Call for Radical Change in Homeless Services

Alice Leahy, Director & Co-Founder, TRUST accepting the John Shelley Bursary 2007

The services for people who are homeless cannot be run like a business because of the complex nature of homelessness, and the failure to recognise that means the problem is getting bigger and more persistent, and the services are at risk of being transformed into “a homelessness industry”, ALICE LEAHY, Director and Co-Founder of TRUST, said today (Thursday, 06 December 2007) accepting John Shelley Bursary 2007 from the Environmental Health Officers Association.

“Services for people who are homeless are at risk of becoming a self perpetuating “homelessness industry” because the application of corporate style management techniques with an emphasis on benchmarks and performance indicators which place the emphasis on “moving people on”. In other words, each service, in both the public and voluntary sector, is perceived to be doing well if it passes a “client” to another service, regardless of whether that person has received any real help. However, the problem with this system is that people who are “difficult” get little or no help because they cannot fit in and often do not even make the official statistics. We know this because these people find themselves outsiders in our society and they come to our door everyday. Under this system there appears to be no real acknowledgement as to why people become homeless, and the very people the services should be helping are actually being further marginalised,” ALICE LEAHY said.

ALICE LEAHY went on:
“There is only one way the current trend will be reversed. We must ensure that all of the services adopt a culture or philosophy of caring that puts the person, the services are meant to serve, first and not the system. Indeed, in a business context everyone would agree you must put the customer first but this is not happening in the area of homelessness. Indeed, the person who becomes homeless, though called a client, must comply with the demands of the system and if unable to do so will find life very difficult. Evidence of that was provided recently when we had to make a complaint to the Data Commissioner about people who are homeless being apparently forced to answer a detailed and highly intimate forty page questionnaire before they received help. Obviously anyone with serious mental or psychological problems being put through that by an inexperienced person could suffer serious health consequences, of which no account appears to have been taken, let alone any consideration being given to the violation of the basic rights of the people subjected to that process.”

Alice Leahy in describing homelessness as a complex problem said that it required a commitment from all of the services to resolve, especially in terms of the way in which they treated people. Underlining that the reason many become homeless on the street is because they cannot fit in, she said that a sensitive and caring approach when a vulnerable person turned up at any service provider in the health, social or homeless area could actually prevent someone literally falling out of society.

“The key issue of course is time. You need to give time to people, especially people who are already marginalised because through out their lives they probably never enjoyed any caring relationship. However, the way the services are organised today, governed and operated according to budgets and quantitative measures, giving time to people can look like wasting time, and personal problems that lead to human tragedies go unanswered. This is what we mean when we say you cannot “manage” the so called “homeless problem” like a business because vulnerable and marginalised people are not machines. In other words, those who take time are deemed to be wasting time and the state goes on wasting money as people are constantly referred from one service to another never getting real help, often because they are deemed to be too “difficult”!” ALICE LEAHY said.

(Describing the situation as serious, ALICE LEAHY said TRUST felt compelled to have a book published to draw attention to this problem. Called “Wasting Time with People?” it will be launched in April 2008 and will be published by Gill & Macmillan.)

A culture of caring also implies listening to people in the frontline, as you cannot help people without organising services to meet their needs, ALICE LEAHY said. Indeed, the failure to respond appropriately to the growing numbers of people from the EU Accession States finding themselves homeless on our streets is because this does not happen.

“We owe it to the people from other countries who end up homeless on our streets to help them as their experience is very similar to that of our own people in former times who got into difficulties in other countries. Indeed, given the huge contribution workers from abroad are making to our economy, we also have a duty of care to respond to them as well. However, the failure of the Homeless Agency to acknowledge this growing problem is a good example of the unresponsiveness of the current system. This also explains why some of us have no confidence in current figures for the numbers sleeping rough on our streets as they simply are too narrowly defining the problem. A phrase such as “between the two canals” to describe the parameters of the recent survey sounds like something out of the 19th Century and completely fails to take account of the mobility or lifestyles of people who are homeless,” she said.

Prof. John Crown and the Health Service

Dear Madam

I write to express how appalled I am at the perceived attempts by the Dept of Health and the government to silence Prof John Crown, and to urge your readers to make their voices heard in supporting him as a fearless voice in condemning our two-tier health system . . . the root cause of so much misery for the disadvantaged and the marginalised.

We are very familiar with the way pressure is brought to bear on those who work in all of Social, Health and Homeless Services when they speak out. Indeed, twice over the 30 years in my work with TRUST, as our Trustees can testify, I have had to get legal advice in confronting situations where pressure has been brought to bear when we sought to draw public attention to shortcomings in services for people who are homeless. In that context, we are very disappointed that despite alleged reforms, the prevailing culture remains one in which the person who speaks out is always deemed to be the problem rather than the injustice or mismanagement that was brought to public attention.

However, the most disturbing aspect of Prof Crown’s case is what he said in an interview on radio recently about how he perceived as intimidatory the remarks made by the Taoiseach in the Dail, and he would have to consider his position as a public advocate for patients. Do we live in a democracy or some kind of pseudo dictatorship? Are there no limits to which politicians, including the Taoiseach, will go to avoid taking political responsibility for what is going on in the health service?

