National Housing Strategy for People with a Disability 2011 - 2016

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9.3 and 9.4 76 . A Vision for Change estimates that mental health services should provide inthe order of 2,800 beds/places in total between acute and continuing care beds and highsupport community residential places.Table 9.3:Community Residences – Number of BedsHighSupportMediumSupportLow SupportTotalHSE Dublin North East 343 96 93 532HSE Dublin MidLeinster257 116 201 574HSE South 394 60 118 572HSE West 619 275 218 1,112National Total 1,613 547 630 2,790Table 9.4:Community Residences – Number of UnitsHighSupportMediumSupportLow SupportTotalHSE Dublin North East 24 15 19 58HSE Dublin MidLeinster19 13 46 78HSE South 30 8 33 71HSE West 53 46 57 156National Total 126 82 155 3639.14 Current Government policy outlined in A Vision for Change details a comprehensivemodel of mental health service provision. It describes a framework for building and76A more detailed breakdown of these figures is contained in Appendix 9.104
fostering positive mental health across the entire community and for providing accessible,community-based, specialist services for people with mental health disabilities. The policyenvisions an active, flexible service where the need for hospital admission will be greatlyreduced. Underpinning A Vision for Change is the principle of recovery. This, in effect,means that it is possible for most service users to achieve greater control over their livesand, with the help of appropriate recovery oriented programmes, many could achieve a levelof functioning to enable them to live a more independent life in the community.9.15 A Vision for Change also recommends that “other agencies must take up theirresponsibilities in full so mental health services can use their funding for mental healthresponsibilities. Mental health should not provide the broad range of services which aremore appropriately provided elsewhere”. In this context, the policy considers that housing isa matter for local authorities with mental health services providing acute and continuingcare beds and high support community residences.9.16 Broadly speaking, those requiring accommodation supports can be considered tobelong to one of the following groups:• Service users who are long-term residents of institutional or high support communityresidences, who may, even with supports, be unable to make the transition toindependent living. This group will continue to be the responsibility of mental healthservices; however, the option to live independently should continue to be offered;• Many service users who have spent a long period or several lengthy periods ininpatient or long-stay accommodation may have the potential to either increase theirlevel of independence by transferring to group or individual settings with supports orlive independently; however, because of the pattern of their illness they may requireperiods of respite or indeed acute inpatient care. Key to the successful transition ofthis group to sustained independent living will be the quality and adequacy of thesupports provided to them;• The majority of the current and upcoming generation of long-term service users whohave little experience of inpatient care and who have not developed a dependencyon institutionalised care could, with appropriate peer advocacy support structures,live independently. These service users should be able to successfully accesshousing and maintain tenancies with the support of the range of services provided bythe community mental health teams, the standard tenancy support services providedthrough the local authority and other community and social supports that may berequired from time to time for successful independent living;105
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National Housing Strategy for Peopl
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Index of Tables, Charts andCase Stu
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ForewordThe ‘National Housing Str
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implementation progress reports whi
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6. To consider good practice in the
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needs. Furthermore, the potential f
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centred responses, information prov
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The full set of actions underpinnin
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Strategic Aim 3To support people wi
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Strategic Aim 5To address the speci
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Strategic Aim 6To consider good pra
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Strategic Aim 8To improve the colle
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Chapter 1Introduction1.1 The Nation
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Chapter 2Context and BackgroundIntr
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• To ensure a high level of aware
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the phased closure of admissions to
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• Service users who have been ina
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Chapter 3Vision and Strategic AimsV
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SA7 To facilitate people with a dis
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Chart 4.aProportion of the Populati
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Local AuthorityAreaPopulationPopula
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Living arrangements of people with
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4.9 Based on the analysis above, it
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Table 4.3: Type of Living Arrangeme
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Chapter 5Housing Services5.1 The ob
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extended to include approved housin
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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 100 and 101: • Further to consideration by the
Page 102 and 103: Census did not provide details of c
Page 104 and 105: 9.11 A Vision for Change contains t
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
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• The Director of Services of the
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4. Confirmation of the approval in
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Appendix 1Information required for
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Appendix 8 Individual Assessmentof
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the housing authority will advise t
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UnitsHighSupportMediumSupportLowSup
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‘Accommodation tends to be in ope
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Bibliography• Access to Informati
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• Housing (Standards for Rented H
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• Trends in the Development of Ir
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National Housing Strategy for People with a Disability 2011 - 2016

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