Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh Identifying the Needs of Communities in Limerick Report Commissioned to Facilitate the Future Planning of the Limerick Social Service Council promoting dignity and growth of all people Report Prepared by Mary O’Sullivan Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh Limerick is a place of many contrasts – two neighbouring communities can exist side by side but reflect a range of different social realities. However, in both communities there is a common spirit that shows many people who are willing to work hard and sacrifice for future generations. For some segments of the population, the Limerick of affluence and the Limerick of disadvantage is, at times, two sides of the same coin where many families face the same challenges to ensure their children have a decent environment and the best possible start in life. The Limerick Social Service Council works across all community and social divides to help all families to face those challenges. The photographic imgaes throughout this report are examples of some of the various sides to Limerick’s communities, both in terms of affluence and disadvantage. Identifying the Needs of Communities in Limerick THANK YOU The Limerick Social Service Council wishes to thank all those who have helped with this research by participating in interviews and surveys and contributing information and views. In particular we are grateful to the Author, Mary O’Sullivan, the Assistant Researcher, Ann Brosnan and to Max McClure for the community photographs. The Council is also grateful to the HSE for funding this research and for the long term support for the Council’s services. This is a summary of a more extensive research study, undertaken in 2007 which will become available on the Limerick Social Service Council website in due course. Data contained therein will be update regularly. DD Altamira Apartments Counselling Service Crèche Services for Older People/Community Sisters Family Advocacy Service Parent Support Programme Limerick Pre-school Service Sonas ii Contents Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh Foreword by Donal Murray, Bishop of Limerick Preface iii iv CHAPTER 1 Introduction 1.1 Introduction 1.2 Aims and Objectives 1.3 Methodology 1 1 2 2 CHAPTER 2 Social Determinants of Health & Well-Being 3 CHAPTER 3 Social Profile of Limerick 3.1 Introduction 3.2 Population 3.3 Vulnerable Children 3.4 Families 3.5 Education 3.6 Minority Groups 3.7 Housing 3.8 Crime 3.9 Conclusions 6 7 7 8 8 10 12 15 18 19 CHAPTER 4 Consultation 4.2 The Family Survey 4.3 Consultations With Service Users 4.4 Consultations with Service Providers and Professionals 4.5 Conclusion 20 21 25 28 31 CHAPTER 5 Conclusions 32 References & Further Reading Limerick Social Service Council 36 DD Foreword by Bishop of Limerick This research is an important development in the history of the Limerick Social Service Council. The Council was originally established in response to a perceived need by individuals, families and communities in Limerick at a time when other services were unavailable. Since that time, much has been achieved by the Council and by a range of other organisations throughout the City and County. However, in spite of significant advancements in health and social care, this research also draws attention to indicators which show that many individuals and families still experience poverty, disadvantage, ill-health and social exclusion in Limerick today. The format of their suffering and deprivation may have changed over the years but their needs remain equally pressing. The research highlights that the growth of individualism and geographical mobility have created a life for many families that is less supportive and more demanding. The effects of stress and isolation have become acutely visible in many areas in Limerick. Of particular note is the situation of parents and families with children of all ages. The task of raising children is seen to be exceedingly hard for those parents who are young with limited family or community supports and networks. The research also underlines that while many parents living in a deprived area are excellent parents, the quality of the social environment can certainly make the task of parenting more stressful. The challenge for services like the Limerick Social Service Council is to be in constant touch with those who experience the greatest need. A simple but effective way to do so is to engage and consult directly with people. This research is therefore valuable as it documents needs at first hand through direct feedback from families throughout the City and County. This methodology helps to ensure that information is current, relevant and practical. By actively involving users in identifying their own needs, services can be planned in the most appropriate and effective ways. I hope that this research will contribute to the important work already undertaken by the Limerick Social Service Council and will build upon the valuable knowledge base it has developed since its establishment. In a changing economic climate with increasing competition for funding allocations, effective information will be even more vital to ensuring resources are targeted where they are needed most. I wish to acknowledge all those who have participated in this research and to those who continue to work to promote the aims of the Council. Donal Murray + Bishop of Limerick iv Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh Preface The Limerick Social Service Council, like many other agencies in the Community and Voluntary sector are faced with ever changing challenges to ensure it is responsive to its service users and to the communities in which it works. In its many efforts to do this, it must continuously inform itself of the needs of those individuals and communities so that it can tailor its services to match those needs. This is not something, however, which can happen overnight - it requires an on-going commitment and clarity of purpose. This research was instigated as part of this commitment and is an important effort to ensure future services by the Limerick Social Service Council are planned with relevant information and data. It will also help in pointing the Council in the direction of improvements to existing services. As this research highlights, needs are constantly varying and for many, needs are becoming increasingly complex. In this context, the Council also recognises that the findings from this research will require regular updates to ensure responses continue to be relevant and therefore effective. In line with recognised best practice, this type of research will thus become an integral part of the Council’s strategic process. The Council has for many years worked successfully in partnership with other agencies in Limerick and gratefully acknowledges the HSE funding for this project. It is hoped that the findings of this research will also be of benefit to those and other similar agencies that are working to support families and communities in the City and County. Improved communication and information-sharing with other agencies is acknowledged by the Council as being a key mechanism to strengthening the Community and Voluntary sector generally in Limerick and ultimately, to promoting greater capacity within services and more positive outcomes for its target groups. This research is welcomed by the Limerick Social Service Council. It helps us to better understand the individuals, families and communities that we serve so that resources can be more effectively channeled to those who need them most. Flanan O’Neill Chairman Report Prepared on Behalf of the Limerick Social Service Council, 2008 Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh CHAPTER 1 Introduction 1 CHAPTER 1 Introduction 1. Introduction 1.1.1 The Limerick Social Service Council (LSSC) was established in 1967 as a local initiative by the Roman Catholic Church to provide services to meet the social needs of families and communities. At that time, a number of parishes in Limerick were characterised by a serious lack of resources where many families were identified as being in need of personal support and help. As in other parts of the country and in response to such needs, social service councils like the LSSC emerged as a significant development within the voluntary sector and formed important building blocks of the community care system that exists today. Since the time of its establishment and throughout the difficult economic period in the eighties and nineties, the LSSC continued to work with communities providing crucial supports to families and individuals of all ages. While the impact and benefit of its services in many cases remain undocumented, nevertheless, it is widely perceived that the work of the LSSC has been crucial for numerous families and individuals in both crisis situations and with on-going chronic problems. Today, the LSSC is acknowledged as a major provider of personal social services in the Mid-West region and has adopted the following mission statement: Limerick Social Services Council through a caring response, aims to promote the dignity and growth of individuals, families and groups. 1.1.2 One of the main contributing factors for the agency’s success is believed to be how its staff, volunteers and Council members, over the years, have been enthused to make a major personal commitment to the LSSC’s mission and to a shared purpose of working for the most vulnerable in Limerick’s society. The LSSC currently employs approximately 80 staff members and receives the assistance of over 100 volunteers and funding from the HSE, from other statutory bodies and through its own fund-raising activities such as FÁS, the Crisis Pregnancy Agency, the Family Support Agency, the Dept of Education and Science, Pobal and the Limerick City Council. The LSSC has developed an extensive range of services for families, children, young people, adults and the elderly from a variety of backgrounds and for those in particularly vulnerable circumstances. Such services include a crèche and pre-school facility for toddlers and young children; a Young Parents' Support Programme; a Community Mothers’ Programme; pre-natal residential accommodation; residential accommodation with educational programmes for young mothers with their babies; a counselling service; an advocacy service and support group for parents of children in care; a Family Conference Co-ordinator; and support services for the elderly. A number of self-help groups meet at the LSSC Centre and the LSSC also shares its premises with other voluntary and statutory groups, including the HSE, which uses the centre as a local venue for the delivery of such services as aftercare and youth homelessness, family therapy and child psychiatry. A CURA service is also based at the LSSC Centre. 1.1.3 Each service initiative undertaken by the LSSC has been developed in response to what has been perceived to be the unmet needs of a number of vulnerable client groups. In recent years, this has been assisted by the drawing up by the LSSC of its strategic plan 2006-2011, which places greater emphasis on the use of evidence-based data in determining priorities, reviewing existing services and planning for the future. A parallel approach has been adopted by the HSE which supports regular assessments. This study is therefore of mutual benefit to both agencies in identifying where gaps existed in service provision and how resources can be better used to support children and families at an interagency level. Limerick Social Service Council 2 CHAPTER 1 Introduction 1.2 Aims and Objectives 1.2.1 The aim of the research is to identify and analyse existing and emerging unmet needs for people in Limerick City and County in the areas of health and personal social services with a particular focus on the needs of children and families. ‘Needs’ are understood within the context of poverty, health inequalities and social exclusion. In line with the HSE’s child care services, ‘services’ relate to family support services, prevention, early intervention and protection services. The research approach involved an examination of the following: 1.3 • the socio-economic environment of communities in key urban and rural areas of Limerick within the context of the social determinants of health and poverty; • the current policies and responses provided by the health and social services locally and nationally; • the challenges for statutory, voluntary and community services currently and in the future to ensure successful outcomes for local communities; • recommendations for possible interventions by the Limerick Social Service Council in relation to the findings of the needs assessment. Methodology 1.3.1 The research adopted a combination of qualitative and quantitative methods with an explicit focus given to the client participation/user involvement. In so doing, the research complemented the quantitative data analysis and ensured input from both LSSC service users and residents of a number of communities in the research geographical area. The research involved a three-strand approach as follows: • A literature review examining discussions relating to the social determinants of health within the context of a voluntary agency; • A review of the SAPS 2006 National Census per DED of Limerick City and County and other relevant satistics; • Surveys and semi-structured interviews involving a sample of families, service users and service providers in Limerick City and County. Identifying the Needs of Communities in Limerick Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh CHAPTER 2 Social Determinants of Health & Well-Being 4 CHAPTER 2 Social Determinants of Health & Well-Being 2.1.1 This section of the research presents an overview of the social determinants of ill-health and social exclusion and the wider implications of poverty and it looks at the linkages between social, mental and physical health. Numerous reports have highlighted that poverty, poor housing, social isolation, the physical environment as well as behaviour, diet and lifestyle must be taken into consideration when examining health determinants of children, families and communities. Recent policy also acknowledges that no one category can be viewed in isolation from another as children live in families and families within communities. This ecological approach allows attention to be paid to the interconnectedness of child/family and community life and the importance of the impact that one has on another and the linkages that exist between the three. 