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P    A   A   V   O

              pitkäaikaisasunnottomuuden
             vähentämisohjelma 2008-2011



Long term perspectives:
From Housing First to Ending Homelessness
Bruxelles
23.03.2012
Juha Kaakinen Programme leader
The Finnish National Programme to reduce
long-term homelessness
The national programme for the reduction of long-term
                             homelessness in Finland 2008–2011: Targets

                             Need to address long-term homelessness,
                             which had not diminished along the general decreasing of
                             homelessness

                             1. New targets – putting long-term homelessness down to half by
                                2011 and ending it by 2015

                             2. Conversion of all shelters and dormitory-type hostels into supported housing

                             3. Reinforcing Housing first – approach
                                as a mainstream organizing principle for housing and
                                support services for homeless people

                              The overall funding of the programme exceeded €160 million of which
                              the state provided €130 million ( € 60 grants for investments, €60 loans for
                             investments and €10,3 for salary costs), municipalities €10,3 million and
                              RAY (Finland’s Slot Machine Association) €20,5 million
                              The state’s allocated funding has covered 50 % of the salary costs of
                              additional staff required to produce support services.
                              205 new support workers have been employed through this funding.


     P   A   A   V   O

pitkäaikaisasunnottomuuden
The reduction of long-term homelessness 2008–2011 in Finland

                             Quantitative targets:

                             1250 new dwellings, supported housing units or care places
                              in ten major cities

                             2010: 494 new dwellings in use
                             2011: 581 new dwellings in use
                             2012: 622 under planning and construction will be in use
                             Total: 1697 new dwellings

                             These new dwellings are mostly in single house units (the largest one has
                             125 independent flats)
                             There are also several hundreds of dwellings in scattered housing both in
                             municipal social housing and dwellings acquired from
                             private housing sector

                             All new units function according to Housing First –principle


     P   A   A   V   O

pitkäaikaisasunnottomuuden
Single homeless and long-term homeless
                                   2008-2011




all single homeless
long term homeless
Homelessness in Finland

                             Wide definition of homelessness

                             2011: 7572 single homeless people of which

                                 * 2730 long-term homeless

                                 * 5235 living temporarily with friends and relatives

                                 * 1595 women

                                 * 1387 young < 25 years

                                 * 1020 immigrants

                             Definition of long-term homelessness:

                             A person whose homelessness has become prolonged and chronic,
                             or is threatening to become chronic (over 1 year of homelessness or
                             repeatedly homeless during the last three years)
                             due to social and health problems

     P   A   A   V   O

pitkäaikaisasunnottomuuden
Why we want to get rid of hostels and shelters?

                             Hostels and shelters have a long history in Finland
                             After the second world war there were hostels in bomb-shelters
                             From 1950 to 1990 hostels were mainly run by private companies
                             The biggest hostels had over 500 bed-places
                             The oldest hostel in Helsinki run by Salvation Army (236 bed-places)
                             Closed its door in February 2011
                             It will be renovated into supported housing unit with 80 independent flats


                             Living in a hostel or shelter is always a temporary solution,
                             but nobody knows for how long
                             You have no privacy
                             You have only very limited professional help in your problems

                             Hostels sustain a culture of irresponsibility:
                             Problems in hostels are resolved in a very straightforward manner:
                             If you end up in trouble either you are thrown out or
                             you leave on your own and also leave the problems behind, unsolved

                             Hostels create ”a culture of silence”


     P   A   A   V   O

pitkäaikaisasunnottomuuden
SUPPLY OF SHELTERS AND SUPPORTED HOUSING, HELSINKI 1970-2011

               Supported      Supported    Independent   Shelters/
               flats/places   group homes/ flats         places
                              places

   1970                                                  3665
   1975                                                  3036
   1980                                                  2351
   1985        99             28           65            2121
   1990        423            194          382           1403
   1995        409            199          1223          884
   2000        374            203          1667          906
   2005        335            178          2130          659
   2008        374            178          2033          558
   2009        223            180          2210          518
   2010        245            180          2274          511
   2011        560            180          2296          144




                               08.02.13                              7
Housing First in Finland: Principles and Solutions

                             « Name on the door » :

                             a basic human need for privacy, a place of one’s own, a home:
                             A rental contract of one’s own (not second-hand contract or
                             temporary social contract)

                             A permanent housing allows other problems to be solved:
                             Non-drinking is not a requirement for permanent housing

