reduced substance dependence (Fitzpatrick et.al. 2011:23). The Road Home highlights the need to provide flexible supports in recognition that different people will require different levels of support and for different periods of time (FaHCSIA 2008:47). The strategy notes that wrap around support that ensures the coordination of all services required to meet individual needs is required. This includes linking individuals with employment, health care and social inclusion services (FaHCSIA 2008:47). Supports should be flexible enough to accommodate low, medium and high support needs in order to effectively address underlying issues that individuals may have (Gordon 2007:2). Housing First models require on site and long72 term assertive outreach support rather than time limited interventions, especially given that acceptance of support is not a requirement of the accommodation (Gordon 2007:3). Under the Pathway’s Housing First model, tenants do not have to accept treatment but are required to meet with caseworkers twice a month, for 12 months and to participate in a money management program (Johnsen &Teixeira 2010). After that time they are able to stay on permanently in the accommodation and will be subject to the same tenancy rules as every other tenancy agreement (Johnsen and Teixeira 2010:7). Pathways provide “Assertive Community Treatment” (outreach) to Housing First tenants through a multidisciplinary team comprised of social workers, mental and physical health workers, former homeless persons who provide peer support, and employment officers (Johnsen & Teixeira 2010:7). Outreach support is provided on call 24 hours each day for a limited time according to the individual tenant’s needs (Johnsen & Teixeira 2010: 7). The ACT discussion paper The Road Map notes that the coordination of outreach supports to people accommodated in Housing First properties is a key component in assisting people with complex needs to achieve independence (DHCS 2009:16). The Danish Housing First strategy also recognises the vital role of adequate support, qualifying the provision of Housing First accommodation by the following three conditions, that: i) Housing First programs must be supported by other initiatives aimed at meeting the needs of people accommodated; ii) programs must be goal oriented; and iii) programs must address the economic conditions of those accommodated (Hansen 2010:119). The Danish Housing First strategy further asserts the need for Assertive Community Treatment (ACT) utilising a group of mobile workers with an interdisciplinary approach to addressing homelessness, Critical Time Intervention (CTI) in terms of quickly moving people into long term housing, and Individual Case Management to ensure responsibility for the coordination of support needs (Hansen 2010:121). Common Ground however, provides on-site supports in multi-story apartment complexes, mixing social inclusion and community building activities, with case management supports (Jope 2010:16). Social inclusion is an important component of successful Housing First models with activities located both within accommodation complexes and externally to encourage community engagement (Gordon 2007:4). In addition, Housing First models should assist tenants to access employment through on and off site skills training, and through employment opportunities such as cafes and cleaning services (Gordon 2007:4). 73 Social inclusion activities have been vital to the success of the Mental Health Housing and Support Initiative (HASI) in NSW, with 83% of tenants participating in social inclusion activities and 43% engaged in employment or study, compared to just 9% on entry into the program (Fisher et.al. 2007:2-3). In addition, 93% of tenants had developed friendships as a result of their engagement in HASI social inclusion activities, compared to 23% who reported having established friendships on entry into the program (Fisher et.al. 2007:2-3). The research above indicates that a variety of accommodation and support models have been adapted to establish Housing First models. The key considerations when determining the appropriate service model for a particular context are: i) The target sub-group that the service aims to attract; ii) The levels of support required; and iii) The capacity to ensure the safety and wellbeing of both the target group and other tenants residing within and around an accommodation complex. Establishing a Housing First model in the ACT would therefore require consideration of the balance between creating a normalising and community integrated physical space, with the need to ensure adequate security, support and service provision. Cost Benefits While the upfront capital costs of establishing a Housing First model can be