Homelessness, Prevention & Education: The Way Forward

Homelessness-New Responses
Simon Ireland National Conference

Speech Delivered By Alice Leahy, Wednesday, November 15th, 2000

HOMELESSNESS PREVENTION AND EDUCATION: THE WAY FORWARD

Thank you for asking me to speak today. A pity the time is so short for such an important topic. My association with the Simon Ireland office dates to a time when finance was limited and the office was situated in D’Olier Street under The Irish Times where Dick Shannon typed away on a second-hand typewriter as steam from the coffee pot wafted through the grids outside. We should never forget Dicks contribution.

I should perhaps say a little about the agency I work with called TRUST established in 1975. On a morning we work with between 20 and 30 men and women all sleeping out, some over many years who cannot even get an emergency bed, some have third world health problems. One man attending us I met first as a homeless youth in 1973 still homeless.

Here today near the site of the old Simon Shelter in Sarsfield Quay where I lived for a period in the early seventies seems like a lifetime away to say worked there would take from the highly charged atmosphere of living in appalling conditions such was the squalor that as I speak I still smell the stink coming through the rotting floor boards. Yet in the midst of such squalor there was an inter-play of real humanity, real pain, real honesty, real vision, real frustration and constant questioning this surely is the essence of what we call education. Looking back should not prevent us from looking ahead but reflection ensures there can be a real foundation for progress.

Education doesnt begin in school or end in college, it is a life long process and indeed if we had sufficient time available I would ask you all to sit still and ask yourself the question what have I learned from people who are homeless? Have they contributed to my education? What has entitled me to claim expertise in this field? There are of course no experts in the field of poverty only those who claim to be.

The awful term Celtic Tiger has somehow given us a false sense of achievement and expertise and the notion that all can be successful. Looking at the weekly advertisements for staff (Statutory and Voluntary) in the caring field would be comical were it not for the fact that many people are seriously excluded from participating in the work force around poverty and as a result the gap between talk shops and hands on work is getting bigger not to mention the salary differential. I should state at this stage that while acknowledging the hard work of many I do not share the sense of optimism or achievement currently being expressed by many in the field i.e. in services for people who are homeless.

Political correctness and the language of consumerism in vogue, instead of opening up – is in fact stifling real debate and as a result real education and lack of vision in service development. We also seem to have lost our sense of connectedness. We in TRUST work on a daily basis with men and women living in extreme squalor on the main sleeping out. My own attempts to discuss human emotions expressed and experienced by the people we meet e.g. violence, pain, hunger, isolation, hatred, the list is endless and all common to the reality of the human condition was considered to be inappropriate by a body set up to “solve” the problem of homelessness at a meeting I attended. I run the risk of being misunderstood by commenting on the fact that in 1974 I with others, many of whom had worked full-time in Simon set up the type of service now being proposed and delivered this service until a few years ago when money became available to employ more and more personnel and commission highly paid consultants to produce more and more reports. We now no longer visit hostels but work from our own Centre.

Surely we cannot be so naive as to think we have all the answers, those who have gone before us had tremendous vision an example being that which enabled the setting up of the small hospitals now viewed as expendable. On October 21st the Irish Independent reported on comments made by the General Secretary of the Association of Garda Sergeants and Inspectors, George Maybury. Gardai questioned the Government for “wasting millions of pounds on private consultants to produce a report which is not likely to be implemented. There is absolutely no evidence that what the consultants are proposing will improve policing in this country there is a real danger in fact that their proposals will make matters infinitely worse”. A view I share regarding services for people who are currently sleeping out.

Education and prevention appear to be self-explanatory. If homelessness is solely about housing why is it still a problem at this time of great wealth? Why have hospitals been sold off for millions of pounds? Why is the amount of land around St. Brendan’s Psychiatric Hospital not used for social housing seeing that many of the people who passed through that building have died in less than desirable conditions many still live in less than desirable conditions. Of course one of the reasons is they dont have a voice or a vote.

