National Housing Strategy for People with a Disability 2011 - 2016

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• Most service users currently residing in low and medium support HSEaccommodation would be capable of making the transition to independent living withthe support of the community mental health teams and other community and socialsupports that may be required from time to time.9.17 The transition to the new configuration will be implemented on a phased basis andwill be subject to a number of variable factors such as ongoing clinical assessment andreview of individual service users; discussion with service users, their advocates, whereappropriate and their families on their preferred choice of accommodation, the availability ofappropriate housing, living environment and tenancy arrangements; the availability ofappropriate community mental health services; and the adequacy of other community andsocial supports required to facilitate independent living. It is envisaged that the newconfiguration will be implemented during the lifetime of this strategy.9.18 The HSE report, The Efficiency and Effectiveness of Long-Stay Residential Care forAdults within the Mental Health Services 77 , reviewed 4,709 long stay beds in the adultmental health services 78 . Table 9.5 below shows a detailed breakdown of these beds.Table 9.5:Long Stay Beds in the Adult Mental Health ServicesTotal community beds 2,790 Total hospital beds 1,919High support (24/7 care) 1,613 Hospital long stay 1,439Medium support 547 High dependency/secure 181Low support 630 Rehabilitation 299In relation to accommodation, key findings from the review were:• HSE should withdraw from the management of low and medium supportedaccommodation;77Prepared under the Value for Money and Policy Review Initiative and published in 2009. The census on whichfigures are based was conducted on 10 October 2007.78It encompassed all residential accommodation where individuals had been accommodated for more than a year- this included community residences, hospital in-patient units, high dependency/secure units andrehabilitation units, but did not include patients who were receiving acute (short-term) psychiatric hospitalcare.106106
• About one quarter of clients in long stay residential mental health services wereinappropriately placed and could have their needs met in lower supportaccommodation;• Almost two-thirds of people inappropriately placed in long-stay hospital units(approximately 390, including 47 in acute psychiatric units) would be moreappropriately placed in community residences;• A third of those inappropriately placed in community residences (590) required alower level of support than they were currently receiving or were suitable forindependent accommodation.The first steps in the transition plan should include:(i)The transfer of current HSE medium and low support accommodation to localauthority management (approximately 1,180 residential places);(ii)Local authority sourced accommodation considered for those with low and mediumsupport needs living in high support residences, who are assessed to be suitable tolive in such accommodation (The Efficiency and Effectiveness of Long-StayResidential Care for Adults within the Mental Health Services suggests approximately25% which would equate to 400); and(iii)Local authority sourced accommodation considered for the new long-stay populationin psychiatric hospitals or acute units, who have low and medium support needs andare assessed to be suitable to live in such accommodation (there are currently 429people who are more than one year but less than 5 years resident in mental healthacute and continuing care facilities).9.19 An appropriate management framework will be developed immediately betweenDECLG, Department of Health, housing authorities and HSE in order to facilitate the process.As a starting point, the HSE will make available to local authorities information relating topotential applicants for housing and its own plans for addressing the issue with serviceusers. This identified housing need will be reflected in future housing services plans. Thisprocess should be managed in line with the provisions of the new interagency protocolgoverning the individual assessment of needs of people with mental health disabilities. Theestablishment of local Housing and Disability Steering Groups will also assist in thefacilitation of this engagement.107
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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.
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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 106 and 107: 9.3 and 9.4 76 . A Vision for Chang
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
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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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