Espoon ja Helsingin terveysneuvontapisteiden asiakkaiden asumistilanne ja asumispalveluiden tilannekartoitus
Rukkila, Aino (2012)
Rukkila, Aino
Laurea-ammattikorkeakoulu
2012
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2012053110953
https://urn.fi/URN:NBN:fi:amk-2012053110953
Tiivistelmä
Opinnäytetyö on tarvekartoitus, jonka avulla pyrittiin selvittämään terveysneuvontapisteiden asiakkaista asunnottomien määrää sekä heidän asumispalveluiden tarvettaan. Tarvekartoituksen tavoitteena oli saada ajankohtaista tietoa siitä, minkälaisia ja kuinka paljon erilaisia asumispalveluita tarvitaan ja kuinka asiakasta voidaan tukea asunnonhankintaan liittyvissä ongelmatilanteissa. Tiedot ovat tarpeellisia, paitsi terveysneuvontapisteissä työskenteleville, myös palveluiden tuottajille ja kaupunkien asumispalveluista vastaaville instansseille asumispalveluiden edelleen kehittämiseksi. Tarvekartoituksen perusteena oli käytännön työssä havaittu huomio asiakkaiden epämääräisestä asumistilanteesta/asunnottomuudesta. Asiakkaan asioidessa terveysneuvontapisteissä, häneltä kysytään asuinpaikkaa. Usein saatu vastaus on epämääräinen, eikä asuinpaikkaa osata/haluta kohdistaa ekstaktisti, johtuen asunnottomuudesta ja myös siihen liittyvästä häpeästä. Asunnottomuudella on suuri vaikutus asiakkaiden yleiseen terveydentilaan sekä henkiseen hyvinvointiin. Asiakkaat ovat aktiivisia päihteidenkäyttäjiä ja usein moniongelmaisia, nämä seikat vaikuttavat myös itsenäiseen asumiseen tarvittaviin taitoihin heikentävästi. Päihteidenkäyttö ja moniongelmaisuus aiheuttavat syrjäytymistä yhteiskunnasta sekä sen tarjoamista palveluista ja asioiden hoito koetaan usein ylivoimaiseksi. Asunnon etsintä ja asumiseen liittyvien asioiden hoito on jäänyt kesken tai asioita ei ole edes aloitettu hoitamaan. Tarvekartoitus toteutettiin kyselylomakkeella, joka oli kaikissa Espoon viidessä terveysneuvontapisteessä kahden kuukauden ajan ja Helsingin neljässä terveysneuvontapisteessä kahden viikon ajan asiakkaiden täytettävissä. Ajanjaksoksi Espoossa kaksi kuukautta valittiin siksi, että kaikkia asiakkaita ei välttämättä tavoiteta lyhyemmällä ajanjaksolla. Espoossa toimipisteet ovat vain kerran viikossa auki, lukuun ottamatta yhtä toimipistettä, joka on avoinna kaksi kertaa viikossa. Helsingin toimipisteiden aukioloajoista johtuen, henkilökunta katsoi kahden viikon olevan sopiva aika kyselyn toteuttamiseksi. Lomake sisälsi suljettuja ja avoimia kysymyksiä. Kyselylomakkeita oli asiakkaiden täytettävinä 520, joista 120 oli Espoon toimipisteissä. Palautettujen kyselylomakkeiden määrä oli 172 ja näin vastausprosentiksi saatiin 33 %. Kyselylomakkeet analysoitiin kvantitatiivisin ja kvalitatiivisin menetelmin. Tutkimuskysymysten pohjalta saaduista tuloksista voitiin todeta, että asumispalveluita tulisi jatkossa kehittää siten, että ne vastaisivat myös päihteidenkäyttäjien tarpeita. Tarvekartoituksen tulosten perusteella syntyi kehittämissuunnitelma Espoon Terveysneuvontapisteeseen toiminnan edelleen kehittämiseksi. Terveysneuvontatyössä tulee entistä enemmän tukea ja opastaa asiakkaita asunnonhakemiseen liittyvissä asioidenhoidossa sekä järjestää aiheeseen liittyviä ryhmätoimintaa. Näiden ryhmätoimintojen avulla asiakasta voidaan voimaannuttaa sekä opastaa asumiseen liittyvissä kysymyksissä ja arjen hallinnassa. Espoo and Helsinki health counseling clients housing situation and housing services needs analysis
This thesis is an needs analysis intended to quantify the amount of homeless clients in health counseling centers as well as identify the need of housing services. The need for updated survey comes from the urge to obtain the current situation of what type and how variable housing services are needed and how customers can support the housing market, in case of problems. Information is necessary not only to those working in health counseling centers, but also to service producers and urban housing services responsible for instances of housing services for further development. The assessment in practice considers the indeterminate housing situation or level of homelessness of the interviewed clients. The customer was asked about his residence status in the customer’s health counseling centers. Often the response was observed to be vague and was not targeted precisely to place of residence, due to the client’s own homeless condition or due to associated shame of condition. Homelessness generally has a major impact on the health of clients as well as on their mental well-being. Customers are active drug users and often present multiple problems. These factors negatively affect the skills needed to live independently. Moreover, substance use and multiple deprivation caused by exclusion from