                             Separation of housing and services,

                             Individually tailored services based on an assesment of needs

                             The solutions for homelessness cannot be temporary

                             Conventional shelters and dormitory-type hostels are not anymore
                             adequate responses to homelessness:
                             Hostels will be converted into supported housing units

     P   A   A   V   O

pitkäaikaisasunnottomuuden
Housing First in Finland: Principles and Solutions

                             Finnish model is a combination of:

                             Pathways Housing First
                             -Some individual projects

                             Communal Housing First
                             -main focus during 2008-2011, 39 units of supported
                             - housing (16 – 125 individual dwellings in single house units)
                             -Intensive support for the most vulnerable group of long-term
                               homeless people
                             -Replacing dormitory type hostels and shelters

                             Housing First ”light” services
                             -scattered housing
                             -individual flats from the municipal social housing or
                             flats acquired from the private market (Y-Foundation)




     P   A   A   V   O

pitkäaikaisasunnottomuuden
Housing First in Finland: Experiences

                             Results so far in Housing first are significantly better than in
                             the traditional Staircase –model (revolving door –syndrome),
                             but elements of staircase model survive

                             Both scattered housing and single house units (communal housing first)
                              are needed:
                             More intensive support is not working in scattered housing
                             It is not self-evident which type of housing gives better results
                             in terms of social integration

                             PathwaysHF may work very well as a small-scale approach
                             When implementing Housing First on a programme level with
                             a limited time-span you have to combine different approaches

                             The importance of health services for homeless people

                             Housing is not treatment: Also non-drinking units are needed
                             There is a need for a new kind of treatment at home for people
                             with drinking problems



     P   A   A   V   O

pitkäaikaisasunnottomuuden
Ending Long-term homelessness:
                             Lessons we have learned for
                             The New Programme 2012-2015

                             The crucial role of prevention:
                             Results from housing advisory services have been encouraging
                             In Helsinki 2010-2011 14 housing advisors managed to stop
                             148 eviction processes and negotiaited 3682 payment contracts
                             for rental debts

                             Prevention of youth homelessness: tailored counseling and support
                             for youth in risk groups, the risk of unemployment

                             Homeless ex-prisoners: making plans for housing and
                             support arrangements already when in prison




     P   A   A   V   O

pitkäaikaisasunnottomuuden
Ending Long-term homelessness:
                             Lessons we have learned for
                             The New Programme 2012-2015

                             A very thin line separates long-term homeless people from other
                             homeless people
                             A risk of social injustice: Do I have to become a long-term homeless
                             to get quality services?

                             Three corner-stones for ending homelessness:

                             •Targeted measures for eliminating long-term homelessness

                             •More systematic prevention

                             •Reducing the risk of long-term homelessness




     P   A   A   V   O

pitkäaikaisasunnottomuuden
Ending Long-term homelessness:
                             New Programme 2012-2015

                             Same basic principles

                             10 main cities

                             1250 new dwellings of which at least 50 % in scattered housing

                             A national project for developing support services for youth
                             Preventing homelessness among youth: 600 new dwellings

                             Systematic use of social housing for long-term homeless people

                             Abolishing shelters nationwide

                             Structural changes in institutional care for substance abusers

                             Quality improvement in housing for persons recovering from psychiatric
                             problems

                             More systematic prevention:
                             Legal status for housing advisors (social workers mainly)
                             state grants for municipalities for expanding housing advising
     P   A   A   V   O
                             Extending housing advasing also to private landlords
pitkäaikaisasunnottomuuden
Ending homelessness

                             It is a question of ethics:
                             Housing first treats formerly homeless persons as normal citizens
                             rather than as clients or patients

                             It is a question of economy:
                             The survey carried out in a Tampere supported housing unit shows that
                             housing with intensified support halves the use of social and health care services
                             compared to service-use during homelessness.
                             This equates, to 14 000 euros of savings per resident/year
                             The total annual savings for 15 residents in the unit in question
                             amounted to 220 000 euros/
                             The greatest savings were gained from the decreased use of institutional care
                             and special health care
                             This housing unit has 22 independent flats and 5 support workers

                             It is a question of customer choice:
                             Many homeless people prefer Communal Housing First, because they
                             fear isolation and loneliness in scattered housing




     P   A   A   V   O

pitkäaikaisasunnottomuuden
Need for empirical evidence:
Follow-up and evaluation of the Reduction Programme


Systematic follow-up of success-rate in municipalities and
In all units

Subjectice well-being of clients :

