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Q: Health services for Homeless ( Answered 5 out of 5 stars,   2 Comments )
Question  
Subject: Health services for Homeless
Category: Health
Asked by: quinner2041-ga
List Price: $50.00
Posted: 05 Oct 2005 03:35 PDT
Expires: 04 Nov 2005 02:35 PST
Question ID: 576573
I am looking for existing facilities for homeless people at the point
the are discharged from hospital after treatment. The general
population can go home or to private nursing homes for a period of
recuperation and aftercare.Where such facilites exist for homeless
people the service is known as a "step dowm service" and in some cases
as a "hoptel". I'm looking for such a facility in UK or Europe.The
nearest example I can fond is in Vancouver.
What I need is specific contact detials and websites
Answer  
Subject: Re: Health services for Homeless
Answered By: politicalguru-ga on 05 Oct 2005 06:09 PDT
Rated:5 out of 5 stars
 
Dear Quinner, 

I focused in my answer on the UK, because each European country has
its own arrangements.

There are such support facilities in the UK, whether as part of a
hospital rehabilitation ward, or as part of a residential care
facility. However, I would suggest, first and  foremost, to get in
touch with the council and with a case worker, because usually there
are council residential care facilities that could help. Moreover,
"Access to residential care is via the Community Mental Health Team.
Unless you have earnings or saving of over ?16,000 the placement will
be paid for by the Local Authority and if necessary the Health
Authority." (SOURCE: The Royal Borough of Kensington and Chelsea,
"Accommodation and homelessness",
<http://www.rbkc.gov.uk/SocialServices/mentalhealth/accommodation.asp>).

Also consult the hospital: For example, "Camden PCT employs two
full-time Homeless Patients Co-ordinators (HPCs) as part of the
Primary Care for Homeless People team. They provide a dedicated
specialist service to effectively discharge homeless patients admitted
to UCLH, recognising legal obligations to
provide a safe discharge, linking patients into community services and
attempting to minimise delayed discharges. " (SOURCE: Homelessness and
Health
Information Sheet, <http://www.odpm.gov.uk/stellent/groups/odpm_homelessness/documents/page/odpm_home_038537.pdf>;
this sheet also includes other projects of care for homeless people
discharged from hospitals, and therefore is worth looking into).

St. Mungo in London operates "eleven high support projects, where
staffing levels are higher and where permanent accommodation is
offered to men and women with severe physical and mental health needs.
Five of these projects are registered care homes.
The high support projects are in Brent, Camden and Islington and
Westminster. Seven are exclusively for people who are mentally ill;
the other four are for people with a variety of needs.
There are over 200 beds, all in single rooms, and residents are placed
there often through social services using community care funding or by
other agencies."  (SOURCE: St. Mungo,
<http://www.mungos.org/projects_sm/high_support.html>).

Contact St. Mungo: 
St Mungo's Main Office
Atlantic House
1-3 Rockley Road
Shepherd's Bush
London W14 0DJ
Tel:  020 8740 9968
Fax: 020 8600 3079 
E-mail: info@mungos.org

Also in London, Wytham Hall Recovery Unit offers accommodation for
"Single homeless people who require medical intervention, including
those being discharged from hospital. Accept those with mental health,
drug/alcohol and physical health problems eg tuberculosis, skin
infections, hepatitis and frostbite." (See for more information:
London Homeless, <http://www.homelesslondon.org.uk/services/projinfo.asp?session=googlebot&crumb=bBI&b=01AR33&id=HO297>).

Wytham Hall Recovery Unit 
117 Sutherland Avenue 
London 
W9 2QJ 
Phone 020 7289 1978 
Fax 020 7266 1518
<http://www.wythamhall.co.uk/> 

Combat Stress "[...] manages three Nursing Resources for Homeless
Ex-Service Personnel in London Homes for treatment, rehabilitation and
respite care, situated in Leatherhead (Surrey), Newport (Shropshire)
and Hollybush (Scotland).
Telephone: 01372 841600
Web Site: <http://www.combatstress.org.uk/home/default.asp> 

Keychange Charity: 020 7633 0533, email info@keychange.org.uk, is a
Christian charity that provides residential care for homeless people
in Exeter and Reigate.
<http://www.keychange.org.uk/> 

Here are several further organisations that provide support and might
point you to such facilities:

Homeless Link
<http://www.homeless.org.uk/> 

Citizen Advice
<http://www.citizensadvice.org.uk/> 

A list of homeless care facilities throughout the UK (Excel document)
<http://www.geog.qmul.ac.uk/homeless/homelessplaces/centres.xls> 

Older Homelessness - A list of care facilities for elderly homeless people
<http://www.olderhomelessness.org.uk/?section=4&topic=3> 

I hope this answers your question. Please contact me if you need any
clarification on this answer before you rate it. Search terms:
"nursing home" discharged hospital homeless site:uk, site:uk "homeless
people" "discharged * hospital", site:uk hospital provide discharged
accommodation homeless, " rough sleeper", site:uk hospital discharged
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site:uk hospital discharged homeless, site:uk homeless "discharge"
aftercare, site:uk homeless "discharge" aftrecare, site:uk homeless "
post-discharge", site:uk homeless discharged hospital care,
"residential care" homeless site:uk,
related:www.combatstress.org.uk/home/default.asp, www.combatstress.com
, site:uk "Respite Care" homeless, related:www.wythamhall.co.uk/,
http://www.wythamhall.co.uk/, Wytham Hall Recovery Unit ,
related:www.mungos.org/, www.mungos.org, "residential care" homeless
released site:uk, "nursing facility" homeless released site:uk,
"nursing facility" homeless released, "nursing facility" , "drop in
centre" release hospital, site:uk "step down" homeless, site:uk
hoptel, site:uk homeless after release hospital, site:uk homeless
"nursing home",
quinner2041-ga rated this answer:5 out of 5 stars
Change nothing!

Comments  
Subject: Re: Health services for Homeless
From: politicalguru-ga on 05 Oct 2005 08:09 PDT
 
Thank you for the rating!
Subject: Re: Health services for Homeless
From: bobble17-ga on 09 Nov 2005 05:47 PST
 
Hi Quinner
I've done some research into the lack of step down facilities for
homeless people in the UK.  Although Politicalguru's answer is very
comprehensive, most of the info is in regard to residential care,
which is long term care.  Homeless people who need short term care
(intermediate care/step down care) and the opportunity to receive
physical rehab after a hospital stay are on the whole excluded from
intermediate care facilities because of their lack of a discharge
address and also their complex needs - i.e. mental health, substance
use needs.  Whytham Hall, as mentioned by political guru, is the
nearest equivalent for homeless people but it has a zero tolerance
policy on drugs & alcohol.

There are step down facilities in the Netherlands and Germany for
homeless people - the following is a weblink to an article about one
in Hannover, there appears to be an email address on there.

- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12063650&dopt=Abstract

and the one below is a link to a report on such a service in Amsterdam.

http://www.medadvocates.org/marg/homeless/OutreachHomelessAmsterdamOct2005.pdf

This probably doesn't really help you, but I thought you might find it interesting.
Regards

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