• Further to consideration by the relevant authorities and bodies, planning and buildingstandards should include provision <strong>for</strong> the future installation of telecare services indomestic homes, e.g. the provision of a double electric power socket adjacent totelephone sockets;• The HSE, <strong>with</strong> the DECLG should assess the added benefit of telehealth 63 andtelemedicine 64 services <strong>for</strong> people <strong>with</strong> more marked health related needs.8.43 The recommendations of the study will be examined further in the context ofproposals to enable people <strong>with</strong> disabilities to live more independently in the community.Conclusions8.44 The physical accessibility of housing to meet the needs of people <strong>with</strong> disabilities arecurrently met, to varying degrees, through the delivery of specific design units, provision offunding <strong>for</strong> adaptation works and through the effective en<strong>for</strong>cement of Part M of theBuilding Regulations. As the population ages there will be an increased demand to makehousing more accessible to enable people to remain in their homes <strong>for</strong> as long as possible.The policy of retrofitting existing dwellings has provided very good outcomes <strong>for</strong> the peopleinvolved, but can be an expensive solution 65 .8.45 Lifetime housing policy is being increasingly utilised to facilitate the needs of anageing population. There have been some moves in Ireland by housing authorities todesign-in lifetime home features in their dwellings in order to meet the needs of people <strong>with</strong>disabilities at local level. However, there are no Irish standards or guidance in this regard.The concept of lifetime housing policy, and how it applies to the Irish situation, requiresconsideration. This consideration should also be cognisant of the role of the revised Part Mof the Building Regulations in successfully providing <strong>for</strong> the visitability of all new housingsince 2000, by people <strong>with</strong> disabilities.8.46 Furthermore, the increasing role of technology in enabling people <strong>with</strong> disabilities tolive more independently in the community has been recognised and should be considered infuture policy development.63Telehealth comes under the umbrella of telecare <strong>with</strong>in the study.64Telemedicine is defined in the study as ‘the practice of medical care using interactive audio visual and datacommunications’.65Funding of some €673 million has been provided over the period 2000 – 2010.98 98
Chapter 9Mental Health <strong>Disability</strong>9.1 The provision of good quality, secure and appropriate housing is recognised as a keyfactor, in conjunction <strong>with</strong> education and employment/occupation, in facilitating recoveryfrom, or managing, a mental health disability. The Australian Human Rights and EqualOpportunities Commission found that: “One of the biggest obstacles in the lives of people<strong>with</strong> mental illness is the absence of adequate af<strong>for</strong>dable and secure accommodation.Living <strong>with</strong> a mental illness, or recovering from it, is difficult even in the best circumstances.Without a decent place to live it is virtually impossible” 66 .9.2 It is essential, there<strong>for</strong>e, that in developing a national housing strategy <strong>for</strong> people<strong>with</strong> disabilities, the specific and complex housing needs of people <strong>with</strong> a mental healthdisability be identified and addressed effectively in order to assist in the promotion andsustainment of recovery. A mental health disability is often an unseen disability <strong>with</strong> theresult that it may not be acknowledged how seriously disabling it can be, which can lead toa lack of recognition and understanding by society.9.3 For the purposes of this strategy, it is recognised that specific housing needs mayarise as a result of a mental health disability, <strong>for</strong> which intervention and treatment may beongoing, but they may also arise from a single or isolated episodic event, which, althoughnot requiring constant intervention, has a severe impact on a person’s ability to access andmaintain housing that is appropriate and conducive to recovery.9.4 A Mental Health Subgroup 67 was established to examine the specific housing issuesarising as a result of a mental health disability 68 . To in<strong>for</strong>m the work of the subgroup,research was undertaken by the <strong>Housing</strong> and Sustainable Communities Agency in relation tothe housing and support needs of people <strong>with</strong> a mental health disability in Ireland.Data9.5 It is recognised that there are limitations in existing data in relation to the livingarrangements of people <strong>with</strong> a mental health disability. Census figures from 2006 indicatethat 16% of those who reported a disability reported a “psychological or emotionalcondition” 69 – that is approximately 65,000 people.9.6 Chart 9.a below illustrates the illnesses causing emotional, psychological & mentalhealth disability reported by respondents to the <strong>National</strong> <strong>Disability</strong> Survey (NDS) (the66Human Rights and Mental Illness, Report of the <strong>National</strong> Inquiry into the Human Rights of people <strong>with</strong> MentalIllness. Human rights and Equal Opportunity Commission, Australian Government Publishing Service Canberra1993.67The membership of the Mental Health Subgroup is set out at Appendix 2.68The aims and objectives of the mental Health Subgroup are set out at Appendix 3.69For the purpose of this strategy, it is understood that the “psychological or emotional condition” category, asrecorded in Census 2006, includes people <strong>with</strong> a mental health disability. All census figures are self reported.99
- Page 1:
National Housing Strategy for Peopl
- Page 4 and 5:
Index of Tables, Charts andCase Stu
- Page 6 and 7:
ForewordThe ‘National Housing Str
- Page 8 and 9:
implementation progress reports whi
- Page 10 and 11:
6. To consider good practice in the
- Page 12 and 13:
needs. Furthermore, the potential f
- Page 14 and 15:
centred responses, information prov
- Page 16 and 17:
The full set of actions underpinnin
- Page 18 and 19:
Strategic Aim 3To support people wi
- Page 20 and 21:
Strategic Aim 5To address the speci
- Page 22 and 23:
Strategic Aim 6To consider good pra
- Page 24 and 25:
Strategic Aim 8To improve the colle
- Page 26 and 27:
Chapter 1Introduction1.1 The Nation
- Page 28 and 29:
Chapter 2Context and BackgroundIntr
- Page 30 and 31:
• To ensure a high level of aware
- Page 32 and 33:
the phased closure of admissions to
- Page 34 and 35:
• Service users who have been ina
- Page 36 and 37:
Chapter 3Vision and Strategic AimsV
- Page 38 and 39:
SA7 To facilitate people with a dis
- Page 40 and 41:
Chart 4.aProportion of the Populati
- Page 42 and 43:
Local AuthorityAreaPopulationPopula
- Page 44 and 45:
Living arrangements of people with
- Page 46 and 47:
4.9 Based on the analysis above, it
- Page 48 and 49:
Table 4.3: Type of Living Arrangeme
- Page 50 and 51: Chapter 5Housing Services5.1 The ob
- Page 52 and 53: extended to include approved housin
- Page 54 and 55: Rental Accommodation Scheme (RAS)5.