substantive, international evidence shows an overall savings in terms of reducing the ongoing costs of repeat homelessness (Gordon 2007:2). Many studies indicate a cost benefit for Housing First programs, as they tend to lead to a reduction in the use of costly emergency services. Evidence from the Denver Housing First Collaboration shows that emergency related costs were reduced by an average of 73% or $15,772.50 per client per year (Johnsen & Teixeira 2010).Taking into account the costs of operating the program, this resulted in a net savings of approximately $4,745 per client over two years (Johnsen& Teixeira 2010:9). In 2007, the Pathways to Housing Organisation reported that the average cost per night to accommodate a person under their Housing First model was $57, noting further that clients contribute to this cost by paying 30% of their income as rent (Liou, Nutt, Dunham & Sanchez 2011). Compared to the average cost of accommodating a person in an emergency shelter ($73 per day), hospital ($519 per day), Psychiatric Hospital ($1,185 per day) or jail ($164 per day), the Pathways to Housing model provides a cost efficient model of service delivery while increasing client benefits in terms of housing sustainability and associated wellbeing (Liou, Nutt, Dunham & Sanchez 2011:10). 74 Based on the methodologies of Professor Denis Culhane from Philadelphia, Chair of the Australian Common Ground Alliance Felicity Reynolds estimated that it could cost approximately $34,000 per year to support a chronically homeless person on the streets of Sydney (Reynolds 2007:35). These costs include medical expenses associated with hospitalisations, legal costs associated with criminal charges, detoxification services and emergency accommodation (Reynolds 2007:35-36). Reynolds further argues that chronically homeless people should be supported to access mainstream services as soon, and as much as possible, in order to move out of the homelessness system and into independent living (Reynolds 2007:37). Jope (2010) concurs that supporting long term housing can reduce costs related to emergency shelters, hospitalisations, imprisonment, and health care. In addition, it can lead to economic benefits associated with encouraging chronically homeless people to participate in the employment market (Jope 2010:16). The evidence cited above suggests that addressing long term homelessness through a Housing First approach can not only produce positive outcomes for homeless people, it can do so at a cost benefit when reduced use of emergency and related services are taken into account. While this evidence bodes well for the establishment of a Housing First model in the ACT, further investigation into the actual costs of homelessness and mainstream emergency services in the ACT is required in order to conduct an accurate cost benefit analysis. Effectiveness Evaluations of the diverse range of Housing First models established both in Australia and Overseas, indicate that the underpinning philosophy provides an effective foundation for supporting chronically homeless people into long-term and secure housing. Outcomes can be discussed according to the following considerations: Housing retention and clinical outcomes The Road Home indicates that the South Australian Street to Home program which uses assertive outreach to move chronically homeless people off the streets and into long-term accommodation, had successfully housed 200 rough sleepers with 95% of tenancies being sustained over time (FaHCSIA 2008:51). The strategy further indicated that 1 in 5 rough sleepers supported had been homeless for between 5 and 15 years before being housed through the program (FaHCSIA 2008:51). Evidence from the review of the Pathways Housing First model indicates that 80% of tenants maintained their housing after 2 years and 75% of tenants maintained their housing after 4 years, compared to just 50% of tenants supported in linear based approaches (Johnsen & Teixeira 2010:8). While there were little differences in improvement of substance misuse or clinical 75 conditions for Housing First and treatment first clients, Housing First clients showed a lower rate of hospitalisation over a 2-year period (Johnsen &Teixeira 2010:9). This evidence is consistent with findings from the Substance Abuse and Mental Health Services Administration (SAMHSA), that found that while Housing First models achieved an 87% housing retention rate compared to treatment first models which achieved a 46% housing retention rate, clinical outcomes were indifferent between the two groups despite the fact that Housing First clients were not required to accept treatment (Liou, Nutt, Dunham & Sanchez 2011:7). This indicates that the Housing First approach does not negatively impair the recovery of