All programme cities and all units included
A questionnaire and an interview done yearly
Based on:
Biswar-Diener R, Diener E. Making the best of a bad situation: Satisfaction
In the slums of Calcutta.
www.intentionalhappiness.com/articles/July-2009/Calcutta1.pdf
A pilot survey already done in the housing services of Helsinki Diaconese
Instute
Research carried out by Prof. Juho Saari, University of Eastern Finland
Ending homelessness

                             It is a question of human value and meaningfulness in life:

                             After housing has been solved there arises a hunger for
                             meaningful daily activities

                             The importance of work or work-related activities for self-esteem


                             « No one has yet failed in the future »
                                                             James Richardson




     P   A   A   V   O

pitkäaikaisasunnottomuuden

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Long-Term Perspectives: From Housing First to Ending Homelessness

  • 1. P A A V O pitkäaikaisasunnottomuuden vähentämisohjelma 2008-2011 Long term perspectives: From Housing First to Ending Homelessness Bruxelles 23.03.2012 Juha Kaakinen Programme leader The Finnish National Programme to reduce long-term homelessness
  • 2. The national programme for the reduction of long-term homelessness in Finland 2008–2011: Targets Need to address long-term homelessness, which had not diminished along the general decreasing of homelessness 1. New targets – putting long-term homelessness down to half by 2011 and ending it by 2015 2. Conversion of all shelters and dormitory-type hostels into supported housing 3. Reinforcing Housing first – approach as a mainstream organizing principle for housing and support services for homeless people The overall funding of the programme exceeded €160 million of which the state provided €130 million ( € 60 grants for investments, €60 loans for investments and €10,3 for salary costs), municipalities €10,3 million and RAY (Finland’s Slot Machine Association) €20,5 million The state’s allocated funding has covered 50 % of the salary costs of additional staff required to produce support services. 205 new support workers have been employed through this funding. P A A V O pitkäaikaisasunnottomuuden
  • 3. The reduction of long-term homelessness 2008–2011 in Finland Quantitative targets: 1250 new dwellings, supported housing units or care places in ten major cities 2010: 494 new dwellings in use 2011: 581 new dwellings in use 2012: 622 under planning and construction will be in use Total: 1697 new dwellings These new dwellings are mostly in single house units (the largest one has 125 independent flats) There are also several hundreds of dwellings in scattered housing both in municipal social housing and dwellings acquired from private housing sector All new units function according to Housing First –principle P A A V O pitkäaikaisasunnottomuuden
  • 4. Single homeless and long-term homeless 2008-2011 all single homeless long term homeless
  • 5. Homelessness in Finland Wide definition of homelessness 2011: 7572 single homeless people of which * 2730 long-term homeless * 5235 living temporarily with friends and relatives * 1595 women * 1387 young < 25 years * 1020 immigrants Definition of long-term homelessness: A person whose homelessness has become prolonged and chronic, or is threatening to become chronic (over 1 year of homelessness or repeatedly homeless during the last three years) due to social and health problems P A A V O pitkäaikaisasunnottomuuden
  • 6. Why we want to get rid of hostels and shelters? Hostels and shelters have a long history in Finland After the second world war there were hostels in bomb-shelters From 1950 to 1990 hostels were mainly run by private companies The biggest hostels had over 500 bed-places The oldest hostel in Helsinki run by Salvation Army (236 bed-places) Closed its door in February 2011 It will be renovated into supported housing unit with 80 independent flats Living in a hostel or shelter is always a temporary solution, but nobody knows for how long You have no privacy You have only very limited professional help in your problems Hostels sustain a culture of irresponsibility: Problems in hostels are resolved in a very straightforward manner: If you end up in trouble either you are thrown out or you leave on your own and also leave the problems behind, unsolved Hostels create ”a culture of silence” P A A V O pitkäaikaisasunnottomuuden
  • 7. SUPPLY OF SHELTERS AND SUPPORTED HOUSING, HELSINKI 1970-2011 Supported Supported Independent Shelters/ flats/places group homes/ flats places places 1970 3665 1975 3036 1980 2351 1985 99 28 65 2121 1990 423 194 382 1403 1995 409 199 1223 884 2000 374 203 1667 906 2005 335 178 2130 659 2008 374 178 2033 558 2009 223 180 2210 518 2010 245 180 2274 511 2011 560 180 2296 144 08.02.13 7
  • 8. Housing First in Finland: Principles and Solutions « Name on the door » : a basic human need for privacy, a place of one’s own, a home: A rental contract of one’s own (not second-hand contract or temporary social contract) A permanent housing allows other problems to be solved: Non-drinking is not a requirement for permanent housing Separation of housing and services, Individually tailored services based on an assesment of needs The solutions for homelessness cannot be temporary Conventional shelters and dormitory-type hostels are not anymore adequate responses to homelessness: Hostels will be converted into supported housing units P A A V O pitkäaikaisasunnottomuuden
