The Revolving Door of Prison and Homelessness: How do the Prison In-Reach Services work and what can we learn from them? McGinley, S. Focus Ireland, High Street, Dublin 8. smcginley@focusireland.ie Abstract It is widely accepted that prisoners and ex-prisoners are at greater risk of homelessness than others in society, and can have additional complex needs such as mental and physical illness, drug and alcohol issues, and difficulties with interpersonal relationships. As a result of these difficulties, ex-prisoners can struggle to secure private rented accommodation and local authority housing, resulting in periods in emergency accommodation or sleeping rough. This in turn can promote a cycle of homelessness, re-offending and imprisonment. The services required to address these complex needs are provided by a range of statutory and voluntary organisations. Identifying and accessing these multiple services can pose a major challenge for former prisoners, who often lack the knowledge and skills to navigate this system, may be distrustful of the authorities, or can struggle to take control of their own lives having become ‘institutionalised’. Focus Ireland has seen the difficulties ex-prisoners experience upon release from prison and recognises the need for a collaborate approach to respond to these difficulties. This has resulted in the establishment of Prison In-Reach services in Dublin, Cork and Limerick. This paper presents the findings of three evaluations into these Prison In-Reach services and what can be learned from them1. The paper concludes that the interagency structure of the Prison In-Reach service is crucial in its successful operation, and that the model of service delivery must be fully adaptable, responsive, intensive and inclusive in order to make a difference to the lives of former prisons and persons in custody. Setting the scene Homelessness and offending behaviour Research has found that there are a variety of reasons why some individuals experiencing homelessness (particularly those sleeping rough) commit offences, including: 1. The criminalisation of street life (e.g. drinking in public, vagrancy). 2. Criminal behaviour to survive on the streets (e.g. shop lifting). 3. The stigmatisation of those sleeping rough as a potential threat to community safety means that rough sleepers may be more likely to be formally processed for offences that may otherwise have been ignored. 1 Sarma, K. (2014). Evaluation of the Limerick Prison In-Reach Pilot Project. Dublin: Focus Ireland; Sarma, K. (2014). Evaluation of the Cork Prison In-Reach Pilot Project. Dublin: Focus Ireland; and McGinley, S. (forthcoming). Evaluation of the Dublin Prison In-Reach Pilot Project. Dublin: Focus Ireland. 1 The type of offences committed by those experiencing homelessness prior to their first term of imprisonment was found in Hickey’s study on Crime and Homelessness (2002) to be predominantly drug offences, larceny and vagrancy. This was in contrast to more serious offences committed by persons homeless after a period of imprisonment2. Mayock et al.’s study (forthcoming) on the life experiences of forty ‘out of home’ young people and their families has found that, for many of these young people, involvement in criminal activity increased following their entry into the ‘official’ network of homeless youth3. Furthermore, there are notable gender differences in the patterns and types of offending behaviour. These findings mirror previous studies on youth homelessness in Ireland, which have found that the instability of some young people’s living situations and their perceptions of what they required to survive were key factors in shaping their involvement in criminal activity. Ex-prisoners and homelessness Although crime is not an inevitable consequence of homelessness, the lack of appropriate and stable accommodation can increase the risk of offending and re-offending. There are a variety of complex links between homelessness and offending behaviour, and between release from prison and entering homelessness and re-offending behaviour. People that have committed an offence can experience additional social exclusion and difficulties in resettlement when they are homeless. 2 Hickey, C. (2002). Crime and Homelessness. Dublin: Focus Ireland and PACE. Mayock, P., Parker, S. and Murphy, A. (forthcoming). Young People, Homelessness and Housing Exclusion. Dublin: Focus Ireland. 3 2 Homelessness Causes & consequences of homelessness: For example: substance abuse, mental health issues, family breakdown, poor health etc. Homeless upon release: Reasons for committing offences: For example: no fixed abode, lost rented accommodation, family breakdown, social exclusion etc. For example: survival on streets, drinking in public, stigmatisation of rough sleeping etc. Reasons for remand in custody & prison committal: Prison Offence For example: number of previous arrests, category of offence, not given temporary release, no fixed abode etc. Ex-prisoners and people released on remand can experience a range of barriers to successful re-entry into society, and one of these is a difficulty in securing accommodation. A survey of 151 homeless services in the UK found that ex-prisoners were accessing the vast majority of these homeless services. For more than one-fifth of these services, former prisoners constituted 50% or more of their total client numbers4. Although the situation in Ireland differs, Seymour and Costello’s study (2005)5, which examined the prevalence of homelessness in an Irish prison sample, found that 25% of prisoners were homeless immediately prior to arriving in prison. Official statistics generally under-represent the number of homeless individuals in the criminal justice system, due to the adverse implications for offenders (e.g. an increased likelihood of 4 SNAP (2008). Survey of Needs and Provision: Services for homes single people and couples in England. UK: Homeless Link. 5 Seymour, M. and Costello, L. (2005). A Study of the Number, Profile and Progression Routes of Homeless Persons Before the Court and in Custody. Dublin: Probation and Welfare Service. 