Transcript Slide 1
Demographics
NSW : 8 Area Health Services
Metropolitan
–
Northern Sydney Central Coast
–
South East Sydney Illawarra
–
Sydney South West
–
Sydney West
Rural
–
Greater Western
–
Greater Southern
–
Hunter New England
–
North Coast
2
Housing & Accommodation
Support Initiative (HASI)
Innovative partnership program
between NSW Health,
Housing NSW and
the NGO sector.
3
HASI
HASI is designed to assist people with mental health
problems and disorders requiring accommodation support
to:
– participate in the community
– maintain successful tenancies
– improve quality of life
– assist in the recovery from mental illness.
4
HASI Stage 1
Commenced 2002/03
100 high support packages (up to 5 hours support per day)
Packages went to 7 AHS, 3 different NGO providers
HASI Objectives
Improve housing stability
Reduce impact on acute sector and non-acute inpatient
Reduce impact on crisis calls
Improve quality of life
Assist in the recovery of Mental Illness
Eligibility Criteria
16yrs and over
Diagnosed with a mental illness
Eligible for social housing
High level of psychiatric disability
Low level of functioning
Capacity to benefit
Informed consent
Governance
Senior Officers Meeting
– Strategic development
– Governance
– Future Planning
Departmental Executive Committee
– Operational Effectiveness
– Policy oversight
HASI EVALUATION
The Social Policy Research Centre UNSW – 2
year longitudinal evaluation of HASI Stage One.
Outcomes:
– Almost 85% successfully maintained their
tenancy
– Reduced hospitalisation rates, frequency and
duration
– Frequency and quality of contact with family
improved
– Increase in community participation
– Improved physical health
– Engagement with community MH services
– Improvement in psychological wellness
9
HASI
Implemented in stages:
STAGE One – 100 high support places (2002/03)
STAGE Two – 460 low support places (2005/06)
STAGE Three A – 126 high support places (2005/06)
STAGE Three B – 50 very high support places (2006/07)
STAGE Four A – 100 high support places (2006/07)
STAGE Four B – 80 medium support and 160 low support
HASI in the Home (2007/08)
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Area Health
Service
(AHS)
Stage 1 (100 X
high,
$50K)
Stage 2 (460 X
lower,
$10K)
Stage 3 (126 X
high,
$50K)
Stage 3B (50 X
very
high,
$70K)
Stage 4A (100
X high,
$50K)
Stage 4B (80 X
medium,
$35K, 160 X
lower,
$11K)
Greater Southern
AHS
10
Richmond Fellowship of
NSW
40
PRA
6 St Lukes
Nil
2 St Lukes
11 St Lukes
8 PRA
19 PRA
10
Richmond Fellowship of
NSW
20 RFNSW
12 PRA
8
Richmond Fellowship of
NSW
40
Mission Australia
Hunter New
England
AHS
10
Richmond Fellowship of
NSW
North Coast AHS
Nil
Greater Western
AHS
16
Richmond Fellowship of
NSW
Nil
50
PRA
12
Neami
8
Richmond Fellowship of
NSW
12
Neami
30 PRA
40
Mission Australia
16
New Horizons
Nil
8 New Horizons
30 New Horizons
10 Mission Aust
8 On Track
Northern Sydney
Central
Coast AHS
8
New Horizons
30 Mission Australia
22
New Horizons
Nil
8 New Horizons
30 Uniting Care
14
Neami
18
Neami
8
Richmond Fellowship of
NSW
8 RFNSW
8 Neami
22 Neami
6 Neami
15 Neami
6 New Horizons
15 New Horizons
8
Richmond Fellowship of
NSW
30 Uniting Care
30
New Horizons
South Eastern
Sydney
and
Illawarra
AHS
16
Neami
Sydney South
West AHS
21
Neami
Sydney West
AHS
27
Richmond Fellowship of
NSW
65
Neami
40 Neami
20 Neami
8 New Horizons
40 Aftercare
45 Aftercare
40 Uniting Care
8
Richmond Fellowship of
NSW
8 Uniting Care
8 Uniting Care
Emerging Issues
Funding contracts
Program funding levels
Funding sources
Streamlined reporting/ monitoring
Tendering process
Housing stock
Current Evaluation
A detailed overall analysis and evaluation of the Housing
and Accommodation Support Initiative (HASI) program.
SPRC – UNSW – an 18 month evaluation commenced in
April 09
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Future Planning
HASI 5A under development
– A model that is culturally appropriate for Aboriginal
people
Extended Care HASI
– Currently being scoped
Youth HASI
Unique Partnership
Must be a real partnership, not simply a funder to provider
relationship
Clear Service Level Agreements
Two Tier Management structure
Quality Advisory Structure
Selection Committee
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Selection of Clients
Selection of clients is by far the most crucial to success
Clients must be genuinely willing to engage
The program must be completely voluntary
Genuine risk assessment to include:
– Vulnerability
– Safety from self
– Safety from others
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What HASI is not
HASI is not a panacea for all clients currently held in long
stay hospitals
HASI may not be suitable for many clients
HASI is not suited to clients requiring high levels of
supervision, High Support does not mean high supervision
Clients may be eligible for inclusion, but may also be
unsuitable
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What HASI is not (cont…)
Reasons for unsuitability include;
– Support levels required different from what is availableHigher or Lower
– Client unwilling to engage
– Client does not understand common principles of
community living
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?? QUESTIONS??