  • 9. Housing First in Finland: Principles and Solutions Finnish model is a combination of: Pathways Housing First -Some individual projects Communal Housing First -main focus during 2008-2011, 39 units of supported - housing (16 – 125 individual dwellings in single house units) -Intensive support for the most vulnerable group of long-term homeless people -Replacing dormitory type hostels and shelters Housing First ”light” services -scattered housing -individual flats from the municipal social housing or flats acquired from the private market (Y-Foundation) P A A V O pitkäaikaisasunnottomuuden
  • 10. Housing First in Finland: Experiences Results so far in Housing first are significantly better than in the traditional Staircase –model (revolving door –syndrome), but elements of staircase model survive Both scattered housing and single house units (communal housing first) are needed: More intensive support is not working in scattered housing It is not self-evident which type of housing gives better results in terms of social integration PathwaysHF may work very well as a small-scale approach When implementing Housing First on a programme level with a limited time-span you have to combine different approaches The importance of health services for homeless people Housing is not treatment: Also non-drinking units are needed There is a need for a new kind of treatment at home for people with drinking problems P A A V O pitkäaikaisasunnottomuuden
  • 11. Ending Long-term homelessness: Lessons we have learned for The New Programme 2012-2015 The crucial role of prevention: Results from housing advisory services have been encouraging In Helsinki 2010-2011 14 housing advisors managed to stop 148 eviction processes and negotiaited 3682 payment contracts for rental debts Prevention of youth homelessness: tailored counseling and support for youth in risk groups, the risk of unemployment Homeless ex-prisoners: making plans for housing and support arrangements already when in prison P A A V O pitkäaikaisasunnottomuuden
  • 12. Ending Long-term homelessness: Lessons we have learned for The New Programme 2012-2015 A very thin line separates long-term homeless people from other homeless people A risk of social injustice: Do I have to become a long-term homeless to get quality services? Three corner-stones for ending homelessness: •Targeted measures for eliminating long-term homelessness •More systematic prevention •Reducing the risk of long-term homelessness P A A V O pitkäaikaisasunnottomuuden
  • 13. Ending Long-term homelessness: New Programme 2012-2015 Same basic principles 10 main cities 1250 new dwellings of which at least 50 % in scattered housing A national project for developing support services for youth Preventing homelessness among youth: 600 new dwellings Systematic use of social housing for long-term homeless people Abolishing shelters nationwide Structural changes in institutional care for substance abusers Quality improvement in housing for persons recovering from psychiatric problems More systematic prevention: Legal status for housing advisors (social workers mainly) state grants for municipalities for expanding housing advising P A A V O Extending housing advasing also to private landlords pitkäaikaisasunnottomuuden
  • 14. Ending homelessness It is a question of ethics: Housing first treats formerly homeless persons as normal citizens rather than as clients or patients It is a question of economy: The survey carried out in a Tampere supported housing unit shows that housing with intensified support halves the use of social and health care services compared to service-use during homelessness. This equates, to 14 000 euros of savings per resident/year The total annual savings for 15 residents in the unit in question amounted to 220 000 euros/ The greatest savings were gained from the decreased use of institutional care and special health care This housing unit has 22 independent flats and 5 support workers It is a question of customer choice: Many homeless people prefer Communal Housing First, because they fear isolation and loneliness in scattered housing P A A V O pitkäaikaisasunnottomuuden
  • 15. Need for empirical evidence: Follow-up and evaluation of the Reduction Programme Systematic follow-up of success-rate in municipalities and In all units Subjectice well-being of clients : All programme cities and all units included A questionnaire and an interview done yearly Based on: Biswar-Diener R, Diener E. Making the best of a bad situation: Satisfaction In the slums of Calcutta. www.intentionalhappiness.com/articles/July-2009/Calcutta1.pdf A pilot survey already done in the housing services of Helsinki Diaconese Instute Research carried out by Prof. Juho Saari, University of Eastern Finland
  • 16. Ending homelessness It is a question of human value and meaningfulness in life: After housing has been solved there arises a hunger for meaningful daily activities The importance of work or work-related activities for self-esteem « No one has yet failed in the future » James Richardson P A A V O pitkäaikaisasunnottomuuden