Housing Care and Support最新文献

{"title":"Implementing psychologically informed environments in homelessness services: a qualitative exploration of staff teams’ self-assessments","authors":"Sophie Buckley, Anna Tickle","doi":"10.1108/hcs-09-2021-0026","DOIUrl":"https://doi.org/10.1108/hcs-09-2021-0026","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore the perceptions of staff in four teams regarding the implementation of psychologically informed environments (PIE) across a community service and three hostels supporting individuals facing severe and multiple disadvantage.\u0000\u0000\u0000Design/methodology/approach\u0000Using a pre-post design, the PIEs Assessment and Self-Development for Services (known as the Pizazz) was completed by staff before the implementation of PIEs and at a six-month follow-up. A narrative review of the results and thematic analysis of the qualitative data are presented.\u0000\u0000\u0000Findings\u0000The majority of the Pizazz elements were rated as improved following PIE implementation. Thematic analysis developed three themes influencing staff members’ ability to develop a PIE: Complexities of Our and Wider Systems; Ready-made or Baked from Scratch; and Reflective and Responsive Staff.\u0000\u0000\u0000Research limitations/implications\u0000A planned one-year follow-up was obstructed by the coronavirus pandemic, limiting understanding of longer-term impact. Having only gathered data from staff members, the results cannot corroborate staff members’ perceptions. Further research could explore other stakeholder perspectives, as well as the impact of PIE implementation on staff perception of resources, and of a possible ceiling effect for hostels trying to develop PIE.\u0000\u0000\u0000Originality/value\u0000To the authors’ best of knowledge, this is the first UK study to use the Pizazz to evaluate the implementation of PIE.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"60 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74604556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning from collective lived experience: a case study of an experts by experience group","authors":"C. Pawson, R. Bolden, Beth Isaac, Josephine A Fisher, Hannah Mahoney, Sandeep Saprai","doi":"10.1108/hcs-12-2021-0048","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0048","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to present a case study tracking the development and engagement of a group of experts by experience (The Independent Futures (IF) Group) who provided a lived experience voice to the Bristol Golden Key (GK) partnership within the Fulfilling Lives programme. The case study reports the genesis and impact of the group, as well as the facilitators of impact and experiences of the group members and those they worked in partnership with.\u0000\u0000\u0000Design/methodology/approach\u0000The research adopted an iterative approach drawing on multiple data sources over an eight-year period. An inductive ethnographic analysis of stakeholder and partnership meetings was combined with documentary analysis and thematic analysis of interviews with experts by experience and service providers.\u0000\u0000\u0000Findings\u0000The voice of lived experience provided by the IF group contributed to the GK partnership through various channels. Evidence of this contribution and its impact was found at programme, city-wide and national levels of the service ecosystem. Furthermore, IF members recognised the value of the group in contributing to systems change and service improvement, but also for themselves.\u0000\u0000\u0000Practical implications\u0000This case study serves to illustrate the impact of the lived experience voice on services and systems change, specifically the provision of that voice from a formalised advisory group. The successes and challenges of the group and the experiences of its members are reported with a view to sharing learning that may influence future co-production initiatives with experts by experience and service provision for those experiencing multiple disadvantage.\u0000\u0000\u0000Originality/value\u0000The insights provided by the longitudinal observation of the group as it was formed and evolved, coupled with insights provided by the experts by experience, have important implications for facilitating and supporting sustainable lived experience input.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76508072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An emergent process for activating system change: insights from Golden Key Bristol","authors":"Beth Fouracre, Josephine A Fisher, R. Bolden, Bethan Coombs, Beth Isaac, C. Pawson","doi":"10.1108/hcs-12-2021-0039","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0039","url":null,"abstract":"Purpose\u0000The purpose of this paper is to present insights into the way in which system change can be activated around the provision of services and support for people experiencing multiple disadvantages in an urban setting.