Meeting the physical and mental health needs of young homeless people
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Transcript of Meeting the physical and mental health needs of young homeless people
Investing in young people to prevent a lost generation in Europe:
key policy and practice in addressing youth homelessness
8th November 2013, Prague, Czech Republic
Depaul UK
Our mission: to offer homeless and
disadvantaged people the opportunity to
fulfill their potential and move towards an
independent and positive future
we have helped over 50,000 people since
1989
each year we work with more than 5,000
young people (aged 16 – 25)
Investing in young people to prevent a lost generation in Europe:
key policy and practice in addressing youth homelessness
8th November 2013, Prague, Czech Republic
Investing in young people to prevent a lost generation in Europe:
key policy and practice in addressing youth homelessness
8th November 2013, Prague, Czech Republic
We prevent young people becoming homeless through family mediation and supporting the resettlement of young offenders
We protect young people by finding them a place to call home.
We provide young people with the chance to fulfill their potential through education, volunteering and training.
Why young homeless
people and health?
“To be honest, I ain’t got time to worry about my health, have I? No
money, no roof over my head, no job, no girlfriend”.
Homelessness and health hugely intertwined
Family breakdown biggest cause of youth homelessness, often
leaving young people isolated without family support
Childhood disadvantage, disruption or trauma not only increase risk
of homelessness but also of health problems
Being homeless compounds pre-existing issues and has significant
health impacts
Health often a low priority for young people whose focus is getting a
roof over their heads and stability in their lives
Our partnership with AstraZeneca:
Part of AZ’s global Young Health Programme to connect
disadvantaged young people to health and wellbeing
In UK, aim is to make a meaningful difference to the
health of young people who are homeless
Partnership is combining our expertise and resources to
make a real impact
First step was to fully understand the health issues and
barriers, and what would really make a difference
.
Background to health
research
Methodology
Between May and Oct 2011, more than 1150 people
participated in a wide-ranging comparative review
Quantitative research:
health questionnaire completed by over 300 young
people, including a control group
Qualitative research:
focus groups and interviews with staff and young people
peer led research
expert steering group
ethnographic research – 4 films made
Online survey of 750+ GPs
Family / Friends
Breakdown
Isolation Depression and anxiety
Drinking / Drugs
Money pressures /debts
Homelessness
Prison Sleep pattern problems
Self – harm
Having a pet entertains me
My child helps motivate me
Socialising with friends and family
Exercise and eating well
Talking to professionals e.g. support worker
Group Work and volunteering
Drinking
& taking
Drugs
Fighting/
Crime
Sleeping
Rough
Dwelling
on the
Past
Isolating
yourself,
avoiding
others
Side affects
of anti-
depressants
Self
Harming
Gaining
weight
Key findings: health issues
Key findings: barriers to care
Institutional
Long waiting times
Transition from paediatric to adult services
Them and us mentality of some GPs
GPs - finding it difficult to treat young homeless
Emotional:
Lack of confidence, motivation and purpose
Retelling stories to different professionals
Skills / practical
Chaotic lifestyles and family backgrounds
Communication skills
Lack of money to attend appointments
Frontline health staff knowledge & confidence
Recommendations
from peer researchers:
www.depauluk.org
Integrate services to prevent young people having to
repeat their stories when accessing multiple services
Raise awareness on issues of homelessness in schools
and for front line workers such as healthcare and
council staff
Ensure sustainable funding for voluntary sector
organisations that support young people
Support and provide family mediation services to
prevent youth homelessness
Cut down on waiting times for counseling and support
Depaul UK Response:
Psychologically Informed Environments
1. Psychological Framework • Developing young people’s capacity to be
more aware of, and able to make choices about, their thinking and behaviours
2. Staff training and support • promote confidence in their ability to
facilitate change
• promote positive regard for clients
• minimise burnout
3. Managing Relationships • Key to facilitating change
4. Environment and Social Spaces • Valuing young people
5. Service evaluation • Each young person
• Service as a whole
Thank you
Investing in young people to prevent a lost generation in Europe:
key policy and practice in addressing youth homelessness
8th November 2013, Prague, Czech Republic
For more information:
Full report / summary at: http://www.depauluk.org/newsandresources/research-and-publications/
‘Putting it into Practice: help & guidance for commissioners, Health and Wellbeing Boards and providers at:
http://www.depauluk.org/_uploads/documents/research-publications-and-reports/putting-it-into-practice-final.pdf
Ethnographic videos: http://www.depauluk.org/newsandresources/stories/videos/
Good practice on Psychologically Informed Environments: http://www.southampton.ac.uk/assets/imported/transforms/peripheral-block/UsefulDownloads_Download/A6FD3BB1EB2A449987C12DFF91EF3F73/Good%20practice%20guide%20-%20%20Psychologically%20informed%20services%20for%20homeless%20people%20.pdf