Showing posts with label HSE. Show all posts
Showing posts with label HSE. Show all posts

Monday, 4 March 2013

Homelessness in Galway - more prevalent than ever


EMERGENCY accommodation was required for 330 households in Galway last year. There are currently 4,700 people on the housing waiting list in the county.

In 2012, 230 households approached housing charity Threshold due to a risk of homelessness.

“You could walk the length of Shop Street today and cross paths with people who are homeless and not know . . . it’s only obvious in exceptional cases," states Martin O'Connor, Assistant CEO of COPE Galway. 
Homelessness in Galway - or indeed Ireland - is nothing new, but the recession has led to an increase in the number of those at risk.
"In Galway at any one time there could be 150 to 180 people classed as homeless. This includes people in homeless services. 

"However, the amount of people who are ‘sofa hopping’ while technically homeless is often hard to estimate," says Bill Griffin, CEO of the Galway Simon Community.

"The number of women and young people is rising against the traditional population of the street homeless male,” Mr Griffin states.

Autumn 2010 – spring 2011 saw a “near explosion of young people [under 25 years of age] coming to COPE,” says Mr O’Connor. In the last quarter of 2010, 19 youths – 14 women and 5 men - contacted the organisation looking for help. 
During the same time frame in previous years, this number was as low as three or four. This figure has since stabilised, but Mr O'Connor describes the number of young women contacting COPE in those three months as “phenomenal”. 
“The age profile of people who are homeless is dropping. The number of children contacting us is increasing.”
He maintains that a large percentage of these young people fall through the cracks of the HSE care system due to a "lack of engagement" once they 'become adults' at the age of 18. 
This assertion is shared by Mr Griffin. 
"Some young people who have been in the child care system do not have adequate provision available when they reach 18 years of age. This is symptomatic of the reducing resources available to the HSE and Local Authorities to plan for and provide such provision," he says.
Inadequate services are not the only reasons young people end up homeless. Mr Griffin cites substance abuse and addiction as another mitigating factor, saying the effects of this can cause "a severe reversal of people’s lives; through loss of work, educational placements and exclusion from the family home".

Mr O'Connor feels the reduction in secondary benefits such as rent supplements and the unemployment benefit rate for people under the age of 25 was a “blunt instrument” used by the Government to make savings. 
He insists this method is "not working at a micro level", and has exacerbated the problems that already surround affordability of housing in Galway and other urban areas. 
Family breakdown and physical, sexual or emotional abuse also often play a role in people losing their homes.
Female homelessness is often the end result of abuse, according to Mr Griffin. He says many women are either thrown out of the family home or leave, frequently with children, for safety reasons. 

"However, they often return . . . and the cycle starts again," he laments. On a positive note, he believes that women are "increasingly highlighting their needs, as opposed to suffering in silence".

In 2012, 99 households, including 110 children, were housed in COPE's domestic violence refuge. Mr O'Connor notes that there has been a drop in the capacity to accommodate, not in demand for this service, in recent times. One particular migrant family was housed there for 10 months. 

Mr Griffin feels that many immigrants end up becoming homeless due, at least in part, to their lack of understanding of the red tape that surrounds Irish employment and social welfare.

"They are often at the extreme end of need before they become known to homeless services as they tend to seek support from within their own communities in the first place. 

"A more proactive approach to working with immigrants and their communities might enable earlier and more effective intervention," he advises. 