3 being remanded in custody, reduced likelihood of receiving temporary release etc.) if they state their homeless status. Prisoners are also at risk of losing their accommodation during their time in prison. Research examining the housing needs of 136 ex-prisoners in England found that, of those ex-prisoners who had been homeowners prior to incarceration, most lost their homes as a result of not being able to make mortgage repayments during their period of detention, or not being able to secure employment upon release6. All those who had lived in rented accommodation prior to imprisonment lost their accommodation due to non-payment of rent, and those who had been homeless prior to imprisonment, or had been living in emergency shelters, returned to homelessness upon release. The study also found that a large proportion of the ex-prisoners lost their accommodation due to family disintegration, and many had to cope with the loss of accommodation, a partner or employment upon release from prison. A period in prison can increase a person’s likelihood of becoming homeless upon release, as they may not be able to return to their previous accommodation due to a family relationship breakdown, or due to the loss of local authority or private rented accommodation as they are not able to pay rent while incarcerated. It is also widely acknowledged that the prevalence of mental health problems among prisoners and ex-prisoners is significantly higher than in the general population7. The findings of a study in Ireland suggest that more than a quarter of Irish male prisoners (26.7%) suffer from a mental illness, with higher prevalence rates for psychotic disorders (2.7%), major depressive disorder (5%), affective disorder (8.5%), and anxiety disorders (13.8%) compared to the general population8. Research in Ireland9 has found that substance abuse and mental health problems can intensify a person’s homeless situation and influence their likelihood of re-offending. Addiction issues can impact on the ability of an ex-prisoner to transition into the community upon release, affecting their mental health, employability and ability to manage day-to-day relationships and accommodation. Most ex-prisoners experience multiple needs, such as homelessness, mental and physical health problems, drug and alcohol addiction, and poverty. As a result, a holistic approach to responding to their complex needs is required and no individual problem can be approached in isolation10. Hickey’s study (2002) found that access to information and advice on release from prison was higher than while in prison. “The most common immediate and practical need identified by respondents was accommodation; in addition they reported the need for addiction treatment, 6 Carlisle, J. (1996). The housing needs of ex-prisoners. Housing Research 178. James, D. J. and Glaze, L. E. (2006). Mental health problems of prison and jail inmates. US Department of Justice Document NCJ213600. 8 Duffy, D., Linehan, S. and Kennedy H. (2006). ‘Psychiatric morbidity in the male sentenced Irish prison population’. Irish Journal of Psychological Medicine, 23: 54-62. 9 Seymour, M. and Costello, L. (2005). A Study of the Number, Profile and Progression Routes of Homeless Persons Before the Court and in Custody. Dublin: Probation and Welfare Service. 10 HM Government (2005). Reducing re-offending through Skills and Employment. UK: Department for Work and Pensions. 7 4 family reconciliation services, employment advice, further training and education, and emotional support in the form of counselling”11. Addressing the Gap - The Prison In-Reach Service Research has found that offenders who are homeless are more likely to re-offend than those with secure accommodation. Interventions can help prevent homelessness or end the cycle of homelessness and re-offending behaviour. Reducing re-offending behaviour can improve lives, maintain public safety, and reduce costs to the criminal justice system. Focus Ireland recognises that a common approach to addressing the accommodation and support needs of those experiencing or at risk of homelessness in prisons is necessary – the need for joint working is acknowledged given the ‘cross-over’ of client groups. Focus Ireland identified a gap in the sector in meeting the needs of this high risk group, and recognised that they required support (such as linkages to alcohol, drugs, mental health and accommodation services). In 2006, Focus Ireland approached the Probation Service with regard to piloting a Prison In-Reach service for young men at risk of homelessness. Focus Ireland proposed a case management model to support the provision of a seamless service response between prison, homeless services and accommodation to plan a pathway out of homelessness. The rationale for setting up a Prison In-Reach service was that it would lead to reductions in reoffending if the service provided a thorough needs and risk assessment, and was customised to the needs of the service-user. It is important to note that there are many outcomes that can be impacted by interventions. Levels of re-offending is the ‘gold-standard’ outcome measure for the criminal justice system, however interventions can also affect the psychological well-being of service-users, their sense of empowerment, civic responsibility and inclusion in society. The Probation Service recognised that a prisoner care and case management model could provide a new form of service for prisoners. The Probation Service established a Steering Group to oversee the