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Case study: Toward home - new homelessness system for south australia

20/12/2021

 
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SOCIAL ISSUE 

Prior to 2021, the South Australian homelessness funding, like most homelessness systems around the country, was divided between multiple different service providers who weren't incentivised to work together as one system. 

The three key limitations of the system were: 
  • Outcomes were not being achieved: the system was not solving or reducing homelessness, with 73% of clients having  previously received homelessness services (‘service-cyclers) 
  • Disproportionate emphasis on crisis: leaving little resource for those in the system or at risk of entering the system. 
  • A poorly integrated response to homelessness: not easy to access or navigate and failed to offer wrap support to meet individual and family needs. 

CLIENT CHALLENGE  

The South Australian Housing Authority (SAHA) sought to redesign the homelessness system in order to reduce the number of those at-risk of entering homelessness and the length of time people are in the system. To do this, SAHA divided its jurisdiction into five discrete regions and called on social service providers to develop solutions. 

In the Adelaide City and South region, Baptist Care SA, Lutheran Care, Mission Australia, The Salvation Army and Sonder came together to form the Toward Home Alliance. 

The challenge for the Toward Home Alliance was to redesign the homelessness system so that service users received a tailored and individualised response. Resources, accommodation and services needed to be aligned to the outcomes for each of the service user groups 
  • First-time users of homelessness services; 
  • Those at-risk of entering the homelessness service system;
  • Long-term users (‘cyclers’) through our system, including rough sleepers; &
  • Aboriginal people - who required a culturally appropriate, First -Nation led response. 

The challenge of service design was compounded by the prevalence of factors that contribute to homelessness such as mental health, physical health, disability, drug and alcohol and life trauma - requiring the intervention to holistically address these issues too. 

THE ROLE LATITUDE NETWORK PLAYED 

Latitude Network played a central role in supporting the Toward Home Alliance. The process involved uniting a diverse set of national, state, local and Aboriginal-run service providers toward a common goal of reducing homelessness in a defined geographical region. The key functions of the Latitude engagement included:
  • Supporting and advising the parties in establishing the Alliance, including facilitating the decision of Lead Agency, and deciding a sound governance structure, with a clear decision-making authority;
  • Cohort segmentation: using data to identify priority groups and with Alliance partners, designing/ adapting the service system to address their needs;
  • Working with partners to identify client and system outcomes, together with the necessary thresholds and target success rates for each outcome ;
  • Planning a seamless, sensitive transition of clients from the existing system to the new system, and then developing a comprehensive implementation plan ;
  • Designing a data system and measurement: mapping data to outcomes, dashboard reporting and promoting a ‘performance culture’;
  • Working with the Alliance to develop a full commercial and financial model, including avoided costs.

THE IMPACT 

The first impact was that the innovative proposal was accepted by the South Australian Government with the Alliance winning the funding for Adelaide city and South. The funding changed on July 2021, and as with any significant system change, there are always lots of elements to work through. The team has formed well together and built a strong culture of collaboration, but it is still early days to work out how well the elements are working and how best to refine and iterate them. We will keep an eye out on the Toward Home progress and now doubt the challenges of making progress.

New $33m Social Impact Funding in Victoria

5/11/2021

 
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As we foreshadowed in our recent newsletter to you, the Victorian Dept of Treasury & Finance is now underway with its Partnerships Addressing Disadvantage (PAD) funding program. The PAD program was announced in this year's State Budget. A few key points:
  • There is up to $33 million in funding;
  • It is outcomes-based - that means that service organisations will be funded on the basis of longer-term outcomes achieved, not on inputs, outputs or program activities;
  • The policy area of focus is on those who have had interactions with the justice and the homelessness systems; 
  • The funding is designed for intensive, wrap-around/integrated services for complex cohorts of service users, typically for multiple years of support.
PADs are highly-technical in many respects and so we encourage you to respond to DTF's 'Statement of Intent' process as detailed below.

As you consider your own programs, have a look at 5 elements that are key to social impact bonds.
You may also be interested in an article about what you need to be successful in developing a social impact bond.

Read More

New Homeless Alliance for Adelaide south

30/4/2021

 
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Reinventing homelessness prevention

In an effort to deliver better outcomes and prevent homelessness in South Australia, the South Australian government has run a competitive tender of homelessness services in the state under a new structure. It sought responses from alliances of social service organisations to work together to address problems in the homelessness system under a single funding contract for an entire region covering all homeless cohorts. The previous system for the Adelaide City and South region was a series of separate funding agreements across 15 different agencies without a common outcomes framework or formal methods to interconnect between services.