"Sleeping rough is a more attractive prospect in the west of Ireland than eastern Europe," says Mr O'Connor. 
He recalls the wave of “economic migrants” that arrived in Galway a few years ago and maintains that, despite their struggles here, many have no desire to go home. 
He feels some migrants never fully engaged with Irish society, instead settling for casual employment and living arrangements. As a result of this, they are “hanging on by their fingernails”.
He notes that “a very proactive approach is taken in Galway” to help migrants with housing issues but admits that “it takes an awful lot longer to come to a resolution regarding accommodation” due to status issues. 
Ireland was one of a number of EU states that recorded an increase in homelessness among young people, immigrants and women from 2007 - 2012, according to Feantsa (the European Federation of National Organisations Working with the Homeless).
The economic downturn has put many people at risk of homelessness who would never have faced that prospect before.
"The implementation of austerity measures has seen the emergence of a new demand centred on financial hardship. This group has little or no knowledge of how to access help and the possibility of being homeless had never been part of their lives previously. 
"Early identification of the problem is often prevented by people’s reticence to admit they have a problem and seek support," states Mr Griffin.
Many people are “keeping themselves afloat and no more than that . . . they are treading water,” reiterates Mr O'Connor.
COPE Galway's Family Support Service helps approximately 33 families a month, with 26 families currently availing of their emergency accommodation facility. This figure has more than doubled since 2011, when it stood at 11.
Re-integration into society
For those fortunate enough to be given a second chance following homelessness, re-integrating into society is not straightforward.
"The journey out of homelessness is a difficult one in relation to a number of factors," says Mr Griffin. 

In order for this process to work, the elements of a person's life that went missing and led to their homelessness - be it employment, family or financial security - must be restored.

Both Galway Simon and COPE Galway provide transitional services to aid homeless people in the rebuilding of their lives. 

“The shorter somebody is homeless the better,” says Mr O'Connor.
The ever-prevalent stigma associated with being homeless also causes a lot of difficulty for people.

Landlords are often reluctant to take a chance on homeless people - a stance that Mr O'Connor sees as somewhat fair; "You have to see it from their perspective too."
Mr Griffin states that those who end up homeless due to alcohol or drug addiction often have their progress derailed by a relapse. He says the same is true for those suffering from mental health issues - some 65pc of homeless people in Ireland have such a diagnosis.

The Government recently released a Housing Policy Statement which aims to eliminate long-term homelessness in Ireland by 2016. The previous target was 2013. 

"The number of homeless people relative to other groups is small. While agencies such as ours interface at national and regional level in terms of campaigning, it is easy for this group to slip off the priority agenda," states Mr Griffin. 

Both Galway Simon and COPE Galway receive State assistance in terms of funding, but they are also heavily dependent on public donations. The former receives a quarter of its running costs through fundraising and its two charity shops in the city. 

"With statutory funding going down, our reliance on self-generated funds is going up. The State could help by just keeping funding at current levels for a couple of years," maintains Mr Griffin.
“People are supporting but giving less; they have less to give,” says Mr O'Connor.
While people’s monetary donations have decreased, their generosity of time has increased. Volunteers are always welcomed by both charities. 
"The public can contact us and we can match what they can offer to what we need," adds Mr Griffin. 

"The group we know of as homeless are made up of men and women from ordinary families who went to school, college and work with the rest of us. 

"They are not a separate part of society, they are just a fluctuating group who find themselves in need of support to get back to where the rest of us are," he asserts.

For more information on Galway Simon, click here or telephone 091 381828. Further details on COPE Galway are available via their website or 091 778750.

Thursday, 21 February 2013

One in Five People Consider Suicide

ASIST facilitator Mark Logan (far left) and course
participants at NUI Galway.  Photo c/o NUIG Students' Union

AT ANY given time, one in five people will have suicidal thoughts. This fact was one of many eye-opening statistics shared with students who took part in a suicide first aid course in NUI Galway last week. 

Participants were also informed that people who have made a previous suicide attempt are 100 times more likely to die by suicide.

The aim of the Applied Suicide Intervention Skills Training course is to equip partakers with the required skills to identify when somebody might be depressed or suicidal.

Students were taught how to connect with, understand and assist an individual who is experiencing suicidal thoughts or tendencies.

The initiative was originally due to take place in the college in October but was cancelled due to HSE cutbacks.

Following the controversial decision, the Students’ Union lobbied the Government and funding was restored.

The hands-on training programme took place on campus on February 14 and 15 and eighteen students attended.