first Prison In-Reach service in Dublin, with representation from Focus Ireland, the Irish Prison Service, the Homeless Agency, the HSE’s Homeless Persons Unit (HPU) and the Probation Service. In September 2007, the Dublin Prison In-Reach service commenced in Cloverhill Prison. This prison was selected due to the nature of the institution, i.e. high turnover rate and number of reoffenders. After the two-year pilot period, the Dublin In-Reach service was extended to Wheatfield Prison. In 2008, the Irish Prison Service reviewed the extent to which their prisons were providing services to prisoners at risk of homelessness. Cork and Limerick Prisons were identified as having less well developed responses to this risk - the HPU was less actively providing InReach services in Cork and Limerick, and there were concerns that the then Probation and Welfare Service was to re-prioritise its service delivery towards addressing offending behaviour and away from the traditional model of welfare provision, with potential consequences for the resettlement planning of those experiencing homelessness. 11 Hickey, C. (2002). Crime and Homelessness. Dublin: Focus Ireland and PACE. 5 In addition, there was an established and successful Post-Release Service staffed by a PostRelease Coordinator in Cork Prison. It was felt that an In-Reach project specialising in responding to the risk of homelessness would enhance the existing post-release service through a collaborative partnership. In 2008, the Irish Prison Service secured funding through the Dormant Accounts Fund and Pobal to run the Prison In-Reach service in Limerick and Cork Prisons. Focus Ireland was successful in its application to provide these services, and the two services commenced in July 2009. How does the Prison In-Reach service work? Aim and target group The aim of the Prison In-Reach service is to provide a seamless transition from prison to the community, for offenders who have been previously homeless or may be at risk of homelessness upon release from custody. The service is preventative, aiming to break the cycle of homelessness, rough sleeping, and dependence on emergency accommodation, offending and custody. It works with prisoners at risk of homelessness to ensure that there are accommodation options available to them upon their release from prison. The In-Reach case manager engages with those at risk of homelessness pre-release, assesses their needs, develops a case plan, and implements the case plan post-release. The target group for this service are male offenders over 18 years of age who will be, or are at risk of, becoming homeless upon release from prison. In order to access the service, prisoners must meet the Habitual Residency Condition, i.e. they must be habitually resident in the State for a period of two or more years prior to seeking to access the service. While the project accepts referrals for all prisoners, regardless of their criminal history, the project protocol envisaged that those with convictions for arson or sexual/physical violence would be subject to a formal risk assessment prior to acceptance into the service. The risk management tool would be individually tailored dependant on a person’s presenting needs. Within the first year of the Dublin project, the referral system highlighted a cohort of offenders/persons in custody who had a much higher than anticipated level of need who required significantly more intense engagement to attain stable accommodation upon release. Many of the referred service-users were older than initially anticipated. In keeping with the ethos of the In-Reach approach, the project was adapted to meet the needs of this group. Intensive case management The Prison In-Reach services have adopted a case management model of working with serviceusers. Case management is characterised by a careful assessment of need, intensive work with a small number of clients, linkage with external agencies (as appropriate), and good service availability12. The case management model involves a range of tools and processes which improve collaborative service delivery, such as: risk assessments, care plans, the Holistic These process-based descriptors are based on Morse, G. (1999). ‘A review of case management for people who are homeless: Implications for practice, policy and research’. Chapter in Fosburg, L. and Dennis, D. (Eds). Practical lessons: The 1998 National Symposium on Homelessness Research. U.S. Department of Housing and Urban Development and U.S. Department of Health and Human Services. 12 6 Needs Assessment tool, interagency protocols, a service-user feedback mechanism, monitoring and evaluation mechanisms, and outcome-measurement tools. Focus Ireland initially proposed a brokerage case management13 model for the Dublin Prison InReach pilot project. However, it became clear during the first year of the service that the high and complex needs of the individuals being referred necessitated a more intensive case management approach, i.e. being able to adapt quickly to meet the changing needs of serviceusers pre- and post-release, delivering a face-to-face service to those with high needs and a history of leading ‘chaotic’ lives, and building up a supportive and strong relationship with service-users. The project has adapted to meet the needs of service-users, rather than maintaining the initial model and criteria proposed, which would have resulted in an inadequate level of support and a service that could not adapt as quickly to service-users’ changing needs pre- and post-release. A partnership approach A key element of the Prison In-Reach service’s framework is its partnership and co-ordinated multi-disciplinary approach. The three services are provided by Focus Ireland in partnership with the Irish Prison Service, the Probation Service, the Homeless Persons