individuals with mental illness or substance addictions, despite the fact that housing is provided without the need to accept treatment for these conditions. Normalising accommodation options compared to community connectivity A 2007 study by Stefancic and Tsemberis found that housing maintenance outcomes were 21% higher in the Pathways Housing First model compared to other housing first models. This was attributed to the Pathways to Housing Organisation’s use of dispersed properties in order to create normalising conditions rather than apartment complexes that they conclude can perpetuate negative behaviours amoung residents with complex needs (Stefancic & Tsemberis 2007, cited in Johnsen &Teixeira 2010:10). The ACT National Partnership Agreement on Homelessness Annual Report 2009-2010 also indicates consistent results in housing maintenance outcomes for tenancies established under the dispersed Housing First model, APTCH. The report notes that 100% of tenancies had lower than average tenant responsible maintenance costs and no tenants owed more than $500 in rental payments at the conclusion of the 2009-10 financial year (DHCS 2010:20). A 2010 review by Kresky-Wolff et al. also indicated that the dispersal of Housing First properties promotes self-responsibility and stability, leading to increased positive outcomes for clients (Kresky-Wolfe et.al. 2010, cited in Johnsen & Teixeira 2010:11). The review did however, acknowledge that employees of Housing First models operating from multi-unit complexes had indicated that social wellbeing was increased through such models as clients and support workers had more regular and less formal catch ups, leading to greater levels of trust and community connectivity ((Kresky-Wolfe et.al. 2010, cited in Johnsen & Teixeira 2010:11). In consideration of the largely positive outcomes achieved, Johnsen and Teixeira caution that there remain significant challenges and risks associated with borrowing policy positions based on innovative programs operated effectively in other contexts. This is especially true where external influences such as welfare regimes, homeless demographics and housing supply may 76 lead to policy and practice failure when not adequately considered (Johnsen & Teixeira 2010:3). Concluding Remarks The key objective of Housing First models pertaining to the rights of chronically homeless individuals and families to access long term, affordable housing quickly and without preconditions, is evident through out the diversity of models developed. Through analysis of existing literature, this paper concludes that a Housing First model could be adequately adapted to meet the needs of the ACT. In finalising an effective service model for the ACT context, consideration of the homelessness population demographics is required to determine which subgroup will be targeted and which relating service model would most effectively meet their needs. Resources • ACT Department of Disability, Housing and Community Services (2010) National Partnership Agreement on Homelessness Between the Commonwealth of Australia and the Australian Capital Territory Annual Report 2009-10, retrieved from: http://www.fahcsia.gov.au/sa/housing/progserv/homelessness/national _partnership_agreement/Documents/ACT_AnnualReport_2009-10.pdf • ACT Department of Disability, Housing and Community Services (2009) The Road Map- A discussion paper on the way forward for homelessness and related services, retrieved from: http://www.dhcs.act.gov.au/__data/assets/pdf_file/0020/103079/The_R oad_Home_-_Discussion_Paper.pdf • Corporation for Supportive Housing (CSH) (2007) What is Supportive Housing? www.csh.org/toolkit2 • City of Melbourne (2007) Homelessness Research Project Stage2Final Report, retrieved from: http://www.melbourne.vic.gov.au/CommunityServices/SocialSupport/D ocuments/researchproject_homelessness_stage2.pdf • Department of Families, Housing, Community Services and Indigenous Affairs (2008) The Road Home- a National Approach to Reducing Homelessness, retrieved from: http://www.fahcsia.gov.au/sa/housing/progserv/homelessness/whitepap er/Documents/the_road_home.pdf • Fisher K. Muir K. Dadich A. Abello D. and Bleasdale M. (2007) Housing and Accommodation Support Initiative Evaluation, Social Policy Research Centre, retrieved from: http://www.sprc.unsw.edu.au/media/File/Report1_07_HASI_Report_III_ Summary.pdf 77 • Fitzpatrick-Lewis D. Ganann R. Krishnaratne S Ciliska, D (2011) Effectiveness of interventions to improve health and housing status of homeless people: A rapid systemic review, retrieved from: http://www.biomedcentral.com/1471-2458/11/638 • Gilmour T. and Wheadon G. (2010) ‘Common Ground: common approach’ in HousingWORKS, Volume 8, number 3 August 2010. • Gordon, R. (2007) What is