Homelessness services

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Homelessness services are specialized programs assisting homeless people. While homelessness services may be government-run or government funded, non-profit organizations often play an important role in service delivery. [1] Services supporting homeless people may assist them to achieve positive change in their life and reduce the use of both homelessness services and of other welfare services. [2] While these services are specifically geared toward homeless people, researchers note that the drivers and the responses to homelessness stretch beyond the scope of such services. [3]

Contents

Some countries have a scarcity of rigorous research on the outcomes of specialized homelessness services. [4] Others have adopted statistical collection programs to conduct research on outcomes and service delivery. [5] [6]

Soup Run provided by a charity Embankment soup run.jpg
Soup Run provided by a charity

In some countries, the majority of homelessness services are members of a peak body organization. [7] Homelessness peak bodies typically have a reference group made up of member services and meet at least once a year in annual or bi-annual conferences. [8] In other countries, an inter-agency council may represent various state-run services. [9]

Researchers found that local government can play a positive role in expanding the range of services and assisting with or helping to secure funding for services. [10]

Government contracting

A study in England found that competition for contracts had both beneficial as well as problematic implications for homelessness services. Competition also raises tensions among cooperating services. [11] An Australian study found that while social workers employed in homelessness services constructed their professional identities by drawing on debates in social work literature and tensions in practice, their identity is overshadowed by organizational contexts, influencing work practice in homelessness services. [12]

Service dynamics

Individuals experiencing homelessness will often prefer a specialist homelessness team and be reluctant to engage with mainstream services, or be unwilling to be referred on to another service. [13]

A case management approach to service delivery in homelessness services have been found to be important components of service integration. And clients from more integrated services were more likely to report positive outcomes than were clients of less integrated services. Clients from more integrated services were also more likely to report that various service providers worked together to coordinate their care. The study found that 40 per cent of Australian specialist homelessness services provide mental health services and 35 per cent also provide drug and alcohol support [14]

Related Research Articles

Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an outpatient treatment plan designed to prevent further deterioration or recurrence that is harmful to themselves or others.

Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social work practice draws from areas, such as psychology, sociology, health, political science, community development, law, and economics to engage with systems and policies, conduct assessments, develop interventions, and enhance social functioning and responsibility. Social work practice is often divided into three levels. Micro-work involves working directly with individuals and families, such as providing individual counseling/therapy or assisting a family in accessing services. Mezzo-work involves working with groups and communities, such as conducting group therapy or providing services for community agencies. Macro-work involves fostering change on a larger scale through advocacy, social policy, research development, non-profit and public service administration, or working with government agencies. Starting in the 1980s, a few universities began social work management programmes, to prepare students for the management of social and human service organizations, in addition to classical social work education.

Counseling psychology Counseling theory

Counseling psychology is a psychological specialty that encompasses research and applied work in several broad domains: counseling process and outcome; supervision and training; career development and counseling; and prevention and health.

Supportive housing is a combination of housing and services intended as a cost-effective way to help people live more stable, productive lives, and is an active "community services and funding" stream across the United States. It was developed by different professional academics and US governmental departments that supported housing. Supportive housing is widely believed to work well for those who face the most complex challenges—individuals and families confronted with homelessness and who also have very low incomes and/or serious, persistent issues that may include substance use disorders, mental health, HIV/AIDS, chronic illness, diverse disabilities or other serious challenges to stable housing.

In social work, a caseworker is not a social worker but is employed by a government agency, nonprofit organization, or another group to take on the cases of individuals and provide them with advocacy, information and solutions. Also, in political arenas, caseworkers are employed as a type of legislative staffer by legislators to provide service to their constituents such as dealing with individual or family concerns. A social worker must obtain a Master degree level of education with the intent to provide social services, such as therapy. A titled Social Worker is required a Master's degree level of education from an accredited University and usually, though not always, pursues a state license after graduate school in the professional setting. British MPs and members of the United States Congress often provide constituent services through caseworkers for better use of their allotted funds.

On November 2004, voters in the U.S. state of California passed Proposition 63, the Mental Health Services Act (MHSA), which has been designed to expand and transform California’s county mental health service systems. The MHSA is funded by imposing an additional one percent tax on individual, but not corporate, taxable income in excess of one million dollars. In becoming law on January 2005, the MHSA represents the latest in a Californian legislative movement, begun in the 1990s, to provide better coordinated and more comprehensive care to those with serious mental illness, particularly in underserved populations. Its claim of successes thus far, such as with the development of innovative and integrated Full Service Partnerships (FSPs), are not without detractors who highlight many problems but especially a lack of oversight, large amount of unspent funds, poor transparency, lack of engagement in some communities, and a lack of adherence to required reporting as challenges MHSA implementation must overcome to fulfill the law's widely touted potential.

