Rethinking Multiple Exclusion Homelessness: Implications for Workforce Development and Interprofessional Practice.
Lead Research Organisation:
King's College London
Department Name: Social Genetic and Dev Psychiatry Centre
Abstract
Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.
Publications
Manthorpe J
(2013)
"Capacity is key": investigating new legal provisions in England and Wales for adult safeguarding.
in Journal of elder abuse & neglect
Manthorpe J
(2013)
Changing practice: adapting to the Mental Capacity Act 2005
in Social Care and Neurodisability
Manthorpe, Jill
(2013)
Dementia and homelessness: making the links
in Journal of Dementia Care
Manthorpe, Jill
(2013)
Dementia and homelessness: making the links
in Journal of Dementia Care
Waugh A
(2013)
Designing a complex intervention for dementia case management in primary care.
in BMC family practice
Samsi K
(2013)
Everyday decision-making in dementia: findings from a longitudinal interview study of people with dementia and family carers.
in International psychogeriatrics
Handley M
(2014)
Living and dying: responsibility for end-of-life care in care homes without on-site nursing provision - a prospective study.
in Health & social care in the community
Michelle Cornes (Author)
(2011)
Multiple exclusion homelessness : implications for workforce development and interprofessional practice.ESRC End of Award Report
| Description | Housing related support services have become the mainstay of support for people experiencing MEH. These services often work in parallel with health and social care services. As a result, we found little evidence of integrated assessment and support planning. One housing support worker summed up the situation in that 'Everyone has got snippets of the individual but no one is collating it'. Problems arise when needs extend beyond those which can be catered for within housing related support services meaning that some people (usually those with the most complex needs) fall through the gaps of existing provision. Services need to work together in innovative ways to stop people falling through these 'cracks'. Housing support workers play a key role in helping people to manage their home. However, because they often work in isolation from other professionals they can sometimes feel 'out of their depth' especially when the person they are supporting experiences a mental health crisis. We conclude that there is a need to reconceptualise the 'job role' of the housing support worker to ensure a better fit with the realities of working practices and to find new ways to support these largely unqualified workers in what is a very emotional and challenging role. |
| Exploitation Route | The findings of this research have been developed for use in frontline health, housing and social care practice. See 'Improving Front-line Collaborative Responses to Multiple Exclusion Homelessness: Community of Practice Development Programme' (Grant Ref: ES/J010464/1) |
| Sectors | Communities and Social Services/Policy,Healthcare,Security and Diplomacy |
| Description | In an article reviewing the findings of the MEH Research Programme, Alice Evans, Head of Policy and Research at Homeless Link reports that 'This research provides vital evidence to help to help us develop policy and practice... It uncovers deep issues. It challenges our policy and practice. It shows how we need to change and how lives might be improved as a result' (Connect, The Magazine of the Homeless Sector, Issue 44, 2011, p15). [Impact on government policy] The Programme findings are taking centre stage in preparation of the next Ministerial Working Group on Homelessness (MWG) paper which is focussing on prevention and the importance of delivering integrated services that will tackle the complex causes of homelessness. We have met with representatives from the Treasury and the Department of Health. The Programme findings are referenced in the latest NHS Confederation Briefing on Homelessness and Mental Health (2012, 235). This study has been assessed as being of national significance in personal correspondence received from the co-ordinator of the 'Research and Evidence Sub-group of the National Skills Consortium for Drug Misuse'. [Impact on frontline practice and people with experience of MEH] In our research findings summary we describe the practice changes that were made across the three fieldwork sites as a direct result of participating in this research. In terms of improved access to community care assessment and a fuller range of coordinated services, including direct payments, we have asked housing support workers in the partner agencies to keep us informed which we means we have been able to capture something of the direct impact this study is now having on people with experience of multiple exclusion homelessness. Many barriers persist and progress is very slow. |
| Sector | Healthcare,Other |
| Impact Types | Societal |
| Description | Citation in literature review conducted by Mental Health Foundation & St Mungos |
| Geographic Reach | National |