Housing First and Supportive Housing? retrieved from: www.chp.org.au/parity/items/2008/04/00315-upload00001.doc • Hansen F.K (2010) “The Homelessness Strategy in Denmark” in European Journal of Homelessness, vol.4 Dec 2010. (Accessed on 18 August 2011), retrieved from: http://eohw.horus.be/files/freshstart/European%20Journal%20of%20Ho melessness/Volume%20Four/policy-review-1.pdf • Johnsen S and Teixeira L. (2010) Staircases, Elevators and Cycles of Change- ‘Housing First’ and other housing models for homeless people with complex support needs, Crisis and the University of York, London, retrieved from: http://www.crisis.org.uk/data/files/publications/Housing%20Models%20 Report.pdf • Jope, S (2010) Supportive Housing- partnership solutions, Home Ground, Melbourne, retrieved from: http://www.homeground.org.au/assets/sh-partnerships-solutions-report29-09.pdf • Liou A. Nutt C. Dunham A, and Sanchez M. (2011) Approaches to Homelessness Prevention, The Centre for Public Policy and the Social Sciences, Vermont, retrieved from: http://rockefeller.dartmouth.edu/shop/housingfinalreportprsrgs.pdf • O’Hara A. and Day S. (2001) Imstead and Supportive Housing: A Vision for the Future, Centre for Health Care Strategies Inc • Reynolds F. (2007) To Examine Programs that Assist Vulnerable and Complex Chronically Homeless People, The Winston Churchill Memorial Trust of Australia, retrieved from: http://www.churchilltrust.com.au/site_media/fellows/REYNOLDS_Felicit y_2007.pdf 78 Appendix B: Jurisdictional Comparisons Detail Melbourne Hobart Sydney Brisbane Under construction- expected completion October 2011 Under constructionanticipated opening mid 2012 Liverpool Street- 51 Campbell Street- 52 -Franklin Street: 38 - Light Square: 52 - Port Augusta: site 1: 20 site 2: 15 (single story scatter site rather than apartments due to rural location) 104 146 Liverpool Street- 25 bedsits and 26 one bedroom units Campbell Street- 28 bedsits and 24 one bedroom units - Franklin Street: 26 bedsits and 12 one bedroom units - Light Square: 36 bedsits and 16 one bedroom units - Port Augusta: 15 bedsits, 15 one bedroom units and 5 two bedroom units 88 Bedsits 12 one bedroom units 4 two bedroom units Two sites under constructionexpected completion Dec 2011 Opened September 2010 Total number of units 161 Bedroom composition 65 Bedsits for formally homeless 66 Bedsits for low income 30 2 bedroom units for low income families Common Spaces - Communal lounge and terrace - Roof top garden - Large conference room with small kitchen- used for breakfast club and planned programs - Library - Sewing room - Computer room - Light recreation room Liverpool Street - Courtyard - Art and programs room - Common house for programs and gatherings - Shared kitchen/ dining area - Quiet activities area - Concierge area Campbell Street - Computer room, library and quiet activities room - Lockable art room - Common foyer and concierge area Adelaide Project Status - Franklin Street opened 2008 - Light Square opened 2011 -Port Augusta under construction (site 1 to open 2012/ site 2 to open 2013) Building details Franklin Street -1 apartment has been converted into a common room - support worker office Light Square - Common area- combined lounge, kitchen, dining and computer room - 2 courtyards - multipurpose room- living skills activities and breakfast club - activities room- planned program space - computer room - common living area and kitchen - courtyard - common laundry - break out area on each floor 33 adaptable studio units, 102 standard studio units and 11 one bedroom units - Foyer and concierge area, including internet kiosk, visitors lounge and mail boxes - Training room, including computers and projectors for development courses - Art room with adjoining courtyard - Communal vegetable and fruit garden - Gardens on every second floor, alternating with breakout lounges - Multipurpose recreation room that can also be 79 rented out to community groups for functions and meetings - Roof top kitchen for functions and cooking classes - Communal tenant lounge and roof top garden - Pool room with pool table and separate quiet area Service Spaces Other Spaces - Counselling room - Medical treatment room - Nurses station - Therapy room (for massage and acupuncture) - Office spaces for Yarra Housing and Homeground - Two Social EnterprisesRecycling and catering Number of Car Spaces/ Bicycle Spaces/ Storage Spaces - 0 car parks for residents - 20 car parks for staff - Lockable bike area - No storage Who constructed the building? Grocon Group Liverpool Street - 4 treatment/ support rooms Campbell Street - Medical treatment room - 2 Consultation rooms - Staff office and breakout room at Campbell Street Liverpool Street - Limited parking available for residents however paid