A mental health professional is a health care practitioner or social and human services provider who offers services for the purpose of improving an individual's mental health or to treat mental disorders. This broad category was developed as a name for community personnel who worked in the new community mental health agencies begun in the 1970s to assist individuals moving from state hospitals, to prevent admissions, and to provide support in homes, jobs, education, and community. These individuals were the forefront brigade to develop the community programs, which today may be referred to by names such as supported housing, psychiatric rehabilitation, supported or transitional employment, sheltered workshops, supported education, daily living skills, affirmative industries, dual diagnosis treatment, individual and family psychoeducation, adult day care, foster care, family services and mental health counseling.

Assertive community treatment (ACT) is an intensive and highly integrated approach for community mental health service delivery. ACT teams serve individuals with the most serious forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders. ACT service recipients may also have diagnostic profiles that include features typically found in other DSM-5 categories. Many have histories of frequent psychiatric hospitalization, substance abuse, victimization and trauma, arrests and incarceration, homelessness, and additional significant challenges. The symptoms and complications of their mental illnesses have led to serious functioning difficulties in several areas of life, often including work, social relationships, residential independence, money management, and physical health and wellness. By the time they start receiving ACT services, they are likely to have experienced failure, discrimination, and stigmatization, and their hope for the future is likely to be quite low.

Homelessness in Australia Overview of homelessness in Australia

Homelessness in Australia is a social issue concerning the number of people in Australia that are considered to be homeless. There are no internationally agreed upon definitions of homelessness, making it difficult to compare levels of homelessness across countries. A majority of people experiencing homelessness long-term in Australia are found in the large cities of Sydney, Melbourne, Brisbane and Perth. It is estimated that on any given night approximately 116,000 people will be homeless and many more are living in insecure housing, "one step away from being homeless". A person who does not obtain any shelter is often described as sleeping 'rough'.

Housing First is a policy that offers permanent housing as quickly as possible to homeless people, and other supportive services afterward. It was popularized starting in the 1990s, and in the following decades became government policy in the United States and various other countries.

David Cappo

David Cappo AO is a social policy and reform advocate and Roman Catholic priest based in Adelaide, South Australia. As well as his ongoing work in Australia, Cappo is an advisor on programs in the United States to reduce homelessness and develop local solutions to social problems.

The Mental Health Commission of Canada (MHCC) is a national non-profit organization created by the Canadian government in 2007 in response to a senate committee tasked to study mental health, mental illness, and addiction. The committee appointed Michael J. L. Kirby as the first chairperson. The MHCC was endorsed by all the provinces and territories with exception to Quebec. The Commission is funded by Health Canada and has a ten-year mandate enforced through a sunset clause. On 21 April 2015, Minister of Finance Joe Oliver announced that the 2015 federal budget calls for the renewal of the MHCC for another ten-year mandate starting in 2017-2018.

Homelessness Circumstance when people have no permanent home

Homelessness or houselessness – also known as a state of being unhoused or unsheltered – is the condition of lacking stable, safe, and adequate housing. People can be categorized as homeless if they are:

Co-production is a practice in the delivery of public services in which citizens are involved in the creation of public policies and services. It is contrasted with a transaction based method of service delivery in which citizens consume public services which are conceived of and provided by governments. Co-production is possible in the private and non-profit sectors in addition to the public sector. In contrast with traditional citizen involvement, citizens are not only consulted, but are part of the conception, design, steering, and management of services.

Launch Housing is a secular Melbourne-based community organisation that delivers homelessness services and housing supports to disadvantaged Victorians.

Human services is an interdisciplinary field of study with the objective of meeting human needs through an applied knowledge base, focusing on prevention as well as remediation of problems, and maintaining a commitment to improving the overall quality of life of service populations. The process involves the study of social technologies, service technologies, and scientific innovations designed to ameliorate problems and enhance the quality of life of individuals, families and communities to improve the delivery of service with better coordination, accessibility and accountability. The mission of human services is to promote a practice that involves simultaneously working at all levels of society in the process of promoting the autonomy of individuals or groups, making informal or formal human services systems more efficient and effective, and advocating for positive social change within society.

