casas primeiro / housing first in lisbon
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Insert your logo here. Casas Primeiro / Housing First in Lisbon. José Ornelas ISPA – University Institute. Casas Primeiro (Homes First) . Immediate access to individualized and permanent housing. - PowerPoint PPT PresentationTRANSCRIPT
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Casas Primeiro / Housing First in Lisbon
José OrnelasISPA – University Institute
Insert your logo here
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Casas Primeiro (Homes First) Immediate access to individualized and permanent
housing.
People are not required to participate in psychiatric treatment or attain a period of sobriety in order to obtain housing.
Scatter site apartments in mainstream neighborhoods in Lisbon. Apartments are not in the same building or street.
Rental subsidy. Tenants pay 30% of their monthly income towards rent.
Provides – off site – services (7-24 on call) to help consumers keep housing, facilitate recovery and community integration.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
ParticipantsCriteria of priority:
People with mental illness
People who are living on
the street
People who are the
longest in the situation of
homeless
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Participants
• 91,6% have Portuguese nationality • All participants were unemployed or inactive• Only 28 participants had some source of income
Sex
Age
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Participants
Alcohol
Drugs
Alcohol and drugs
Not applicable
11,1%
2,8%
15,3%
70,8%
29.2% also present a co-occurring substance abuse disorder
Diagnosis
Addictions
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Length of homelessness
< 2 years 3 - 5years
> 6 years0%
20%
40%
60%
50% of the participants were homeless for more than six years, and 6,9% for more than 16 years.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Support services• Team (6 staff – ratio 1 staff to 10 participants) • Home visits at least 6 times per month per participant. All
tenants must agree to regular home visit.• Support services are provided in the community (access
to community resources and services)• Team use a recovery focus and assist with community
integration. Participants can beneficiate from others AEIPS programs (e.g. supported employment)
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Ecological approach
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Housing Stability
83,3%
16,7%
Yes
No
Of the 60 participants that are still housed by the program, 58.3% remained in housing for one year or more
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Changes in income
0
20
40
60
80
Before After
Income
The number of participants that had a monthly income increased substantially from 28 to 70 (social benefits and salary).
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Changes of quality of life
The impacts of housing in participants’ perceived quality of life are clearly significant, in terms of personal safety, nutrition, level of stress, sleeping habits, social life health and mental health.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Changes in emergency service use
Before
After
Called 112 46% 6%
Admitted in psychiatric hospital 58% 6%
Spent one night on police squad 20% -
The number of participants reporting having to use 112 emergency service decrease 87%. The number of admissions in psychiatric hospitals decreased by 90%. No one reported having spent the night on a police squad after move into housing.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Individual projects
Job site training
University
School
Workshops
Community center
Computer training
9
1
1
2
3
6
22 participants involved became involved in school, training, employment or other activities
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Satisfaction with housing
0%
20%
40%
60%
80%
100%
Satisfactionwith the neigbourhood
Satisfaction with the house
Satisfaction with neighbourhoods: the resources nearby and the relationship with neighbours.Satisfaction with the house: privacy, tranquillity, comfort and sense of control over the space.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Program satisfactionAll participants were satisfied with the program, pointing out as important aspects the speediness of the process the support of the team in:
solving immediate problems managing the house facilitating access to existent
neighborhood services.
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Support needs changed over time
0%
10%
20%
30%
40%
50%
60%
Increase Staying thesame
Decrease Don't know
70%
60% of participants considered that in the short term, there will be no major changes32% consider that their needs for support will decrease over time and only 4% considered they will need greater support from the team
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Overall changes
98%
2%
Life overall improvement
Don’t know
On the referred improvements participants highlight the gains in a large sentiment
of freedom and hope, a wide range of study opportunities, getting a job,
fulfilling personal projects and the development of social connections
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Costs• Casas Primeiro – 16,40 euros per client per day
(€498,83 per month)
• Night Shelters – 18,60 euros per client per night
• Hostels rooms – 30,77 euros per client per day
• Psychiatric hospitalization in acute wards have a one time cost of €2500 per client
European Research ConferenceAccess to Housing for Homeless People in Europe
York, 21st September 2012
Research Community integration & Recovery
qualitative narrative interviews interviews with quantitative measures
community integration recovery choice satisfaction with housing and support services
Social change key informant interviews landlords interviews