parking is available underneath part of the building complex - limited storage space is available in basement Campbell Street -Plenty of parking is available for residents under the building - Each resident will have access to a lockable storage space Light Square - Counselling room - Dentist room - Medical treatment room - Office spaces for Common Ground SA - Meeting room for case conferencing - 3 interview rooms for case management - 2 treatment rooms - 2 interview rooms - Group work room - separate offices for tenancy management and support workers - space for a social enterprise or gym - Office spaces for tenancy managers and support workers - Future retail space - No car spaces at Adelaide sites - Approximately 17 car spaces will be available at Port Augusta sites - Bike storage is available at all sites - 7 staff car spaces -No bike racks at either site - No storage is available at either site - 50 bike racks - 0 storage spaces No car spaces or storage spaces however bike racks are provided. Liverpool Street- Fair Bros. Campbell Street- Voss Adapted existing construction Grocon Group Grocon Group 80 What was the total construction cost approx. $50 million (need to confirm) How many units were furnished and were they all the same? Who paid for furniture/ fit outs of units? Who paid for furniture/ fit outs of nonresidential spaces? What security measures are in place? Liverpool Street- approx. $9.5 million Campbell Street- approx. $14 million Unknown Fit Out and Security $30 million Unknown All units have been fully furnished 52 previously homeless units will be furnished MICAH funded to furnish the previously homeless units however will aim to furnish all to prevent bedbugs etc… being brought into the building. MICAH funded by QLD Dept.of Communities All units will receive soft furnishings and white goods to the value of $1,500 per unit All 65 of the formally homeless units. All previously homeless units will receive establishment packs of furnishings, linen, groceries etc… to the value of $2,300 per unit - Grocon donated $50,000 for furnishing - Yarra paid for beds, side tables and dining tables. It is expected that furnishings will be funded through a combination of donations and Common Ground TAS Donations were received from furniture suppliers - MA Housing responsible for sourcing furnishings though Harvey Norman donations - NSW Health paid to fit out the treatment rooms. The tenants The tenants Not applicable The tenants MICAH or donations - CCTV through out - Swipe card access to building, floors and units, including photo ID for verification by 24 hour concierge. - 24 hour concierge. - 24 hour concierge (security officer role) - CCTV and security lighting throughout - Swipe card access to building - Visitor register requiring photo ID to track who is allowed in the building - CCTV throughout building - duress alarms in program spaces and laundry -secure swipe access to buliding, floors and units -24 hour concierge -after hours security. - CCTV throughout common and program areas - swipe card access to rooms - 24 hour concierge at entries (note: there are two separate entries at Liverpool street given that the complex is made up of two building sites). - Fob swipe access to buildings and floors - CCTV through out - Security patrol walk through 3 x per night - Some tenants have security responsibilities (eg. fire wardens) - All tenants given security numbers The service is considering the to call in emergency need to have security guards - Roster system for on call night during the initial months. support staff Tenant Mix- Target Group 81 How are potential tenants identified and accepted into the accommodati on? - Homeless: Initially reviewed by an assessment panel. Ongoing allocation through Open Pathway referral system. - Low Income: Through Yarra Housing Application Who are the target groups? - Homeless: Singles selected according to highest need and usually with a combination of mental health, drug and alcohol, physical and or intellectual disability. - Low income: 3 floors dedicated to families (30 units, separated from main facility) The rest are singles. - All low income according to the Yarra eligibility criteria. What is the ratio of previously homeless/ - 50:50 split of bedsits - 100% of family units are for low income Common Ground Tasmania will be conducting a vulnerability index street survey in November 2011 to identify the most vulnerable chronically homeless individuals. Individuals will then be assessed against suitability for Common Ground to ensure they are ready for this type of tenancy. - Homeless: self and agency referrals, primarily through Street to Home and Catherine House but other homelessness services also refer. - Low income: Vacancies are advertised. There is also a social housing register for community housing in South Australia. - Homeless: Referred by homelessness services based on highest vulnerability - Low income: Advertised vacancies and registration on the social housing waiting list. Homeless- Singles only. Low income- students, key workers and other low income groups. 