Homelessness and mental health

In a study in Western societies, homeless people have a higher prevalence of mental illness when compared to the general population. They also are more likely to suffer from alcoholism and drug dependency. It is estimated that 20–25% of homeless people, compared with 6% of the non-homeless, have severe mental illness. Others estimate that up to one-third of the homeless have a mental illness. In January 2015, the most extensive survey ever undertaken found 564,708 people were homeless on a given night in the United States. Depending on the age group in question and how homelessness is defined, the consensus estimate as of 2014 was that, at minimum, 25% of the American homeless—140,000 individuals—were seriously mentally ill at any given point in time. 45% percent of the homeless—250,000 individuals—had any mental illness. More would be labeled homeless if these were annual counts rather than point-in-time counts. Being chronically homeless also means that people with mental illnesses are more likely to experience catastrophic health crises requiring medical intervention or resulting in institutionalization within the criminal justice system. Majority of the homeless population do not have a mental illness. Although there is no correlation between homelessness and mental health, those who are dealing with homelessness are struggling with psychological and emotional distress. The Substance Abuse and Mental Health Services Administration conducted a study and found that in 2010, 26.2 percent of sheltered homeless people had a severe mental illness.

The Banyan

The Banyan is a non-governmental organization based in Chennai, India was founded in 1993 by Vandana Gopikumar and Vaishnavi Jayakumar to cater to the mentally ill and homeless women in the city.

The Foyer housing model is a method of transitional housing for youth that evolved from temporary housing for laborers in Europe. After World War II, foyers were used to provide accommodation for a movement of people from rural France to cities seeking work. The term "foyer" means hearth in French. They later developed to house migrant workers, primarily from Algeria, serving as a path to independent labor and accommodation.

Youth homelessness Social issue of Homelessness of the Youth

Youth homelessness is the problem of homelessness of young people around the globe.

References

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  2. Zaretzky, Kaylene, Paul Flatau, Anne Clear, Elizabeth Conroy, Lucy Burns, and Bridget Spicer. "The cost of homelessness and the net benefit of homelessness programs: a national study. Findings from the Baseline Client Survey." (2013).
  3. Forsyth, Liz, and Amity Durham. "Directions for homelessness service system reform." Parity 26, no. 8 (2013): 6.
  4. Fotheringham, Sarah, Christine A. Walsh, and Anna Burrowes. "‘A place to rest’: the role of transitional housing in ending homelessness for women in Calgary, Canada." Gender, Place & Culture 21, no. 7 (2014): 834-853.
  5. Busch-Geertsema, Volker. "Defining and measuring homelessness." Homelessness Research in Europe: Festschrift for Bill Edgar and Joe Doherty (2010): 19-39.
  6. Barrow, Susan M., Fredric Hellman, Anne M. Lovell, Jane D. Plapinger, and Elmer L. Struening. "Evaluating outreach services: lessons from a study of five programs." New directions for mental health services 1991, no. 52 (1991): 29-45.
  7. Cortis, Natasha, and Megan Blaxland. State of the Community Service Sector in New South Wales 2015. Social Policy Research Centre, UNSW Australia, 2015.
  8. Nesci, Angela. "True Representation or Token Position?." Parity 21, no. 4 (2008): 6.
  9. Keuroghlian, Alex S., Derri Shtasel, and Ellen L. Bassuk. "Out on the street: a public health and policy agenda for lesbian, gay, bisexual, and transgender youth who are homeless." American journal of orthopsychiatry 84, no. 1 (2014): 66.
  10. Berman, Evan M. "Local government and community-based strategies: Evidence from a national survey of a social problem." The American Review of Public Administration 26, no. 1 (1996): 71-91.
  11. Buckingham, Heather. "Competition and contracts in the voluntary sector: exploring the implications for homelessness service providers in Southampton." Policy & Politics 37, no. 2 (2009): 235-254.
  12. Zufferey, Carole. "'Jack of all trades, master of none?': Social work identity and homelessness in Australian cities." Journal of Social Work (2011): 1468017310393404.
  13. Craig, Tom, and Philip Timms. "Facing up to social exclusion: services for homeless mentally ill people." International review of psychiatry 12, no. 3 (2000): 206-211.
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