Education is vital if communities are to accept people labelled homeless, it is easy to understand why at times communities feel unable to cope with more problems because rarely if ever is there sufficient support available to them when problems arise or indeed even acknowledgement of their services provided free. Often the support for vulnerable neighbours is seen as interference rather than real concern.

Education must include education of those in positions of influence and more importantly power.

Increasingly people at the coal face are seen in the same light as those they work with, outsiders in the real sense. Their views are often ignored and therefore what is really happening on the ground never reaches the people in power, it stops at middle management where often exposing a problem is seen as personal failure. Generally left that way until at times the media come to the rescue this in turn often leads to staff being accused of dealing with the media.

If we are to attempt to deal with the problem effectively much needs to happen. A greater understanding of the contribution of all working the field in statutory and voluntary bodies is required. People dip into working in the area of poverty, all for reasons best known to themselves, some use it as a stepping stone to move on to better things and frequently skilled personnel are not considered for promotion because working in the one field for a long time is seen as not having any motivation rather than having accumulated great skill and experience. Others give up working in the field because of little support from employers.”Who cares for the carer?”

Such an attitude has led to the real crisis that currently exists in our Health Service.

It has become old fashioned to reflect on the philosophy of our founding fathers, reflection is a vital part of education if the future is not to push more people to the margins including service providers as more “expert”groups replace them. We appear to have more and more information collected but I am reminded of T.S. Elliots comment in 1934 “where is the wisdom we have lost in knowledge, where is the knowledge we have lost in information”. Our own experience of seeing a description of the work of our Agency in the recently published Directory of Services completely different from our two submissions made and indeed with inaccurate data just makes me wonder how effective the whole exercise is in the field of Education.

We in TRUST last month circulated our Teachers Pack incorporating a National Essay Competition on the theme “Outsiders” sponsored by Irish Times and Dept. of Justice, Equality and Law Reform supported by the Rotary Club Dublin. Our website www.trust-ireland.ie was launched to ensure maximum exposure. This is our attempt to stimulate young people to express their views on outsiders. We hope we will have a great response from the next generation of planners and thinkers.

We sincerely hope young people will be encouraged to speak out for people on the margins and not be inhibited by the meaningless language currently being used to analyse and describe poverty a language which is creating even bigger problems than solving as already stated.

History will judge us on how we treat the most vulnerable of human beings at the beginning of the millennium.

Are we any better than those we criticised early last century who provided care for vulnerable children. Voluntary bodies now in our new partnership role sometimes feel under pressure to provide in some cases questionable, inadequate care for those who should be adequately cared for by the State. Have we learned anything from our past?

This fact I repeat is rarely articulated and never addressed at the many meetings and launches taking place until this happens more people will join the ranks of the forgotten and the disenfranchised.

A recent invitation to a focus group for stake holders for a scoping exercise could mean different things to different people depending on where you come from what is clear is that such terminology is not necessary – it is clearly alienating. From our daily work it is clear that increased funding has not greatly helped the people on the streets if anything it is destroying any sense of community and an ability to identify and acknowledge our own shared fragility. It is not helping to create an awareness of the importance of all even those seen as “no hopers”a term I would personally not use.

Education is about having the knowledge and confidence to express same without having to use meaningless jargon?

Dean Swift who walked these streets 300 years ago reputedly reprimanded a junior colleague for using big words in his sermon when simple ones meant the same, would that he could be a fly on the wall at some meetings.

Vaclav Havel President of the Czeck Republic playwright and prisoner once said “The salvation of this human world lies nowhere else than in the human heart, in the human power to reflect, in human meekness and human responsibility”. We all view the world from where we stand. Education helps us to look at things in different ways everyone has a point of view. All our realities are different, we all view the same thing from a different perspective and education should help us to appreciate that fact.

The University of Life to which we all belong but sometimes fail to realise is truly free and open to all.

George Bernard Shaw once said “My education was interrupted by my schooling”. A sentiment I understand. However our curriculum now encourages creativity, teachers working in the field need all the support they can get.