50:50 noting not all chronically homeless will be high needs and that a mix of needs will be important to the success of the Aims for a 50/50 split of males to females (not often achievable due to greater number of male referrals) - Low income: All singles or couples Mixed low income and those at risk of homelessness such as students, apprentices etc… 50:50 however a large proportion of low income are considered at risk of homelessness, increasing the overall support needs of the There will be no affordable housing- only social housing. - Homeless: Singles and limited couples. Expect a high number of drug users due to population demographics. Will aim for a 50% split of males and females. -Homeless: singles or couples, 10% high needs 40% mixed needs homeless with careful consideration of existing tenant mix. Identified as highly vulnerable and assessed as suitable for a Common Ground tenancy. - Homeless: MICAH will identify persons who have been supported by Street to Home and are accommodated in scatter house options but are having difficulty sustaining with only outreach support. Tenants will be assessed according to both vulnerability and appropriate matching with other tenants. - Low income: All low income tenants will be assessed as eligible by the QLD Housing Authority. Singles and limited couples 50:50 split comprised of: 52 chronically homeless 10 social housing low needs 42 affordable housing - Low income: Eligible low needs social housing applicants with a concerted effort to target key workers on low incomes 50:50 split 82 low income Are the tenancies mixed within the complex or are set areas allocated to previously homeless people/ low income people? Mixed. Except for family units. program. program. They will be mixed across both sites. Given the nature of Liverpool street, careful allocation of tenants for the site detached from services will have to be considered. Mixed. Light Square has one floor designated for females only but it is still mixed between low income and previously homeless. Mixed Mixed The model has not been finalised at this stage 3 x senior case coordinators- these staff will provide some case management however will focus on linking previously homeless tenants with mainstream and specialist supports rather than providing them on site. 1x level 2 concierge support role Service Model How many FTE staff are engaged as support workers? Is there a 24 hour concierge or security presence? What other services are provided on site? Who provides them? And are they free to previously 1 Manager, 5 Coordinators 6 Case Workers, 2 Concierge at all times 1 Admin 1 Recreation Officer Total 14 FTE Yes. 2x 24 hour concierge 7 days a week. Security was needed initially but this has since been reduced to 6pm1am and will be further reduced with the intention of fading out. - acupuncture and massage: funded by HomeGround - nurse, GP, psychiatrist and psychologist: bulk bill though medicare - D&A counsellor, home based detox worker, The model has not been finalised at this stage 24 hour concierge will be available at both sites. Security is also being considered. The model will focus on case coordination utilising existing mainstream and specialist services. Medical treatment rooms are available for specialist services that aren’t readily available with F and L- aim for 1 x support worker for every 15 previously homeless however the ratio is increased as one worker provides program coordination instead of case management (usually around 19:1). .5 x executive manager (oversees support and tenancy to make 1 FTE) No concierge On call night support Security patrol Support workers act as lead worker to coordinate mainstream and specialist services according to individual needs. External service providers are required to sign and commit to the case plan from the start to ensure collective action. 