People facing multiple needs and exclusions:
- Experience a combination of issues that impact adversely on their lives – for example: poor housing or homelessness; substance misuse; poor mental health in its broadest sense; personality disorder; learning difficulties; disability; poor physical health; difficulty forming and sustaining relationships; sex working; low level skills; behavioural difficulties; vulnerability because of age; a history of offending or institutionalisation; family breakdown; domestic violence; trauma; abuse; or neglect. An individual may have one primary need alongside others or a combination of lower level needs that together are a cause for concern
- - Are routinely excluded from effective contact with the services they need - this may be because: one or all of their needs fall outside the threshold for case managed support; services disagree about who should take responsibility; needs have not been formally diagnosed; services exclude people with certain diagnoses or feel unable to cope with multiple needs; people are helped with one but not all of their needs; or they shy away from service provision
- - Tend to lead chaotic lives that are costly to society – caused by their routine exclusion from or ad-hoc use of the services that should be there to help coupled with inappropriate use of emergency responses and the criminal justice system. Some individuals will be visibly chaotic in the community, others will be quietly chaotic and harder to identify.