society and its services as well as issues of treatment is often noticed to have strong influence. Housing search and housing-related affairs are missing or have not even begun to be solved. The survey was fulfilled by customers in the form of a questionnaire, in which was held in all the five health counseling centers in Espoo during two months and in the health counseling centers in Helsinki in a four two-week period customers to fill. A period of two months in Espoo was chosen so that all customers would not be reached in period shorter than this. The five offices of Espoo offices are only open once a week, with the exception of one that is open twice a week. The offices in Helsinki are open more often; therefore, a two-week period was chosen to implement the survey. The questionnaires include restricted and open questions and they were filled by 520 clients, being 120 of which in the offices of Espoo. The total number of returned questionnaires is 172 and these were analyzed by employing quantitative and qualitative methods. The results from the survey show that housing services must be developed further so that they correspond to the needs of the interviewed clients. In practice, housing services that might have drug user population there may also be by drug which does not sobering target. The need to survey the results of the development plan was born in Espoo health counseling at the center for further development. Health counseling will work more to support and guide our customers to apply for housing-related affairs and to organize related group activities.These group activities with clients to empower and guide the housing-related issues and everyday life under control.
This thesis is an needs analysis intended to quantify the amount of homeless clients in health counseling centers as well as identify the need of housing services. The need for updated survey comes from the urge to obtain the current situation of what type and how variable housing services are needed and how customers can support the housing market, in case of problems. Information is necessary not only to those working in health counseling centers, but also to service producers and urban housing services responsible for instances of housing services for further development. The assessment in practice considers the indeterminate housing situation or level of homelessness of the interviewed clients. The customer was asked about his residence status in the customer’s health counseling centers. Often the response was observed to be vague and was not targeted precisely to place of residence, due to the client’s own homeless condition or due to associated shame of condition. Homelessness generally has a major impact on the health of clients as well as on their mental well-being. Customers are active drug users and often present multiple problems. These factors negatively affect the skills needed to live independently. Moreover, substance use and multiple deprivation caused by exclusion from society and its services as well as issues of treatment is often noticed to have strong influence. Housing search and housing-related affairs are missing or have not even begun to be solved. The survey was fulfilled by customers in the form of a questionnaire, in which was held in all the five health counseling centers in Espoo during two months and in the health counseling centers in Helsinki in a four two-week period customers to fill. A period of two months in Espoo was chosen so that all customers would not be reached in period shorter than this. The five offices of Espoo offices are only open once a week, with the exception of one that is open twice a week. The offices in Helsinki are open more often; therefore, a two-week period was chosen to implement the survey. The questionnaires include restricted and open questions and they were filled by 520 clients, being 120 of which in the offices of Espoo. The total number of returned questionnaires is 172 and these were analyzed by employing quantitative and qualitative methods. The results from the survey show that housing services must be developed further so that they correspond to the needs of the interviewed clients. In practice, housing services that might have drug user population there may also be by drug which does not sobering target. The need to survey the results of the development plan was born in Espoo health counseling at the center for further development. Health counseling will work more to support and guide our customers to apply for housing-related affairs and to organize related group activities.These group activities with clients to empower and guide the housing-related issues and everyday life under control.