\u0000\u0000\u0000Design/methodology/approach\u0000This paper is informed by a thematic analysis of reflections, reports, learning logs, interviews and experiences of those “activating” system change in the Golden Key partnership in Bristol between 2014 and 2021.\u0000\u0000\u0000Findings\u0000Four themes are identified, including “creating the conditions for change”, “framing your involvement”, “investing in relationships” and “reflective practice and learning”. For each of these, an illustrative vignette is provided.\u0000\u0000\u0000Practical implications\u0000Practical recommendations and reflective questions are provided with suggestions of further considerations for applying this approach in different contexts.\u0000\u0000\u0000Originality/value\u0000This paper describes an original approach of activating and supporting people to do system change to improve the lives of people facing multiple disadvantages.","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"10 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81887786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving access to mental health services for those experiencing multiple disadvantage","authors":"Rachel Moreton, J. Welford, Beth Collinson, Laura Greason, Chris Milner","doi":"10.1108/hcs-04-2022-0017","DOIUrl":"https://doi.org/10.1108/hcs-04-2022-0017","url":null,"abstract":"\u0000Purpose\u0000This paper aims to explore the barriers to accessing mental health support for people experiencing multiple disadvantage along with some potential solutions for attempting to overcome these. It draws on evidence and learning from 12 voluntary sector-led partnerships in England funded by the National Lottery Community Fund’s Fulfilling Lives programme.\u0000\u0000\u0000Design/methodology/approach\u0000Qualitative research was undertaken with frontline staff, senior leaders, volunteers, beneficiaries and stakeholders from Fulfilling Lives partnerships. This comprised focus groups (21 participants) and individual face-to-face interviews (41 participants), both of which explored barriers and local solutions to accessing statutory mental health services. Following a thematic analysis of transcripts, research participants and stakeholders were invited to a face-to-face workshop to review and validate emerging findings (34 participants).\u0000\u0000\u0000Findings\u0000People experiencing multiple disadvantage face significant barriers in accessing support for their mental health. These include a complex system that is difficult to navigate, long waiting lists, high eligibility thresholds and models of support that lack flexibility. Fulfilling Lives partnerships have had the funding and the flexibility to trial different approaches. Promising solutions to barriers include the use of navigators, person-centred support and multi-agency networks and training. However, overcoming systemic barriers remains the most difficult challenge.\u0000\u0000\u0000Originality/value\u0000Fulfilling Lives was a rare example of substantial and long-term (eight years) funding to work with people experiencing multiple disadvantage. This provided a unique opportunity to try different approaches and gather learning. The programme evaluation provides insights into the experiences of people facing multiple disadvantage and those who support them and offers evidence-based suggestions for policy and practice.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79216902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe and multiple disadvantage: development and applications of a concept","authors":"A. Lemkes","doi":"10.1108/hcs-03-2022-0012","DOIUrl":"https://doi.org/10.1108/hcs-03-2022-0012","url":null,"abstract":"\u0000Purpose\u0000This paper aims to remove the self-evidence of the concept of severe and multiple disadvantage (SMD) by drawing upon a historical as well as a critical perspective to show its contingency.\u0000\u0000\u0000Design/methodology/approach\u0000This paper will introduce the concept of SMD by examining how it has come to be understood in the way that it has. This paper does so by exploring key texts which have informed the development of the concept as well as its conceptual near neighbours such as “multiple needs”. This paper traces some advancements of the concept within practice and further research with a focus on the Fulfilling Lives programme and the Lankelly Chase Foundation. Finally, the author reflects critically upon the concept and the manner in which the concept has become operationalised.\u0000\u0000\u0000Findings\u0000This analysis demonstrates how a particular definition of SMD has come to dominate over the past few years because of the research and practice of key organisations. On the one hand, this has further marginalised alternative definitions and ways of working, but on the other hand these stakeholders have been able to influence the way in which UK policy has taken up the concept within its governmental priorities.\u0000\u0000\u0000Originality/value\u0000To date, research has taken the term SMD for granted which limits the ability to critique its definitions and applications. This is an important and timely contribution because concepts are all-too-often taken for granted and at a pivotal moment when SMD has become nationalised through policy, critique is a political, potentially transformative, act.