Latitude Network supported the Toward Home Alliance to develop a ground up homelessness strategy and program logic based on prevention. With the team, we identified the wide range of cohorts with differing needs across the homelessness system. We zeroed in on those at risk of entering the homelessness system and identified a way to capture data and shift resources towards preventing entry into the crisis accommodation system. 

The alliance partners developed a professional and mature way of collaborating which provided a strong platform for development of a more ambitious program design. This represents one of the most significant changes to the homelessness system in some years, and provides a pathway for better collaboration, use of data, and continuous improvement with transparent sharing of outcomes between the social sector partners and government. 

​The new outcomes–oriented approach helps to align government and social service organisation interests more directly with client interests.  The achievement of client outcomes and prevention of entry into high cost homelessness services provides benefits for all parties.

Congratulations to the alliance partners that will now deliver integrated, outcomes-based homelessness services for the Adelaide City and South region - 
  • Aboriginal Community Services
  • Baptist Care SA
  • Lutheran Care
  • Mission Australia
  • Sonder
  • The Salvation Army

Also see - 
  • ​SA Premier's Statement
  • Lutheran Care announcement

Case study: Wellways

2/10/2020

 
Mental health, Outcomes funding, Service Design
Doorway: An Outcomes-based solution to mental health and homelessness 

Removing barriers to private rental for people who are homeless with mental health issues can improve lives and save money for government.
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  • Latitude Network has challenged the way we think about and describe interventions. With their relentless intellectual rigour and attention to detail, Wellways has both improved and standardised the Doorway intervention. We can now describe with confidence what works about the intervention and we have compelling data and a business case to put to government outcomes-based funding proposals. Latitude Network both drove the process and stretched our thinking. Highly recommended.
  • - Gerard Reed, Company Secretary and Business Development​, Wellways Australia
iiSOCIAL ISSUE 

Each year, large numbers of people in the mental health system struggle to secure and maintain housing and fall into long-term homelessness. This has significant consequences for their long-term health & wellbeing and puts a high burden on the state’s housing and health systems.

CLIENT CHALLENGE  

Wellways, a national provider of mental health services and leader in sub-acute mental health care, developed the Doorway approach. Doorway supports clients out of a clinical mental health service and into a home by leveraging Australia’s second-largest housing market - private rentals. Doorway does the heavy-lifting to make sure that people engage with and secure a long-term tenancy in the private rental market. This radically increases the supply of housing available to this client group, whilst normalising the process of maintaining housing in the community - not in the public housing system. Wellways has iterated and proven the Doorway model over nearly a decade and an academic review demonstrates its efficacy. 

However, the challenge for Wellways was that despite Doorway having demonstrated value and impact, there were not any established channels or processes for Wellways to proactively approach Government about continuing this program beyond its pilot. 

THE ROLE LATITUDE NETWORK PLAYED 

Latitude Network worked closely with Wellways to strengthen the proposition as an outcomes-based program and transform Doorway into a convincing proactive funding approach to Government. 

We undertook a deep-dive into the Doorway segmentation data to see for whom it worked best and under what circumstances. We then advised Wellways on how the program could be dialled-up in these areas to create a more compelling investment case for funders. We used a multi-year, data-driven analysis of client outcomes linked through to the program logic and developed a discounted cash flow financial model that reflects the 10-year cost-savings to Government in Net Present Value terms. 

THE TRANSFORMATION / IMPACT

The process of reframing a proven program as an outcomes-oriented program has helped enhance Wellways’ business capacity and confidence to deliver on its promises to clients. It can now target clear and specific outcomes to be delivered with confidence.
 
The Doorway transformation has also created a template for the future, enabling Wellways to apply this methodology to other successful programs. Most importantly, perhaps, the process has reinforced Wellways’ position as a service provider who wants to continuously do better despite traditional block funding mechanisms. Through Doorway, the organisation is now ready for the future world of outcomes-based funding. 

Case study: Sacred Heart Mission Social Impact Bond

2/9/2020

 
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Outcomes funding, Homelessness, policy, Social Impact Bonds, Social Impact Investments
Victoria's first social impact bond: Journey to Social Inclusion

Sacred Heart Mission successfully negotiated Victoria’s first Social Impact Investment (outcomes-based contract) and Latitude Network supported them each step of the way.

SOCIAL ISSUE 

SHM began life with the opening of the parish doors in Grey Street, St Kilda, to host meals for locals experiencing homelessness. 
 