Unit, and in the case of Cork Prison the Post-Release Service. In order to provide a framework to facilitate these partner organisations working together in partnership and addressing the issue of homelessness, Implementation/Stakeholder and Steering Groups have been established for each service. The combination of statutory and voluntary agencies on these two groups has been important, and has assisted in driving forward the service and the intensive case management model adopted. A flexible service Once a referral is made to the Prison In-Reach service and the applicant is deemed suitable, the case manager completes a Holistic Needs Assessment of the prisoner/person in custody pre-release, assessing the supports that they require, their aspirations, and the most suitable pathway towards settlement. A support plan based on this assessment and in agreement with the offender/person in custody is developed, which outlines the steps required to move towards settlement. Once the required resources are identified, the case manager will liaise with the necessary agencies and services to provide these resources (such as accommodation, drug treatment, mental health services etc.). The agreed support plan is distributed to these services, and it is the role of the case manager to ensure that the support plan is implemented. The case manager works to build a trusting and productive relationship with the service-user, and to provide the required supports that the service-user need to achieve his goals and improve his quality of life. The In-Reach case managers provide a variety of supports to service-users post-release, including: referrals to other services, sourcing accommodation, providing information and advice, writing letters and completing forms, support in building self-esteem and confidence, capacity building of individuals to make their own informed decisions, helping them to 13 The Brokerage Case Management Model focuses on providing access to services and is suitable for remote delivery. 7 understand the consequences of their actions, budgeting, accessing social welfare entitlements and attending appointments. To ensure a seamless service delivery for people experiencing homelessness whose needs are complex and multiple, the co-ordination of services is necessary – the intensive case management approach provides the framework to guide this process. The In-Reach case managers continue to work with service-users through differing circumstances, ensuring that the changing needs of an individual can be met, reducing the risks associated with homelessness and re-offending behaviour. The In-Reach services have the ability to adapt to meet the changing needs, circumstances and expectations/goals of service-users, rather than service-users having to adapt to the service. This allows for a fully adaptable, responsive, intensive and inclusive model and a continuity of support. The flexibility and roaming capacity of this approach has worked well for the services, as case managers are available to work closely with service-users and to concentrate on their particular needs. The intensive case management approach has ensured that the projects are low threshold, client-focused, and provide a linkage programme to other services. This ‘stick-ability’, while normally discussed in the context of a project’s ability to follow a service-user through differing circumstances, was reciprocal within the In-Reach services. ‘Hard-to-reach’ clients, and those who traditionally have had difficulty engaging consistently and positively with services, pro-actively engaged with their case manager as a result of the one-toone relationship built. What difference has the Prison In-Reach service made? Since 2007, the three Prison In-Reach services in Dublin, Cork and Limerick have worked with over 550 prisoners and offenders/persons in custody pre- and post-release. The number of individuals engaging in the services have grown year on year. 140 130 130 2012 2013 108 120 91 100 78 80 60 30 40 20 8 0 2007 2008 2009 2010 2011 Chart 1: Number of Prison In-Reach service-users by year 8 Profile of service-users In-depth evaluations have been conducted on the pilot periods of the three Prison In-Reach services – i.e. from September 2007 to September 2009 for the Dublin service, and July 2009 to July 2011 for Cork and Limerick. Data on the profile of service-users, and their housing situation and offending behaviour post-release are presented in these reports. Although the initial target group of the first Prison In-Reach service in Cloverhill Prison was those aged 18 to 25 years, the majority of service-users that engaged in the project during the two-year pilot period were aged 26 to 40 years. This reflected the age profile of offenders/persons in custody in this prison, and a similar trend was experienced in Cork Prison. 60% 53% 52% 49% 50% 44% 37% 40% 30% 18-25 25% 26-40 22% 41+ 20% 11% 7% 10% 0% Dublin Cork Limerick Chart 2: Age profile of Prison In-Reach service-users during pilot period by location In determining risk factors for homelessness, and in reaching a holistic understanding of needs, the In-Reach case managers identified whether or not each service-user had a history of addiction, State care, mental health problems, attempted suicide or deliberate self-harm, a learning disability, relationship issues or other risk factors. Alcohol and/or drug dependence were the most prevalent risk factors noted. This resonates with the extensive literature linking addictions with both a risk of homelessness and offending. Similarly, the high reporting of relationship difficulties was unsurprising given the causal link between relationship breakdown and homelessness. Research has found that many people experiencing homelessness (particularly those sleeping rough) commit offences to ‘survive’ on the streets and due to the criminalisation of street life. The category of offences reported for the In-Reach service-users that engaged with the services during the pilot periods clearly reflect these findings - robbery/theft, public order offences, and assault/violence accounted for the majority of offences committed by the service-users. 