“ASIST courses are hugely important globally – evaluations have shown that where ASIST is being rolled out extensively amongst communities, the incidence of suicide has dropped,” said Mark Logan, ASIST trainer and Regional Manager at RehabCare West.

“People come in feeling worried and anxious about the course and leave feeling confident about what they can do.

“The evaluations are universally excellent because people leave with a set of skills and confidence to know what to do if somebody is at risk of suicide,” Mr Logan added.

Joanna Brophy, Assistant Manager of NUIG’s Students' Union, stated: “It was great to work with Headsup and we look forward to running the course again, most likely in October 2013.”

The model for the ASIST course was originally developed by the Canadian mental health initiative LivingWorks in 1982. The programme is the most widely used suicide intervention training course in the world – over one million people have been trained globally.

The NUIG Students’ Union has been running the two-day ASIST course on campus once a semester since 2009.

In Ireland the course is facilitated by the HSE and Headsup – a Rehab Group initiative that promotes positive mental health among young people.

Over the past decade, some 25,000 people have participated in the ASIST programme nationally.

In 2011, the last year for which records are available, there were 525 reported cases of death by suicide in this country.

State funding of €35 million has been earmarked for spending in the mental health sector in 2013; the same amount as last year.

In January Kathleen Lynch, Minister of State with responsibility for Mental Health, spoke of the Government’s future plans in this area. As part of their bullying action scheme, a programme that promotes positive mental health in secondary schools has been launched.

At a practice-based level, two specialist nurses are to be stationed in each suicide unit in Ireland. A joint initiative with the Irish College of GPs that will increase doctor training on the subject has also been introduced.

For further information on mental health support, text HEADSUP to 50424 or visit www.headsup.ie. Details on ASIST and other mental health courses are available on the National Office for Suicide Prevention website – www.nosp.ie. For additional information on RehabCare West, telephone 091 755 686 or email mark.logan@rehab.ie.


This article was published on Headsup.ie and also featured in today's edition of The Connacht Tribune.

Friday, 30 November 2012

Funding for NUI Galway Suicide Intervention Course Restored

Image c/o NUI Galway Students' Union
FUNDING for a suicide intervention training course that was discontinued in NUI Galway in October has been restored by the HSE.

The Applied Suicide Intervention Skills Training programme was scrapped due to government cutbacks, but the decision was overturned following lobbying by the Students' Union.

Patrick Clancy, the university's Convenor for Arts, Social Sciences and Celtic Studies, has welcomed the decision to recommence the ASIST course but maintains more needs to be done. The initiative will now take place in February next year.

"I am very pleased to hear that the funding is available in 2013. In this academic year, over 50 people were due to be trained as part of this programme. However, due to the cutbacks, under 25 will now be trained . . . So, while I welcome the funding being continued in 2013, I respectfully demand that there is a second course for NUIG students put on in the latter half of the semester," Mr Clancy said.

"This course is provided at minimal cost to the HSE and it leads directly into saving the most vulnerable age group from suicide. Some 84 per cent of fatalities from suicide are male. The biggest sector susceptible to suicide is the 'male between 18 & 25' group," he added.

Mr Clancy has been lobbying all TDs in Galway, Mayo and Clare about the issue for the past three months. He also contacted An Taoiseach Enda Kenny who in turn brought the matter to the attention of Anne O'Neill, Business Area Manager with HSE West.

The ASIST course has been held on campus once a semester since 2009. Its aim is to equip participants, both students and staff, with the skills needed to provide suicide first aid for a person at risk. Over the past decade, 25,000 people have been trained in the programme nationally.

Minister for Health James Reilly confirmed the HSE's decision to re-allocate funding for the initiative last week. “The HSE acknowledges the great support they have received from the NUIG Students Union over the last number of years and plans to continue to work in partnership with the SU and deliver an ASIST workshop in NUIG in February 2013,” stated Minister Reilly.