Nearly 40 years on and SHM is now a leader in providing intensive support for people right across the homelessness spectrum using engagement services (meals and welcoming physical spaces) and individualised service support as well as providing accommodation and support.
 
SHM’s program, Journey to Social Inclusion (J2SI), was born in the late-2000s out of the organisation’s concern that ‘business as usual’ was not allowing them to do the job they wanted to do - end homelessness for some of Melbourne’s most vulnerable people.  As a result of the inherent silos in the social and health service systems, SHM decided to invest in building an evidence-based, outcomes-focused program for clients linking a ‘rapid-housing’ response with targeted help over the long-term (three years) - something the current service system found almost impossible to do.​

CLIENT CHALLENGE

After raising funds to run J2SI as a pilot as well as an expanded phase 2, SHM’s challenge was to continue to attract funding to both keep the program going but also to grow the program so that SHM could reach more of those it knew needed more targeted support. 
 
In late 2016 the Victorian Department of Treasury and Finance issued a ‘Request for Proposal’ for its Social Impact Bond (SIB) Pilot Program. SHM saw this as an opportunity to both continue the growth and reach of J2SI while also testing an ‘outcomes-based funding’ approach for J2SI.
 
But this was going to be a competitive tender with perhaps up to 20 organisations interested in applying. How do we make SHM’s J2SI program stand out and then, if successful, negotiate something that had no precedent in Victoria?

THE ROLE LATITUDE NETWORK PLAYED / THE OUTCOME

Latitude Network acted as a specialist advisor, project manager and negotiator through both the tender application and contract negotiation stages. Russ Wood helped coordinate the existing expertise, talent and energy within SHM and the J2SI program, translating that into a negotiating approach that would help meet the Government’s outcomes, policy and financial agenda while also getting SHM the best outcome.
 
It was intense work - fortnightly negotiation meetings with Government (led by Treasury officials) meant weekly SHM team meetings to review the meeting agenda and do the work to prepare to negotiate and, importantly, problem-solve the many challenges.
 
Latitude Network not only helped keep the process on track - but also provided timely advice on the political and policy environment as well as the emerging outcomes-based funding environment.

THE TRANSFORMATION / IMPACT

J2SI became Victoria’s first ever SIB to be agreed when Victoria's Minister for Housing signed the contract with SHM in December 2017.
 
As a result of this, SHM is now able to provide intensive, tailored support over three years to 180 individuals experiencing chronic homelessness. Keep in touch to hear further updates as the project progresses.

journey to social inclusion: sacred heart mission, st kilda

4/6/2018

 
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The challenge 
How does a social or health service provider demonstrate to their funders that they can, with early intervention, achieve not only measurable improvements for the people they work with, but also long-term cost savings? And how does that organisation navigate the political and policy environment - convincing key parties, like Government, to contract to co-design and deliver a long-term, sustainable program focused on delivering real outcomes? Complex issues often fail to respond to traditional social service approaches, so many funders are looking for a new approach that incentivises outcomes. 

This is the question that Sacred Heart Mission set out to answer recently as a way of scaling-up their successful ‘Journey to Social Inclusion’ program which supports people experiencing homelessness.

What does one of these ‘outcomes-focused’ agreements look like? What is the right approach to take - what are the key considerations? Who are the key parties? What are the pieces of the outcomes puzzle and how do we get them to fit?

​The approach 
Social impact bonds, as one method for governments to commission for outcomes, hold the promise of a new way of doing things that is more focused and uses financially accountability to drive improvements. Latitude’s approach is based on understanding the full ‘value’ of solutions. Outcomes-based commissioning is a team sport and so it is necessary to understand what each prospective party wants to achieve (what they value), what they can contribute and, therefore, how much risk (and return) should be ascribed to each party. 

Once determining the most fundamental point - understanding the value you are bringing to your clients - our approach is to support your organisation to build a convincing case about the service and financial benefits of your services and solutions, and pitch that solution to key funders (governments, in particular).

The outcome With our support as key strategic and project manager, the Mission was successful in its application to join with the Victorian Government (Depts of Treasury & Finance and Health & Human Services) to negotiate one of Victoria’s first Social Impact Bonds in late 2017. These negotiations began in May 2017 and are ongoing. Sign up to our newsletter to stay in touch with the project as it progresses.

Russ Wood of Latitude Network has worked with the Mission throughout this process.
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  • About
    • Team details
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  • Work
    • Funding >
      • Social impact bonds
    • Outcomes >
      • Outcomes-based Infrastructure
    • Data & Performance Systems
    • Data Analytics
  • News & Insights