National Housing Strategy for People with a Disability 2011 - 2016

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UnitsHighSupportMediumSupportLowSupportTotalLouth Meath 5 1 2 8Area 6 10 6 0 16Cavan Monaghan 4 0 13 17Area 7 2 2 3 7Area 8 3 6 1 10Area 3 2 1 6 9Area 2 2 1 0 3Area 4-5 4 4 6 14Area 1 1 1 3 5Area 9 Kildare 1 2 3 6Area 10 2 0 8 10Laois Offaly 3 2 12 17Longford Westmeath 4 2 8 14Carlow Kilkenny 11 2 6 19Kerry 5 0 0 5North Cork 2 0 0 2South Lee 1 0 0 1North Lee 3 0 0 3South Tipperary 1 1 11 13North Tipperary** 0Waterford 2 1 11 14Wexford 2 3 5 10West Cork 3 1 0 4Limerick 5 6 3 14Roscommon 4 3 0 7Galway East 19 11 22 52Galway West 7 5 7 19Sligo Leitrim 6 1 7 14Donegal 4 9 4 17Clare 5 6 6 17Mayo 3 5 8 16Central Mental Hospital 0HSE Dublin North East 24 15 19 58HSE Dublin Mid Leinster 19 13 46 78HSE South 30 8 33 71HSE West 53 46 57 156National Total 126 82 155 363** North Tipperary is located in HSE West but access Long Stay Services in South Tipperary, i.e. HSESouth164164
Appendix 10The Evolution of Residential Services for People with DisabilitiesExtract from Chapter 2 of the Report of the Working Group on CongregatedSettings, HSE, published 28 June 20112.1 THE EARLY DEVELOPMENT OF CONGREGATED PROVISIONResidential institutions for people with disabilities have a long history in Ireland. 15 In the18th century, workhouses, poorhouses and asylums accommodated people who were sick ordestitute and people with mental health problems. By the end of the 19th century, therewere 22 large residential institutions in Ireland, each with a catchment area of one or twocounties, where staff and residents lived, and where there was no interaction with the worldoutside the institution. During the 1850s, a focus on the special needs of people withintellectual disabilities developed. As a result of lobbying by prominent citizens, the firstinstitution for people with intellectual disabilities, the Stewart Institution, opened in 1869,with four teachers and a programme of instruction.More than 50 years passed before a second special residential institution was opened. In thelate 1920s, the Daughters of Charity agreed to turn an existing home for children into ahome and school for children with learning disabilities. Over the following 30 years, severalreligious orders opened special centres around the country. The development of specialcentres marked the start of a process of specialisation, and this approach was stronglyembedded in the 1960s, with the development of a range of new professions specialising intherapies and services for people with learning disabilities.2.2 DEVELOPMENTS IN THE 1950S AND 1960SThe 1950s saw the development of Parents and Friends Groups, a movement that grewstrongly in the 1960s, with the setting up of local groups in counties around Ireland and thedevelopment of services and facilities in communities. The Commission on Mental Handicap(1965) 16 recognised that care in the community was generally superior to and ‘moretherapeutic’ than institutional care. The 1970 Health Act and the development of communitycare services in the country’s health boards underpinned the emerging community‐basedapproach to service provision.2.3 DEVELOPMENTS SINCE THE 1980SThe Green Paper ‘Towards a Full Life’ (1984) recognised the slow growth in provision ofresidential services for people with physical disabilities. It noted that the majority of peoplewith physical disabilities who could not live at home were maintained in county homes,psychiatric hospitals and orthopaedic hospitals, geriatric hospitals and centres for peoplewith intellectual disabilities. 17 The review of accommodation carried out at that time foundthat few of the centres reviewed, apart from Cheshire Homes, were equipped to meet theneeds of people with physical disabilities:165165
Page 1:
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
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Private Housing5.34 While many peop
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5.41 The key issues identified from
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eviewed maximum rent limits to refl
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6.4 Previously, under Section 9 of
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and in the context of Government pr
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Database (NIDD) and the National Ph
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6.25 The Act provides powers for th
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Chapter 7Interagency CooperationInt
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advocates (where appropriate) and d
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integral support to the housing fun
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Case Management Subgroup7.15 It is
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Chapter 8HousingPhysical Accessibil
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8.4 In Ireland, the increasing dema
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Current Legislative / Policy Contex
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Table 8.3 Disabled Persons / Essent
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persons with moderate disabilities,
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Table 8.4: Lifetime Homes Standard
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undertaking a review in 2010, to as
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8.32 In assessing and planning to m
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• Development of an integrated ca
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• Further to consideration by the
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Census did not provide details of c
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9.11 A Vision for Change contains t
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9.3 and 9.4 76 . A Vision for Chang
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• Most service users currently re
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9.20 The phased timescales for tran
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9.24 The transition of people with
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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 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
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National Housing Strategy for People with a Disability 2011 - 2016

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