The head of NUI Galway's Student Counselling Service has also welcomed the news, describing the initial decision to cut the programme as "short-sighted". "When authorities such as the HSE are pressed financially, training can seem like an easy cut to make," Bea Gavin commented. "The benefits from this course far outweigh the cost," she added.

Ms Gavin said she hoped the decision might lead to funding being granted for similar college-based initiatives aimed at mental health professionals. A STORM self-harm risk assessment and management training course for therapists took place in NUI Galway in January of this year but there are currently no plans for it to be re-run.

Information on ASIST is available on the National Office for Suicide Prevention website: www.nosp.ie. For further details on NUI Galway's free and confidential counselling services, contact 087-6644299 or counselling@nuigalway.ie. 



This article was also published in The Connacht Tribune and Student Independent News, NUI Galway's student newspaper.

Thursday, 8 November 2012

HSE cutbacks force cancellation of NUIG suicide intervention programme

Image c/o NUI Galway Students' Union
THE CASH-STRAPPED HSE has abandoned a suicide intervention programme aimed at students in NUI Galway, after the Government opted to use €35 million allocated for mental health services to offset the massive health budget deficit.

The Applied Suicide Intervention Skills Training course was due to take place in the college earlier this month but the initiative was scrapped as a direct result of HSE cuts brought on by the current economic situation.
 

The Students’ Union has been running the two-day ASIST course on campus once a semester since 2009, with 60 people attending annually. The course was provided free of charge by the HSE while the SU facilitated the enrolling of students.
 

Over the past decade, 25,000 people have been trained in the ASIST programme nationally, with 3,000 people taking part in the initiative so far this year.
 

Joanna Brophy, the course's co-ordinator at the university, has criticised its cancellation, saying it means dozens of students will now not be trained in suicide prevention skills. The HSE plans to deliver another ASIST workshop in NUI Galway in February 2013. "In the meantime we have worked with AWARE to bring the six-week free Living Life to the Full course to campus this semester," Ms Brophy stated.
 

A spokesperson for the HSE acknowledged "the great support" the organisation has received from the college's Students' Union in the past and blamed the ASIST cancellation on financial constraints imposed by the Government and the Troika. The body is seeking to save €26million in 2012 by making cutbacks in the areas of education, training and travel.
 

NUI Galway's Head of Counselling Bea Gavin has described the abandonment of the ASIST programme this semester as "very regrettable". "One of the great benefits of the training is that it encourages those who are concerned about vulnerable young people to talk to them openly about their feelings and to encourage them to seek help," she asserted.
 

In light of this development, the college’s Student Welfare Officer has called for increased mental health services at both local and national level.
 

Dami Adebari, who is also Vice President of the Students' Union, praised the counselling facilities available at the university and the success of their recent Mental Health Week but stated that more needs to be done to help those in trouble.
 

"When things get hard, we all have to take a hit," Mr Adebari stated. However, he feels the same rule should not apply in relation to psychiatric services - initiatives that have a proven track record of success. "These are people's lives at stake here," he said.
 

Ironically the SU has just announced that it has chosen a suicide prevention charity as one of the beneficiaries of its fundraising efforts during this academic year. Pieta House is a non-profit organisation that provides specialised treatment programmes for people who are dealing with suicidal thoughts or self-harming issues.
 

The charity plans to open its first western facility in Tuam next year. Some eighty per cent of their funding comes from public donations and the new centre is the result of an 18 month fundraising campaign led by local businessman John Concannon. The amenity will be located on Bishop Street and will serve Galway, Mayo and Roscommon.
 

"Suicide can happen to anyone and I want to ask everyone in NUI Galway to look out for their friends and classmates and get in contact with us if they think anyone may be in distress," Joan Freeman, Pieta House founder, stated.
 

For further details on NUI Galway's free and confidential counselling services, contact 087-6644299 or counselling@nuigalway.ie. Information about Pieta House is available here.


This article was also published in The Connacht Tribune and Student Independent News, NUI Galway's student newspaper.