We are all but students of life and should never forget that fact. We are all human (see “Outsider” by Micheal O’Siadhail in our TRUST booklet and also on our website) and have much to learn from the people we claim to provide services for. We must ensure that we are not unconsciously widening the gap between them and us and between each other in the name of education and progress.

The bigger the gap becomes the poorer we are likely to become in our understanding of the human condition and our place in the planet.

Alice Leahy Director and Co-Founder of TRUST

The Outsider Transition Year Competition

Theme of National Education Initiative

Launched by TRUST To Help Combat All Forms of Exclusion

The Minister for Justice, Equality & Law Reform, John O’Donoghue TD today launched the TRUST Transition Year Project, a national education initiative aimed at getting students to think about exclusion and how those whom society regards as outsiders can be made to feel part of the community. Pat Kenny of RTE acted as MC for the event which was held in Dublin Castle.

Everyone is important! This is the message we are trying to get across and why we created this Project. We work with people everyday who are excluded, who are outsiders. This is an attempt to share our experience with young people – who will run tomorrow¹s world -at a very formative stage in their lives, when for a brief time, in Transition Year they do get some time to take stock before the exam pressure intensifies and the points race takes over.

ALICE LEAHY, Director and Co-Founder of TRUST said speaking at the launch.

This initiative was created by TRUST in response to the huge response from students and teachers to the documentary A FRAGILE CITY which was broadcast on RTE 1 television late year about Trust’s work and the people it works with which was made by the award winning Esperanza Productions.

The response we received to A Fragile City showed people we all share a certain “sameness” or vulnerability. Indeed, the phrase “there but for the grace of God go I” really does apply to all of us given that we meet people everyday in TRUST from all levels and backgrounds in society. This is why we placed the video at the centre of this project. If education means anything it must give us the ability to think – sometimes the question is more important than the answer.

Alice Leahy, Director, TRUST

Co-sponsored by the Department of the Justice, Equality & Law Reform and The Irish Times, with the support of the Rotary Club, Dublin the TRUST Transition Year Project features a special web site (www.trust-ireland.ie), an essay competition and the distribution of the video A FRAGILE CITY with a special education pack to all second level schools for use in the Transition Year Programme.

The poet Micheal O’Siadhail, a long time friend of TRUST, is Chairman of the Board of Adjudicators for the essay competition which will be open to entries in Irish and English. One of Ireland’s leading Poet’s he has special interest in those who society consigns to the margins and one of his best known poems is entitled “Outsider”. (A full list of the Board of Adjudicators is attached to this Press Release).

Education Pack being sent to schools in October

The Education Pack featuring the video A Fragile City and the special “Suggestions for Transition Year Teachers” manual will be sent to all second levels schools in October. However, the web site specially created for this project www.trust-ireland.ie, and which will continue as TRUST’s presence on the web when the project is completed went live today and will be updated throughout the project.

We are using the Internet as part of this project because despite our small size it allows us to reach all second level schools. Our aim is to get across the importance of seeing people as people without labels; to ignore stereotypes and leave our preconceptions and prejudices aside and treat everyone as important and equal. That is the fundamental principle of our approach everyday in TRUST. We meet people who are physically and even emotionally battered beyond all recognition. Some have committed serious crimes while others are extremely fragile. We try to reach people by trusting them as people, respecting them as individuals and trying to provide some space for them.

Alice Leahy, Director, TRUST

TRUST hopes that the essay competition will allow students the opportunity to give some feedback and provide some outlet for expressing how we can create a society in which “everyone is important” the headline on the specially designed poster to promote the project.

Essay competition might not be a totally accurate title! We will accept any number of words from a sentence to a few paragraphs up to a maximum of five hundred words. What we are interested in are some thought provoking ideas and comments. It is also our aim to ensure that as many entries as possible are published in some form so that they are not lost and go on to serve as practical inspiration to all of us in trying to create a better society for all.

Alice Leahy, Directory, TRUST

Entries can be made on the web site www.trust-ireland.ie, or directly by post to TRUST, Bride Road, Dublin 8.

TRUST Transition Year Project

“Advocates on behalf of those we work with”

TRUST Transition Year Project involves a big commitment by TRUST and its Director and Co-Founder Alice Leahy and was created with Esperanza Productions who also made A Fragile City. (See note attached on A Fragile City.)

