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Speaker’s name
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Speaker’s name
The value is more important than the price.
The costs of Flemish homeless care.
Danny Lescrauwaet
About costs: studies and debates
• ‘The million dollar Murray’
• Not the cheapest solution.
• Not to discourage more expensive forms of
care.
Purpose
• Compare costs.
• Show cost of prevention in relation to cure.
• Effectiveness is more important than
efficiency.
Why calculate?
• Informative value.
• Increase cost consciousness.
• Preparation and evaluation of policies.
What should be measured? and how ?
• Little or no guidelines.
• Organisation of services. Ex.: volunteers or
not?
• Owning a building or not?
• Just a bed or broader service?
• Used methods in care.
Cost or gains?
• Calculating gains is tricky.
• Gain of getting somebody from the street?
• What is the gain of improved quality of life?
Used method: trajectory cost method
• Can calculate the cost for an individual
homeless person.
• Can calculate the cost at service level.
• Can calculate cost of homeless sector.
• What data needed? time, caseload, staff cost,
housing and food, incomes, housing support,…
• Not overhead cost.
Some examples ( in €)
day trajectory
Night shelter 50 -
Hostel for men 68 3931
Hostel for women 82 3684
Supported housing 14 6519
Prevention of evictions 11 2029
Housing first 17-21 ?
Cost of health, prison per day
• General hospital: 438
• Psychiatric, drug centre: 293
• Prison: 130
Conclusion: costs increases and
decreases
• Housing people entail costs.
• Housing people avoids costs.
• Prevention avoids costs.
• Society gets little in return for leaving people
on the streets or in hostels.
Ressources
• Demaerschalk, E, Lescrauwaet D., The costs of
Flemish homeless care, European Homeless
Journal, 2015
• Valsamis, D., Analyse d’efficience des
pratiques housing-first dans le cadre de
housing first Belgium, Idea Consult, 2016
Thank you
danny.lescrauwaet@steunpunt.be

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Results of Recent Research on Costs of Homelessness in Belgium - Reflection on Implications for Public Policy

  • 1. Presentation Title Speaker’s name Presentation title Speaker’s name The value is more important than the price. The costs of Flemish homeless care. Danny Lescrauwaet
  • 2. About costs: studies and debates • ‘The million dollar Murray’ • Not the cheapest solution. • Not to discourage more expensive forms of care.
  • 3. Purpose • Compare costs. • Show cost of prevention in relation to cure. • Effectiveness is more important than efficiency.
  • 4. Why calculate? • Informative value. • Increase cost consciousness. • Preparation and evaluation of policies.
  • 5. What should be measured? and how ? • Little or no guidelines. • Organisation of services. Ex.: volunteers or not? • Owning a building or not? • Just a bed or broader service? • Used methods in care.
  • 6. Cost or gains? • Calculating gains is tricky. • Gain of getting somebody from the street? • What is the gain of improved quality of life?
  • 7. Used method: trajectory cost method • Can calculate the cost for an individual homeless person. • Can calculate the cost at service level. • Can calculate cost of homeless sector. • What data needed? time, caseload, staff cost, housing and food, incomes, housing support,… • Not overhead cost.
  • 8. Some examples ( in €) day trajectory Night shelter 50 - Hostel for men 68 3931 Hostel for women 82 3684 Supported housing 14 6519 Prevention of evictions 11 2029 Housing first 17-21 ?
  • 9. Cost of health, prison per day • General hospital: 438 • Psychiatric, drug centre: 293 • Prison: 130
  • 10. Conclusion: costs increases and decreases • Housing people entail costs. • Housing people avoids costs. • Prevention avoids costs. • Society gets little in return for leaving people on the streets or in hostels.
  • 11. Ressources • Demaerschalk, E, Lescrauwaet D., The costs of Flemish homeless care, European Homeless Journal, 2015 • Valsamis, D., Analyse d’efficience des pratiques housing-first dans le cadre de housing first Belgium, Idea Consult, 2016