service integration in a regional homelessness service system joint research project between...
TRANSCRIPT
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SERVICE INTEGRATION IN A REGIONAL HOMELESSNESS SERVICE SYSTEM
Joint research project between Northern Rivers Social Development Council and Regional Futures Institute,
Southern Cross University.Funded under the National Homelessness Research
FundSee: www.fahcsia.gov.au
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Research Questions:
1. What service integration models work in regional areas?
2. What are the barriers/service system gaps to be addressed to maximise regional service integration?
3. What is the potential for increased cross sector collaboration in a regional setting?
4. What aspects of the findings can be generalised to other non-metropolitan settings?
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Acknowledgement
The most integrated service system is no substitute for an adequate supply of affordable housing and adequate resources
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What Is Service Integration?
.....linking, collaborating, networking, coordinating, communicating, cooperating, connecting, interacting, sharing, partnering, working together.....
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Service Integration - Great But...
– No single ‘model’ suits all situations– Considerable time and effort to establish
AND then to sustain– Costs before it saves– Not a panacea or an end in itself
Sometimes single agency responses are all that is needed
Not all services have to be equally ‘integrated’
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Levels of Service Integration
Service level (BOTTOM UP – voluntary, operational)– Individual Worker relationships– Interagencies, sector training – Service level MOUs, referral protocol or other
agreed coordination practice
System level (TOP DOWN – mandated, structural)– shared systems, joint programs, pooled funds
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Integrated Homelessness Service Delivery Models
Support only models –information exchange, referral protocols, case conferencing/coordination, crisis accommodation and support
Support + housing modelsFoyers, Common Ground, Rapid Housing
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Survey results – 3 regions
56.7%
35%
8.3%
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Service Connections
Clarence
Tweed
Richmond
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What service system integration models work in regional areas?
28 examples cited – mix of service and system level, support-only and support +housing, multiple sector models
Identified models in research region – service level, houseless, single sector- info sharing, communication mechanisms,
some service level agreements
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Critical factors for effective service integration (ranked)
1 Regular communication, networking; relationship building2 Partnership agreements and MOUs 3 Access to current service information 4 Access to housing
Willingness to work collaboratively Joint planning Access to and involvement of government services and personnel Coordinated case management and referral
5 Sector building capacity
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Service integration requires (literature and respondents):
- Formal+informal mechanisms- System +service delivery level elements - Senior personnel with decision making authority- Multiple sectors
Asked the wrong questionPlace-relevant strategies (opps + limitations)Service availability, govt presence, geographic spread(services & users), transport, housing supply, localstrengths, local knowledge & exp., relationships
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What barriers and service system gaps need to be addressed to maximise
service integration in a regional setting? • Knowledge of service system• Capacity for early intervention• Communication opportunities• Sector building capacity; facilitated coordination• Involvement of senior personnel, govt. &
mainstream agencies • Access to affordable housingRegional: absence of key services, p/t workforce, limited
transport, distance, cost of outreach, service size
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What is the potential for increased cross sector collaboration in a regional setting?
• Limited acknowledgement of homelessness service system ‘membership’
• Examples at operational level only (not system level) • System functioning objectives and resources• Use of existing cross sector forums/networks and
local planning structures • Varies from region to region – opps and limitations
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What aspects of the findings can be generalised to other non-metropolitan settings?
Caution against replication & generic responsesKey – responses built on place relevant
opportunities and limitations • Access to key services (Centrelink, social
housing providers, community centres)• Distance, access to transport, outreach
capacity• Service size, p/t workforce• Champions• Formal & informal networks, Valued
relationships