1. Perth Registry Week 8 – 19 February 2016

2. PARTICIPANTS AND SUPPORTERS Anglicare St Bartholomew’s House City of Perth City of Kwinana City of Rockingham City of Vincent City of Joondalup City of Wanneroo Town of Victoria Park The Salvation Army UnitingCare West Street Chaplains St Brendan’s Anglican Church Homeless Healthcare Multicultural Services Central Institute of Technology Department of Attorney General DHS Centrelink WA Police Local Businesses and Community Members Real Estate Industry WA We Are One Housing Authority UWA Red Cross Ruah Mobile Clinical Outreach Team St Vincent de Paul Edith Cowan University Foundation Housing MercyCare Micah Projects Northreach Church Ronald McDonald House Royal Perth Hospital St Johns Ambulance True North Church Outcare 360 Health and Community St Patricks Community Centre Department for Child Protection and Family Support

3. FUNDED BY City of Perth Department for Child Protection and Family Support City of Vincent Town of Victoria Park City of Rockingham City of Kwinana City of Joondalup City of Wanneroo Ruah

4. Registry Week Planning Group 14 teams (CBD) and 8 teams outer suburbs 128 volunteers and 19 Team Leaders 25 Police officers Surveyed in public spaces, Drop in Centres and some crisis and transitional accommodation Working Groups identified known hot spots Teams allocated particular areas to cover

5. Registry Week Process Over 2 weeks: Early morning surveys Surveys during the day VI-SPDAT survey and photo (written consent) $10 Coles Voucher for participating

6. Seven Local Council Areas Covered Perth CBD, Vincent, Victoria Park Rockingham/Kwinana Joondalup/Wanneroo

7. Affordable Housing Affordable Housing with short term supports Affordable Housing with long term supports VI- SPDAT Vulnerability Index (VI) Service Prioritisation Decision Assistance Tool (SPDAT)

8. The Individual Service Prioritisation Decision Assistance Tool (VI-SPDAT) Respondents with scores of 0-4 who are homeless exit homelessness on their own Respondents with scores of 5-9 need brief and shallow support Respondents with scores of 10 or more need permanent assistance with housing and support services Surveys assist in determining the type and amount of support

9. Vulnerability Index –Service Prioritisation Decision Assistance Tool Helps guide the right household to the right support intervention at the right time to end their homelessness Objective approach to assessing needs for housing, supports and life stability based upon evidence Language and theoretical orientation appropriate for housing case managers

10. Database

11. Perth Registry Week 8 – 19 February 2016 Survey Findings

12. 263 individuals aged 25 and over 36 individuals aged 24 or under 299 I NDIVIDUALS SURVEYED 6 families with a parent aged 25 and over 1 family with a young parent aged 24 or under 22 immediate family members (partners and children) 7 F AMILIES SURVEYED

13. Homeless demographic breakdown - Families Seven families (including one young family) surveyed One family identified with high acuity and sleeping rough – referred to a refuge; one other family admitted to a refuge Five families will require affordable housing and short term support All heads of household are women Average age of head of household is 34.5 Youngest child was two weeks old Average time homeless is one year and two months

14. Homeless demographic breakdown - Families Most were single parent families; only two families with two heads of household Three of the families surveyed have been victims of violence since becoming homeless Five of the families surveyed identified as Indigenous Three families reported having insufficient income to cover all expenses 20 children; all but two were with their parents The largest household had four children

15. Homeless demographic breakdown - Individuals Homeless and at risk Youth 24yrs and under Individuals 25yrs and over Total Male 23194217 Female126981 Transgender101 Total individuals surveyed36263299

16. Length of time homeless and average age 42.7 20.9

17. Income - Individuals

18. Cultural Identity 3 8 1 5

19. Aboriginal or Torres Strait Islander

20. Acuity – Young People (<25 yrs)

21. Sleeping Rough Family and Friends Emergency/ Crisis Accom Other Accom Total Surveyed Total surveyed (n)1976436 Affordable housing with ongoing support 10 (53%)2 (29%)3 (50%)2 (50%)17 (48%) Affordable housing with short term support 7 (37%)4 (57%)3 (50%)2 (50%)16 (44%) Affordable housing2 (11%)1 (14%)0 (0%) 3 (8%) Acuity – where people sleep most frequently Individuals 24 and under

22. Overall Acuity – Individuals 25 and over

23. Sleeping Rough Family and Friends Emergency /Crisis Accom Temp Accom Other Accom Total Surveyed Total surveyed (n)193259927263 Affordable housing with ongoing support 93 (48%)10 (40%)4 (44%)3 (33%)10 (37%) 120 (46%) Affordable housing with short term support 90 (47%)11 (44%)5 (56%) 14 (52%) 125 (48%) Affordable housing10 (5%)4 (16%)0 (0%)1 ( 11%)3 ( 11%)18 (6%) Acuity – where people sleep most frequently Individuals 25 and over

24. History of child protection 82 (31%) of people aged 25 or over (n=263) reported history of foster care or institutional care as a child 9 (25%) of people aged 24 or under (n=36) reported history of foster care or institutional care as a child

25. Victims of violence and brain injury Individuals 25 and over (n=263) Youth 24 and under (n=36)

26. Trauma Youth 24 and under (n=36) Almost half of all survey respondents reported having: experienced emotional, physical, psychological, sexual or other type of abuse or trauma; for which help was not sought; and/or which has caused their homelessness. Individuals 25 and over (n=263)

27. Key Health factors Health factor Individuals 25 and over Youth 24 and under Total Total surveyed 26336299 Tri-morbid 12111132 3 x A&E or hospital last 6 months 10213115 3 x A&E last 6 months 771087 > 60 yrs 909 HIV+/AIDS 404 Liver Disease 360 Kidney Disease 150 Wet weather injuries 9211 Alcohol daily for 30 days 12316139 Injection Use 11812130

28. Mental Health and Substance Use

29. Interactions with the health system September 2015 – February 2016 No of individuals (n=299) Average per person Hospitalisations117 (39%)3.6 times A&E Visits184 (62%)5.5 times Ambulance107 (36%)2.7 times Individuals reporting at least one hospital admission, A&E visit or ambulance transport

30. With the VI-SPDAT tool and through the Perth Registry Week 2016, we are able to: Know by name and by face each person sleeping rough in our city Understand their acuity of need Prioritise and match support to each person’s presenting needs – what is needed to be safe and well? Recap…

31. What do you need to be safe and well?

32. Next steps…

33. Continued use of VI-SPDAT as a… Need a System-wide tool help guide the right household to the right support intervention at the right time to end their homelessness Objective approach to assessing needs for housing and life stability based upon evidence Language and theoretical orientation appropriate for housing case managers

34. Collective impact

35. Stay connected… facebook.com/PerthRegistryWeek @perthregistrywk #endhomelessness ruah.com.au/registry-week-perth-2016-2 50lives50homesperth.com.au