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"173 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79593948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Team Around Me: a case coordination model for clients experiencing multiple disadvantage","authors":"Scarlett Stock, Lucy Campbell, Morgan Harries","doi":"10.1108/hcs-12-2021-0049","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0049","url":null,"abstract":"\u0000Purpose\u0000This study aims to present a case study about the Team Around Me (TAM) model of case coordination which was developed by Fulfilling Lives Islington and Camden (FLIC) as an action experiment. The model is a standardised tool for running case conferences for clients experiencing multiple disadvantage (MD).\u0000\u0000\u0000Design/methodology/approach\u0000Deploying a case study approach, this study explores why a TAM-coordinated approach is beneficial for people experiencing MD.\u0000\u0000\u0000Findings\u0000The authors explore why the need for effective case coordination is integral for clients experiencing MD, and how current structures fail to facilitate effective case management. The authors put forward an argument for the four core principles underpinning the TAM model: strengths-based, action-focussed, systems thinking and client involvement. The barriers to embedding and upscaling this approach are discussed, alongside the obstacles presented by the wider system that prevent wider implementation.\u0000\u0000\u0000Originality/value\u0000The TAM model is a new approach to case conferences, designed and upscaled by FLIC, and has since been adopted across two London boroughs, and training has reached services across the UK. This paper highlights the need for innovative approaches to case coordination that centre client involvement, promote a strengths-based approach and recognise system blockages as a key barrier to client progress.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"88 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84356674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment, training and volunteering pathways for people with experience of multiple disadvantage in Manchester: comparing primary research findings with wider literature","authors":"Lauren Bennett, Philippa Iwnicki","doi":"10.1108/hcs-12-2021-0042","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0042","url":null,"abstract":"\u0000Purpose\u0000The Inspiring Change Manchester (ICM) programme has aimed to improve outcomes, including employability, for people experiencing multiple disadvantage in Manchester. This paper aims to compare learning from the ICM partnership with wider literature to demonstrate what helps people with experience of multiple disadvantage to achieve training, volunteering or work outcomes and what may prevent this.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews with people with experience of multiple disadvantage and employers in Manchester working with this group were thematically analysed, and the findings were compared to wider literature, previous ICM research and programme data. The primary research took a peer research approach. Peer researchers co-designed the topic guides, co-facilitated interviews where possible and helped to identify key themes.\u0000\u0000\u0000Findings\u0000Entering and succeeding in training, volunteering and/ or paid work has many positive impacts for people experiencing multiple disadvantage. Ongoing and better awareness raising will be key for more individuals to benefit from such pathways, alongside accessible recruitment processes. Continuous personal and professional development opportunities are important to positive experiences, as is organisational culture. Short-term contracts arose as an issue in the research, more needs to be done to support people with experience of multiple disadvantage into secure work.\u0000\u0000\u0000Originality/value\u0000Although there is a range of literature on good practice and challenges to enable people to engage in training or employment, this often focuses on a particular characteristic or need, rather than experiences of people facing a combination of interrelated needs. This paper also includes first-person lived experience voice, rather than this perspective being interpreted through a particular lens.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"35 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82729055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humble PIE: this is just the beginning","authors":"Anna Tickle","doi":"10.1108/hcs-12-2021-0047","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0047","url":null,"abstract":"\u0000Purpose\u0000This study aims to share reflections on psychologically informed practice and research that has taken place within Opportunity Nottingham and in collaboration with local hostels and agencies. This study conveys a call to action to all stakeholders not to be complacent, but to use learning from Fulfilling Lives as a foundation for future developments.