Support for people experiencing issues across homelessness, mental health, substance misuse and offending

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Summary of report content

Healthwatch York undertook a survey for the York Multiple Complex Needs (MCN) Network looking at support for people experiencing issues across homelessness, mental health, substance misuse and offending in York, focused on the experiences of those supported through the MEAM (Making Every Adult Matter) approach. This is delivered in York by Changing Lives. They undertook a short survey to which 17 people responded.

Housing is vital, people want to feel safe in their own home as quickly as possible and make it homely. Hostels, including bail hostels, are not a great environment for many people.

People report poor access to mental health services, and want a walk-in centre for other health issues. Lack of social activities and meaningful ways to fill time; fears of boredom; links with difficulties staying clean / sober.

 People felt it was important to have holistic and joined up 1-2-1 support and positive relationships with support workers and getting help with managing day to day life.  They often felt  judged and never being able to leave their label behind. They felt it was important for them to have access to IT, but some struggled to use it.

Transitions are difficult, and people often lose support that they value at times of transition because it is tied to a particular state, such as homelessness. People mostly value the support they receive

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General details

Report title 
Support for people experiencing issues across homelessness, mental health, substance misuse and offending
Local Healthwatch 
Healthwatch York
Date of publication 
Tuesday, 6 October, 2020
Date evidence capture began 
Tuesday, 1 September, 2020
Date evidence capture finished 
Wednesday, 30 September, 2020
Type of report 
Key themes 
Communication between staff and patients
Digitalisation of services
Holistic support
Lifestyle and wellbeing
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Other local body
Primary research method used 
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Social care services 
Adult social care
Community services 
Community based services for people who misuse substances
Community based services for people with mental health needs

Details about conditions and diseases

Types of long term conditions 
Mental health condition
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Other population characteristics 
Homeless people
People who live in poverty
People who misuse drugs
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Care / support workers
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.