The Trustees of TRUST are committed to advocacy on behalf of those they work with, recognising only an inclusive society in which everyone is important and made welcome offers any real chance of ensuring not only the roots of homelessness but other forms of social exclusion, racism and intolerance can be understood and hopefully eliminated.

We can only reach a small number of those who are effectively excluded by society in our everyday work. But through projects like this one we have a chance to put our experience to good use in getting the message across that we must create space for people who are different.

Alice Leahy , Director, TRUST

New Year Letter 2000

It’s that time again to wish you a Happy New Year. In thanking you for your support in so many ways, I would also like to bring you up to date on recent activities.

  • We have 30 plus men and women calling each morning, the majority sleeping out, aged 18 to 85. We see new people daily – increasing numbers of vulnerable young women. 270 / 300 outfits of clothing are given out every month as part of a holistic service, most of which are donated. Washing facilities are available. We have a chiropody session once a month and have the services of an optician, dentist and local GP’s available to us. Community Psychiatric Nurse and Community Welfare Officers call weekly. Sadly a large number of people using the services of TRUST died during the year.
  • We continue to work in premises provided at a nominal rent by Iveagh Trust. We work closely with voluntary and statutory agencies.
  • I continue to chair the Sentence Review Group. We are represented on the Consultative Board of the Homeless Initiative.
  • Re The Homeless Experience, our one day training pack launched in Spring. Training days take place monthly in Civic Offices and are jointly run by TRUST and Dublin Corporation and some in outside venues. To date, over 150 from voluntary, statutory and community groups have attended from Dublin and outside.
  • The video documentary ‘A Fragile City’ produced by Esperanza Productions, Award winning Film Producers, was shown on RTE in September. Following the launch by Pat Kenny in Dublin Castle courtesy of An Taoiseach, it received widespread publicity and is now available on video – plans are in place for its’ circulation to schools.
  • We acknowledge the contribution made by those in the media and encourage them to look behind statistics at the humanity of people who find themselves homeless.
  • Amongst those who visited during the year were the Right Hon The Lord Mayor, Councillor Mary Freehill, who spent a morning with us, as did Chief Superintendent Catherine Clancy, Community Relations, Garda Siochana and Senior Management from Eastern Health Board and Dublin Corporation.
  • At a time when there are diverse views on homelessness, and continuity of contact is upset by a shifting workforce our biggest challenge is to retain the personal touch by delivering our service through familiar faces. To do this well, we believe we must resist the temptation to expand.

We are satisfied that TRUST helps to make life easier for some of the most isolated people in our city and beyond. Everyone in TRUST would like to thank you for making our work possible.

Kind Regards,
Alice Leahy – Director

Health service needs thorough overhaul to provide proper care for all citizens

It is unlikely that a pay deal for nurses will, in itself, resolve the problems of the health service. It requires nothing less than a root and branch overhaul, writes Alice Leahy

We see the world from where we stand – so it is with our health service. Sometimes we never look at our health service until we need it and then it may be too late.

The current two-sided debate – the nurses versus the Minister and management – will continue to be just that unless we are prepared to look at what is happening on the ground and what has been a growing, festering, poor service for a long time.

We have all joined in some way in the criticism of church and State over the treatment of young people earlier this century. The church was happy to take on the role and the State was happy to let it.

Exactly the same thing is happening with healthcare. The State is off-loading its’ responsibilities for the care of people to a voluntary sector which is happy to do the work. A growing voluntary sector, receiving money from Europe, is as a result unable to look critically at its position. The current rush is to set up partnerships, where debate is so often stifled and where any attempt to question or have a different point of view is seen as not being progressive enough.

Partnerships and European funding on the one hand look good, with more research, more assessment, more conferences, more jargon, but are we any nearer to assessing what is happening on the ground?

Many sad stories continue to make headlines and the simple interventions that could ensure some old person continues to live in the comfort of their own home are being ignored.