24 hour concierge and after hours security 1 x GP 2 x Psychiatrists (1 mental health and 1 brain injury) 1 mental health nurse 1 psychologist (all medicare providers operating as outreach on site) MICAH will outsource the concierge role to a security agency to provide a 24 hour presence All eligible tenants will have access to home and community care and a nurse will be available to provide intermittent support to tenants in crisis. A partnership agreement with the Marta 83 homeless tenants? dietician, work and learning advisor, and pediatrist: funded by other programs eg. VIC Health - CAE programs as outlined under social inclusion the community, such as dental services. Case management support will be provided by support service Hospital is currently being developed to provide the nurse position. The model has not been finalised at this stage It is intended that the dental clinic (operated on a pro bono basis and utilising students from the dentistry school) as well as any other medical treatment services provided on site will be accessible free of charge to all tenants of Common Ground SA and the broader homelessness sector. Not sure at this stage. It will depend on service demand. All tenants will be able to access on site supports on an intermittent basis however only previously homeless tenants will receive case coordination. This can not be determined at this stage. 100%. All previously homeless tenants must actively engage in case management to continue residing at Common Ground. This can not be determined at this stage. This can not be determined at this stage. This can not be determined at this stage. The program officer tailors activities to the needs identified through case management. Eg. Art classes, cooking classes etc… This can not be determined at this stage. This can not be determined at this stage. It is anticipated that the support service will engage pro-bono specialists to provide these services on site when needed. The Uni of SA dental school will soon be providing dentistry at Light Square free of charge to all residents and the broader homelessness sector. They are trying to get a mental health nurse or psychiatrist to work from Light Square as well. (no fees are charged to tenants) Can other tenants and/or the public also access onsite support services? If so is there a cost charged? What percentage of formally homeless tenants currently access onsite supports? What social inclusion activities are offered? And how many formally homeless tenants participate? No services but CAE programs are accessible free of charge to all tenants in the building. - Approx. 92% had accesses 1 or more services - Approx. 80% of formally homeless had accessed CEA programs Centre for Adult Education (CAE) offer the following programs on site: - Art/sewing - Cooking - Literacy and numeracy (most popular) - Gardening - Multimedia projects 84 Is there any social enterprise or training component offered? If so, how many previously homeless tenants participate? How much funding is available for support services? Yes- There is a recycling social enterprise on site which currently supports 5 participants from Homeground and a catering social enterprise on site which currently supports around 6 Homeground participants. The social enterprises pay rent to Yarra and operate independently from the Common Ground program. $1.7 million per year for core support servicescase management, concierge, on-site management, and administration Philanthropic contributions fund the program coordinator role and the on-site nurse position. Specialist health services primarily funded through medicare How many FTE staff are engaged in tenancy management ? What length of tenure is offered? And is there a review period? 3 including 1 maintenance worker Permanent subject to normal tenancy rules. (2/3rds of original residents have sustained their tenancies over the first year. The model has not been finalised at this stage Not currently however there is a space at Light Square which is being considered as a Social Enterprise. The program officer is also responsible for linking tenants with employment opportunities by developing partnerships with external organisations. Some tenants are employed by Common Ground to provide casual cleaning and handyman work on site. Planned to be developed overtime This can not be determined at this stage. Support funding of approx. $2.1 million over two years is available. After that time it is expected that MA Housing will fund on site supports through the rental income and potential social enterprise earnings of the property. $1.2 million per year ($270,000 will be used to outsource security/concierge role) The model has not been finalised at this stage 1 x tenancy manager .5 x executive manager (oversees support and tenancy to make 1 FTE) The model has not been finalised at this stage The model has not been finalised at this stage Permanent as long as normal tenancy requirements are fulfilled Initial 3 month probation lease followed by a long term, continuous periodical lease which requires Common Ground to provide 3 months notice to terminate. Permanent Housing Permanent Housing Common Ground Tasmania will receive per head funding for each previously homeless person accommodated. The service will also receive ongoing financial support through donations, fundraisers, rental income and the operation of a commercial car park at the $500,000 (for Franklin and Light Liverpool Street site. Square) Tenancy Management 85 Is rent payable based on % of market rent or % of client income? And what percentage is used? Do you accept couples and families or just singles? Who pays the rent on nonresidential space and how is it calculated? 