Objective People with severe mental illness have high rates of hospitalisation. The present study examined the role that permanent housing and recovery-oriented support can play in reducing the number and length of psychiatric hospital admissions for people with severe mental illness. Methods The study examined de-identified, individual-level health records of 197 people involved in the New South Wales Mental Health Housing and Accommodation Support Initiative (HASI) to compare changes in hospitalisation over a continuous 4-year period. Results On average, HASI consumers experienced significant reductions in the number of psychiatric hospital admissions and length of stay after entering the HASI program, and these reductions were sustained over the first 2 years in HASI. Male consumers and consumers under 45 years of age experienced the largest reductions in the number and length of hospital admissions. Conclusions The findings of the present study add support to the hypothesis that supported housing and recovery-oriented support can be effective approaches to reducing hospital admissions for people with chronic mental illness, and that these changes can be sustained over time. What is known about this topic? People living with severe mental illness are heavy users of health and hospitalisation services. Research into the effects of partnership programs on preventing unnecessary admissions is limited because of short periods of comparison and small sample sizes. What does this paper add? The present study extends previous research by analysing de-identified individual-level health records over a continuous 4-year period and showing that reductions in hospitalisation among people with severe mental illness can be sustained over time. What are the implications for practitioners? These findings provide further evidence that community-based recovery-oriented supported housing programs can assist consumers to manage their mental health and avoid hospital admissions. Although the provision of recovery-oriented community services requires an investment in community mental health, the reduction in consumers' use of hospital services makes this investment worthwhile.
Successive Australian Governments have sought to improve the capacity of the employment service system to build jobseekers' skills and capabilities and to promote transitions from income support to paid work. Yet despite these efforts, many jobseekers experience only short periods of employment, moving repeatedly between joblessness and positions with low skill requirements, low pay and few or fluctuating hours. This article explores ways to achieve more sustained transitions from welfare to work for disadvantaged jobseekers. We draw on data from a qualitative study of employment service providers who assisted jobseekers into work and the managers in the organisations that employed them. These informants' perspectives underline the importance of improving the quality of jobs that require low levels of skills and experience and demonstrate some ways employers and employment services can better work together and provide more enduring and effective forms of support.
Women’s refuges play a crucial role in responding to the needs of women and children experiencing family violence; yet there has been limited research conducted into their operations, practices and challenges faced. This article is informed by critical social work’s theoretical tradition of seeking to end social injustice and analyses key opportunities and challenges of providing refuge amidst a neo-liberal context. We draw on interviews and focus groups with service providers and women who had sought access to a refuge, from a study that was undertaken following the Victorian Royal Commission into Family Violence in Australia. We found widespread practices by refuges to support social justice for women and children experiencing family violence, as well as challenges and constraints, substantially linked to resource limitations consistent with neo-liberal policies. This research shines a light on innovative refuge practice in local contexts identifying feminist social justice and intersectional practices aligned with critical social work.
While specialist women’s refuges have been central to responses to family violence since the 1970s, their work is under-researched. Little is known outside the family violence sector about the support they provide and how it assists women and children. There have been some critiques of their work but there is limited knowledge of the constraints women’s refuges face. Based on interviews and focus groups with 100 professional stakeholders and twenty-two service users, this article analyses the work of women’s refuges in the Australian state of Victoria in an effort to inform policy reform. The research found that refuges’ underpinning gendered analysis, focus on safety and support and advocacy to ensure women’s human rights are met have much to offer further developments in responding to family violence. In doing so, the article contributes to critical debates about the operation of refuges and the need for specialist family violence services.
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