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Housing and Support Program (HASP): Final Evaluation Report

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In general, Case Managers expressed positive views<br />

of support workers <strong>and</strong> the services they provide.<br />

Over half of the Case Managers (55%) wanted a greater<br />

say in the support services provided to <strong>HASP</strong> clients.<br />

In addition, 82.5% of Case Managers felt that support<br />

workers should have more training to be able to work<br />

effectively with <strong>HASP</strong> clients. Ninety-fi ve percent<br />

outlined that they valued the support worker role<br />

<strong>and</strong> that support workers have a valuable role to play<br />

in the treatment planning process (92%). <strong>Final</strong>ly,<br />

42% of Case Managers felt that housing staff were<br />

easy to contact when they need to discuss client<br />

accommodation needs.<br />

4.1.4 Client views of clinical service provision<br />

As outlined previously, 12 clients participated in<br />

individual interviews to assess their perceptions of<br />

the program. Clients expressed mostly positive views<br />

of their Case Manager. Most linked improvement in<br />

their mental health to skills of their Case Manager:<br />

I still have contact with her. Yep. And she’s the only<br />

one that I ever really, umm, made any progress<br />

<strong>and</strong> things just progressed from — from when I met<br />

her <strong>and</strong> I just got weller <strong>and</strong> weller <strong>and</strong> it was with<br />

her support.<br />

There was also a perception that clients have some<br />

say in the amount of contact they have with their<br />

Case Manager. Most clients get a visit from their Case<br />

Manager once every two weeks. As clients improve,<br />

the frequency of visits tends to decrease:<br />

My Case Manager pops around <strong>and</strong> asks me how<br />

I’m going <strong>and</strong> do I need anything. She said ‘How<br />

often do you want me to come around?’, I just sort<br />

of said, oh probably once a month’s fi ne.<br />

Regional male client<br />

4.1.5 <strong>Support</strong> staff views of clinical service provision<br />

Consistency in Case Manager was seen as important<br />

for continuity of care. Having a regular Case Manager<br />

seemed to reduce confusion <strong>and</strong> provide a more stable<br />

approach to clinical service provision:<br />

We’ve got some long-term Case Managers though<br />

here in XX (town), that certainly helps, a lot of<br />

our <strong>HASP</strong> individuals have maintained their Case<br />

Manager for two or three years, <strong>and</strong> that always<br />

helps to have that consistency there.<br />

Regional <strong>Support</strong>s Facilitator<br />

<strong>Support</strong> workers expressed a desire to have more<br />

contact with Case Managers <strong>and</strong> felt that they had<br />

a lot to offer since they spend much more time with<br />

clients than any other group. However, some felt<br />

uncomfortable discussing clients in the co-ordination<br />

meetings:<br />

Yeah, I would defi nitely like a bit more of a chat with<br />

the Case Manager <strong>and</strong> stuff – ’cos the care<br />

co-ordination meetings…it’s just like once every three<br />

months…. I just don’t necessarily think that there’s<br />

that sort of cohesiveness that there needs to be for<br />

people to be able to effectively work together. You<br />

know it’s all well <strong>and</strong> good us meeting every three<br />

months, but yeh, you know it’s…I guess we’re all<br />

looking at it from different angles as well …<br />

I’m the one who’s going to see the client on a day-today<br />

basis <strong>and</strong> see him in his home environment <strong>and</strong><br />

everything. I know him better than anyone else.<br />

Metropolitan support worker<br />

<strong>Housing</strong> <strong>and</strong> <strong>Support</strong> <strong>Program</strong> (<strong>HASP</strong>)<br />

35

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