18% of 9 In-Reach service-users in Limerick Prison had also been convicted of possession of a firearm/weapon. Offending behaviour and housing situation post-release A core outcome of any intervention for prisoners and ex-prisoners is a greater reduction in levels of recidivism rates among those accessing the service. It is not possible to definitively causally link any trend in recidivism data to the three Prison In-Reach services. To do so would require a matched cohort of prisoners from the same prison who did not receive this service, with multiple follow-ups. However, it should be noted that the offender population in question has multiple risk factors for re-offending and very high levels of recidivism should be expected. Given the high cost of offending, even a small impact on recidivism levels must be considered to be of great value. As part of the evaluations, the Irish Prison Service generated ‘return to prison’ data on the individuals who engaged with the In-Reach services throughout the two-year pilot period14. At some stage after accessing the services, some of the service-users did return to prison for a period. As of September 2009, one of the 58 individuals who had engaged with the Dublin service during its two-year pilot period was back in prison. Six service-users were accessing temporary accommodation with a plan for long-term housing in place, and 39 had settled successfully into long-term housing (21 into support housing or care facilities with varying levels of appropriate support, and 18 into private rented or housing association accommodation). As of February 2012, the housing situation of 20 of the 30 individuals who had engaged with the pilot service in Cork was known. Nine service-users were living independently in private rented accommodation, three were staying in emergency or transitional accommodation, three had returned to their family home, and a further three had returned to prison. As of July 2012, 21 of the 53 service-users were still in Limerick Prison, and the housing situation of a further 21 was unknown by the service. Six service-users had settled into privaterented accommodation upon release, and a further four were residing in emergency or transitional accommodation. Disengagement A number of prisoners/persons in custody did disengage from the In-Reach services for a variety of reasons, some of which were positive steps for the individual towards settlement into their community and independent living (e.g. moving into the family home, case management handed over to another service etc.). Other reasons for disengagement included: 14 Early prison release prior to an assessment being completed and a supportive relationship with the case manager being established (e.g. temporary release granted within one week of referral received by the service). This was particularly an issue for Cloverhill remand prison. Unwillingness of the service-user to participate in the assessment process; interested in private rented accommodation only. The recidivism follow-ups are usually based on occurrence of repeat offending at 12 months, 2 years and 5 years. 10 Service-user losing a placement and unable to engage fully due to complex needs (e.g. dual-diagnosis, case manager unable to track service-user, case closed after substantial time has elapsed and all resources exhausted etc.) Returned to prison and did not want to continue engagement with the service. The main trend for early disengagement of service-users post-release was inadequate time for care-planning and relationship building with the allocated case manager while in prison. Outcomes Consultations with the partner organisations and project staff as part of the evaluations of the three In-Reach services clearly indicate that the key outcomes for service-users include an increased motivation and capacity to access external services, maintain their accommodation and move towards independent living within the community. For many service-users, engagement with the In-Reach service has assisted in reducing the likelihood of re-offending behaviour, as they have had intensive one-to-one support from their case manager during any periods of crisis, stress or changes in circumstances. The presettlement service demonstrated that individuals were less likely to re-offend when appropriately housed, and were more likely to attend behaviour modification treatment when residing in stable accommodation. The fact that the case managers can work with service-users through differing circumstances means that the changing needs of the individual can be met, reducing the risks associated with homelessness and re-offending behaviour. A representative of the Probation Service stated that “the relationships that have been built up via the work that has been done has been really invaluable to addressing that person’s offending behaviour”15. What can we learn from the Prison In-Reach service? It is clear from the evaluations of the three In-Reach services that improvements have and can be made in the provision of support to address the experience of homelessness for prisoners upon release. Learning from these services should inform any future initiatives provided in prisons and post-release for persons at risk of homelessness. Nature of the prison system Offenders/persons in custody can often be released from remand prisons at short notice if a prison is operating at full capacity. Cloverhill Prison presented a particular challenge for the InReach service, in that there can be a lack of clarity around how long offenders/persons in custody might remain remanded in the prison and when they might be released. Unplanned releases can impact on the ability of the In-Reach service to fully engage with those at risk of homelessness. The nature of Cloverhill Prison made it difficult for the In-Reach case manager to arrange suitable accommodation, social welfare and treatment etc. for service-users 15 McGinley, S. (forthcoming). Evaluation of the Dublin Prison In-Reach Pilot Project. Dublin: Focus Ireland. 