David PowerPoint presentation by: Helen Knight Verity Burch Lesley Downes Jacqui Hill

Physical and psychological consequences of homelessness David, 27, sleeping rough David, 27, sleeping rough Neglect of self-care: malnutrition, poor clothing, exposure to cold, poor condition of feet etc Neglect of self-care: malnutrition, poor clothing, exposure to cold, poor condition of feet etc Vulnerable to abuse Vulnerable to abuse Lack of support network Lack of support network Implications of mental health problems Implications of mental health problems Verbally abusive/threatening Verbally abusive/threatening Distrustful Distrustful History of alcohol abuse History of alcohol abuse

Involvement of Multidisciplinary Team A&E and hospital team as first point of contact A&E and hospital team as first point of contact Social Services (housing/benefits issues) Social Services (housing/benefits issues) Psychologist/Mental Health team (Mental Health assessment) Psychologist/Mental Health team (Mental Health assessment) Podiatrist Podiatrist Social Worker Social Worker Nutritionist Nutritionist Occupational Therapist Occupational Therapist

Future Strategies involving MDT SHORT TERM Addressing physical needs: housing, nutrition, problems with feet, general wellbeing and aspects of self-care Addressing physical needs: housing, nutrition, problems with feet, general wellbeing and aspects of self-care Assessment of mental health needs Assessment of mental health needs MEDIUM TERM Setting up support network Setting up support network Habituation Habituation Socialising (day centres etc) Socialising (day centres etc) LONG TERM Learning new skills/activities to facilitate gainful employment Learning new skills/activities to facilitate gainful employment Ongoing input from mental health professionals Ongoing input from mental health professionals Ongoing input from social worker Ongoing input from social worker

Other Agencies Shelter- Experience in helping people with housing needs and/or issues. Helping people to find and keep the right home Shelter- Experience in helping people with housing needs and/or issues. Helping people to find and keep the right home Big Issue- Enables the homeless to earn an income through opportunities Big Issue- Enables the homeless to earn an income through opportunities Exeter Homeless Action Group (HAGS)- Drop-in advice centre providing information regarding resettlement support Exeter Homeless Action Group (HAGS)- Drop-in advice centre providing information regarding resettlement support Homeless Link- Opportunities for older homeless people under supporting people – provides many opportunities to improve housing and support services for vulnerable older homeless people Homeless Link- Opportunities for older homeless people under supporting people – provides many opportunities to improve housing and support services for vulnerable older homeless people