Homeless Health The Role of the Welcome Organisation Sandra Moore - - PowerPoint PPT Presentation

Homeless Health The Role of the Welcome Organisation Sandra Moore MBE CEO

NIPEC Annual Conference 10 March 2020

1 in 1 n 18 p people wi will e experienc nce ho homelessness i in n the their l lifeti time

2018 /19 - 18,202 households presented as homeless Equivalent to 182 full Glider buses

 Unemployment  Debt  Poverty  Relationship breakdown  History  Difficult to address in isolation

• suffer some form of mental or physical health

problem

• live in dangerous conditions
• have unhealthy lifestyles
• 77% smoke
• 35% don’t have 2 meals per day
• 66% consume more than recommended

amount of alcohol daily

 High levels of GP registration  Not receiving help needed  Present in health crisis  Heavy users of Acute NHS services  A&E use 4 times greater

Belfast Based Belfast HSSCT 1,300 individuals every year 4 services Drop-in, Street Outreach, Floating Support, Women’s Crisis Accommodation,

 Rough Sleepers  Marginally accommodated  Excluded persons  At risk of repeat homeless  Chronic homeless  Chaotic lifestyles  Behaviours associated with mental health

substance use issues

 Dual diagnosis

 Extremely low threshold model  Exceptionally high tolerance  Based on principles of harm reduction  No cost to clients  Ethos – meeting people where they are at

• Investment in earlier interventions
• Greater investment in community mental

health

• Improved care for people with co-occurring

mental health and substance misuse

 Primary care services more targeted to the

specific needs of homeless patients

 Housing and health are joined up as part of

the same pathway

 Clear set of actions