\u0000\u0000\u0000Design/methodology/approach\u0000This study will use the psychologically informed environments (PIEs) 2.0 elements to structure points of learning from working within Opportunity Nottingham, drawing on wider literature as appropriate. This will allow focus on core areas of interest for all stakeholders and illustrate how the PIE elements can be embedded in thinking.\u0000\u0000\u0000Findings\u0000Research-informed reflections from a Fulfilling Lives Clinical Psychologist will be offered across the domains of: psychological awareness; staff training and support; learning and enquiry; spaces of opportunity; and rules, roles and responsiveness.\u0000\u0000\u0000Originality/value\u0000To the best of the author’s knowledge, this will be the first paper to use PIE domains to structure a reflective account of learning from a Fulfilling Lives project, contextualised within broader literature.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"10 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78892252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying situational analysis to examine the impact of VOICES on people experiencing multiple disadvantage","authors":"K. Spyropoulos, C. Gidlow, F. McCormack, A. Meakin, R. Hine, Sophia E Fedorowicz","doi":"10.1108/hcs-02-2022-0006","DOIUrl":"https://doi.org/10.1108/hcs-02-2022-0006","url":null,"abstract":"\u0000Purpose\u0000This paper reports the use of situational analysis as a systems methodology to evaluate the voices of independence change and empowerment in the Stoke-on-Trent (VOICES) partnership project.\u0000\u0000\u0000Design/methodology/approach\u0000Using situational analysis and drawing on a range of secondary data sources, a three-stage conceptual mapping process provided a detailed picture of both the non-linear interlinkage and complexity of the local system that VOICES was working to influence, as well as the processes that shaped the experiences of those who act within the situation.\u0000\u0000\u0000Findings\u0000Data highlighted the systemic challenges facing VOICES customers (e.g. stigma and marginalisation and lack of legal literacy), progress made by VOICES in each of their priority areas and an overarching theme of VOICES promoting equity (rather than equality) to address failure demand in the system of support for people with multiple needs and disadvantage.\u0000\u0000\u0000Originality/value\u0000The authors present the novel application of situational analysis to demonstrate a substantial impact of VOICES while demonstrating the value of this methodology for complex systems thinking research and evaluation.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"116 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73686234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case study: using an appreciative inquiry model to co-produce a gender-informed women’s only access to drug and alcohol treatment space","authors":"K. Randall, Sarah Tayleur, Winston Allamby","doi":"10.1108/hcs-12-2021-0046","DOIUrl":"https://doi.org/10.1108/hcs-12-2021-0046","url":null,"abstract":"\u0000Purpose\u0000This study aims to report on the experience of using a strengths-based, solution-focused methodology for co-producing a gender-informed drug treatment service using an appreciative inquiry (AI) model (Cooperrider and Srivastva, 1987).\u0000\u0000\u0000Design/methodology/approach\u0000An AI model was used to facilitate a series of six workshops. Participants had a mixture of lived experience (n = 4, experience of accessing drug and alcohol services) and learned experience (n = 3, practitioners from a local drug service), with co-facilitators from Fulfilling Lives Lambeth, Southwark and Lewisham (n = 2). The aim of the workshops was to understand barriers, identify solutions and co-create a service design offer. Data for this paper was collected using a series of focus groups, reflection logs and surveys, which sought to understand participants’ perceptions of using this model and the impact it had on them. Data was analysed manually using coded thematic analysis (Braun and Clarke, 2006).\u0000\u0000\u0000Findings\u0000Participants successfully co-created a women’s access to drug and alcohol service design and recommendations. Participants found the process of using the model a very positive experience with benefits, including increased self-esteem, group cohesion and balanced power. This study provides evidence of the AI model as an effective, practical tool for co-production work.\u0000\u0000\u0000Originality/value\u0000This case study considers a shift in approach to co-producing services with both lived and learned experience, which moves away from problem-focused consultations, towards solution-focused co-design. Consequently, providing evidence to support such a change.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"43 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79074649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}