Archive for March, 2009

I have noticed that one of my clients, Paul, has been looking more and more unwell over the past few weeks.  He said he had been assaulted a few weeks ago by a large group of people and has been feeling ill ever since.  He is also rough sleeping after being evicted from a hostel for having rent arrears of £18, and he has numerous other health problems including DVT’s.  Medically he needs to go to A & E (on his doctor’s advice) but feels he needs to get some accommodation first.

I spoke to the housing dept who agreed that Paul had priority and that if he presented with proof of benefits they would provide emergency accommodation.  He was extremely relieved as he said that he knew rough sleeping was making him even more poorly.  He agreed to go to HAP with me which was a really big step for him as he has had negative experiences of other services in the past.  We queued up for just under an hour, during which time Paul was still really positive despite being in obvious pain and feeling very unwell.  When we were called to the front desk we were informed that Paul’s case had been closed and there was no record of my phone conversation with them.  When I questioned this they said that they would have to get Paul’s file and see what had happened and that they were too busy to do it straight away.  They agreed that they shouldn’t have closed his file but, despite the fact that the error was on their part, Paul would have to come back later and wait, again, if he wanted to be considered for emergency accommodation.  They also stated that Paul needed a letter from his GP stating his health issues.  I reminded them that it is not Paul’s responsibility to seek evidence but theirs.  During this time Paul remained very quiet and polite, despite being extremely disappointed and upset.  Paul decided that he would try and find somewhere to stay himself.  The way which Paul’s case was handled just reaffirmed Paul’s mistrust of services. 

Paul is still rough sleeping and his health is deteriorating.  He is also reluctant to go back to the housing dept as he feels that they don’t want to help him.  I will encourage Paul to go and accompany him if he does.  I will also continue to contact housing and chase up what is happening with his case.  By advocating for Paul I hope that his case will be reopened and he will be given the priority status that he clearly requires and will be placed into suitable accommodation. 

Fiona, Support Worker


This case demonstrates how the people we work with find it almost impossible to engage with services.  Had Fiona not been with Paul on his visit to the housing dept, being told his case was closed would probably have ended his attempts to secure housing.  Our service users often feel powerless, in fact often the only power they perceive themselves to have in this kind of setting is aggression and fear – and it is this behaviour that leaves many banned from services.

Our government is committed to ending rough sleeping yet we are making the services for rough-sleepers severely inaccessible.  The worrying thing for us is that the longer an individual sleeps rough the harder they find it to move out of rough sleeping.  In Paul’s case this does not bode well – he is very ill, and getting worse. 

Our service users often get blamed for their own situation.  They certainly take some decisions that lead them to where they are.  But blaming them won’t support them to move on!  We firmly believe that people who aren’t getting the support they need should get it, whatever the reason for their situation. 

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I’ve worked with Terry for about 2 years now and for most of that time he’s been an entrenched rough sleeper. Terry was in care from an early age and soon resorted to crime – namely car theft and joy riding – to fill his time and stunt his boredom. The outcome of this was a trip to the local Young Offenders Institution where he started experimenting with drugs! After a few years of smoking weed and doing recreational drugs Terry’s mental health suffered and he tried to commit suicide by jumping off a railway bridge. He was hurt, but not dead and was then sectioned by the local authority and diagnosed as schizophrenic.

When Terry was discharged from the psychiatric ward he went into supported housing in Bradford, it was here he started using heroin. He turned up in Leeds and was brought to the attention of our organisation; this was about 4 years ago. Throughout this time Terry had been in and out of hostels, but mainly rough sleeping due to his drug addiction. We, as an organisation, never gave up on Terry. He was often incredibly difficult to engage with and refused to have anything to do with specialist support services. But we persevered and knew that if we maintained contact with him there was always an opportunity for positive change even if in the short term that was simply buying him a sandwich or just a chat. Consequently through long term planning and getting Terry to recognise the need for small steps towards his desired outcomes we managed to secure drug treatment for him which he’s doing fine with and is stable. He’s also just signed for his own tenancy with the local authority and we’re working with Terry to get him moved in and settled.

Jamie, Support Worker

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