Homelessness is neither a personal choice or inevitable

Homeless Network Scotland’s chief executive Maggie Brunjes, and Prof Andrea E Williamson from the University of Glasgow co-authored an editorial in the British Medical Journal (BMJ) published this month.

It highlights the stubborn collective consciousness that continues to divorce homelessness from the larger health and economic inequality that causes it – and encourages health professionals to adopt an ‘inclusion health’ approach that can help reduce the unacceptably poor health outcomes among people affected by homelessness. Find the BMJ article here.

Webinar launches Scotland’s new national Housing First ‘Check Up’

An online event for local authorities and partners on Thursday 25 November will set out plans for a new ‘Check Up’ process that will support the rollout of Housing First in Scotland. Activity will be co-ordinated by a nationwide policy and practice network supported by a strategic partnership between Homeless Network Scotland and the Scottish Government.

Housing First provides ordinary, settled housing as a first response for people whose homelessness is made harder by experiences such as trauma, addiction and mental ill health.Scotland is the first part of the UK to move ahead with a national rollout, with local authorities at the spearhead of this transformation.

Branching Out, The National Framework for organisations and sectors starting up or scaling up Housing First in Scotland, has been updated ahead of the webinar to reflect the latest research and data.

Maggie Brünjes, Chief Executive of Homeless Network Scotland, said:

“The Scottish Government has committed to scale up Housing First and all councils in Scotland have local plans on how Housing First will be implemented in their area.

“However, there’s doing something and there’s doing the right thing, at the right time and in the right place. We know that local authorities are naturally reflective and already committed to the Housing First approach. The new annual check-up process builds on this strong foundation with additional support and advice, safeguarding the elements that make Housing First work.”

Updates to the 100-page National Framework, endorsed by the Scottish Government, SFHA, CIH and Wheatley Group among others, link into the Prevention Review Group report, Shared Spaces research into shared and supported accommodation and the Housing First Interim Evaluation Report delivered by I-SPHERE at Heriot-Watt University. The Framework is a ‘how to and why’ guide to planning, commissioning and delivering the approach locally and nationally covering community justice, housing and social care issues as well as local and national government.

Growing evidence from across Scotland and the rest of the UK supports the delivery of Housing First for specific groups in addition to the wider group of people with the sharpest experiences of homelessness. For example, the Rock Trust and Almond Housing Association have tested Housing First for young people leaving care in West Lothian and their evaluation shows that:

  • All but one young person has continued to sustain their tenancy.
  • All young people described ways in which their relationship with their Housing First worker had led to positive changes in their life.
  • Some young people reported improvements in mental health and satisfaction with life, healthy eating and exercise, and some reported fewer problems as a result of substance misuse.

The Housing First Check Up webinar for Local Authorities and Partners takes place on Thursday 25 November 2021 from 10am to 12.00pm on the MS Teams platform. The event will be hosted by Sir Andrew Cubie and Marion Gibbs, Team Leader – Homelessness, with the Scottish Government. Book a place here.

Ruth Whatling joins Homeless Network Scotland

Homeless Network Scotland welcomes Ruth Whatling to our Leadership Team this week in the role of Head of Policy & Equality, a newly created post that speaks to a growing awareness and importance placed on equality considerations in ending homelessness in Scotland.

Ruth joins Homelessness Network Scotland on a two-year secondment from the Scottish Government’s Homelessness Team and with two decades of public sector experience including equality, policy and public administration roles in the Civil Service.

Originally from near Reading in Berkshire, with close family connections to Edinburgh, Ruth trained as a nurse in Hull before working in nursing in London then later relocating to Scotland.

Ruth says: “Having seen the work of Homeless Network Scotland from an external perspective, I am excited to see up close the collaborative way of working that the organisation is known and respected for – finding a way through those tough, obstinate problems that get in the way of what works. When interacting as a civil servant there is often a feeling that a power imbalance exists, whether real or perceived. Engaging with our membership and partners at eye-level is something I am really looking forward to.

“One of the attributes Homeless Network Scotland possesses is credibility and trust, a reputation for delivering that incentivises partner organisations and others to engage and participate to find solutions. The leading role of lived experience in informing and guiding Homeless Network Scotland’s work also impressed me. It is clear that expertise by experience sits at the heart of everything we do in a really meaningful way.”

Ruth is going to be actively involved in the work to scale up Housing First in Scotland, the first part of the UK to roll out the approach as a national policy. Starting in the New Year a check-up process will support local authorities to embed the policy in their Rapid Rehousing Transition Plans.

Building on the Prevention Review Group report and new public sector prevention duties another focus will be the increasingly high-profile prevention agenda, which is a key strand of work for Homeless Network Scotland, local authorities and third sector organisations. “Prevention and equality share a characteristic, both must be applied while also doing the day job,” says Ruth. “We can’t switch to real equality overnight. Despite a robust legislative framework, attitudes must change; practice must adapt and improve. Similarly, prioritising prevention rather than responding to a problem after it has happened is a process. Frontline workers must continue to respond while simultaneously shifting focus to preventing homelessness before it starts. Part of our role is to support the great work already underway across the country by sharing learning and facilitating effective and meaningful partnerships.”

A key focus for Ruth is equality. Ruth said: “I am looking forward to supporting local authorities and partners understand what’s needed and what can be achieved when we all pull in one direction. The legislation is there, and part of the challenge is about illustrating what we mean by equality – what it looks like. We all have a role in breaking the ‘big’ issue down into smaller, manageable chunks that really mean something to people in ordinary workplace settings – it is not an abstract idea. True equality is about understanding people’s needs as an individual and having a vision of how to meet those needs in the way we provide services and address disadvantage.”

