Journey out of rough sleeping

Person sitting on the ground under a concrete structure wrapped in a blanket, sitting on cardboard box, with belongings nearby, representing the need for outreach and support.

What does a road out of rough sleeping really look like?

This journey, illustrative of many journeys from rough sleeping in Melbourne, shows how systemic barriers delay a person’s way out of sleeping rough.

Lack of housing options, and lack of access to ID and Medicare mean people are sleeping rough for long periods, often with urgent or untreated health needs.

In Melbourne, Launch Housing support workers have supported 2,453 people sleeping rough across 8 local councils since 2019.

Persistent outreach, embedded healthcare and an approach that prioritises immediate accommodation contribute to a person sustaining safe housing. 

Milestone 1. Initial contact
Many people sleeping rough have been let down by multiple systems and may have distrust in services.

Our outreach team meets with the client where they are, showing up consistently and without judgement. Over time, they build trust through genuine connection, offering support and clear information about their options. Once trust is established, the client agrees to referrals and joins the By-Name List as part of the Advance to Zero approach.

Milestone 2. Rough sleepers initiative
Embedding health services into outreach helps overcome systemic barriers to accessing essential care.

Outreach workers help replace lost ID and lodge a priority Victorian Housing Register application. The shortage of social housing means the client faces a long wait time. While waiting for housing, Bolton Clarke nurses address urgent health needs: wounds, infections, mental health crises.

Milestone 3. Melbourne Street to Home
Best practice upholds a person’s dignity through collaborative, wraparound, trauma-informed support.

Following a Housing First approach, our team provides intensive, assertive, flexible support. The client sets their support goals, which focus on legal, health and community connections. We can advocate for the client’s Victorian Housing Register application to be backdated based on their history of rough sleeping. While long wait times remain a barrier to securing housing, our flexible and sustained support ensures the client is not navigating this journey alone.

Milestone 4. Social Housing
Housing is the foundation for recovery and connection.

Once housed, we support the client to settle into their home, furnish their space, and connect with local supports and community. Ongoing health and wellbeing care are embedded in the journey. Over time, a sense of safety and stability builds. 

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Acknowledgement of Country

We acknowledge the Traditional Owners of the lands on which we live and work. As we create safe and welcoming homes, we honour the people of the Kulin nation and their enduring connection to their home we call Naarm, Melbourne.

We pay our respects to all First Nations Elders, past and present.

It is important that we acknowledge that the contemporary housing experience of Aboriginal and Torres Strait Islander people cannot be separated from their historical experience of dispossession and dislocation. Aboriginal Victorians are overrepresented in the population experiencing homelessness, with census data confirming that Aboriginal Victorians experience homelessness at over five times the rate for non-Aboriginal people.

We support the development of a culturally safe Aboriginal housing and homelessness sector based on principles of self-determination and will continue to do what we can to help make this happen.

We are committed to understanding how our services are impacting Aboriginal clients and, where relevant, we have disaggregated our 10 Impact Measures to report Aboriginal client outcomes.