Services that Manage the Care Needs of Drunk - Scottish Government
Services that Manage the Care Needs of Drunk - Scottish Government
Services that Manage the Care Needs of Drunk - Scottish Government
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Canberra (following <strong>the</strong> closure <strong>of</strong> <strong>the</strong> previous service in 1996), <strong>the</strong>ir original<br />
plan was to locate sobering-up beds within one or more existing crisis<br />
services. However, <strong>the</strong>ir call for tenders to provide this add-on service<br />
attracted no responses. The Canberra service was later established in 2004<br />
as a stand-alone facility near <strong>the</strong> city centre. 49<br />
2.55 The examples given in Box 2 below illustrate some <strong>of</strong> <strong>the</strong> models <strong>that</strong> have<br />
been used to better integrate sobering-up services with services for homeless<br />
people in Australia.<br />
Box 2: Examples <strong>of</strong> integration <strong>of</strong> sobering-up services and homeless services<br />
in Australia<br />
New South Wales<br />
In <strong>the</strong> state <strong>of</strong> New South Wales, regular monitoring <strong>of</strong> admissions to sobering-up services found <strong>that</strong><br />
<strong>the</strong> vast majority <strong>of</strong> clients <strong>of</strong> sobering-up services were homeless. This led to changes in state<br />
legislation regarding <strong>the</strong> provision <strong>of</strong> “proclaimed places” (equivalent to “designated places” in<br />
Scotland) for intoxicated persons. As part <strong>of</strong> <strong>the</strong>se changes, a protocol was agreed between <strong>the</strong><br />
Department <strong>of</strong> Community <strong>Services</strong> (responsible for managing funding for homeless services), <strong>the</strong><br />
police and health services, and this spelled out in detail what each <strong>of</strong> <strong>the</strong>se agencies would undertake<br />
to do in responding to <strong>the</strong> needs <strong>of</strong> intoxicated homeless people. The result was <strong>that</strong> “Proclaimed<br />
Places” were abolished and were replaced with Intoxicated Persons’ Units within homelessness<br />
services. This represented “a change in focus from <strong>the</strong> provision <strong>of</strong> a sobering-up service to a case<br />
management approach <strong>that</strong> attempts to address <strong>the</strong> underlying causes <strong>of</strong> both clients’ homelessness<br />
and addictions”. 50<br />
Tasmania<br />
In Tasmania, <strong>the</strong> sobering-up service in <strong>the</strong> city <strong>of</strong> Launceston is located within a larger crisis<br />
accommodation service, with two beds allocated for <strong>that</strong> purpose. If <strong>the</strong> police bring someone to <strong>the</strong><br />
shelter who is intoxicated, <strong>the</strong> beds must be used for sobering-up, but if <strong>the</strong>y are not needed, <strong>the</strong>y<br />
may be used for crisis accommodation instead. 51 It is not clear from <strong>the</strong> information provided how this<br />
arrangement works in practise, although one report suggested <strong>that</strong> a similar arrangement in New<br />
South Wales (prior to <strong>the</strong> introduction <strong>of</strong> <strong>the</strong> legislative changes described above) did not work very<br />
well, and resulted in homeless people being turned away in order <strong>that</strong> beds could be held open for<br />
people who were intoxicated. 52<br />
Western Australia<br />
In Port Hedland, individuals who attend <strong>the</strong> sobering-up centre on a regular basis are provided with<br />
intensive support and practical assistance by outreach workers employed by a homeless support<br />
service. 53 This particular service was cited as an example <strong>of</strong> best practice in relation to responding to<br />
<strong>the</strong> needs <strong>of</strong> <strong>the</strong> homeless Aboriginal population in <strong>the</strong> Port Hedland area.<br />
(continued on <strong>the</strong> next page)<br />
49<br />
Allen-Kelly et al, 2006.<br />
50<br />
New South Wales Department <strong>of</strong> Health, 2005. It is not clear from <strong>the</strong> information provided what<br />
happens in New South Wales when an individual is identified as drunk and incapable, but is not<br />
homeless, although given <strong>the</strong> relatively small numbers <strong>of</strong> people involved, it seems likely <strong>that</strong> <strong>the</strong>y are<br />
accommodated in <strong>the</strong> same facilities with those who are homeless.<br />
51<br />
Allen-Kelly & McArthur, 2005.<br />
52<br />
Parliament <strong>of</strong> Victoria, 2000.<br />
53<br />
Memmott P et al, 2003.<br />
54<br />
Parliament <strong>of</strong> Victoria, 2000.<br />
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