Housing First Pathfinder passes 500 tenancies

Scotland’s Housing First Pathfinder has created more than 500 tenancies since it launched two years ago, with an additional 25 added in April 2021.

Housing First provides ordinary, settled housing as a first response for people whose homelessness is made harder by experiences such as trauma, addiction and mental ill health. The Pathfinder launched officially in 2019 in Aberdeen / Aberdeenshire, Dundee, Glasgow, Edinburgh and Stirling supported by housing providers and funding from The Merchants House of Glasgow, Scottish Government and Social Bite.

Ewan Aitken, Chief Executive at Cyrenians, which leads the Edinburgh Housing First Consortium, said:

“A home is a fundamental human need – we all need one to build a life and to flourish. Housing First is a truly system-changing approach, built on respect for others, whatever their circumstances. It is one that acknowledges that meeting this fundamental need should come first, rather than supporting someone until they’re ‘housing-ready’ – as had previously been the case, and an impossible task for those from the toughest of realities. Then the building of relationships-based support is what makes the tenancy sustainable, so that people can lead the life they want to lead. 

“At Cyrenians we are privileged  to with work our partners and lead the Housing First Edinburgh Consortium, and play a part in Scotland’s story of Housing First. There is much to be done ahead in building a Scotland that works for everyone, but this incredible milestone is cause for celebration, and a moment to recognise the incredible work of frontline workers and the people they journey with, right across Scotland”

Josh Littlejohn MBE, co-founder of Social Bite, which kick-started the Pathfinder, said:

“It’s amazing to see the Housing First Scotland Pathfinder programme surpass its 500-tenancy milestone, and not only that, but to also see more than 85% of individuals continuing to maintain their tenancy each month makes it an even bigger achievement for everyone involved.

“While the world ground to a halt due to the pandemic, the Pathfinder continued to work tirelessly to ensure people were still being housed, bringing us this incredible result. Social Bite is immensely proud to have played a part in making the pathfinder a reality and it is with special thanks to everyone that supported or took part in the Sleep in the Park campaigns that we are able to celebrate this significant milestone. Long may this vital work continue.”

“Maggie Brünjes, Chief Executive of Homeless Network Scotland, which is Programme Manager for the Pathfinder, said:

“Each milestone reached is achieved by new tenants putting down roots, and the commitment of local authorities, housing and support providers helping that to happen. We are proud that 507 tenancies have been created in the Pathfinder areas and a strong performance in April as we enter year three is encouraging as Housing First starts to scale up across Scotland. The National Framework provides a clear and comprehensive resource to support every partner and sector starting or scaling up Housing First in Scotland and is updated four times a year to keep it current and relevant for everyone.”

The key indicator of ‘tenancy sustainment’, which shows how many people kept their tenancy, remained high throughout the second full year of the Pathfinder, and is 86% per cent for April 2021 as the Programme marks two full years of operation. This compares favourably to international standards. The Pathfinder has now entered its third and final year, as Housing First Scotland sees most local authorities adopt the model as part of their Rapid Rehousing plans.

Housing First branches out from April

Doug Gibson has been involved in the adoption and scaling up of Housing First through his role as programme manager for the Housing First Pathfinder. As the approach extends across most council areas in Scotland starting from this week, he considers how it could help end large scale homelessness for good.

When I visited Finland in early 2020, I was struck by the confidence and pragmatism of this small nation, the only European country where homelessness is falling. It’s hardly surprising that the policy underpinning that success, Housing First, has more and more fans here in Scotland where the policy is well established, and also in the other GB nations and regions.

For decades the problem was viewed as intractable, a stubborn feature of metropolitan life in cities around the world, including those in the richest countries like ours. In attempting to resolve homelessness all manner of schemes and solution were broached and implemented, short of providing people with a home. The alternate approach of the Fins is simple. In 2007 they adopted Housing First as the anchor for a wider political vision to address the toughest experiences of homelessness as part of a rapid rehousing approach.

Finland ‘s enviable record since can be actively attributed to their adoption of the Housing First model, a system pioneered in the USA that is evidence based, compassionate and abandons notions of blame or deserving.  There is now an overwhelming body of international evidence showing that, with close fidelity to the Housing First principles, most tenants are likely to stay housed – and feel benefit in many other ways too.

In Scotland’s Housing First Pathfinder, which operates across five areas, the approach has delivered 87 percent housing retention rates in the first two years of the programme. This statistic – up there with the best international comparisons – tees up a range of benefits for both individuals and society as we begin to mainstream the policy across the country in this, the third and final year of the Pathfinder.

It improves health outcomes and decreases contact with community justice, in turn reducing A&E admissions and improving cost-effectiveness of service delivery. It is replacing chaos with support and temporary accommodation with permanent and there have been no evictions out of more than 450 tenancies created.

Many people who have taken up a tenancy through the programme have typically struggled in life, following adverse childhood experiences, negotiating multiple challenges and obstacles along the way such as trauma, addiction, poor mental health or physical disability and other forms of severe multiple disadvantage.

Estimates suggest that more than 800,000 adults in Scotland have experienced all three of the indicators of severe multiple disadvantage: homelessness, substance dependency and offending. Homelessness is the most common of these when viewed over an adult’s lifetime and a study for the Scottish Government in 2018 states that at least eight percent of the Scottish population had experienced homelessness at some point in their lives. When you consider this percentage also represents the entire population of Scotland within the UK, it is clear why the issue matters to us all.

If finding answers to society’s toughest problems is the prize then Housing First is an attractive, integrated solution. In recent years in Scotland, more so since the pandemic began, resolving homelessness has resulted in regular co-operation and an acknowledgment that solving this problem is not impossible, but will take time. We must trust the evidence that says if we stay the course Scotland could be the other country in Europe where homelessness is falling.