2.2.1 Child care and family policy1 has been developing steadily since the early 1990’s. An important product of this process to date is the development of a child-centred focus where the child is placed at the centre of the picture. (Quin et al,1999). A central theme that emerged with the Child Care Act, 1991 was that the welfare of a child was to be regarded as the first and paramount consideration in all situations relating to children, a principle that underpins all child care and family policy since. In this context, policies have stressed that young children also need to spend their time in caring and responsive environments with opportunities to explore their world, to play, and to socially interact with others. Policies recognise that parents, their carers and communities should be supported to provide these opportunities for their children. The UN International Year of the Family in 1994 catapulted ‘the family’ into the policy arena and this is evidenced in the impetus towards policy development relating to families since then. In 1996 ‘The Commission on the Family’ was set up and in 1998 ‘Strengthening Families for Life’ set out future policy developments that would strengthen families in Irish society. ’Family well-being’ was identified as the main goal informing policies and service developments and recognised that family and the community are central to the fabric of society as a whole. 2.2.2 The social context in which these policy initiatives have happened and are happening is a rapidly changing one. Irish society, in general, has experienced economic developments, social and demographic changes, migration, cultural changes, technological changes, changing employment patterns, quest for individualism and quest for gender equality and more. While some of these changes have been beneficial and have created opportunities for families and communities, they have also created new pressures. New pressures combined with low income, relationship problems, depression, alcohol abuse, physical and mental ill health can bring families to breaking point (Commission on the Family, 1998). While the one parent family is the fastest growing family type in Ireland due to the continuing rise in births outside of marriage and the increased rate of marital breakdown, the one-parent family is also a high-risk group for poverty2. 1 2 3 Key legislation regarding children from the 90s: Children’s Act, 1997; Family Law Act, 1995; Family Law (Divorce) Act, 1996; Domestic Violence Act, 1996; Child Care (Placement of Children in Foster Care) Regulations, 1995; Child Care (Placement in residential care) Regulations; 1995 Child Care (Placement with relatives) Regulations, 1995; Child Care (Pre-School Services) Regulations, 1996; Children Act, 1997; Protections for Persons Reporting Child Abuse Act, 1998; Protection of Children (Hague Convention) Act, 2000; Children Act, 2001; Ombudsman for Children Act, 2002. McCashin, 1996; Women’s Health Council, 2003; Combat Poverty Agency, 2004 Interlinked with poverty and lone parenthood are factors such as non participation in the labour market, poor educational attainment and welfare dependency. Reduced family income and limited opportunities to work creates financial uncertainty and additional problems for families. Moreover, the vast majority of lone parent families are headed by women, who have been found to face a higher than average risk of poverty and therefore a higher risk of ill-health3. Quality of life issues such as stigmatisation, loneliness and the pressures of parenting alone also contribute to poor health and wellbeing. (Combat Poverty, 1997, 2006;) A recent HSE Report entitled ‘Health and Social Well-being in the Mid West’ identified teenage pregnancy and the rise in lone parent families as routes to poor socio-economic health outcomes for both parents and children. (HSE, 2004). Identifying the Needs of Communities in Limerick 5 CHAPTER 1 Introduction 2.3.1 In seeking to address these pressures facing families, a range of national policy documents such as the National Development Plan 2007-2013 and local policy reports such as the Fitzgerald Report 2007, draws attention to the significant benefits of helping children and families through community services and the importance of investing in local communities as a means of tackling social exclusion and disadvantage. In terms of how the community can play a role in promoting health and well-being, the research also refers particularly to the 2001 Primary Care Strategy which established the concept of the Primary Community and Continuing Care (PCCC) within the HSE, a development that promotes the partnership and networking between health services and community and voluntary agencies. 2.3.2 The starting point therefore for this research is a look at the community and how the quality of the social environment in which children grow up and families live has a significant bearing on children’s development and welfare and for the overall health of both children and adults. It accepts that parents, particularly parents at vulnerable stages in the family life cycle, cannot always provide strong nurturant environments without help from services and often, an individual service alone is not enough. Therefore, this report’s principal contribution is to identify the areas in Limerick that could be identified where the health and well-being of families and children may be deemed to be at higher risks than in other areas; where gaps exist in the availability of essential services to respond to those needs, and where services like the LSSC can focus its resources in future service planning. Limerick Social Service Council Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh CHAPTER 3 Social Profile of Limerick DD 7 CHAPTER 3 Social Profile of Limerick 3.1 Introduction This Chapter provides an overview of Limerick City and County based on data primarily from the 2006 Census statistics and secondly, from other relevant local and national reports. The purpose of this analysis is to identify key characteristics in areas of Limerick with reference to selected indicators as identified in the previous chapter. These relate to the general population, child population, vulnerable children, families and lone parenthood, education, minority groups, housing and crime. 3.2 Population 3.2.1 Change in population or age structure has implications for health and social services nationally and the population in Ireland has been growing steadily in the past decade4. The rising trend is set to continue with the expectation5 that by 2021 the population will have reached five million. The Mid-West region is expected to increase by 8.1%6. The 2006 Census registers Limerick City’s population as 52,539 which was a marginal decrease (2.7%) on the 2002 figure. Compared with other cities in the country, only Limerick City and Cork City were the two cities in the State that registered a population decrease7 during this period. County Limerick on the other hand has the highest population within the Mid-West region. In the 2006 Census, an 8.4% increase brought the number of persons living in the County up to 131,516 compared with 121,281 persons in 2002. 3.2.2 Of particular interest to this report is examining the demographics of an area by age. The younger age groups constitute the largest proportion of the population, with over a third of the population in both City (36.3%) and County (36%) being under 25 years. The 25-44 years olds comprise a little over 30% of the population in the City and 23% in the County. The 65 years and over group form over 12% of the population of Limerick City and 10% in the County. In 2006, 22% of the City’s population was under 18 years. However, Galvone B, Kileely A, John’s A, Prospect B and Ballynanty EDs (see page 42 for location of EDs) all demonstrate above 30% of their population as being under 18 years and above the City average. A similar analysis was applied to the County which include the Limerick suburbs Ballycumin, Ballysimon, Limerick North Rural, Roxborough and Ballyvarra. In line with the total Limerick population (City and County combined), 24% of the county’s population was under 18 years of age, amounting to 32,078. However, a number of EDs had notably higher ratios such as Ballybracken, Roxborough, Patrickswell and Cappamore with over 27% of their population in the under 18 year cohort. 3.2.3 Within the child population there are further differences when broken into the pre-school, primary school and adolescent cohorts. The City breakdown shows a fairly consistent division across the three age bands with 6% of the total City comprising 0-4 year olds, 6% of the City were 5-9 year olds and 6% were 10-14 year olds. It was 7% across these age bands in the County. The smaller age cohort, 15-17 year olds, resulted in a 4% of the City and County populations. At ED level, Galvone B, John’s A and Abbey B had over 9% of their totals in the 0-4 year old cohort compared with 6% of the City. Galvone B and Rathbane had 10% of their totals in the 5-9 year old age band. In the County, Ballybricken (10.5%) and Ballycummin (8.5%) showed particularly higher concentrations of 0-4 year olds; Ballybricken had also the highest concentration (9.2%) of 5-9 year olds; Roxborough (9.8%) and Cappamore (8.5%) had high proportions of 10-14 year olds. Limerick Social Service Council 4 5 6 7 The population of Ireland in 2002 was 3,917,203 and in 2006 it had increased by 8.1% to 4,234,925. (projected increase using Scenario M1F2 – CSO, 2005a) The projected growth for the Mid-West is predicted at 70,000 (1%) up to 2021. (CSO, 2006) The fall in population was likely due to: adult children leaving the family home, urban renewal schemes and regeneration projects involving the demolition of older housing. (Finfacts, 06) 8 3.3 Vulnerable Children 3.3.1 Within the context of this report, data in relation to specific categorise of children were seen to be of particular value to identifying areas of need. These categories relate to children who come to the attention of the HSE Child Protection Services, children where there are welfare concerns and children whose family situation becomes so difficult that they are placed in care. In 2006, the number of child protection reports to the HSE Social Work Department was 953 of which 902 involved an initial assessment. Almost 70%, of those assessed comprised cases where the primary reason for reporting was welfare concerns. 306 cases that were assessed for welfare concerns were substantiated. In 2006, 302 children and 194 families were offered a service from the HSE Social Work Service. The number of children admitted to care in 2006 was 103 of which almost a third was due to ‘neglect’ and a further 50% was due to family problems. 