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Hard Edges: Mapping Severe and Multiple Disadvantage Report.


I am very interested in the life time studies of the impact of negative childhood experiences and how they shape the adult life. I have developed clinical tools to identify key markers of pathways into problems for young people and would link this with other research initiatives such Averse Childhood Experiences (ACEs). Further support for the idea of long term impacts of childhood experience is found in the study of Severe and Multiple Disadvantage. These studies look at the relationship and cross over between addiction, mental health, offending and homeless populations.

Lankelly Chase with Heriot-Watt University has released the most robust research to date on severe and multiple disadvantage in England. Hard Edges: Mapping Severe and Multiple Disadvantage in England draws together previously separate datasets from homelessness, offending and substance misuse treatment systems. It also takes into account available data around mental health and poverty. It delivers the latest and most comprehensive statistics on people facing severe and multiple disadvantage: where they live, what their lives are like, how effectively they are supported by services, and the economic implications of the disadvantages they face.

Key headlines reveal:

  • There is a huge overlap between the offender, substance misusing and homeless populations. For example, two thirds of people using homeless services are also either in the criminal justice system or in drug treatment in the same year.

  • Local authorities which report the highest rates of people facing severe and multiple disadvantage are mainly in the North of England, seaside towns and certain central London boroughs. However, even in the richest areas, there is no part of England that is untouched by the issue of severe and multiple disadvantage.

  • People found in homelessness, drug treatment and criminal justice systems are predominantly white men aged 25-44

  • As children, many experienced trauma and neglect, poverty, family breakdown and disrupted education. As adults, many suffer alarming levels of loneliness, isolation, unemployment, poverty and mental ill-health. All of these experiences are considerably worse for those in overlapping populations.

  • The majority are in contact with or are living with children.

To read the full study, click here.


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