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					PSA16: Socially
Excluded Adults

Mark Carroll, Communities and Local Government
                       Settled Accommodation – PSA16




Government’s aim that the most vulnerable adults are
offered the chance to get back on a path to a more
successful life by increasing the proportion of socially
excluded adults in settled accommodation and in
education training and employment.




                                                           2
                                         Context - PSA16 Baseline data

                                        England                       East Midlands

                              Proportion in   Proportion in   Proportion in    Proportion in
                              settled         employment      settled          employment
                Cohort size   accommodation                   accommodation

Care leavers    6,100         89.6%           63%             91.6%            58%
at age 19       (2008/09)

Offenders       79,000        78.6%           37%             81.9%            48.9%
under           (2008/09)
probation
supervision
Adults          136,094       21.5%           3.4%            26.6%            3.9%
receiving       (2008/09)
secondary
mental health
services
Adults with     132,285       65.2%           7.5%            72.8%            5.4%
moderate to     (2008/09)
severe
learning
disabilities
                                                                                        3
                                        Settled accommodation (1)


Factors linked to unsettled accommodation outcomes:

•   Offenders - chaotic lifestyle, multiple needs, lack of family support
    networks, issues around criminal justice system
•   Care leavers - Coming into care late, unsettled care placements,
    attitudinal factors (poor sense of self worth, high expectations of
    accommodation)
•   Mental health – chaotic lifestyle, traumatic backgrounds, lack of
    family support networks, dual diagnosis
•   Learning disability – particular lack of awareness of and
    availability of a range of housing options, perceptions of carers
    and service providers

Cross cutting issues
• Lack of independent living skills
• Poor engagement with services
                                                                            4
                                    Settled accommodation (2)

What works:

•   Importance of joint working between different organisations and
    partners

•   Role of Lead Professional, particularly Personal Adviser for
    care leavers, is key

•   Positive feedback from clients about supported accommodation
    and key workers

•   Floating support – important in helping people maintain their
    accommodation

•   Some success with rent deposit schemes – although accessing
    the private rented sector can be complex
                                                                    5
                                          PSA16 Delivery Plan
In the East Midlands,
•   Top level commitment from Regional PSA16 Sounding Board –
    fits in well with renewed focus on regional governance and
    support for PSA16 agreed by Ministers
•   Good practice on housing
•   Link Up Link In contacts database
And more generally,
•   Regional Resource Team support – a supportive tool to help
    local areas improve PSA16 accommodation outcomes
•   Challenge Fund for Government Offices
•   Work at the national level with other government departments
•   Cabinet Office led work such as research on role of Lead
    Professionals and work with Audit Commission on indicators of
    success for PSA16                                           6
              Emerging strategic issues from diagnostic
                                                  visits

•It is often more difficult to have a holistic approach to
accommodation in two tier authorities

•Some cultural differences between Housing and Adult
Social Care – different language

•Learning disability and mental health – seems to be
more focus on individual outcomes, less focus on
strategic outcomes

•Empty Home strategies don’t always take account of
the housing needs of PSA16 clients
                                                             7
                                                 Positive Practice
The Dawn Centre in Leicester - a project for homeless people
providing temporary accommodation, support, advice and
assistance on health, housing, life skills and education all in one
place.
STAR (Supporting Tenants and Residents) tenancy sustainment
service provides pre-tenancy training for vulnerable people and
support to maintain accommodation and access ETE
Rent arrears repayment schemes, for example 1/3 paid by RSL,
1/3 paid by Local Authority, 1/3 paid by the individual using a
Credit Union Loan
Good partnership working in most authorities, between housing
and SP and between Probation/Police and SP
Training flats for young people leaving care and care leavers
remaining in their foster homes beyond their 18th birthday
Use of protocols – for example between probation and housing
and for hospital discharge
                                                                      8
                                                     Opportunities
•Linking across different national indicators – work on PSA16 can
help on vulnerable adults living independently (NI 141 & 142),
reducing re-offending (NI 18 & 30) and reduced use of temporary
accommodation (NI 156).

•CAA – covers all national indicators.

•Prevention – meeting the needs of socially excluded adults at an
early stage preventing use of more expensive crisis services.

•JSNA – how can it encompass health, housing and housing
related support needs and inform better local commissioning?
CLG and DH currently working to develop practice guidance.

•Regionally – a strengthened focus on regional approach to
support local delivery of PSA16, building on existing regional
PSA16 Boards

•At the local level – is there simple overarching planning to pick up
key messages for each client group, remove blockages and              9
improve accommodation outcomes?

				
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posted:9/13/2012
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