National Housing Strategy for People with a Disability 2011 - 2016

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9.20 The phased timescales for transition will need to be cognisant of the availability ofsuitable housing options and, in this regard, the full range of housing options 79 availableshould be considered in order to meet the arising accommodation need. However, it isrecognised that certain tenures may prove more suitable for people with mental healthdisabilities. As a supply mechanism, the transfer of existing low and medium support HSEcommunity residences to the management of local authorities or voluntary housing agencieswill be examined. In this context, however, the community residences must be made fit forpurpose, including through meeting accessibility needs.9.21 In order to support the accommodation needs of people in transition from HSEmental health facilities, a funding stream must be identified. Account will also need to betaken of existing demands on local authority social housing waiting lists and the level offunding which will be available to support the social housing investment programme overthe period of transitions.9.22 Furthermore, it is critical that the provision of appropriate housing options besupported by the provision of tenancy supports, as appropriate, and the provision by theHSE or HSE funded service providers, of health and personal social services in line withindividual care plans, within the community based setting. The HSE are committed todelivering mental health supports through the multidisciplinary community mental healthteams comprising input from psychiatry, nursing, social work, clinical psychology,occupational therapy and clinicians with specific expertise, with agreed flexible protocols forclinical and operational practice adapted to meet service users’ needs. Currently, there are122 community mental health teams across the country. As wards and hospitals closesequentially, the resources will be reconfigured and further teams will be established. It isimportant to note that, while patients may be discharged from HSE mental health facilities,they will remain as service users and will have access to the full range of mental healthsupports, including home based treatment, day hospital, outpatient facilities and in-patientunits.9.23 Table 9.6 details the geographical spread of people who could potentially requirelocal authority sourced accommodation.79Accommodation options:• Lease / build / purchase by local authorities and approved housing bodies;• Rental Accommodation Scheme (RAS), including RAS type contracts for non-rent supplement households;• Private rental sector (including short term income support - rent supplement);• Adaptation grants in respect of private and social dwellings.108108
Table 9.6:Geographical spread of people potentially requiring localauthority sourced accommodation 80Area (1)NewLong-StayPatients(2)Medium SupportCommunity ResidencesBed Numbers(3)Low SupportCommunity ResidencesBed Numbers(4)TotalLouth Meath 9 6 10 25Area 6 (Dublin North West) 30 37 7 74Cavan Monaghan 8 0 40 48Area 7 (Dublin North) 70 12 28 110Area 8 (North County Dublin) 30 41 8 79Area 3 (Dublin South) 10 10 20 40Area 2 (Dublin South East) 14 12 0 26Area 4 – 5 (Dublin South and South West) 9 43 21 73Area 1 (South County Dublin) 2 15 15 32Area 9 Kildare 2 5 16 23Area 10 (East Wicklow) 11 0 44 55Laois Offaly 15 15 53 83Longford Westmeath 12 16 32 60Carlow Kilkenny 22 8 19 49Kerry 10 0 0 10North Cork 17 0 0 17South Lee 13 0 0 13North Lee 2 0 0 2South Tipperary 12 10 37 59North Tipperary**Waterford 18 10 45 73Wexford 13 20 17 50West Cork 0 12 0 12Limerick 22 35 20 77Roscommon 0 22 0 22Galway East 7 58 79 144Galway West 7 32 23 62Sligo Leitrim 10 10 34 54Donegal 12 36 29 77Clare 9 33 18 60Mayo 21 49 15 85Carraig Mor, Cork 12 0 0 12Total 429 547 630 1,606** North Tipperary is located in HSE West but access long stay services in South Tipperary i.e. HSESouth.(1) HRB Census, 2010 – New Long-Stay Patients (1 < 5 years) (excludes CMH and St Ita’s ID Servicebut includes new long-stay in Victorian & older psychiatric institutions – see Table 2)(2) Efficiency and Effectiveness of Long-Stay Residential Care for Adults within the Mental HealthServices Report (October 2007).(3) Efficiency and Effectiveness of Long-Stay Residential Care for Adults within the Mental HealthServices Report (October 2007).80In addition to the 1,606 individuals identified in Table 9.6, there are approximately a further 400 people withlow and medium support needs, currently living in high support residences, who may be suitable for moreindependent living (The Efficiency and Effectiveness of Long-Stay Residential Care for Adults within the MentalHealth Services)109109
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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
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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 108 and 109: • Most service users currently re
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
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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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