3.3.2 The proportion of children who were admitted to care at one year of age and younger amounted to over 21% of the total admissions reflecting the pressures placed on parents with the arrival of a new baby. Moreover, the increased risks of being placed in care for children from lone parent type families is also borne out by the number of children in care by family type at point of admission. This is shown in Figure 1 which shows that over 63% of children in care were from lone parent families in 2006. Figure 1: Children in Care by Family Type, Limerick 2006 139 139 61 61 19 19 Lone Parent Couple Other (Source: HSE 2006 Interim Dataset) 3.4. Families 3.4.1 From the 2006 Census data, there were 29,770 households comprising families in Limerick. Of these, almost 7,900 were in the City and almost 21,900 in the County. The number of family units was 32,048 units which would indicate that in a number of situations, an individual household could contain more than one family unit. Most family units (74%) comprised between one and two children. 2% of family units comprised five children or more. The breakdown by family type of households with families shows that 78% of all households with children comprised at least two adults i.e. a co-habiting /married couple. 22% comprised children with a lone mother or lone father. The breakdown by family type in the City showed that there were 34% of households comprising children with a lone mother or lone father whereas this figures was 18% in the County (Figure 2). Identifying the Needs of Communities in Limerick 9 Figure 2: Limerick City & County Households with Children by Family Type, 2006 Other Other 82% 82% Other Other 66% 66% Lone Parent 34% Lone Parent 34% Lone Parent 18% Lone Parent 18% City County (Source: CSO, 2006) 3.4.2 Given the particular vulnerability of lone parent families, particularly where the lone parent is female with above average risk levels of disadvantage, poverty and ill-health, the following is of interest in identifying areas where there are high concentrations of female lone-parent families in Limerick. The EDs in Limerick City and County with the highest numbers of families headed by lone mothers are outlined in Table 1. Table 1: Limerick City & County Lone Mother Family Units by ED, 2006 ED Ballynanty Galvone B Rathbane Abbey A Singland B Killeely A John's A Singland A Family Units 406 195 166 166 152 140 139 139 As % of Total Family Units in ED 51% 56% 48% 20% 19% 44% 54% 39% ED Family Units As % of Total Family Units in ED Ballycummin Limerick North Rural Ballysimon Newcastle Urban Castleconnell Abbeyfeale Kilmallock (Source: CSO, 2006) Limerick Social Service Council 472 370 200 171 99 93 88 19% 29% 15% 27% 19% 21% 23% 10 CHAPTER 1 Introduction 3.4.3 A further dimension to the vulnerability of parenting is the age of the parent to take on the responsibilities of caring for others. While many young people are adequately mature and equipped to deal with the responsibilities of family life, many are less likely to have acquired the economic stability to maintain a household without some or a number of external supports. The following illustrates the percentage of young mothers within the City. Figure 3: % of Young Mothers (Aged below 20 Years) 2004-2007, Limerick City % of Young Mothers (Aged below 20 Years) 2004-2007 20 17% 17% 17% 16% 9% 10 4% 4% Mid West Limerick 0 Rathbane Galvone B Prospect B Ballynanty John’s A (Source: HSE 2008) 3.5 Education 3.5.1 The research recognises the link between educational disadvantage, poverty8 and as an important determinant of health and well-being. In a recent Annual Report, the United Nations ranked Ireland in the top 20 countries in the world based on Gross Domestic Product (GDP) regarding education levels, adult literacy and life expectancy (United Nations, 2001). In spite of these statistics, research has clearly shown that the benefits of the Irish economy in recent years have not been evenly distributed across Irish society. At a local level a review of studies into disadvantage in Limerick City depict ‘chronic’ area-based educational problems, such as early school leaving, non-attendance, discipline issues and adult literacy needs9. Behavioural problems, absenteeism / truancy are part of the interlinking complex routes to early school leaving. McCafferty & Canny (2005) point out that housing has an impact on educational attainment. Their survey of local authority housing estates in Limerick City show high percentages of ‘early school leavers’ in these areas. This finding is echoed in McCafferty’s (2005) profile of Limerick City which pointed to a correlation between low socio-economic status, poor educational attainment and local authority housing. 8 9 Kellaghan et al, 1995; Combat Poverty Agency, 1999, 2003; Clancy, 2005 Nolan et al, 2005; McCafferty & Canny, 2005; McCafferty, 2005; Fitzgerald 2007; Finneran, 2000; Curriculum Development Unit, 1996, 2003 3.5.2 Within this context, the following Census data provides an outline of educational attainment per ED in Limerick City together with an indicator of employment status for the same areas. From this data, a number of EDs typify the link between educational attainment and environment. In particular, Ballynanty illustrates the highest number of people (855) who ceased education at 15 years with only a primary level education. Furthermore, Ballynanty also saw the highest number, 262, within the unemployed category yet only 68 persons had completed their education at or above 3rd level. In contrast, Castle D had a significant number of persons who completed 3rd level education yet the same ED illustrates the lowest number of persons with only a primary school education or in the unemployed category. Identifying the Needs of Communities in Limerick 11 Table 2: Persons in Limerick City Aged 15 Years and Over whose Full-time Education Ceased by Highest Level of Education Completed & by Unemployed Status, 2006 Area No Formal At Primary Prof Qualification Unemployed Education Level And/or 3rd Level Limerick City 158 7698 5086 7698 6 855 68 855 Killeely A 1 457 22 457 Galvone B 12 426 26 426 Rathbane 3 406 27 406 Abbey D 5 385 61 385 Abbey A 9 367 617 367 Singland A 2 348 42 348 Singland B 4 338 240 338 Galvone A Ballynanty 14 299 66 299 Ballinacurra B 3 245 117 245 Coolraine 1 136 227 136 Castle A 1 125 213 125 Abbey B 4 120 271 120 Dock A Ballinacurra A Castle D 7 115 364 115 13 59 427 59 2 40 496 40 (Source: CSO, 2006) The following figure also highlights areas of particular concern regarding early school leaving. Figure 4: % of Early School Leavers 2006, Limerick City 55.4% 46.3% 42.6% 42.2% 33.7% 22.2% 17.9% State Limerick City (Source: HSE, 2008) Limerick Social Service Council Rathbane Galvone B Prospect B Ballynanty John’s A 12 CHAPTER 1 Introduction 3.5.3 Data relating to County Limerick, however, illustrates a trend that is not as obviously clear cut as in the City, possibly reflecting the rural and agricultural environment, when data for the EDs in County Limerick is conveyed as a percentage (Figure 3), it is more clear that areas where persons had no formal education or ceased education at primary school level e.g. in Rathkeale Urban, there was a greater proportion of persons in the area that were also unemployed. The same is seen with the area (Ballysimon) with the highest proportion of persons having completed a professional qualification or 3rd level degree, the unemployed percentage is much lower here than in other areas. Figure 5: Persons in Limerick County Aged 15 Years and Over whose Full-time Education Ceased, by Economic Status & Highest Level of Education Completed, 2006 100% 90% 100% 80% 100% 70% 100% 60% 100% 50% 40% 30% 20% 10% 0% ick er Lim l ll n n le in ra ck ra on ne ba ba m ar lo ea Ru al m Ur Ur sim yf yv on l h u c y e l m t e e l c l e l r b n Ba stl Ki lly stl Ba Ab No ba ca Ba Ca th w ick Ra er Ne Lim ty un Co No formal education Primary Educ Only m oo Cr Prof Qualif & 3rd level e ar Ad h ut So l a ra rin Ru Cla e l st ca w Ne Unemployed (Source: CSO, 2006) 10 11 12 Assimilist policies is aimed at ‘absorbing’ Travellers into the mainstream of ‘settled’ society. This approach has been replaced by a policy of respect for ethnic cultures (including the culture of the Travelling Community). Also there is growing recognition and appreciation that ‘identity and belonging is vital to everybody, and is equal to physical wants and needs’. (Fountain, 2006, p 27) Other Acts include: Children’s Act (1991); Housing (Traveller Accommodation) Act (1998); Housing (Miscellaneous Provision) Act, Section 24 (2002); Education and Welfare Act, (2000). Fountain, 2006; Cabinet Committee on Social Inclusion, 2006; Fay et al, 2005. 3.6 Minority Groups 3.6.1 Much has been said, written and reported on the health status, health inequalities, poverty, discrimination and social exclusion of the Travelling community in Ireland. It is argued extensively that policies of assimilation in the 1960’s and until recent years have exasperated and institutionalised the marginal position of this group of people. Efforts to counteract the negative impact of such policy is clearly manifest in equality / anti discriminatory legislation such as the Employment Equality Act, (1998) and the Equal Status Act, (2002). Despite a strong anti-discriminatory agenda and framework, there is still much ground to be covered to ensure respect for difference, equality in education and accommodation, improved health status and also access and uptake of training / employment of the Travelling community in Ireland. Identifying the Needs of Communities in Limerick 13 CHAPTER 1 Introduction 3.6.2 Health status figures in the 2006 Census reveal continued low life expectancy, and problematic age structure. Those aged over 65 in the general population amounted to 11% in the 2006 Census, compared to those of the Travelling community at 2.6%. The national average for those aged 15 years and less compared unfavourably to that of Travellers with two in every five Travellers under the age of 15. (CSO, 2006) The difference in the age structure of the Travellers (i.e. a substantial younger population and relatively small older population) is arguably attributable to higher birth rates and mortality rates among the Travelling People. However it is agreed that interlinking social and economic processes are central to understanding Travellers’ poor health status14. 3.6.3 Results from the 2006 Census suggest that there are 22,435 travellers in the State, representing 0.5% of total population. However, other estimates indicate that the number of Travellers in Ireland may be over 30,00015. According to the 2006 Census, there were 271 (140 Male, 131 Female) Travellers resident in Limerick City. When including the data for suburbs and environs, this figure rose to 386 Travellers. Data by ED according to the 2006 Census showed 0.52% of the total City population comprising Travellers. Kileely A and Galvone B EDs had notably higher concentrations than the City average with 3.8% and 2.8% respectively. There were 1,158 (532 male, 626 female) Travellers resident in County Limerick and 469 families16. The main locations where Travellers reside includes Abbeyfeale, Askeaton, City Environs, Kilmallock, Newcastle West and Rathkeale. Traveller families are also located in Athea, Ardagh, Banogue, Bruree, Cappamore and Patrickswell. Rathkeale Urban ED has the highest concentration compared with both County and the City averages with 27.92% of the ED comprising Travellers. Abbeyfeale ED follows with 7.21% and Newcastle Urban with 3.09%. 3.6.4 Ireland’s change from being a homogenous society to a multicultural one has occurred recently and rapidly. The term ‘new communities’ i.e. migrant workers - EU and non-EU workers, Programme Refugees, Convention Refugees, Asylum Seekers, Undocumented Immigrants, with a further category being the returning Irish emigrants has been used to describe these new arrivals. (Rourke, 2003) These ‘new communities’, spread throughout Ireland, add a range of cultural, ethnic and religious diversity previously not experienced in Ireland on such a scale. For some, within these groups, the change is monumental with language presenting a major barrier to integration. Most health and social services have been developed throughout the years with the majority population in mind. The challenge in Ireland nationally is to develop services that take into account the ‘new communities’ that avail of services, to ensure equality of access and quality of services. (NCCRI, 2007) The 2006 Census provides an indication17 of the national diversity in Ireland. The nationalities in Ireland include: the UK (103,500), EU 25 (38,400), rest of Europe (14,700), Africa (21,000), USA (11,400), other countries (11,200). A Census question asked for the first in 2006 related to ethnic or cultural background. Results from this showed unsurprisingly the dominant category to be White (95%). Asian or Asian Irish accounted for 1.3%, while Black or Black Irish accounted for 1%. 