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Brisbane City Council - hsru.com.au · Hoarding and Squalor Reduction Initiative Cases that come to...

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Brisbane City Council Hoarding and Squalor Reduction Initiative Tabatha Pashen National Hoarding and Squalor Conference 30 June 2016
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Brisbane City Council Hoarding and Squalor Reduction Initiative

Tabatha Pashen

National Hoarding and Squalor Conference

30 June 2016

http://www.squalorsurvivors.com/photos/kimmy/kimmy-living-before1.jpg

Hoarding and Squalor Reduction

Initiative Cases that come to Councils attention are the most complex and

challenging, where residents:

experience significant impacts on health, wellbeing and quality

of life for themselves and neighbours

have limited insight and are highly resistant to intervention

experience a range of mental health issues and other

vulnerabilities

Hoarding and Squalor Reduction

Initiative Innovative local government approach

Based on international best practice

Targets residents whose properties come to Councils attention

One Council compliance and support partnership

Two year pilot project from 1 July 2014 to 30 June 2016

One full-time Resident Liaison Officer (RLO) and brokerage budget

Hoarding and Squalor Reduction

Initiative

Local Government has regulatory responsibilities

Traditional compliance approaches:

lengthy timeframes

resource intensive and costly

difficult to accommodate residents lack of capacity

One-off enforced cleans:

highly distressing

unsustainable outcomes

Complementary internal partnership

applied sensitively, strategically and purposefully

Compliance and Regulatory Services (CARS) create leverage and

motivation to engage

Resident Liaison Officer

takes referrals from CARS

works in parallel to compliance and regulatory processes

provides intensive outreach and engagement

offers support to reduce public health risks

HSRI the approach

Provides encouragement and support

Facilitates linkages to:

specialist cleaning

mental and physical health support

financial advice

property repairs

ongoing in-home support

Facilitates case coordination with internal and external

stakeholders

HSRI the RLO role

HSRI the tools

Resident Needs Assessments

Environmental Cleanliness and Clutter Scale

assessment

Resident Recovery Action Plans goal focussed

Referrals to support services

Case conferencing - internally and externally

HSRI - referrals made to

assist residents

0102030405060708090

100

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Services Referred to

HSRI the benefits Council

minimises public health issues and customer complaints

reduces costs and lengthy compliance processes

Residents

improved household functioning

improved health and wellbeing

Community

improved social cohesion and quality of life

Services / Networks

strategic, coordinated and effective responses

HSRI a case study Presenting Issues

64 year old female, 36 year old daughter and 38 year old son

Diogenes syndrome and hoarding disorder - living in extreme squalor

Lacking insight into personal hygiene or public health concerns

Issues:

financial

mobility issues

a range of disabilities intellectual, physical and cognitive

impairment

social isolation

poor personal health and hygiene.

Public health risks / requirements

removal of harbourage for vermin (internal and external areas

of property)

cut-back of overgrown vegetation

full forensic clean due to extreme squalor and vermin / animal

and human defecation

excessive rodent activity requiring vermin eradication

HSRI a case study

HSRI a case study HSRI response

Resident Needs Assessment

Resident Recovery Action Plan

Referrals to relevant and resident approved agencies

Weekly communication with residents

Regular communication with neighbouring residents

Regular feedback to Council Officers

Establishment and facilitation of a case coordination team

HSRI a case study Outcomes

HSRI a case study Outcomes

Collaboration the key to

success Partnership approach - applied sensitively, strategically and

purposefully.

Coordination and maximisation of resources.

Utilisation of Council resources across different Council

divisions and sections in order to achieve outcomes and

maximise resources available.

HSRI internal partnerships and

collaboration The various areas that have committed to working collaboratively include:

Brisbane Lifestyle division:

CARS branch City Standards, City Safety, Business

Improvement and Strategy

Connected Communities branch Inclusive Communities, Zero

Harm, Branch Management Office

Brisbane Infrastructure division

City Planning and Sustainability division

Organisational Services division

Office of the Lord Mayor and Chief Executive Officer

Thank you!

If you require further information please contact:

Tabatha Pashen

Resident Liaison Officer

Brisbane City Council

E: [email protected]

T: 07 3178 9739

Contact Details

mailto:[email protected]

HSRI case study 2 Presenting Issues

57 year old female resident presenting with severe hoarding

disorder

17 year old female daughter with support needs

Mental health concerns (agoraphobia, anxiety, depression)

Issues:

financial

chronic physical health concerns

lack of support networks (social isolation and family

breakdown)

significant mental health issues.

HSRI case study 2 Public health risks / requirements

removal of harbourage for vermin (internal and external areas

of property)

cut-back of overgrown vegetation

treatment of termite nests residing in the structure (house)

excessive rodent activity requiring vermin eradication

repairs to the structure of the property

HSRI case study 2 HSRI response

Resident Needs Assessment

Resident Recovery Action Plan

Referrals to relevant and resident approved agencies

Weekly communication with residents

Regular communication with neighbouring residents

Regular feedback to Council Officers

Establishment and facilitation of case coordination

HSRI case study 2 Outcomes

HSRI case study 2 Outcomes


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