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Homelessness and Poverty Andrea Rodriguez University of Dundee

A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

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Page 1: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Homelessness and Poverty

Andrea Rodriguez

University of Dundee

Page 2: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Homelessness and Poverty

A reflexive mapping exercise (RME) of services

to improve accessibility and engagement of people with multi and complex needs

Page 3: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Poverty in the UK

‘Dundee’s greatest shame: New figures reveal 28% of city’s children growing up in poverty’

The Courier, 2018

• 22% of the UK population living in poverty (Joseph Foundation, 2018)

• 7% in a persistent poverty

• Child poverty increased 15%

• Child and adolescent poverty leading to the generation of future populations of homeless (Bramley & Fitzpatrick, 2018)

Page 4: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Homelessness in Scotland

• 34.972 homeless applications in 2017/18

• First increase in 10 years

• Homeless “ocult” (42%)

• Homelessness as risk factor for mortality (Morrison, 2009)

• Youth Homelessness (24% of homeless population)

Page 5: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Increasing multiple and complex needs of homeless population (over the last 5 years)

47% of total applications had one or more specific support needs, including:

- Mental health problems (49%);- Housing management difficulties / independent living skills (47%);- Drug and alcohol dependence (24%);- Serious medical conditions (21%);- Physical disabilities (11%);- Learning disabilities (6%)

Page 6: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

The Role of University

The Oral Health Services Research Unit (DHSRU) is an international dental public health research centre based at the University of Dundee.

Aim the improvement of oral health and psychosocial well-being of marginalized and excluded groups

Smile4life research programme

Page 7: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Smile4life

Created in 2007 in response to the ‘Dental Action Plan’.

Oral health and psycho-social needs assessmentGuide for trainersEvaluation of the implementationNeed for better integration between health practitioners and NGOs

www.dundee.ac.uk/dhsru/docs/smile4life_report2011.pdf

Page 8: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Reflexive Mapping Exercise of Services (RME)

Policy context: 2016 - Public Bodies (Joint Working) (Scotland) Act 2014 - Health and Social Care integration

- To address people with complex needs and experiencing homelessness

- In response to one of the challenges of service integration: lack of knowledge of existing services

- Using a Participatory and multisectoral approach

- The RME was proposed in 4 Scottish cities with the highest homelessness and social inequalities

- National Platform to discuss multisector collaboration

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Participatory methodology

Page 10: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Mapping as a reflexive process…

Eight areas of support:

Housing Support

Health and Psychosocial Wellbeing

Food Assistance

Information and Advice

Education and Training

Furniture support

Community development network

Creating opportunities for a reflexive practice;

Investment in new and multidisciplinary partnerships;

Channels for dialogue, sharing and learning

Page 11: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Dundee City Council’s Joint Commissioning for Homelessness

National and Local Policy Design

A Way Home Scotland

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Services in Dundee

40

22

19 19

14

3 3 2

Health and PsychosocialWellbeing Support

Education /Training Housing Support Food Assistance Information and Advice Employment Furniture CommunityDevelopment and

Networking

Num

ber o

f Ser

vice

s

Service Category

Chart Showing Homelessness Support Services in Dundee City

Page 13: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Spatial Distribution of Services

Page 14: A2 - Andrea Rodriguez - Homelessness in D&G/ v ] v P u µ o ] o v } u o Æ v } ( Z } u o } µ o ] } v ~ } À Z o ñ Ç RI WRWDO DSSOLFDWLRQV KDG RQH RU PRUH VSHFLILF VXSSRUW QHHGV

Services in the 5% most deprived areas (SIMD)

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Final Comments

- More integration and coordinated access to services- Continuous work on updating information- More equal distribution- More investment in services addressing prevention and

sustainability - More service providing more than one support- Stigma as a barrier to access and to engage service users - Investment to strength a culture of collaboration

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Andrea Rodriguez: [email protected]


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