| Policy Influence Type | Citation in systematic reviews |
| Impact | The inclusion of our work in this publicly available literature review enables practice to be built on an evidence base |
| URL | https://www.mentalhealth.org.uk/sites/default/files/pies-literature-review.pdf |
| Description | Local social enterprise notes value of this study in overview of the area |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Citation in other policy documents |
| Impact | Inclusion in this review conveys that the research is being seen as useful by non professionals engaged in third sector initiatives |
| URL | http://www.northamptonhopecentre.org.uk/sites/default/files/Literature%20on%20homelessness.pdf |
| Description | 'Can 'rough sleepers/single homeless' access community care assessment and adult social care' |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Personal communication to Department for Communities and Local Government and other stakeholders Not known |
| Year(s) Of Engagement Activity | 2011 |
| Description | 'Tackling homelessness and exclusion: Understanding complex lives' |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Informed practitioners of the study Cornes, M. (2012) 'Tackling homelessness and exclusion: Understanding complex lives', Making Research Count, York, 25 April. Not known |
| Year(s) Of Engagement Activity | 2012 |
| Description | Achieving continuity across agency boundaries |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation to an expert seminar on complex needs and multiple exclusions convened by Revolving Doors Agency, Guys Campus, King's College London, 14th November 2011 Study contributed to debate about responses to multiple exclusion |
| Year(s) Of Engagement Activity | 2011 |
| Description | Communities of Practice and wicked issues - a relationship view |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | This was a symposium for stakeholders in this field |
| Year(s) Of Engagement Activity | 2013 |
| Description | Multiple exclusion homelessness |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Making Research Count Newsletter (Volume 1, Issue 5, November 2011 p; 2). An 'Expert by Experience' reflects on how the research findings presented at a recent seminar resonate with his own experiences of multiple exclusion homelessness and social work. Enabled powerful personal experience to convey to practitioners the 'human' story behind multiple exclusion homelessness and the relevance to social work practice. |
| Year(s) Of Engagement Activity | 2011 |
| Description | Multiple exclusion homelessness : implications for workforce development and interprofessional practice |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Feedback Event for Cumbria Action for Social Support Multi-professional Steering Group, Penrith, 8th March 2012 Stakeholder engagement sustained |
| Year(s) Of Engagement Activity | 2012 |
| Description | Multiple exclusion homelessness, interprofessional working and the common assessment framework |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Presentation to the 'Making Every Adult Matter Leadership and Accountability Expert Seminar', London, 20th June 2011 Interest in this project evident by numbers attending |
| Year(s) Of Engagement Activity | 2011 |
| Description | Personalisation and fair access to care - implications for people experiencing deep social exclusion |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | Personal communication with 'Making Every Adult Matter' campaign www.meam.org.uk Not known |
| Year(s) Of Engagement Activity | 2011 |
| Description | Research into practice : developing a community of practice |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation of research findings to multi-disciplinary stakeholders in one of the research fieldwork sites, Cumbria, 11th August 2011 Consolidated relationships with regional stakeholders |
| Year(s) Of Engagement Activity | 2011 |
| Description | Research into practice : interprofessional group supervision |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Findings seminar delivered to multidisciplinary stakeholders in one of the research fieldwork sites, Calderdale, 20th October 2011 Stakeholders continued to engage with this study |
| Year(s) Of Engagement Activity | 2011 |
| Description | Research: multiple exclusion homelessness |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Informed readers of Community Care 17 November Not known |
| Year(s) Of Engagement Activity | 2011 |
| Description | Risks of complexity |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Informed readers of Connect: the magazine of the homeless sector Not known |
| Year(s) Of Engagement Activity | 2011 |
| Description | We don't want miracles |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | Article for Homeless Link Connect Magazine Continued and consolidated relationships with this key voluntary sector body |
| Year(s) Of Engagement Activity | 2011 |
| URL | http://www.homeless.org.uk/connect |