Hard_Edges_Mapping_SMD_FINAL_VERSION_Web

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08 Hard edges Acronyms DWP ESRC HNA HSCIC IMD MEAM MEH MoJ NDTMS NOMS NTA OASys OPCS PHE SMD SP Department for Work and Pensions Economic and Social Research Council Homeless Link’s Health Needs Audit Health and Social Care Information Centre Index of Multiple Deprivation Making Every Adult Matter Multiple Exclusion Homelessness Ministry of Justice National Drug Treatment Monitoring System National Offender Management Service National Treatment Agency Offender Assessment System Office of Population Censuses and Surveys Office of Population Censuses and Surveys Severe and multiple disadvantage Supporting People
09 www.lankellychase.org.uk Introduction There is growing awareness that populations experiencing the sharp end of problems such as homelessness, drug and alcohol misuse, poor mental health, and offending behaviours overlap considerably (Fitzpatrick et al., 2011; Department for Work and Pensions (DWP), 2012). There is also concern that these vulnerable individuals may ‘fall between the gaps’ in policy and services altogether, or be viewed through a succession of separate and uncoordinated ‘professional lenses’ (Cornes et al., 2011). People with multiple needs should be supported by effective, coordinated services (MEAM, 2008, 2009; Revolving Doors Agency and MEAM, 2011). However, making the case for this requires a robust evidence base, and data underpinning social policy for those on the extreme margins remains largely patchy and fragmented (Duncan & Corner, 2012; DWP, 2012). The central aim of this study was to establish a statistical profile of the extent and nature of this form of severe and multiple disadvantage (SMD) in England, and to ascertain the characteristics and experiences of those affected, insofar as possible. A helpful precursor for this exercise can be found in MEAM’s (2009) indicative snapshot estimate of the number of individuals in England with ‘multiple needs and exclusions’ (56,000), which drew on Schneider’s (2007) psychologically- and medically-orientated study of ‘chaotic lives’ and ‘multiple needs’. Schneider in turn based some of her estimations on data generated back in the 1990s, by major surveys of psychiatric morbidity amongst homeless people (Office of Population Censuses and Surveys (OPCS), 1997) and prisoners (Singleton et al., 1998). The purpose of this current profile was therefore to bring these estimates up to date, place them on as reliable a statistical footing as possible, and provide a more detailed and socially-orientated picture of relevant overlaps, trends, geographical distribution, background factors and causation, quality of life and service outcomes, and social and economic costs. It is premised on making the best possible use of existing administrative and survey data, including ‘triangulating’ (cross-checking) findings from independent sources. It is limited, by definition, to the information and evidence that can be gleaned from interrogating these datasets. While in many respects exploratory rather than definitive, it offers the most robust account to date of the overlap between groups subject to these specific multiple and extreme forms of disadvantage. » The central aim of this study was to establish a statistical profile of the extent and nature of this form of severe and multiple disadvantage (SMD) in England «
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