There are people waiting for orthopaedic surgery, people waiting for cataract surgery – confined to their homes unable to read or watch television and fearful of opening the door, not recognising the shadow.

There are people over 65, needing more than three chiropody sessions a year, unable to put on their shoes because the highly paid doctor in an administrative position decides they don’t need it.

The alcoholic who after many years sleeping out decides he will avail of treatment is offered only strong tranquillisers in a day centre and a park bench to lie on.

In 1974 I carried out a report “Medical Care for the Vagrant in Ireland.” It highlights how little has changed: “Jervis Street Drug Unit had contact mainly with young drug addicts. Here they are in a powerful preventative position recognised in the recommendation from the unit for a night shelter for this age group with minimum institutionalisation.”

The elderly man, needing a diet supplement, is unable to get it without expensive blood tests because it is too expensive, yet a younger, able-bodied person can get all he wants and give it away.

The young man, whose skin on his buttocks is like raw steak from sleeping out in all weather and urinating, can be offered only a prescription and one night in an emergency hostel because he is not ill enough for hospital and not suitable for convalescence because he has no address.

The report on vagrancy also said: “up to four or five years ago, we did not find it difficult to arrange admission to hospital for men who needed such treatment… … the position has since become alarming… … our recent experiences in trying to get needed hospital treatment for our sick men are very disturbing.” Since 1974, what, if anything, has changed?

We received a phone-call in TRUST from a man known to us who was last seen when he was barred from a city hostel and later picked up by ambulance when sleeping rough. He was subsequently paralysed and as no suitable accommodation was found for him in his home city he was sent to a nursing home in the southeast. The call came as a surprise. Could we help sort out his pension and send him clothes?

Last week a student nurse was asked on radio what she did by an interviewer who might earn more by opening a supermarket or conference on healthcare than the student would in six months. This highlights how we view the simple things that make life easier for a patient – washing them, touching them, soothing them, reassuring them. Piped music and monitors cannot replace the human touch.

The student was clearly too embarrassed to talk about what society now takes for granted and sees as being of no importance.

The human condition does not change but how we deal with its needs can. Relatives have to visit patients before going to work to ensure those nearest and dearest to them have breakfast and a wash.

People are now being cared for by people recruited by advertisements offering salaries of £11,000 and part of their responsibility is to administer dangerous medication. Who is responsible if things go wrong? It would appear that more management posts are being filled but I wonder what there will be to manage soon. People are discharged from hospital with prescriptions, unable to have them filled.

People have to ring up daily to see if there is a bed vacant; sometimes, having planned admission, surgery is cancelled.

People are lying on trollies in overcrowded dirty, outpatient departments and are sometimes seen as the problem because they become abusive.

It is unlikely that payment to nurses alone will solve this problem; the health services need a complete root and branch overhaul. The focus of research perhaps needs to change radically.

Recently men living in hostels were given £20.00 to fill in a questionnaire on their social history and later £15.00 to have an x-ray and blood tests for research purposes – just two pieces of research carried out at great expense. Should anything be discovered requiring hospitalisation, will there be a bed waiting?

People needing x-rays for other purposes must wait. Tired and weary service-providers are sometimes even seen as part of the problem by diligent researchers.

Daily, I see scabies, head lice, wounds, trench foot, TB, malnutrition, impetigo, pain and bitter tears of sadness. I see pockets full of expensive medication.

I read daily of working groups, strategies, research findings, and seminars and now appeals once more to all to tighten our belts to ensure our economy and our health services survive.

Our economy is ignoring many citizens who contribute to its prosperity who are likely to end up like some of those I refer to. History will judge us to be no better then those we have condemned in States of Fear and many poorly paid service providers of today who become ill have little to look forward to.

There are many concerned, aware people in the health service and many who are afraid to complain. Life can become difficult if you do, or if you are a complaining recipient of services. Much more trust is required at all levels and in the trade union movement if we are to achieve a health service where all will get the attention they need.

Alice Leahy, the co-founder and director of TRUST, is co-author with Anne Dempsey of Not Just a Bed for the Night (Marino Books)