Homeless Adults with Complex Needs: evidence review

Public Health England, February 2018

This report is an independent review of the literature on homelessness, looking particularly at people living or begging on the streets to support efforts to prevent and reduce homelessness and the adverse outcomes associated with this.  The review is aimed at local authorities and other stakeholders who are developing strategies and interventions to prevent homelessness and support adults with complex needs. It advises a system-wide, integrated approach to dealing with homelessness and identifies some tools and guidance which may be of use to local authorities in developing their work in this area.

Click here to view the report.


Children and young people’s continuing care national framework

Department of Health, January 2016

This framework provides a process for commissioning groups for assessing, deciding and agreeing continuing care for children with complex health needs.

Click here for further information and to download the resources.

Understanding the whole person: What are the common concepts for recovery and desistance across the fields of mental health, substance misuse, and criminology?

Revolving Doors, December 2015

This review by Revolving Doors finds that people facing complex needs and disadvantaged lives will see many common steps across their recovery journeys.

Click here to download the report.

Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis

The Commonwealth Fund, November 2015

This report by the Commonwealth Fund describes research about clinical care models or care management programs implemented by health care provider organisations to improve outcomes and reduce costs for high-need, high-cost patients.

Click here to read the report.

Hard Edges: Mapping Severe and Multiple Disadvantage

Lankelly Chase Foundation, April 2015

This study seeks to provide a statistical profile of a key manifestation of ‘severe and multiple disadvantage’ (SMD) in England.  The report aims to address the fragmentation of data concerning people with complex and multiple disadvantage and so create the clearest quantitative picture possible of the reality of people’s lives. By establishing the extent to which different systems that people come into contact with overlap, the report aims to stimulate thought and action on whether single issue systems and services are any longer the most effective response.

Click here to view the full text report.


Comprehensive Services for Complex Needs: A Summary of the Evidence

Revolving Doors, 29 January 2015

This report assesses the evidence for three programmes designed to work directly with people facing multiple and complex needs: Multisystemic Therapy; wraparound; and the link worker model. It shows these programmes can address important issues such as crime and homelessness, while improving clients’ wellbeing.

The briefing outlines both the cost-benefit and the effectiveness of these service models.  The report shows that some of the most excluded and disadvantaged people in society can be effectively helped through better, more targeted support.

Click here for further information and to download the report.