3.6.5 13 In terms of the local profile, the following tables provide a breakdown of groups by ED areas. Some EDs in the City show a significantly larger cluster of non-Irish nationals than others. Of note are Dock A and Dock B, the Market, Abbey A and Abbey B. In the County, Ballycummin, Ballysimon, Newcastle Urban and Rural, and Limerick North Rural. 14 15 16 17 Limerick Social Service Council These complex factors include: poverty; inadequate accommodation; poor sanitation on halting sites; low uptake of medical services, e.g. dental care; lack of availing of preventative health treatments; a lack of basic health education; and racial discrimination resulting in poor access to services’ (Traveller Health Strategy Statement and Action Plan, 2002, p12) Traveller Health Strategy Statement and Action Plan, 2002-2005 (Limerick County Council, 2005) Ibid It is suggested that non national statistics exceed those shown in the Census. 14 CHAPTER 1 Introduction Table 3: Usually Resident Population by Ethnic or Cultural Background, Limerick City 2006 Geographic Area White Irish White Other Irish White Traveller Black / Black Irish Asian / Asian Irish Other Not stated Total Dock A 762 2 827 184 132 80 43 2030 Market 763 0 364 37 69 45 79 1357 Abbey A 4082 0 345 12 55 37 23 4554 522 2 207 30 30 29 15 835 1680 36 196 27 40 18 26 2023 Shannon A 182 1 159 2 30 18 20 412 Custom House 236 1 154 14 48 14 23 490 Ballinacurra A 1705 22 129 10 15 26 15 1922 286 0 117 8 4 11 6 432 3617 27 106 2 37 26 29 3844 Abbey C 408 1 102 25 13 19 14 582 Shannon B 298 0 99 34 32 12 14 489 Dock D 726 0 90 48 38 11 7 920 Dock B Abbey B John's C Singland B (Source: CSO, 2006) Table 4: Table 4: Usually Resident Population by Ethnic or Cultural Background, Limerick County 2006 Geographic Area White Irish Other White White Irish Traveller Black / Black Irish Asian Other / Asian Irish Not stated Total 12878 18 1599 516 496 262 277 16046 Ballysimon 9372 51 920 109 212 116 95 10875 Newcastle Urban 3165 119 433 7 23 44 64 3855 Limerick Nth Rural 6517 76 295 68 48 63 127 7194 Newcastle Rural 1631 2 212 6 6 27 27 1911 Ballyvarra 3718 5 196 17 51 22 36 4045 Adare South 1462 0 163 1 26 13 30 1695 Abbeyfeale 2079 178 108 0 35 29 40 2469 Castleconnell 2426 0 100 5 6 20 36 2593 Kilmallock 1964 61 99 1 9 14 36 2184 Rathkeale Urban 940 395 62 0 0 7 11 1415 Askeaton West 900 24 49 2 10 7 6 998 1436 25 33 2 12 3 9 1520 925 11 32 0 6 0 14 988 1287 53 32 6 22 14 7 1421 Ballycummin Patrickswell Bruree Limerick Sth Rural (Source: CSO, 2006) White Black Identifying the Needs of Communities in Limerick 15 CHAPTER 1 Introduction 3.7 Housing 3.7.1 ‘Shelter is …. one of the most basic of human needs’18. Poor housing conditions is linked to ill health, underachievement in education through inferior study circumstances, unemployment, stigma, employability (e.g. implications of living at a particular address), lack of services, all of which partly present a picture of disadvantage and poverty19. The Department of the Environment, Heritage & Local Government’s ‘Statement of Strategy, 2005- 2007 key objective is ‘to enable every household to have available an affordable dwelling of good quality, suited to its needs, in a good environment and, as far as possible, at the tenure of its choice.’ Concern for social equity is expressed in the Department’s stated commitments to look after the housing needs of vulnerable groups including the elderly, disabled, homeless and Travellers. A key policy aspiration is that the provision of affordable and suitable housing should be part of the bigger picture of combating poverty, social exclusion and resulting health problems. Part of this capacity building has been the introduction of the Social Inclusion Units embedded within the Local Authorities. Traditionally, Local Authority Agencies’ sole remit was to provide accommodation. However, as poverty and social exclusion are synonymous with Local Authority Estates, expanding the role of Local Authorities to tackle both social exclusion issues and other social concerns has occurred. A key component within this development is the adoption of an interagency approach which involves working alongside other agencies such as voluntary groups, the HSE, etc. 3.7.2 Social housing in Limerick City has become widely recognised as a significant issue in terms of disadvantage and social deprivation. As stated in the Fitzgerald Report 2007, ‘of the approximately 18,900 houses in the City Council area, 8,000 were constructed as social housing. Limerick is unique in having such a high concentration of social housing within the city boundary, and this in turn poses certain unique problems and challenges for the city and the region.’ The report had highlighted specific local areas in Limerick that required immediate attention such as areas of the North City to include Moyross, areas of the South City, St Mary’s Park and Ballinacurra Weston. The following table provides 2006 Census data on households in the rented sector such as Rented from Local Authority and Rented from Voluntary Body. This data also includes Occupied Free of Rent which may also be viewed within the disadvantaged grouping. 18 19 Limerick Social Service Council Silke, 1999 Silke, 1999; McCafferty et al 2005. 16 CHAPTER 1 Introduction Table 5: Households Rented from Local Authority & Voluntary Body, 2006 City EDs As % of ED County EDs As % of ED Galvone B 48% Ballylanders 28% Custom House 47% Knocknascrow 22% Ballynanty 46% Ballycummin 21% John's A 45% Caherconlish West 20% Killeely A 37% Kilmoylan 19% John's B 36% Kilflyn 19% Abbey C 36% Croom 19% Prospect B 32% Shanagolden 19% Killeely B 32% Kilmallock 18% Rathbane 29% Bruree 18% John's C 27% Monagay 16% Shannon A 27% Abbeyfeale 16% Market 27% Adare South 16% Dock C 25% Hospital 16% Dock A 22% Kilfinnane 15% Shannon B 22% Fedamore 14% Prospect A 22% Tobernea 14% Glentworth C 20% Dromcolliher 14% (Source: CSO, 2006) Identifying the Needs of Communities in Limerick 17 CHAPTER 1 Introduction 3.7.3 A number of other indicators of social need have also been used to illustrate particular areas of disadvantage. Households without cars or central heating access are also useful indicators of affluence or disadvantage within the City and County. Figure 6: Households in Limerick without Central Heating, 2006 9.3% 15.6% 19.6% 46% 33% 29% 46% 10% 20% 22% 19% 88.1% 81.8% 79.2% 51.5% 63.5% 68.7% 50.7% 87% 79.6% 77% 79% State Limerick City John’s A Limerick County Hospital Kilfinane Glin Rathbane Galvone B Prospect B Ballynanty Yes No (Source: CSO, 2006) Figure 7: Households in Limerick without Cars, 2006 64% 59% 60% 47% 47% 38% 30% 24% 23% Newcastle Urban Abbeyfeale 14% Limerick City Rathbane Galvone B (Source: CSO, 2006) Limerick Social Service Council Prospect B Ballynanty John’s A Limerick County Rathkeale Urban 18 CHAPTER 1 Introduction 3.8 Crime 3.8.1 There is a general awareness of the effect that crime can have on individuals, families and communities20 and as with many social problems, those affected by crime are also vulnerable to other social deficits e.g. poverty, social exclusion, dis-advantage21 and particularly ill-health. Fear associated with intimidation or personal insecurity is a major stressor and can contribute to poor health outcomes22. Exposure to domestic violence23, family violence24 and community violence25 has the potential to negatively impact on the behavioural, emotional, social and cognitive development of children. Moreover, fear of crime can also significantly reduce the independence and social life of older people which, may lead to depression and isolation. The effects of crime are far reaching with the high health related costs being a major concern26. 3.8.2 Data in relation to crime is based on the statistics as compiled by An Garda Siochana but was not available by ED. The number of headline crimes nationally increased by 1.4% in 2006 i.e. from 102,258 recorded crimes in 2005 to 103,710 in 2006 with 2005 registering a 3% increase. Table 6 outlines a sample of headline offences recorded for Dublin and Limerick in 2005 and illustrates notable statistics for ‘Homicide’ in Limerick City. Table 6: Households Rented from Local Authority & Voluntary Body, 2006 Drugs Homicide Location Burglary 155 (100%) 3,064 (100%) 26,400 (100%) Dublin City 73 (47%) 1,651 (54%) 10,897 (41%) Limerick City 32 (20%) 109 (3.6%) 900 (3.4%) Limerick Co. 6 (4%) 21 (.06%) 470 (2%) Cork City 1 (.06%) 114 (.04%) 856 (3%) State (Source: Annual Report of an Garda Siochana, 2006) From the following table, burglary and robbery offences in 2004 where firearms were used registered an 18% decrease at national level. However, Limerick registered a 46% increase for this same period. Limerick also registered an increase of 25% on burglaries compared to 6% nationally. A 50% increase occurred in Limerick for thefts from shops and unattended vehicles compared to a drop in such crimes nationally (-2%). A similar trend was registered for non-headline offences where proceedings commenced in 2005, Limerick saw a 24% increase whereas the national increase was 12%. 21 22 23 24 25 25 Berhmar, 1999 Van Doorslaer, 2001, Barrington, 2004 Domestic violence definition = refers to violence between intimate partners, including marital partners, cohabiting partners, and former partners, as well as non cohabiting dating couples.(Berhmar, R.E. 1999, p2) Family Violence definition ‘encompasses a broad set of familiar relationships, includes child maltreatment, elder abuse, violence between siblings, and intimate partner abuse. (Berhmar, R. 1999, p2) Witnessing violence / crime such as shootings, drug related crime, intimidation and so on can be a common enough experience in some Limerick City communities. (Fitzgerald, 2007) University of Birmingham, 2000 Identifying the Needs of Communities in Limerick 19 Table 7: Households Rented from Local Authority & Voluntary Body, 2006 Location State Southern Region Limerick Location % Change % Change % Change 155 3,064 46% Burglaries 73 1,651 25% Thefts from shops & unattended vehicles 32 109 50% Non-Headline Offences (where proceedings commenced) 6 21 24% Unauthorised Taking of Vehicles 1 114 Data n/a Aggravated Burglaries & Robberies (where firearms were used) (Source: Annual Report of an Garda Siochana, 2006) 3.8.3 While statistics provide a snapshot of the problem, they fail to convey the ‘complete’ picture of those living in communities where a high prevalence of crime and disorder exists and where quality of life is severely hampered. The recent Report by John Fitzgerald (2007) captured the magnitude of the problem of criminality and deprivation within some of the Limerick City communities. 3.9 Conclusion 3.9.1 This Chapter utilises a number of social indicators as a means to profile Limerick’s communities on a geographic basis. Within this framework, the findings show a number of areas that illustrate densities of children and young people, families, households headed by lone parents, low education levels, unemployed, local authority housing and minority groups. While there are limited data available per ED regarding crime, other reports such as the Fitzgerald Report 2007, has highlighted the concerns regarding crime in Limerick City and the concentrations of factors such as unemployment, poor educational achievement and general depravation. Data in this Chapter is based on secondary sources and although it may be limited in the range of information made available, it forms an important foundation for the findings in the remainder of the report. Limerick Social Service Council Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh CHAPTER 4 Consultation 21 CHAPTER 4 CONSULTATION 4.1 4.2 The chapter presents the findings from a number of surveys and consultations undertaken with • Families in Limerick; • Service users; • Service providers and other professionals. The Family Survey 4.2.1. In total, 200 adults participated from 200 families in seventeen areas in the City and the County. The survey involved one-to-one structured interviews covering respondents’ perceptions of the adequacy of services for children and families, their awareness of services provided by the LSSC and the need for additional services in their locality. The methodology used convenience sampling and responses cannot be taken as representative of the population but should be viewed as a snapshot of householders views in each of the survey areas. Figure 8: Responses on Service Satisfaction, Services Required, Key Issues Issues re Support for Carers Issues re Support for Parents Perceived Isolation / Lack of support within area Issues re Drug abuse/Alcohol problems - adults Anti-social behaviour in young people Issues re Drug/Alcohol abuse - young people Priority for services for