Alice Leahy, TRUST, Bride Road, Dublin 8.

Statement by Alice Leahy regarding the tragic death of a homeless man in a skip in Limerick.

Call for more investment in emergency sheltered accommodation

Alice Leahy, Director & Co-Founder of TRUST, the social and health service for people who are homeless called for the urgent provision of more emergency sheltered accommodation following the tragic death of a homeless man in a skip in Limerick.

While not wishing to comment in detail about that appalling tragedy while an investigation is continuing, Alice Leahy said that a similar incident was reported in the media only a few weeks ago, and only made a paragraph or two, because fortunately the driver of the truck that came to collect the skip noticed there was a person who is homeless taking shelter in it.

“The failure to provide adequate emergency sheltered accommodation means that the most vulnerable, and totally excluded, in Irish society must seek accommodation wherever they can find it. Even if the people who find themselves in that position do not make the headlines in the tragic way that we have just witnessed in Limerick, we have no excuse, at a time of great prosperity, in failing to address the accommodation needs of society’s true outsiders,” Alice Leahy said.

Alice Leahy described the failure to address the issue of emergency accommodation as a complete abdication of responsibility on the part of those responsible for the state’s homeless services.

“It has become almost unfashionable to advocate for emergency accommodation because those in charge seem not to understand the nature of homelessness, especially of the kind that finds people living on the streets. Instead the emphasis is totally on transitional housing and long-term solutions but fails to properly acknowledge that homelessness is not the same as “houseless ness”. In other words, it is not just about not having accommodation. People who end up on the street do so for many reasons and often have great difficulty fitting in or even facing the prospect of filling in a form. The failure to provide adequate emergency accommodation means that the outsiders in our society will continue to face appalling, and even outrageously dangerous conditions on the streets unless this issue is addressed,” Alice Leady said.

Complaint to Data Protection Commissioner about people who are homeless

TRUST release full text of complaint to Data Protection Commissioner about people who are homeless being forced to trade highly personal information for services they are entitled to as of right.

Mr. Billy Hawkes
Data Protection Commissioner
Office of the Data Protection Commission
Canal House
Station Road
Portarlington
Co. Laois

25th July 2007

Dear Mr. Hawkes

We meet people everyday who are homeless as we have been providing health and social services in Trust since 1975. We have been concerned for sometime that when people now seek help from any of the various services funded by the Homeless Agency they are requested to provide a considerable amount of highly personal information. We believe this poses a real risk that their rights may be undermined or violated, especially as this information maybe stored in computerised data bases and shared by various service providers.

We are very concerned because the information sought, which is both highly sensitive and deeply personal, could prove very damaging if elicited in an insensitive and unprofessional way by relatively unskilled staff where the interviewees may suffer from serious mental or psychological problems (especially where the agencies concerned may have no right to seek such information).

I attach for your information a twenty eight page personal survey form circulated some time ago (Holistic Needs Assessment) by the Homeless Agency. I understand some agencies are using all or parts of this type of document in the process of eliciting the very personal and sensitive information referred to and we understand information harvesting of this nature is necessary to ensure they continue to receive their grants.

On an almost daily basis we hear that people needing even basic services are being subjected to in-depth interviews with a view to completing the kind of survey/research forms outlined above and it appears that this exercise amounts to trading information to get a service which in most instances people are entitled to as of right. In fact, even when people seek information about services that are available, to even get that information they may find themselves having to provide the kind of personal information described above.

This raises very serious questions which are not being addressed.

· Is proper care being taken to ensure that informed consent is obtained from people, who in most instances maybe highly vulnerable and suffer from

mental and psychological problems? Is getting people to sign forms sufficient where they may not understand what they doing? (In other words, they have no choice or they do not get a service?)

  • What steps are taken to ensure that staff are properly trained and made aware of the rights of the people who they subject to highly personal and in-depth interviews?
  • What steps are taken to ensure that all of the information gathered is obtained consistent with the Data Protection Act?
  • Why is this data being collected in some instances by people who have little or no knowledge of the complexities of homelessness?
  • Why are medical records routinely demanded by staff running services for people who are homeless when such a demand would not be made of other citizens in similar situations i.e. when they seek assistance from similar types of State services?
  • Why are details of prison records and the psychiatric history of individual applicants sought together with information about their families when such information may not be necessary?
  • From anecdotal evidence it is clear that as people are barred from different service providers on the basis of alleged incidents in other centres, it appears that computerised data bases are being employed. Again, what steps are taken to ensure that any information placed in such data bases about an individual are not libellous, and where offences are alleged, that due process and natural justice have been complied with to ensure that their rights are protected?

From the foregoing you will appreciate life for people in Ireland who become homeless can be extremely difficult and almost hard to imagine. From what we are told by the people we meet everyday many feel under undue pressure to provide highly personal information and this is adding to their misery and isolation.

We would like to meet with you to discuss this serious matter in more detail as there are no real concerns being raised, except by community welfare officers charged with the responsibility to provide accommodation.

I look forward to hearing from you.

Yours sincerely,

Alice Leahy
Director & Co-Founder
Trust