ACUTE HOMELESS LIAISON SERVICE
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Transcript of ACUTE HOMELESS LIAISON SERVICE
ACUTE HOMELESS LIAISON SERVICE
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Outcomes
• Create awareness of the issues relating to health and homelessness
• Gain knowledge of current legislation • Overview of Acute Homeless Liaison Service
• The patients journey
• Discharge Protocols
Homeless Presentations
Scotland55,000
Glasgow10,500
Beds Provided4,000
Defining Homelessness “Roofless”, in secure accommodation or involuntary
sharing accommodation” Scottish Executive, 2001
o Sleeping rougho Hostelo B&Bo Friend’s sofao Supported accomo Drug/ Alcohol rehabo Temporary furnished flato Family’s floor
70% of those ages 24 - 34 have a drug dependence 54% have hazardous drinking 58% had a long standing physical health problem 6% probable psychosis 46% neurotic disorder 80% registered with GP while only 65% of those use
their GP
Commissioned by GGHB June 2000
ONS SURVEY Health Needs Assessment of Homeless People
Mahatma Ghandhi
“The measure of a country’s greatness should be based on how well it cares for its most vulnerable populations”
Legislation in context
Health & Homeless Guidance (2001)
Partnership for Care (2003)
Our National Health (2000)
THE TEAM
Diane Cassidy – H Grade - G Grade to be appointedBased in I.R.I.S. Department (GRI)
Covering the following sites:Glasgow Royal InfirmaryWestern InfirmaryStobhill GeneralLightburnGartnavel GeneralSouthern GeneralVictoria Infirmary
Liz Leggat – Administrative Assistant North Division – Based in I.R.I.S. Department (GRI)
Rationale for the Acute Homeless Liaison Service
“Improve access and care pathways into and out of hospital for Homeless people”
Acute Homeless Liaison ServiceGreater Glasgow NHS
Aims & Objectives• Develop additional protocols regarding the attendance,
admission and discharge arrangements for Homeless people across GGHB area.
• Raise awareness with staff of the issues relating to homelessness
• Redesign patient journey• Develop information and resources• Partnership with stakeholders• To ensure equity of service
Attendances & Admissions
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AttendancesJune 04-May 05
AdmissonsJune 04-May 05
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Initial Presenting Complaint
Drug and Alcohol Presentations (from recorded admissions)
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DECEMBER FEBRUARY APRIL
Drug and Alcohol related presentations
December 04 - May 05DRUG RELATED
December 04 - May 05ALCOHOL RELATED
The homeless patient’s journey through the health care system
Injury/ill health Avoidance/delay of dealing with problem
Deteriorating health Admission to hospital
Recovery Discharge
The homeless patient’s journey through the health care system
Turning point: place for contemplation
Injury/ill health Avoidance/delay of dealing with problem
Deteriorating health Admission to hospital
Recovery Discharge
Acute Homeless Liaison Nurse – assessment of need
With continuity of care
Referrals to other agencies
Patients referred on to Homeless Services From 1st June 04 - 28 May 05
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Addiction Services CPN Physical Health Team Homeless HealthServices
Social Work Services Voluntary Sector Other
DISCHARGE PROTOCOLS
• Draft protocols in place with the following local authorities:
• South Lanarkshire Council• West Dunbartonshire Council
In discussion with the following:• Renfrewshire Council• North Lanarkshire Council• Glasgow City Council
Partnership working
Acute Homeless Liaison Service
Homeless Health Services Acute Services
Voluntary sector
Community Health Services
Social Work Services
• Homelessness can be caused by ill health.
• Homelessness causes ill health.
• Homelessness exacerbates ill health.
• The long-term effects of homelessness include ill health.
Remember this…
Figure 1