30% of income. Electricity and water are included in the rent charged. Just singles except for segregated in family units Social Enterprises pay rent to Yarra. Homeground does not pay rent for service space as this was negotiated by Victorian Government at construction stage. How will tenancy management be funded? Through the collection of rental income The model has not been finalised at this stage 30% of income for previously homeless tenants and some at risk low income tenants. 75% of market rent for affordable tenancies (plus Common Ground gets National Rental Affordability Scheme payments) No more than 30% of income for previously homeless and social housing tenants 75% of full market rent for affordable housing. All tenants will be charged 30% of income Singles only Singles and couples only however children are allowed to stay for up to 3 nights per week where care arrangements are in place. Singles or couples. No children. Singles and some couples but no families/children Common ground SA owns and occupies the entire building. This can not be determined at this stage. Common Ground SA retains all rents and NRAS payments to cover tenancy management expenses. MA Housing retains the rent to fund the tenancy management No rent will be payable on nonresidential space Funding sources noted in support funding will also be used to finance tenancy management MICAH will pay rent on the non residential space to the tenancy manager Still in negotiation. The tenancy manager will retain rents and may also receive top up funding due to the high needs nature of the tenancy program. 86 Appendix C: Common Ground Consultations • Australian Common Ground Alliance Chair Felicity Reynolds 26 September 2011 • Home Ground Programs Coordinator Camille Heagney (Common Ground Melbourne) 26 September 2011 • Common Ground TAS architect Paul Johnston 27 September 2011 • Common Ground SA CEO Maria Palumbo 28 September 2011 • Director of Housing Ms Viviann Hannich (Common Ground NSW) 29 September 2011 • MICAH CEO Karyn Walsh (Common Ground Brisbane) 5 October 2011 • QLD Director, Department of Communities Kerry Batchler 6 October 2011 • Common Ground TAS CEO Liz Thompson 7 October 2011 • Home Ground CEO Stephen Nash 12 October 2011 • Common Ground Canberra Group11 October 2011 • ACT Homelessness Forum 13 October 2011 • Housing and Community Services Executive Meeting October 2011 • CIT Strategic Assets Property Manager Doug Brooks 19 October 2011 • Joint Pathways Housing First Presentation and Discussion 25 October 2011 • Havelock Housing Association CEO and Operations Manager Loc Luu and Terri Stiller 26 October 2011 • Who’s new on the streets committee 27 October 2011 • YWCA of Canberra. 7 November 2011 • Street to Home team. 14 November 2011 • Inanna 14 November 2011 • Canberra Men Centre. 14 November 2011 • Social Ventures Australia- ACT Social Enterprise Hub. 22 November 2011 • Northside Community Services. 23 November 2011 87 Appendix D: Additional Resources • Dawson, L. (2011) Data Collection of Homeless Women A Canberra Housing Proposal • AIHW (2010) ‘Health Expenditure Australia 2008-09’ in Health and Welfare Expenditure Series no 42, Cat. No. HWE51. Canberra. AIHW. • Johnson, G. Parkinson, S. Tseng, Y. and Kuehnle, D. (2011) Long-Term Homelessness: Understanding the Challenge. Sacred Heart Mission, St Kilda. • Housing NSW (2009) The Camperdown Project, Housing NSW • Johnston, P (2008) A.V. Jennings Churchhill Fellowship: to study contemporary design developments in social housing, The Winston Churchill Memorial Trust of Australia. • ACGA (2011) Guidelines and Expression of Interest, Australian Common Ground Alliance. • Common Ground SA. Imagine the Possibilities. • Common Ground TAS. Building the Foundations. • Brisbane Common Ground. Look Book. • AIHW (2011) Street to Home SAAP Data 2010-11. AIHW. • AIHW (2011) Australian Capital Territory SAAP Data 2010-11. AIHW. • First Point (2011) Six Monthly Performance Report Jan-June 2011. • Common Ground Canberra (2010) Business Plan. • Community Services Directorate Human Rights Policy • ACT Government Human Rights Act 2004 • Residential Tenancy Act 1997 • ACT Government Human Rights Act 2004 • ACT Government Housing Assistance Public Rental Housing Assistance Program 2008, • AIHW (2011) Government-funded specialist homelessness services-SAAP National Data Collection annual report 2010-11, Australian Capital Territory 88