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We estimate there are around 100 people in Manchester who have a combination of at least 2 of the following: impaired executive functioning, acquired brain injury/alcohol-related brain damage, neuro-divergence, mental illness, foetal alcohol syndrome, substance misuse and complex trauma - who also often experience multi-exclusion homelessness. These people are not having their (statutory, Care Act) needs met. They often cycle in and out of hospital supported/temporary accommodation and bounce around services. They can be refused services such as psychological therapies because they are drinking/taking drugs to self-medicate. Sometimes people get stuck in homelessness services which are intended to be short-term/temporary, including being placed in hotels. Others move on from temporary services, only to lose their tenancy and then start the cycle again. Repeated failures of services and housing insecurity compound the trauma people have experienced and diminish their capacity for hope and trust. Case studies show these people can have poor outcomes while consuming a high level of resources from health and social care providers, housing / homelessness teams, police, voluntary se
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