adolescents Priority for services - school-going age Priority where services required - pre-school age Satisfied with services for adolescents Satisfied with services for school-going age Satisfied with services for pre-school age 00% 10% 0.1 20% 0.2 30% 0.3 40% 0.4 50% 0.5 60% 0.6 70% 0.7 80% 0.8 4.2.2 Generally, the majority of respondents expressed a moderate degree of satisfaction with services for children and young people in their localities. Satisfaction was the highest for services for children in the pre-school age group and responses by individual areas showed marked differences with the highest levels of satisfaction emerging in Castleconnell, Corbally, Caherdavin, Kilmallock and Croom. A number of respondents had identified their low level of satisfaction with the lack of specialist services for the primary school age group particularly for children with behavioural problems with no additional supports for the child within the school or for the parents of the child. The differences between the areas regarding responses on the teenage category were less evident and the overall satisfaction rating was much lower across all the areas compared with the other age categories. Most ratings were in the 40-50% range of satisfaction and the need for support and activity services for teenagers was consistently voiced across all areas. Parents stated their concerns that where teenagers were not involved in sports, there was very little places for them to go. Limerick Social Service Council 22 CHAPTER 1 Introduction Table 8: Satisfaction Levels Regarding Children’s & Young People’s Services by Area Area Services for Pre-school Age Services for School Age Services for Teenage Ballynanty/ Thomondgate/ Farranshone 67% 60% 47% Islandgate /St Mary’s 53% 40% 40% Corbally 80% 80% 40% City Centre/ Glentworth/Dock 47% 33% 47% Ballinacurra Weston/ Prospect 70% 70% 50% Rathbane/Janesboro 70% 60% 40% Garryowen 60% 60% 40% Dooradoyle / Fr Russell Road 53% 53% 47% Caherdavin (City) 80% 90% 60% Castletroy/Monaleen 67% 47% 53% Annacotty 60% 60% 40% Raheen/Ballycummin 33% 40% 47% Kilmallock 80% 50% 30% Abbeyfeale 70% 60% 50% Patrickswell 60% 60% 50% Croom 80% 50% 40% Castleconnell 90% 70% 40% 4.2.3 The following Tables 9 and 10 provide a summary of responses on the key issues that people felt were a concern for residents generally in their areas. It should be noted that these concerns may not have been an issue for the individual respondent but rather it was how the respondent viewed their area and the problems for other neighbours. In terms of adult’s drug abuse and alcohol problems, the overall rating was 55%. The focus of this topic was broader than the illegal use of drugs and included questions on addiction problems generally, and perceived dependency on prescription drugs and alcohol. Responses covered perceptions on the need for services to help adults deal with this issue in their locality. Respondents stressed that the misuse of drugs and/or alcohol can be used as a coping strategy by families in dealing with family crisis or conflict and therefore services that would address these underlying issues would be more beneficial than a specific focus on the addiction problem. Respondents also highlighted the need for affordable or free addiction counselling and the establishment of support groups that promote healthy lifestyles. Identifying the Needs of Communities in Limerick 23 CHAPTER 1 Introduction Table 9: Issues Raised Regarding Young People’s Behaviour & the Misuse of Alcohol & Drugs Area Drug Abuse Drug/Alcohol Anti-social Behaviour in /Alcohol Abuse re Young People Young People Problems re Adults Ballynanty/ Thomondgate/ Farranshone 40% 47% 47% Islandgate /St Mary’s 53% 47% 67% Corbally 50% 40% 40% City Centre/ Glentworth/Dock 47% 27% 47% Ballinacurra Weston/ Prospect 80% 80% 70% Rathbane/Janesboro 70% 80% 70% Garryowen 60% 80% 80% Dooradoyle / Fr Russell Road 33% 33% 60% Caherdavin (City) 50% 80% 60% Castletroy/Monaleen 27% 33% 40% Annacotty 30% 50% 40% Raheen/Ballycummin 27% 33% 53% Kilmallock 50% 70% 70% Abbeyfeale 40% 30% 60% Patrickswell 40% 60% 60% Croom 30% 50% 40% Castleconnell 30% 40% 60% 4.2.4 Responses to questions regarding perceived isolation or a lack of support within areas were highlighted by respondents for a particular number of groups. While some respondents stated that they were very happy living in their area and commended the support they knew was available from their neighbours and from local services, they also acknowledged that there were particular vulnerable groups who they perceived as being very isolated. Respondents who were resident in the newer housing estates had mixed responses with some stating that there was a degree of unity or camaraderie with other residents i.e. they were all starting out together in a new area at the same time. A significant number, however, stated that with no communal facilities in their neighbourhood it was almost impossible to make contact with other families ‘as most couples are out of the estate working all day’. Some had stated that in the event of an emergency, they would not know what house to go to for help as it was unlikely that anyone would be in. Other respondents had highlighted that in rural areas, older people and women with young children were very isolated particularly those with limited access to transport. The rating in this category regarding isolation or a lack of support in the community varied across the areas and reflected the various factors that were specific to the rural /urban breakdown, and to the age and socio-economic profile of particular estates. Limerick Social Service Council 24 CHAPTER 1 Introduction 4.2.5 The issue regarding ‘service support for parents’ follows closely to issues relating to isolation and interviews focused more specifically on the more ‘vulnerable parent’ such as the lone parent, the parent with a new baby, the parent on welfare or low income, parents within minority groups, etc. Many respondents were aware of at least one household where a woman was parenting alone (unmarried or separated) and over a third of respondents themselves were currently in this situation or had been in the recent past. The general response was that the isolation experienced of being a lone parent together with the ‘constant struggle’ to manage employment and the care of children created enormous stress. The rating in relation to the need for parent support was highest compared with all other issues. The recurring type of support that was required related to support for parents with a new baby, support for parents dealing with children (of all ages) with challenging behaviour, support for parents recently moved to Ireland from non-English speaking countries, support for parents experiencing relationship difficulties and support for parents with teenagers. 4.2.6 Finally, responses were compiled regarding support for carers. A number of respondents were acutely aware of the difficulties and the lack of formal supports for carers in the community. The increased difficulty for parents caring for young children and elderly or ill parents at the same time was cited as a critical issue for some families. Table 10: Issues Raised Regarding Support within the Community Area Support for Parents Support for Isolation/ Lack of Support Carers within the Community Ballynanty/ Thomondgate/ Farranshone 73% 47% 67% Islandgate /St Mary’s 80% 33% 33% Corbally 70% 60% 70% City Centre/ Glentworth/Dock 53% 73% 40% Ballinacurra Weston/ Prospect 80% 50% 50% Rathbane/Janesboro 90% 60% 50% Garryowen 70% 70% 60% Dooradoyle / Fr Russell Road 87% 53% 53% Caherdavin (City) 70% 60% 60% Castletroy/Monaleen 60% 47% 47% Annacotty 60% 80% 60% Raheen/Ballycummin 80% 60% 53% Kilmallock 70% 50% 60% Abbeyfeale 80% 70% 60% Patrickswell 70% 60% 70% Croom 60% 70% 50% Castleconnell 60% 60% 50% Identifying the Needs of Communities in Limerick 25 CHAPTER 1 Introduction 4.3 Consultations With Service Users 4.3.1 Twenty-seven individuals were interviewed exploring how well services in Limerick responded to their needs and the needs of their families. The interviewees were drawn from a sample of service users who availed of services dealing with children, young people and families in Limerick City and County. Questions focused on the extent that the needs of individuals and families were being met and the perceived gaps in services in Limerick in responding to those needs. Given the range of interlocking needs that many of the service users were experiencing, it was deemed impossible to capture the complexity of the issues for those with multiple and multifaceted needs. Questions were therefore confined, as far as possible, to childcare and family well-being issues. Feedback relating to services for people with severe and complex learning disabilities or with severe and lasting mental health problems was not included. Similarly feedback relating to services relating to education, housing or the criminal justice etc. was also excluded. The following is a summary of the findings and is broken into three categories: 4.3.2 Were Current Services in Limerick Adequate to Meet Needs? A Group A: Seven participants (Mothers with Young Children) Location: City & County All of those interviewed were availing of a LSSC service which they stated was a very important benefit for them as mothers and in terms of promoting well-being within the overall family. For these mothers who all stated that they had previously high expectations and good intentions, parenting had at times become a stressful experience and left them feeling overburdened about the level of demands placed upon them. Some stated that they frequently lacked the patience, energy or time to meet all the needs of their children and they did not know where to turn to seek help or advice. Some expressed that they were better prepared to return to work or education as a result of their involvement in the service. Others stated that without the service, they would have been unaware of where to obtain some very basic and relevant information on health and social welfare entitlements. For those with low levels of English, difficulties in accessing services and information were cited as a major problem that was alleviated through their contacts with the LSSC service. The issues of isolation, low levels of confidence and self-esteem, un-preparedness for parenthood and the awareness regarding other relevant services were recurring needs for many of those interviewed. In the absence of this service, it was felt that there was little else where on offer in terms of basic parental guidance and support. Opportunities for social interaction with other parents and children were also seen to be limited in Limerick. Parent and toddler groups were useful but limited in their availability. Additional parks and playgrounds, and affordable indoor recreational facilities, particularly during inclement weather, were seen to be needed in most areas. Limerick Social Service Council 26 CHAPTER 1 Introduction B Group B: Nine participants (Parents/Carers) Location: City - Area of Disadvantage Similar issues were raised by interviewees in Group B. These respondents were availing of a similar service as that provided by the LSSC but with a specific area identified as being of significant disadvantage in Limerick. Within this environment, interviewees highlighted the difficulties for them in accessing services as few health and social care services are located directly in their community. The prevalence of crime created a sense of fear and affected their ability to travel to appointments and raised safety issues for health and social care staff visiting them in their own homes. It also compunded their feelings of isolation. Services were most frequently seen to be inadequate in situations where the family had a number of problems with complex and multiple causes. In such cases, family members might be availing of a number of health and social services. Interviewees complained of the disconnectedness between organisations in responding to the family as an entity where services tended to treat individual problems in isolation. While a need might be met at one level or with one member of the family, the failure of the system to approach needs holistically and in an integrated way resulted in user dissatisfaction and overall ineffectiveness in the long-term. Many of the interviewees also stated their difficulty in navigating through the various service systems within the statutory sector which they felt were complex and frustrating. The issue of low educational attainment and low literacy levels was also particularly significant for this Group not only with respect to their difficulties in accessing information but also in terms of their confidence and capacity to