50 Lives 50 Homes - csi.edu.au

1 50 Lives 50 Homes A Housing First Response to Ending Homelessness in Perth Second Evaluation Report September 2018 Shannen Vallesi, Nicholas Wood, Lisa Wood, Craig Cumming, Angela Gazey and Paul Flatau. Centre for Social Impact, UWA Business School School of Population and Global Healh, UWA i 50 Lives 50 Homes Second Evaluation Report Photography by Tony McDonough. Basically the public treats you like s**. They turn around and say go get a job, go do this, and when there's nothing really that you can do since you're in that catch you can't get a have to try and get into accommodation where you can actually start your life back So it was a really big opportunity for me when I got offered 50 Lives , I took it all hands on deck which has proved to everyone that if you put me to the test, give me something really good to do, I will prove you all that I can do it.

2 It just takes me a little bit longer than everyone else to understand it before I'm able to do 've shocked myself even with my mental I've actually achieved a lot more than I've ever achieved [since being housed]. - 50 Lives Client ii 50 Lives 50 Homes 50 Lives 50 Homes : A Housing First Response to Ending Homelessness. Second Evaluation Ms Shannen Vallesi Centre for Social Impact UWA School of Population and Global Health UWA Mr Nicholas J. R. Wood School of Population and Global Health UWA Assoc/Prof Lisa Wood Centre for Social Impact UWA School of Population and Global Health UWA Mr Craig Cumming School of Population and Global Health UWA Ms Angela Gazey School of Population and Global Health UWA Prof Paul Flatau Centre for Social Impact UWA Key words 50 Lives 50 Homes ; Housing First; homelessness; Perth; vulnerable; VI-SPDAT Publisher Centre for Social Impact UWA, Business School, Perth, Australia Format Printed; PDF online only URL Recommended Citation Vallesi S, Wood NJR, Wood L, Cumming C, Gazey A, Flatau P.

3 50 Lives 50 Homes : A Housing First Response to Ending Homelessness in Perth. Second Evaluation Report. Centre for Social Impact: University of Western Australia, Perth, Western Australia. 2018. Address for Correspondence Associate Professor Lisa Wood (A) Centre for Social Impact (M098), UWA Business School, University of Western Australia, Crawley, WA, 6009 (E) (T) +618 6488 7809 (W) Centre for Social Impact UWA The Centre for Social Impact UWA (CSI UWA) is a catalyst for change in our world, creating and delivering education that transforms, research that informs best practice, and public engagement that inspires and mobilises change makers. CSI UWA is part of a national collaboration with UNSW Australia and Swinburne University of Technology.

4 Together, the three universities form the Centre for Social Impact, which takes a systems approach to developing innovative solutions to the biggest social challenges today, with a vision for a better Australia tomorrow. iii 50 Lives 50 Homes Second Evaluation Report Acknowledgements This evaluation has been undertaken with funding from Ruah Community Services, with further funding support for the evaluation provided in 2017 from Lotterywest. 50 Lives 50 Homes is a collaborative initiative to end homelessness in Western Australia, and this collaborative ethos is seen in the support provided to the research team throughout this evaluation process. CSI UWA gratefully acknowledges everyone involved in preparing this report.

5 From Ruah, we thank Leah Watkins and the 50 Lives team; Ellie Tighe from the Research, Design and Innovation team; and, Debra Zanella and the Board for valuing the importance of a comprehensive evaluation for the 50 Lives project. Gratitude is extended to Dr Andrew Davies, Bobby Dougall and the team from Homeless Healthcare, and to Dr Amanda Stafford and Misty Towers from the Royal Perth Hospital Homeless Team for their ongoing support throughout this project; their provisions of data, patience with queries and case study contributions have been invaluable. From East Metropolitan Health Service we thank Peter Cosgrove for his guidance regarding administrative data and his many hours of data extraction and collation.

6 The After-Hours Support Service team is a unique feature of 50 Lives and we are privileged to have met some of the team and accompanied them to see their work in action. 50 Lives is a collective impact project with lead workers supporting clients from a range of organisations the evaluation team is grateful to the support received from lead workers and 50 Lives partner organisations in our developing of case studies. From UWA we thank Matthew Tuson for his perseverance and assistance with data collation, Maddie Ford for her assistance in coding qualitative interviews and, colleagues in the School of Population and Global Health for their help with the case studies and graphs included in this report (Elise Irwin, Jake Smith and Nuala Chapple).

7 Photos taken by Tony McDonough within this report are used with permission from Homeless Healthcare. Finally and by no means least, we are very grateful to the homeless and formerly homeless clients engaged with 50 Lives 50 Homes ; whose journeys, stories and changes this evaluation seeks to capture and honour. Disclaimer The opinions in this report reflect the views of the authors and do not necessarily reflect those of Ruah Community Services, its Board or its funding organisations. No responsibility is accepted by Ruah Community Services, its Board or funders for the accuracy or omission of any statement, opinion, advice or information in this publication. Copyright Copyright 2018 by Centre for Social Impact, the University of Western Australia.

8 All rights reserved. This report or any portion thereof may not be reproduced or used in any manner whatsoever without the express written permission of the publisher except for the use of brief quotations in a publication review. iv 50 Lives 50 Homes CONTENTS List of iv List of Figures .. v List of Boxes .. v Acronyms and Abbreviations .. vi Executive Summary .. 1 1. Introduction .. 4 Homelessness In Perth .. 4 50 Lives 50 Homes .. 5 50 Lives Relevance to Current WA Policy Priorities . 6 Structure of this Report .. 7 2. Methodology .. 8 Qualitative Data .. 9 Quantitative Data ..10 Economic Evaluation .. 12 3. Collaborative Approach .. 13 Mechanims of Collaboration.

9 13 Working Groups .. 14 Collective Impact .. 17 Other Innovative Collaborations .. 20 Future Evolution of the 50 Lives Collaboration .. 21 4. After Hours Support Service .. 23 Basic Needs .. 24 Personal Support .. 25 Referrals .. 26 Feedback on the AHSS .. 27 5. Client Housing Outcomes .. 28 Homelessness History .. 28 Housing Outcomes .. 29 Sustaining Tenancies .. 31 Feedback and Collaboration .. 39 6. Client Health Outcomes .. 40 Self-Report Health Outcomes and Service Usage .. 40 Health Service Usage .. 45 Changes in Health Service Usage Once Housed .. 47 Managing Health Issues Once Housed .. 51 7. Client Justice Outcomes .. 53 Justice Data Considered in this Report.

10 53 Offending Behaviour .. 54 Experience as Victim .. 56 Benefits to Police of Housing First Approach .. 59 8. Conculsion .. 62 References .. 65 Appendix 1: Lead Agencies .. 68 Appendix 2: Additional Health Data Tables ..69 LIST OF TABLES Table 1: Quantitative Data Sources, Time Periods and Variables .. 10 Table 2: Frequency of Supports Provided for Long-Term Housed Clients .. 25 Table 3: Where Individuals and Families Slept Most Often .. 28 Table 4: Self-Report Drug, Alcohol and Tobacco Use .. 41 Table 5: Self-Report Mental Health, Dual Diagnosis and Tri-Morbidity .. 42 Table 6: Self-Report Physical Health Conditions .. 43 Table 7: Self-Report Health Service Use in the Previous Six Months.