A secure environment
You cannot over estimate the importance of creating security for the individual which starts with safe housing. If services help someone understand their voices, get a frame of reference for their beliefs, and then say – your are ok now go back to where you come from, what use is that if the person has nowhere secure to go back to? Discharging people from acute settings and then putting them back on terrible housing estates – it doesn’t matter how good a therapist you are, if you send someone back to an unsafe environment then you are completely wasting your time. All psychiatrists know it's the elephant in the room that can’t be addressed. 85% of homeless people have got mental health problems – it's a frightening statistic. Lets create safety for people as defined by the individual. Recovery starts in a safe environment.
Dealing with fears from a psychological perspective needs to be balanced with practical steps to ensure safety and security for the individual; we have to look at where they live and what support networks they can use alongside any other interventions. When we work alongside anyone who needs support creating a positive relationship on an equal footing is really important too. The person has to feel safe, secure, and that you are trustworthy if you have any chance of making a difference to that person.