understand and communicate with professionals. Identifying the Needs of Communities in Limerick 27 CHAPTER 1 Introduction C Group C: Ten participants (Mothers Experiencing Domestic Abuse) Location: City & County Service users in Group C were women who used one or more social or health service in Limerick. While their primary presenting problem of domestic abuse was the common factor for these interviewees, they all experienced a range of other problems as individuals and as parents with children. Given the multi-faceted nature of the problem, the overall feedback from interviews pointed to a serious lack of an integrated and effective service response to all of these women. Each stated that in the process of seeking help or being referred on to another service, one or other issue was evidently lost. Due to the tendency for agencies and professionals to work within separate and discrete frames of reference, individuals' needs were perceived as not being met. Of those interviewed from outside the City, service users stated that women in rural areas faced problems of access due to the location of services and inadequate transport facilities. The importance for outreach services where service users are visited in their own homes was highlighted. Problems of access to services were seen to be exacerbated for non-nationals, as language difficulties and cultural differences made it difficult to know who to contact or how to initiate a request for help. In terms of the overall adequacy of services in Limerick, the interviewees pointed to a lack of awareness and understanding by most professionals in services regarding the complexity of domestic abuse. Few services attempted to look beyond the presenting problem and there was no uniform assessment or response when domestic abuse was identified. Due to the variety of services required by many of the women, there was additional stress experienced in trying to seek out the various relevant services, undergo the various necessary assessments as well as managing everyday child care responsibilities. Limerick Social Service Council 28 CHAPTER 1 Introduction 4.4 Consultations with Service Providers and Professionals 4.4.1 Personnel from a range of agencies in the statutory, community and voluntary sectors were contacted in the course of this project. Reports on local studies and any relevant datasets were also requested in order to ensure that duplication of effort in terms of any local needs assessment was avoided. The following are the key points expressed in relation to this consultation process. The views are a composite of the general issues identified for Limerick City and County but where possible, the needs for specific geographic areas are documented. The issues are broken down into a number of categories with some overlaps of issues being common to all target groups. 4.4.2 Are there Needs not being met by Services in Limerick and What are the Key Issues where Inadequacies are Identified? Babies /Pre-school Children & School-going /Pre-teenage Children • The lack of affordable childcare was cited as an issue in most areas. • Mothers with babies and very young children were identified as requiring particular supports as many areas provided limited or no social supports for mothers and families following the birth of a baby. • Given the crime and traffic situation in some areas, the safety of play for young children on the streets and the need for safe public play facilities was cited. • The need for after-school and affordable activities during holiday periods was highlighted. Adolescents/Young People • General attitudes were characterised by a tension between sympathy for and concern about teenagers. Youth crime-related problems and the link between areas of deprivation and teenage crime, school drop-outs and low educational attainment were common. While attention was drawn to a specified number of estates, the concerns regarding binge drinking, drug misuse and unhealthy promiscuous behaviour was city and countywide. • The vulnerability of the service users and the nature of the problems were intensified as the age of the young people was lowering. • It was seen that some services and professionals lacked the understanding and awareness of the ‘nature’ of the young person and highlighted the importance of appropriate methods of communication and the development of trust between the service user and service provider. Identifying the Needs of Communities in Limerick 29 CHAPTER 1 Introduction Parents and Families • The need for additional home support for some very vulnerable families was cited and supports such as the LSSC Community Mothers Programme was seen to be a potential benefit in a number of areas. The demand for Parenting Skills Courses was prioritised particularly for parents who have teenagers. • Isolation as a factor impacting on the health and wellbeing of families was identified as an increasing problem for families in all areas, particularly for families who are caring for children as well as caring for their elderly parents. • The employment status of the adults in a family can also impact considerably on the health of the family as a whole. The pressures to combine the multi-tasks of parent, employee and carer are reported to significantly contribute to the stress and ill-health of parents and particularly mothers. • Agencies have cited an increased use or dependency on alcohol and smoking as being as a result of these types of pressures. There was an increasing need identified for specialist counselling services in dealing with issues such as substance abuse, addiction and marital/relationship problems. Minority Groups & Non- Irish Nationals • Language difficulties for non-Irish nationals is a problem for agencies who have limited resources in terms of accessing appropriate translators – this was cited particularly in reference to mothers with new babies and who are non-English speakers. • For families in the private rented sector and particularly young lone parents and families who are non-Irish nationals on low incomes, interviewees stated that there were few opportunities for these families to establish informal local networks within the communities in which they lived. The need for outreach services for these groups was cited as essential but also a challenge for agencies in terms of the difficulties for staff to contact the target group was, at times, extremely difficult. Women and Children in Domestic Abuse Situations • There appears to be a general lack of clarity on definitions of domestic violence in all agencies surveyed and good practice guidelines and domestic violence policies are not readily available. Although many agencies ensure that staff undertake some training at some point in their employment, it does not appear to be updated regularly. • While agencies reported that they felt multi-agency working was the best approach, difficulties exist when agencies do not collaborate with each other due to differences in organisations’ practices and protocols. Limerick Social Service Council 30 CHAPTER 1 Introduction Services Generally • Problems of crime and order appeared to be more significant in local authority areas and in some estates in particular within these areas, staff in agencies were also fearful sometimes when working there. ‘After dark’ or during times when there were increased periods of ‘gangland incidents’, the provision of outreach services, relevant for particular target groups, was a challenge for services. • There is a need for services to ensure a wider dissemination of information on parenting themes and courses, on rights and obligations as service users, for carers about their rights and options, about how to complain about a service and about how to gain access to independent advocacy. For those with literacy problems and who are non-English speakers, the methods of disseminating information should be frequently revised to ensure greater awareness of and access to the relevant services that are available. • There was little evidence of structured user involvement in strategic planning generally in city and county services. Staff in services contacted stressed that participation and user consultation demand a great deal of effort and energy from staff and service users, which is only worthwhile if the exercise is perceived as useful and not just a window dressing exercise with decisions being taken elsewhere. • A 'silo mentality' restricts the effectiveness of inter-agency working which is essential for those families considered to be vulnerable living in disadvantaged circumstance. People with multiple needs are frequently passed between services, because they are assessed as being 'too complex' or 'too challenging' for the service. Some voluntary agencies complained of how they frequently were dealing with clients who had fallen between agencies because the relevant statutory bodies could not work together where multiple needs were diagnosed. • Families experiencing the most disadvantaged were seen to frequently require strategies for the long-term. In these cases, strategies need to be flexible as the family dynamics change and as needs vary. In such caseloads, funding streams and stability are critical to longerterm family support requirements. Identifying the Needs of Communities in Limerick 31 CHAPTER 1 Introduction 4.5 Conclusion 4.5.1 This chapter provides an overview of the types of issues and areas that can inform the LSSC in its future planning. The issue of isolation experienced by many families appears to be widespread and combined with varying levels of poverty, social exclusion and poor health, there is increasing risks of poor outcomes for many families in Limerick. Serious social problems, lawlessness and gangland crime in some areas of the city has meant that services are challenged to ensure that service users and particularly the ‘hard to reach’ can access services within their communities. Accessibility to services is therefore another identified issue in this chapter and relates not only to the City but also to rural areas where there are limited transport facilities. The needs of parents dealing with adolescents and the difficulties that adolescents themselves experience are issues that face parents nationwide. However, for those parents in Limerick where poverty, social exclusion and poor health are also issues, services that target adolescents must also respond to the complexity of the adolescent’s family background and the environment in which he/she lives. The availability of information for all target groups on what services are available, what these can offer, and how to access them was identified as requiring greater investment if those who are in most need in the community are to seek and access the necessary supports. Finally, for most service users, a “joined-up approach” or “partnership working” is in their best interests. While many service users may require a single service at any one time in their lives, many others will have complex needs requiring a range of services to address their needs. Limerick Social Service Council Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh CHAPTER 5 Conclusions 33 CHAPTER 5 Conclusions This research, commissioned by the LSSC, has sought to identify unmet needs in the Limerick area. In the course of the project timeframe, an extensive consultation process was undertaken in Limerick City and County with a range of stakeholders and in particular service users and potential service users. This process sought to ensure a broad picture of the range of issues and needs that impact on the health and well-being of individuals, families and communities in Limerick. Limerick City is known to be an area of social need, with a disproportionately high density of local authority housing. Economic growth over the past 15 years has benefited some areas of the City and County but has also had little impact on areas of deprivation and high social need, leading to greater social and economic inequalities and a widening gap between the haves and the have nots. Serious social problems, lawlessness and gangland crime in some of the city’s housing estates have attracted national attention to Limerick and given it the dubious honour of having the most socially deprived areas in the country which require significant structural and community investment and interventions. Broader changes in society have had a direct bearing on family life and the task of raising young children is undoubtedly made harder if parents are inexperienced and young, with few family and neighbourhood supports, low levels of educational attainment and reduced life chances. While living in a deprived area does not make someone an inadequate parent, it certainly makes the task of parenting more difficult. The