- Page 56 and 57: Under CAS, approved housing bodies
- Page 58 and 59: 5.27 The total number of units prov
- Page 60 and 61: Private Housing5.34 While many peop
- Page 62 and 63: 5.41 The key issues identified from
- Page 64 and 65: eviewed maximum rent limits to refl
- Page 66 and 67: 6.4 Previously, under Section 9 of
- Page 68 and 69: and in the context of Government pr
- Page 70 and 71: Database (NIDD) and the National Ph
- Page 72 and 73: 6.25 The Act provides powers for th
- Page 74 and 75: Chapter 7Interagency CooperationInt
- Page 76 and 77: advocates (where appropriate) and d
- Page 78 and 79: integral support to the housing fun
- Page 80 and 81: Case Management Subgroup7.15 It is
- Page 82 and 83: Chapter 8HousingPhysical Accessibil
- Page 84 and 85: 8.4 In Ireland, the increasing dema
- Page 86 and 87: Current Legislative / Policy Contex
- Page 88 and 89: Table 8.3 Disabled Persons / Essent
- Page 90 and 91: persons with moderate disabilities,
- Page 92 and 93: Table 8.4: Lifetime Homes Standard
- Page 94 and 95: undertaking a review in 2010, to as
- Page 96 and 97: 8.32 In assessing and planning to m
- Page 98 and 99: • Development of an integrated ca
- Page 102 and 103: Census did not provide details of c
- Page 104 and 105: 9.11 A Vision for Change contains t
- Page 106 and 107: 9.3 and 9.4 76 . A Vision for Chang
- Page 108 and 109: • Most service users currently re
- Page 110 and 111: 9.20 The phased timescales for tran
- Page 112 and 113: 9.24 The transition of people with
- Page 114 and 115: medical certificates. Their applica
- Page 116 and 117: eing appropriately housed 84 . This
- Page 118 and 119: 9.36 The following factors are reco
- Page 120 and 121: message through a series of communi
- Page 122 and 123: During regular visits support staff
- Page 124 and 125: mainstream housing, the scheme prov
- Page 126 and 127: Table 10.1: Main Residential Circum
- Page 128 and 129: 10.8 The guiding principle of the w
- Page 130 and 131: Table 10.2: Congregated Settings -
- Page 132 and 133: Name of CentreNo. of long-termresid
- Page 134 and 135: 10.16 The NIDD noted that of the pe
- Page 136 and 137: Case Study - Jimmy’s Story10.23 T
- Page 138 and 139: Chapter 11 Information, Advice andA
- Page 140 and 141: 11.6 While it is clear that there a
- Page 142 and 143: • Providing information in an acc
- Page 144 and 145: advocacy role for all citizens over
- Page 146 and 147: Appendix 1 Membership of NationalAd
- Page 148 and 149: Appendix 2 Membership of MentalHeal
- Page 150 and 151:
(d)The housing needs of people with
- Page 152 and 153:
Appendix 5 Results of 2008Assessmen
- Page 154 and 155:
The table below shows levels of inc
- Page 156 and 157:
• The Director of Services of the
- Page 158 and 159:
4. Confirmation of the approval in
- Page 160 and 161:
Appendix 1Information required for
- Page 162 and 163:
Appendix 8 Individual Assessmentof
- Page 164 and 165:
the housing authority will advise t
- Page 166 and 167:
UnitsHighSupportMediumSupportLowSup
- Page 168 and 169:
‘Accommodation tends to be in ope
- Page 170 and 171:
Bibliography• Access to Informati
- Page 172 and 173:
• Housing (Standards for Rented H
- Page 174 and 175:
• Trends in the Development of Ir