Housing and Support Program (HASP): Final Evaluation Report

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2 Section 1 Introduction 1.1 The Housing and Support Program (HASP) The Housing and Support Program (HASP) is an initiative under the Council of Australian Governments’ (COAG) National Action Plan on Mental Health 2006–2011. HASP is a cross-departmental initiative involving Queensland Health and the Department of Communities which includes both Housing and Homelessness Services and Disability and Community Care Services (see Fig. 1.1). Fig. 1.1 HASP Service Provision Framework Housing and Homelessness Services (HHS) Housing Services Stable accommodation The Queensland Government Department of Communities is responsible for a wide range of human services that support people with a disability. The services provided include disability and community care services, housing and homelessness services, translating and interpreting services, sport and recreation services, and community and individual support services. The overall aim of providing a number of services through one department is to enable easier access to government services and information. Two key services within the Department of Communities are involved in supporting HASP clients. These are briefl y described below. i) Department of Communities — Housing and Homelessness Services (HHS) The services provided through the former Queensland Department of Housing are now provided under the Department of Communities through the division of Housing and Homelessness Services. Housing and Homelessness Services provides accommodation for those clients accepted into HASP. Clients referred to HASP must be eligible for social housing. HASP clients comprise an Interagency Priority Group, meaning they are the subject of inter-departmental or inter-governmental agreements, or are designated by the Queensland Government for priority housing assistance. Final Evaluation Report HASP Clients Queensland Health (QH) Mental Health Services Clinical Support Disability and Community Care Services (DCCS) Program funding and support services Non-clinical support Like other Queensland Government-funded housing and support programs, capital funding for social housing under HASP enabled HASP clients to be designated for priority housing assistance. Once allocated to Government or community-managed long-term social housing, HASP clients become social housing tenants with the same rights and responsibilities as other social housing tenants, for example by paying 25% of the household’s assessable income in rent. ii) The Department of Communities — Disability and Community Care Services (DCCS) DCCS has responsibility for funding, developing and implementing, and monitoring all existing and new mental health programs delivered through nongovernment service providers. In addition to the service providers described, Queensland Health provides a range of clinical support services to HASP clients. The primary role of Case Managers within HASP is to provide clinical support to the clients enrolled in HASP. Case Managers are also responsible for providing support and education to families, carers and disability support workers. In addition, they are responsible for consultation and liaison with primary health care providers with a focus on assessment and a collaborative approach to individual management.
1.1.1 HASP — Management Structure The overall management of HASP is carried out through the HASP Management Group which has senior representation from HHS, DCCS and QH. The group provides strategic leadership and operational direction for the program. Below the HASP Management Group is the HASP Operational Partnership (HOP) which also has representation from all key agencies. The HASP Operational Partnership monitors implementation of the program and ongoing service provision. Members of HOP work collaboratively at a central offi ce level to facilitate the delivery of social housing assistance, clinical support and non-clinical support to individuals accepted into HASP. The HOP Group also actively promotes stakeholder collaboration and informationsharing at a local level to achieve positive outcomes for people who access HASP. Finally, an interdepartmental group called the ‘HASP Interagency Panel’ examines applications for the program and endorses individuals to progress to the assessment and verifi cation phase of HASP. This panel has representatives from each of the government agencies involved. 1.1.2 The aim of HASP HASP is designed to provide a stable home environment in the community and increase the potential for individuals with psychiatric disability to maximise their inclusion in their chosen community. This is achieved through the provision of a coordinated framework of social housing and support, tailored to each individual’s needs. The suite of services offered through HASP refl ects the involvement of the three government agencies. Each individual accessing HASP is provided with a support ‘package’ of services consisting of mental health services, disability support services and community housing in keeping with their needs. Clinical services are provided by local mental health services, while non-clinical support is provided by a range of non-government agencies. 1.1.3 Target Group for HASP The target group for HASP includes individuals with a psychiatric disability who are current inpatients of acute/extended treatment mental health facilities and unable to be discharged due to homelessness or risk of homelessness. Those living in the community and who are homeless or at risk of homelessness and frequently require admission to an acute inpatient facility can also access HASP. The specifi c eligibility criteria established for HASP specify that individuals must be: over the age of 18 years an Australian citizen, or permanent resident of Australia living in Queensland diagnosed with a psychiatric illness (resulting in disability) currently or repeatedly housed in an inpatient care facility unable to be discharged due to homelessness or risk of homelessness does not own a home, rent privately or have a current Housing and Homelessness Services home has ongoing clinical needs that can be met by community mental health services requires non-clinical support to live successfully in the community willing and ready to transition to the community with the appropriate level of support committed to maintaining stable housing able to meet Housing and Homelessness Services eligibility criteria agreeable to participate in the program willing and able to provide informed consent. Housing and Support Program (HASP) 3
Page 1 and 2: Department of Psychiatry (UQ) and S
Page 3 and 4: Final Evaluation Report of the Quee
Page 5 and 6: • Community integration While eig
Page 7 and 8: List of contents Executive summary
Page 9: Section 1 Introduction Since the 19
Page 13 and 14: 1.2 Housing and supports - previous
Page 15 and 16: Table 1.2.2 Outcomes for clients mo
Page 17 and 18: activities, while others tried to c
Page 19 and 20: 1.2.6 Section summary It is clear f
Page 21 and 22: Section 2 Method 2.1 Design The stu
Page 23 and 24: 2.2.1.2 Clients unavailable to part
Page 25 and 26: 2.2.1.5 Clinical staff — sample F
Page 27 and 28: 4) Data collected from mental healt
Page 29 and 30: 2.4 Procedure 2.4.1 Clients - proce
Page 31 and 32: All focus group discussions and ind
Page 33 and 34: However, it was clear that the deve
Page 35 and 36: Importance of the Supports Facilita
Page 37 and 38: Accountability There was a percepti
Page 39 and 40: Support workers highlighted issues
Page 41 and 42: 4.1.2 Client perceptions of support
Page 43 and 44: In general, Case Managers expressed
Page 45 and 46: 4.2.2 Client perceptions of the amo
Page 47 and 48: Support workers felt, as a result o
Page 49 and 50: 4.2.8 Amount of support required in
Page 51 and 52: 4.3.2 Living arrangements The major
Page 53 and 54: 4.3.7 Housing in HASP — compariso
Page 55 and 56: The majority of HASP clients (76%)
Page 57 and 58: 5.2 Satisfaction with key life doma
Page 59 and 60: 5.7 Depth of friendships We explore
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5.11 Community involvement Clients
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5.13 Section summary During our int
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etter functioning). However, while
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6.7 Physical and mental health Link
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6.10 Section summary The average ti
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7.2 Comparing HASP with inpatient/r
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of applications, increase Case Mana
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available when and where needed by
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8.4 The ability of the program to m
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Section 9 Recommendations 1. More i
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Section 10 Reference list Anthony,
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Shepherd, G., Murray, A. & Muijen,
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Housing and Support Program (HASP)
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Housing and Support Program (HASP): Final Evaluation Report

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