experiences of non Irish nationals, asylum seekers, refugees and economic migrants entering the country in search of safety, security and prosperity has created new challenges for agencies like the LSSC. Many people from ethnic minority groups feel an acute sense of displacement, disorientation, insecurity and social isolation and experience problems of integration and discrimination. This research project has explored the link between poverty, social exclusion and poor health. Overtime these factors can combine to increase risk of poor outcomes for family members. In short, unhappy parents raise unhappy children and the cycle of deprivation is likely to be repeated in subsequent generations unless it is arrested by positive interventions or improved family circumstances. Agencies such as the LSSC are at the forefront of making this happen. Its purpose and function is to provide services that are responsive to the needs of disadvantaged and marginalised groups and tackle the causes of hardship and adversity. For many families over the years, raising children in Limerick in less than ideal circumstances, the LSSC has been a crutch to call upon in times of need, and assistance has always been forthcoming. Recipients of the LSSC Services reported that they felt listened to and respected and that they were offered a service that left their dignity intact. The Parent Support Programme, the Teen Parent Support Service and the Community Mother’s Programme are examples of how universal services can be deployed to establish contact with and support vulnerable new mothers many of whom experience isolation and a sense of detachment from the world around them. The needs of parents dealing with adolescents and the difficulties that adolescents themselves experience can also be addressed through these services. The LSSC has a long established counselling service which in recent years has expanded to areas of County Limerick. This type of service, particularly as it develops, is vulnerable groups identified e.g. families where members are dealing with addictions, marital breakdown, relationship problems, stress and depression. Counselling for specific age groups may also be considered e.g. adolescents, the elderly, etc in the future. The Community Workers who have been working in seven parishes for a number of years have also an important role in their support and encouragement to older people in dealing with isolation. Limerick Social Service Council 34 CHAPTER 1 Introduction An overriding issue for service users and funders is that services are accessible in terms of location, physical convenience, opening hours and appointment arrangements. The LSSC by it central location in Limerick City, its recent structural improvements to its building and its reputation of providing services at flexible times for service users is characterised as being an accessible service. This is particularly relevant for those living in rural areas and for those living in areas where local transport is limited. As previously stated, the LSSC also offers a range of outreach services that offer valuable alternatives and can complement the centre based service for those most vulnerable and hard to reach. A particular issue identified in course of the research was the relevance of the ‘whole person’ approach to identifying and meeting needs rather than treating people's needs in isolation. Again, the LSSC has advocated for a ‘whole needs approach’ in supporting individuals and families and within the current range of LSSC services, can offer many service users a whole package of support in a single access point or ‘one stop shop’. The LSSC recognises that some service users will require a joined up approach and in this context, the LSSC has endeavoured to work in partnership with a number of agencies, like the HSE, in the community. However, it also recognises a number of challenges and shortfalls for joint partnership working and has identified such mechanisms as common assessment tools that should be considered for enhancing future arrangements between agencies to develop a shared understanding and avoid replication. Finally, it should be mentioned that in a research study undertaken in Limerick over forty years ago at the time of the establishment of the LSSC, similar issues identified in this current report were also documented. While significant advancements have been made in society generally in terms of addressing social inequality, poverty and disadvantage, the nature of existing problems is in essence fundamentally the same. Moreover, in addressing the problems, the overriding approach to devising solutions is not too dissimilar to four decades ago. As Ryan (1966) in his study of one particular housing estate in Limerick concluded ‘if you are going to tackle the problem of Parkland in an empirical fashion, then you must tackle parents and children together. They must be given a sense of well-being, a sense of importance, and a sense of their own dignity’. Services like the LSSC have moved on some way since it first opened doors. It has replaced the outdated thinking of ‘tackling parents and children’ to one of working together as partners. Moreover, through this research, it acknowledges the importance of services having an information base in order that they are better equipped to understand the needs of those they seeks to support. Within this context, the progressive thinking and leadership that prompted the setting-up of LSSC in the sixties is evident today and will no doubt continue to work in line with social justice in a bid to give hope and improve the lives of Limerick’s most disadvantaged in the future. The Future The overall aim of this research was to examine the needs of communities in Limerick within the context of how a service like the LSSC can respond to those needs and how it can do so by working in close partnership with other agencies such as the HSE. The research highlights that needs cannot be responded to in isolation but must also be addressed by taking account of the social, economic and environmental factors that generate the needs or determine poor health in the first place. Identifying the Needs of Communities in Limerick 35 CHAPTER 1 Introduction Arising from the themes that have been identified in this report, a number of recommendations are proposed which promote the current LSSC scope and strategy, and which are therefore viable and achievable activities in the short- and medium-term and a means to sustain success into the future. Area Recommendations PARENT SUPPORT Investment in the Parent Support Programme, the Teen Parent Support Service and the Community Mother’s Programme should be continued and extended to respond to a clearly identifiable need in the population. COUNSELLING The availability of counselling services throughout the City and County should continue to be supported and more extensively promoted. The need for personal support such as counselling services was extensively highlighted where factors such as isolation, relationship difficulties, parenting problems, alcohol and drug abuse are increasingly impacting on the health and wellbeing of individuals and families. ADVOCACY SERVICE USERS This research has highlighted the importance of ensuring that service users are consulted in all matters that affect them. The LSSC should continue to assist the most vulnerable segment of service users and their families through its advocacy service for families with children in care. The LSSC as an independent advocate can be a valuable interface between the family and children’s services by helping families and children articulate their needs and concerns and to develop methods of moving individual issues into a collective agenda and a collective voice. ADVOCACY COMMUNITIES The LSSC through its daily work within communities and based on its extensive network and connections is in a unique position to develop the understanding and knowledge base of the needs of communities from a range of perspectives. It could therefore become more established as the ‘watchdog’ on issues and needs of Limerick communities at local and countywide levels. INTEGRATION OF SERVICES The provision of a range of services by LSSC enables service users to avail of an integrated package of care under ‘one roof’ whereby the complex nature of their needs can be identified and addressed. The ability of the LSSC to offer such packages from a central location (either in-house or by outreach) in addition to its connections to other relevant statutory and community services means it is strategically placed to be a central hub of information for other services as well as users and the general pubic. It is recommended that this position should be further strengthened by the LSSC taking a leadership role in the community and voluntary sector by promoting a ‘whole systems’ and standardized approach to assessment, referral and service delivery. This should be devised to follow the principals underpinning the current HSE Primary Care model. TRAINING The investment in staff, an organisation’s most important asset, is essential for any agency or organisation committed to promoting quality services. An essential dimension to this investment is the provision of staff training aimed at ensuring appropriate levels of knowledge and skills so that service-users receive the best outcomes. It is recommended that all staff and volunteers have the qualifications and/or training to deliver services at a recognised level while at the same ensuring they are committed to the ethos and values of the LSSC. Limerick Social Service Council Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh References & Further Reading 37 References & Further Reading Area Development Management Ltd (2000) Progressing Equality Through Childcare (insights 12), Dublin, Area Development Management Ltd. Barnardos (2006) ‘Make the Grade’ [accessed July, 2007] www.barnardos.ie. Barnet, S, Belfield, C. (2006) Early Childhood Development and Social Mobility. The Future of Children, Vol. 16 / No. 2 Berhmar, R.E. (ed) (1999) ‘Domestic Violence and Children’, The Future of Children, 9(3), Los Angeles: David & Lucile Packard Foundation Bradshaw, J. & Mayhew, E. Editors (2005) The Well-being of Children in the UK. Save the Children Fund & The University of York, London, UK Byrne, T. Nixon, E. Mayock, P. & Whyte, J (2004) The Free Time and Leisure Needs of Young People Living in Disadvantaged Communities, Dublin: National Research Centre & Combat Poverty Cabinet Committee on Social Inclusion (2006) Report of the High Level Group on Traveller Issues, Dublin: Government Publications Central Statistics Office (2005) Measuring Ireland’s Progress, Cork: Central Statistics Office of Ireland Central Statistics Office (2007) Census of Population 2006, Cork: Central Statistics Office of Ireland Central Statistics Office (2007) Headline Crime Statistics, Cork: Central Statistics Office of Ireland Central Statistics Office, (2003) Census of Population 2002, Cork: Central Statistics Office of Ireland Central Statistics Office, (2005) Regional Population Projections 2006-2021, Cork: CSO Clancy, P., in Quin et al (eds) (2005) Contemporary Irish Social Policy 2nd Edition, Dublin: University College Dublin Press Cleary A., Corbett M., Galvin M., & Wall J. (2004) Young Men on the Margins, Dublin: The Katherine Howard Foundation Combat Poverty Agency (2003) Briefing 14 On Educational Disadvantage in Ireland, Dublin: Combat Poverty Agency Combat Poverty, (2004). Against All Odds: Living in Deprived Communities. Combat Poverty Agency, Dublin. Combat Poverty Agency (2005) Working for a Poverty Free Ireland Strategic Plan 2005 – 2007, Dublin: Combat Poverty Agency Combat Poverty, (2006). Building Health Communities. Combat Poverty Agency, Dublin. Commission on the Family (1998) Final Report to the Minister for Social, Community and Family Affairs: Strengthening Families for Life, Dublin: Stationery Office Coulter C. & Coleman S. (2003) ‘The end of Irish history? Critical reflections on the Celtic Tiger’, Manchester: Manchester University Press Crowley, N. in Quin et al (2005) Contemporary Irish Social Policy, Dublin: University College Dublin Press Curriculum Development Unit (1996) Evaluation of the Moyross Intervention Education Pilot Project, Limerick: Curriculum Development Unit, Mary Immaculate College Limerick Social Service Council 38 CHAPTER 1 Introduction Curriculum Development Unit (2003) Working Together Project Interim Report, Limerick: Curriculum Development Unit, Mary Immaculate College Department of Health & Children, The National Children’s Strategy (2000) Our Children – Their Lives, Dublin: The Stationery Office Department of Justice, Equality and Law Reform (2005) Annual Report of an Garda Siochana, Dublin: