Enhancing the coordination of housing supports for individuals leaving institutional settings

Abstract

Key points Transitions out of institutional settings—inpatient mental health care, residential substance use services, out-of-home care (OHC), and corrections—are associated with significant risks of housing insecurity, which can be greatly reduced by more effective service coordination. More effective service coordination is especially critical between separate service systems (e.g. housing, mental health, substance use, family services and corrections). Enhanced coordination between these sectors is crucial to reduce the risks of housing insecurity for individuals leaving institutional settings. There is considerable variation in the ways housing issues are managed within these settings, and discrepancies in the quality and duration of housing support available to individuals when they leave. As the complexity of service provision grows, there is evidence that service coordination roles can effectively promote service integration. To be effective, staff in these roles should have clear responsibilities to identify and maintain formal practices of service coordination with a strong focus on maintaining transparency and accountability. There is emerging evidence that service coordination roles should be supplemented and supported by greater involvement of ‘peer’, ‘consumer’ and/or ‘service user’ representatives in service coordination. ‘Best practice’ programs around the country indicate how services can be more effectively coordinated to support improved housing outcomes for individuals leaving institutional settings.