11 post-release, and relationships built with a service-user were found to be more stable and successful if established pre-release. The longer a case manager is able to engage with a service-user prior to release, the more likely the service-user will continue to positively engage with the service. The Irish Prison Service acknowledges that unplanned release can impact on the disengagement levels of service-users from projects such as In-Reach. The Post-Release Coordinator in Cork did note that the frequency of unplanned releases decreased during the pilot period. Under the Integrated Sentence Management (ISM) system, these should become even less frequent. Partnership is key The partner organisations recognise that a key element of the services’ framework is their partnership and co-ordinated multi-disciplinary approach. In the case of Dublin, the joint working system meant that various operational barriers could be addressed by front-line managers and practitioners within the partner organisations, and identified blocks/obstacles to service-users accessing services could be discussed by staff in senior policy-making and management roles within the partner organisations. The Steering Group provided a ‘lead’ for the project and its operations, and invaluable relationships were established through these groups. Furthermore, the combination of statutory and voluntary agencies on these groups assisted in driving forward the service and the case management agenda. The Stakeholder and Steering Groups were also seen to potentially play important roles in the Cork and Limerick services. There was regular bilateral contact between Focus Ireland and the Irish Prison Service on matters arising of a strategic nature. Those consulted as part of the evaluations did state however that the mechanism and governance of how to address barriers in the prison system were not always clear to project staff, and the Steering Group appeared to focus on implementation issues rather than on the barriers being experience by the service. Engaging with other services Building good working relationships with other service providers has facilitated a co-ordinated and holistic response for In-Reach service-users with highly complex needs that previously may have experienced difficulties in accessing mainstream support services. The three evaluations found that significant interagency networking was required by the case managers, due to the complex and specialised needs of the client group. One of the key obstacles for the In-Reach services is the lack of services that can provide assistance to service-users with complex and high needs. Many external services do not ‘fit’ fully with the services’ client base. Appropriate accommodation There is a lack of appropriate accommodation for ex-prisoners presenting with co-existing conditions and drug addiction - a gap exists between the services provided by In-Reach and the availability of appropriate move-on accommodation for this high needs group. The provision of adaptive housing units for individuals with psychiatric/mental health and other presenting needs (such as substance abuse) are needed to support individuals with multiple and high support 12 needs. The Housing First service that will be provided by Focus Ireland and the Peter McVerry Trust is a positive step towards addressing the gaps in housing provision for persons experiencing homelessness with dual-diagnosis and complex needs that require intensive support. Conclusion Although crime is not an inevitable consequence of homelessness, the lack of appropriate and stable accommodation can increase the risk of offending and re-offending behaviour. People that have committed an offence can experience additional social exclusion and difficulties in resettlement when they are homeless, and substance abuse and mental health problems can intensify a person’s homeless situation and influence their likelihood of re-offending. Although the prison system strives not to release any prisoner unless they have a place to go to, people released from prison are still ending up in emergency accommodation or on the streets on their first night out of prison. Service providers are also experiencing challenges in accessing accommodation for former prisoners, particularly those with complex and multiple needs and those deemed ‘high risk’ (e.g. individuals with a history of sexual offences or arson). The absence of access to dedicated supported accommodation units for prisoners exiting prison is viewed by the project partners as being the greatest challenge of the In-Reach services. The Prison In-Reach services provided by Focus Ireland and the other partner organisations are adapting fully to meet the changing needs, circumstances and expectations/goals of the serviceusers. It is clear from the evaluation findings that this approach has allowed for a continuity of support, even in cases where service-users temporarily disengage from the service or return to prison. The model of service delivery has been fully adaptable, responsive, intensive and inclusive. The evaluations findings support other research studies which have found that interventions pre- and post-release can help to prevent or end the cycle of homelessness and re-offending behaviour. 13