Practice · Tool or method
Assertive Housing Unit
- Homelessness, Housing
- Mental Health, Wellbeing
A Demo Practice - an assertive outreach and low-caseload Key Worker model that meets people experiencing homelessness where they are and walks with them from crisis through to stable, secure housing.
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About this practice
What AHU Delivers
This is a demo or example of a ShareCraft practice to help users understand how the system works. It is not a real program. The Assertive Housing Unit (AHU) is an intensive, wraparound support program for adults experiencing, or at significant risk of, homelessness. Instead of waiting for people to find their way to a service, AHU workers go to them, in parks, shelters, crisis and transitional accommodation, hospitals, and the community, to build trust, respond to crisis, and navigate a pathway into temporary and, ultimately, stable housing.
Six core activities:
- Intake and assessment of need
- Crisis response
- Case management into temporary housing
- Addressing barriers to housing
- Warm referral to other services
- Planned exit
Why It Works
AHU is built around three integrated streams, Engagement, Housing, and Wellbeing, delivered by a low-caseload Key Worker (approximately 10 to 15 clients) who coordinates a multidisciplinary team rather than carrying every need alone. Crisis response sits inside an ongoing relationship rather than being a standalone service, and warm referrals mean no client is left to navigate complex systems by themselves.
The cost of inaction: a night in a psychiatric inpatient bed costs approximately $1,220, a night in hospital $1,093, a day in court $1,574, compared to $120 for a night in crisis accommodation. AHU's model exists to reduce this costly cycling by intervening early and consistently.
Grounded in a Trauma-Informed Practice Framework
AHU practice is guided by the Healing Trauma Framework (HTF) and a trauma-informed, strengths-based approach, prioritising safety, dignity, voice and choice, and culturally safe practice for Aboriginal and Torres Strait Islander, CALD, and LGBTIQA+ clients.
What Licensees Get
A structured model for delivering assertive outreach and case management to complex, high-need cohorts, including a client segmentation approach, a multi-domain assessment framework, and an Outcomes Scorecard to track progress from Crisis toward stability across eleven domains.
Who it’s for
Homelessness services, community mental health services, and justice-linked or health-linked referral partners supporting adults with complex, intersecting needs in inner-city or metro settings.
Target population
AHU serves adults aged 18 and over who are experiencing homelessness, or are at significant risk of it, in Sydney's CBD and inner suburbs.
Typical profile: Someone rough sleeping or in crisis/transitional accommodation, with a documented mental health condition (e.g. depression, anxiety, PTSD, or a co-occurring presentation), a complex trauma history, and one or more additional needs such as substance use, justice system involvement, chronic health conditions, or social isolation.
Client segments:
- Very complex, critical needs (approx. 18% of cohort): 6 to 7 domains of need at intake; complex trauma, co-occurring mental health and AOD/ABI, long service history
- Moderate, housing focus (approx. 42%): 4 to 5 domains of need; housing is the primary issue, often driven by low income, eviction, or relationship breakdown
- Less complex, temporary issues (approx. 40%): 0 to 3 domains of need; still connected to family or community, crisis is recent or acute
Groups requiring specific attention: Aboriginal and Torres Strait Islander people, women and gender-diverse people affected by family violence, people from CALD backgrounds, LGBTIQA+ people, and people exiting prison or youth detention.
AHU is not appropriate for people needing only housing assistance without complex needs, people requiring acute emergency care, people under 18, or people without a connection to the defined intake zone.
How it’s delivered
- One-to-one sessions
- Outreach visit
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