Download Specialist Housing Services for People with Alcohol Problems (ppt

SPECIALIST HOUSING SERVICES
FOR PEOPLE WITH ALCOHOL
RELATED PROBLEMS
Sally Scriminger, Rugby House-ARP
introduction

housing context

challenges for supported housing

RH-ARP supported housing services

harm reduction in supported housing

opportunities for service development
Rugby House-ARP’s perspective:

London based

c. 7000 service users p.a.

alcohol and drug treatment services

social learning model

harm reduction & abstinence based services

resettlement service

Horizon training & assessment centre

registered social landlord
Rugby House – ARP Services
Residential Care
(Tier 4)
15%
Community
Services
(Tier 2/3)
44%
Horizon T&A
1%
Central Office
9%
Supported
Housing
12%
Tenancy Support
15%
Partnership
Services
(Tier 1-3)
4%
alcohol related deaths
2005: £5,000
2009: £22,000
housing:
– “The Foundation of Community Care”
UK housing environment

global recession

public spending cuts

5 million waiting for social rented homes

national housing strategy review

broader base of housing providers

joint ventures for delivery of homes

greater involvement of private sector

local councils building again?
“golden age” of supported housing
today’s social housing environment

1989 Housing Act

end to 100% capital funding

new challenges for social housing sector

split capital & revenue

rough sleepers strategies

Supporting People…..
Supporting People

emphasis on individual needs

improved standards & accountability

improvements to funding

broke link with tenure

weakened strategic link to housing
the down side……

time limited support

isolation of self-contained housing

“care” services ineligible

housing based support options overlooked:


reprovision of shared housing

reduced role for social housing providers
impact of tendering and cutting budgets
our services…
Housing care pathway
Detox
(2 weeks)
Successfully
retain tenancy
independent flat
• SP support
Tenancy
breakdown
Rehab
(12 weeks)
on the
street
shared
housing
Stage 1+2
• back home
• family/friends
• self contained housing
our service users
case studies

Tim

Joanne
meeting service users’ needs

highest concentration hazardous & dependent
drinkers: 55+

for many, alcoholism a chronic relapsing condition

cycle of abstinence / relapse impacts on ability to
sustain stable housing

50% street homeless have alcohol problem
meeting service users’ needs

Question: should access to safe, secure housing
be dependent on sustained abstinence?
harm reduction model

secure, shared housing

key worker: low level support

potential for flexibility

something meaningful to do

focus on health & harm minimisation

tenancy sustainment

not time limited stay
value for money

detox and rehab: c.£10,000

A & E bed: c.£4,000 pw

EMI bed: £1,500 - £4,000 pw

low-support housing: c.£150 pw

(HB eligible rent & services: c.£115pw)
opportunities & challenges

area based commissioning

political will

supply of suitable housing

building service partnerships

national housing strategy - ??
conclusions

new services approaches needed

harm reduction: proactive & preventative

safe secure housing is the key

local Vision and strategic planning

build links between housing, social care &
treatment sectors

explore new service models
Contact details:
[email protected]