The Stationery Office Department of Justice, Equality and Law Reform (2005) Developing School Age Childcare Report of a Working Group of the National Childcare Co-Ordinating Committee, Dublin: Government Publications Department of Justice, Equality and Law Reform (2005) The National Action Plan Against Racism, Planning for Diversity. Available at: 222.diversityireland.ie Department of Justice, Equality and Law Reform (2006) Annual Report of an Garda Siochana, Dublin: The Stationery Office Department of the Environment, Heritage and Local Government (2005) ‘Statement of Strategy, 20052007’ Dublin: Government of Ireland Emigrant Advice (June 2007) Submission to the OECD Review of the Irish Public Service Available at www.emigrantadvice.ie EU International Crime Survey Report, (2005) ‘The Burden of Crime in the EU, A Comparative Analysis of the European Survey of Crime and Safety (EU ICS)’, Report prepared for the European Commission European Anti Poverty Network (EAPN) 2006 Ending Poverty in Ireland NAPS Social Inclusion Forum 2006 [accessed in July, 2007] www.eapn.org Fanning B, Kiely G, Kennedy P and Quin S (eds.) (2004) Theorising Irish Social Policy (Dublin: University College Press) Fanning G. (2002) ‘Racism and social change in the Republic of Ireland’, Manchester: Manchester University Press Fay, R. Quirke, B. Amin, N. (eds) (2005) A Review of Travellers Health using Primary Care as a Model of Best Practice Dublin: Pavee Point Travellers Centre Finneron, M. (2000) Empty Desks Positive Approaches to Maximising Attendance in Primary Schools, Limerick: Curriculum Development Unit, Mary Immaculate College Fitzgerald J. (2007) Addressing issues of Social Exclusion in Moyross and other disadvantaged areas of Limerick City, Limerick: Report to the Cabinet Committee on Social Exclusion Fountain, J. (2006) An overview of the nature and extent of illicit drug use amongst the Traveller community Dublin: Government Publications Sales Office Government of Ireland (2001) Youth Work Act, 2001, Dulbin: Government Publications Government of Ireland (2006) Report of the High Level Group on Traveller Issues Dublin: Stationery Office Government of Ireland (2007) National Action Plan for Social Inclusion 2007 – 2016, Dublin: Government Publications Identifying the Needs of Communities in Limerick 39 CHAPTER 1 Introduction Government of Ireland (2007) National Action Plan for Social Inclusion 2007 – 2016, Govt Publications, Dublin Government of Ireland (2007) National Development Plan, 2007 –2013, Ireland - A Better Quality of Life for All, Dublin: The Stationery Office Harkin, A.M. (2007) Expert Group on Social Determinants and Health Inequalities Dublin: Social Inclusion Unit Hayes, N. (1995) The Case for a National Policy on Early Education Poverty & Policy Discussion Paper No. 2, Dublin, Combat Poverty Agency Health Service Executive (2005) National Service Plan 2006, Dublin: Government Publications Health Service Executive (2004) Health and Social Well-being in the Mid West, Dublin: Government Publications Health Service Executive, (2008) Summary of the Community Profile of the Northside & Southside Regeneration Areas of Limerick City. www.hse.ie Health Service Executive, (2007) National Health Service Plan, Dublin: Government Publications Home Office (2005 June) Crime Reduction News, London: JUST Integrating Ireland (July 2007) ‘Submission to the OECD Review of the Irish Public System Dublin: Integrating Ireland Irwin, L., Siddiqi, A., Hertzman, C (2007) Early Child Development : A Powerful Equalizer - Final Report for the World Health Organization’s Commission on the Social Determinants of Health, WHO, Geneva Kelleghan T., Weir S., O’Hullachain S., Morgan M. (1995) Educational Disadvantage in Ireland, Dublin: Combat Poverty Agency Limerick City Council (2004) Action Plan for Social and Affordable Housing 2004-2008 Limerick Limerick City Council (2005) Integrated Plan for the Delivery of Public Services to Travellers in County Limerick: Limerick: Limerick County Council Limerick City Council (2006): Limerick City Interagency Action Plan for Traveller Services. Limerick: Limerick County Council Limerick County Council (2005a) Integrated Plan for the Delivery of Public Services to Travellers in County Limerick: Limerick: Limerick County Council Limerick County Council (2006) Traveller Housing Strategy 2006 – 2011 Limerick County Council Limerick County Development Board, (2004) Economic, Social and Cultural Analysis of County Limerick, Limerick: County Development Board Limerick Youth Service, Strategic Plan 2005-2010 Loyal S. (2003) ‘Racism, immigration and the state’ in Coulter C. & Coleman S’, ‘The end of Irish history? Critical reflections on the Celtic Tiger’, Manchester: Manchester University Press McCafferty, D. (2005). Limerick: Profile of a Changing City. Limerick City Deveopment Board. Limerick. Limerick Social Service Council 40 CHAPTER 1 Introduction McCafferty D. & Canny A. (2005) ‘Public Housing in Limerick City:A Profile of Tenants and Estates’, Limerick: Limerick City Council’s Social Inclusion Unit McCashin, A. (1996) Lone Mothers in Ireland, Combat Poverty Agency in association with Oak Tree Press, Dublin McKeown K. & Fitzgerald G. (1997) Developing Childcare Services in Disadvantaged Areas, Dublin: Area Development Management Ltd. Mid Western Health Board – Traveller Health Services (2004) Regional Strategy Statement and Action Plan 2003-2005 Summary Report, Mid Western Health Board Motherway, B. (2006) The Role of Community Development in Tackling Poverty in Ireland. Combat Poverty Agency, Dublin National Committee on Racism & Interculturalism & Equality Commission for Northern Ireland (2006) Changing Ireland. Dublin: NCCRI National Committee on Racism & Interculturalism (NCCRI) (2007a) Improving Government Services to Minority Ethnic Groups: Key Considerations for Service Providers. Dublin: NCCRI National Suicide Research Foundation (2004) Young People’s Mental Health A Report of the findings from the Lifestyle and Coping Survey, Cork: The National Suicide Research Foundation & The Department of Epidemiology and Public Health National Youth Council of Ireland (1996), Putting Youth on the Agenda, Dublin: National Youth Council of Ireland National Youth Federation (2005) A Handy Guide to the Youth Work Act & National Youth Work Development Plan, National Youth Federation, Dublin Nolan, A., Duffy, V. and Regan, C. (2005) Reading the Future: A survey of the Literacy Needs of Adults in St. Munchin’s Parish, Limerick, Limerick: St. Munchin’s Family Resource Centre and 80:20 Educating and Acting for a Better World Norris M., Redmond D. (eds) (2005) Housing Contemporary Ireland, Policy, Society and Shelter Dublin: Institute of Public Administration Parkinson O. (ed) (2003) ’Labour Migration Into Ireland: Study and Recommendations on Employment Permits, Working Conditions, Family Reunification and the Integration of Migrant Workers in Ireland’, Dublin: Immigrant Council of Ireland Pavee Point Centre (2006a) Pavee Point Annual Report 2003-2005 Dublin: Pavee Point Travellers Centre Phelan H. & Kuol N. ‘Integration and Service Provision: Survey of Persons with Refugee and Leave to Remain Status in Limerick City’, Dublin: Reception and Integration Agency in partnership with Limerick City Development Board POBAL (2006) Creating Solutions from Diversity The Journey and Practice of City/County Childcare Committees Supporting Communities, Dublin: POBAL The Public Health Alliance Ireland, the Northern Ireland Public Health Alliance in association with the Institute of Public Health in Ireland. (2004) Report of the conference on “Creating Connections” Health Inequalities on theIsland of Ireland - An Agenda for Change. Maynooth Ryan, L (1966): Social Dynamite – A Study of Early School Leavers. (Out of print – available from LSSC) Identifying the Needs of Communities in Limerick 41 CHAPTER 1 Introduction Silke D (1999) in Quin et al ‘Contemporary Irish Social Policy’ Dublin: University College Dublin Press The Irish Times, Tues Feb 6th, 2007 Thompson N. (2001) ‘Anti-Discriminatory Practice, 3rd ed’, Basingstoke: PALGRAVE Unicef (2007) An Overview of Child Well-Being in Rich Countries, Florence: Innocenti Report Card 7 Florence, Unicef Innocenti Research Center University of Birmingham (2000) ‘Key Health Data for the West Midlands’ Crime and Health, [accessed August, 2007] Van Doorslaer, E. (2001) ‘Equity in the Use of Physician Visits in OECD Countries: Has Equal Treatment for Equal Need Been Achieved?’ Paper delivered at the OECD Conference ‘Measuring Up – Improving Health Systems Performance in OECD Countries’, Ottawa, Canada Women’s Health Council (2002) Promoting Women’s Health - A Population Investment for Ireland’s Future. The Women’s Health Council, Dublin Women’s Health Council (2003) Women, Disadvantage and Health - A Position Paper. The Women’s Health Council, Dublin Limerick Social Service Council 42 ELECTORAL DIVISIONS (EDs) Electoral Divisions (EDs) are the smallest legally defined administrative areas in the State for which Small Area Population Statistics (SAPS) are published from the Census. There are 3,440 legally defined EDs in the State. The following are some of the key Limerick EDs with some of the corresponding streets see (www.CSO.ie for full listings): ABBEY A Corbally, Lower Park (Pt), Old Park Road, Abbey Lock, Student Village Grove Island, Fisherman's Quay Grove Island, Ard Na Luachra, Lockmills Grove Island ABBEY B Canal Bank (Pt), Clare St. (Pt), Dublin Road (Pt), Rhebogue Road, St Lelia Place, Cherrydale Court (Dublin Road), Clareview Ave., Upper Clare St., Plassey Walk, Saint Lelia St ABBEY C Broad St. (Pt), Clare St. (Pt), Davitt St., Johns St. (Pt), Lock Quay, Mitchell St., New Road (Pt), St Lelia St., Grattan Court, New Road (St Johns Gate) (Pt), Pennywell (Pt), Roxtown Terrace, Johns Gate Village ABBEY D Cathedral Court, Downey Ave., Flood St. (Pt), Garryowen Road, Good Shepard Villas, New Road (St Johns Gate) (Pt), Newcastle View Terrace, Pennywell Road (Pt), Roxtown Terrace, Sarsfield Ave., Sarsfield Court, The Gables, Kilmurry Ave. & Road CUSTOM HOUSE Arthurs Quay, Bank Place, Broad St. (Pt), Charlotte's Quay, Cornmarket Row, Denmark St., Ellen St., Francis St., High St. (Pt), Michael St., Mungret St. (Pt), Patrick St., Robert St., Rutland St., St Michaels Court SINGLAND A Singland Ave., South Claughaun Road, Singland Park, Fairgreen, St Patricks Road, Churchfield, Singland Crescent, Greenhill Road, Pike Ave., East Singland Road (Pt), West Singland Road, St Lawrences Park SINGLAND B Aspen Gardens, Dublin Road (Pt), Norwood Park (Pt), Singland Road (Pt), Childers Road, Ballysimon Road MARKET Barrack Lane, Brennan's Row (Pt), Cathedral Place (Pt), Chapel Lane, Parkview Terrace, Garryowen Villas, Lower Gerald Griffin St., Johns Square, Johns St. (Pt), Markets Field Terrace, Mulgrave St. North (Pt), Mungret St. (Pt), Old Windmill Road, Rossa Ave., Sean Heuston Place, Upper William St. GLENTWORTH A Carey's Road (Pt), Upper Gerald Griffin St., Hyde Road (Pt), Little Wickham St., Parnell St. (Pt), Roxborough Road, Sexton St., Upper Careys Road, Upper William St., Wickham St. (Pt), Presentation Court, Glasgow Park GLENTWORTH B Marian Ave., Marian Drive, Marian Place, Mc Donagh Ave. (Pt), O'Donoughue Ave. (Pt), Pearse Ave. (Pt), Roxborough Road (Pt), GLENTWORTH C Ballyclough Ave., Carey's Road (Pt), Garryglass Ave.- Hyde Ave. (Pt), Hyde Road (Pt) PROSPECT A Byrne Ave. (Pt), Hyde Road (Pt), Lenihan Ave. (Pt), Talbot Ave. DOCK B Barrington St., Bowman St., Bowman St., Catherine Place, Emmett Place, Grennan Villas, Hartstonge Place, Hartstonge St., Lord Edward St., Upper Mallow St.(Pt), O'Connell Ave., St Josephs St. DOCK C Barrack Hill, South Circular Road (Pt), Clonard Terrace, Lord Edward St., Mount Pleasant Ave., O'Connell Ave. (Pt), St Alphonsus Terrace (Pt) Quin St., Westland Terrace, Wolfe Tone St. (Pt), Sarsfield Park, Kickham Ave., Lord Edward Court, Quins Cottages BALLINACURRA A Ballinacurra Road (Pt), Ferndale, Ballinacurra Terrace, Boreen Na Tobar, Circular Road South (Pt), Greenpark Villas, Lifford Ave., Lifford Gardens, New St. BALLINACURRA B Ballinacurra Road (Pt), Greenfields, Greenmount Ave., Oakview Drive GALVONE A Bawnmore Road (Pt), Cedar Court, Galvone Road (Pt), Linden Court, Roxboro St, Colbert Ave, Marian Ave, O'Donoughue Ave (Pt) GALVONE B Clonlong Halting Site, Galtee Drive - Donough O'Malley Park, Lilac Court Identifying the Needs of Communities in Limerick 43 Limerick Social Service Council Limerick Social Service Council Comhairle Sheirbhís Sóisialta Luimnigh Limerick Social Service Centre, Upper Henry Street, Limerick Tel: Fax: Email: Web: (061) 314111 (061) 314069 [email protected] www.lssc.ie AViD Graphic Design T. 328046
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