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Profiling disadvantage
The scale and nature of interconnected social harms
‘Severe and multiple disadvantage’
What we did

Having coined the term ‘severe and multiple disadvantage’, we set about commissioning and funding a variety of research projects.

 

The intention was to illuminate the scale and nature of interconnected social harms. The most notable and influential piece of research from this phase was the Hard Edges report (2015), by academics at Heriot-Watt University.

 

This concluded that there was a core group of 60,000 people who were simultaneously in contact with homelessness, drugs and alcohol, and criminal justice services.

 

Following Hard Edges, we also funded and commissioned a number of complementary research projects to explore different experiences and perspectives on similar issues.

 

This included ethnographic and storytelling approaches which focused more on the voices of people with lived experience of harm – ‘the lives behind the numbers’ – and studies focused on race, sexuality and gender inequalities.

Why we did it

We needed to learn more about the issues we wanted to address, and to illuminate the different experiences of people facing multiple disadvantage.

 

We knew that building the evidence based around our mission would support our own influencing work (as well as that of our partners making similar arguments) and open up conversations in the wider world, including in government and policy circles, where major decisions about the landscape of service delivery are made.

What happened 
as a result…

Hard Edges was an extremely influential piece of work, which really put ‘severe and multiple disadvantage’ and ‘multiple complex needs’ on the map of policymakers, commissioners and service providers.

 

It managed to highlight the interconnections of social harms to new audiences, whilst resonating strongly with those already familiar with its themes – particularly people working in support services, and people with lived experience of disadvantage.

 

It was impactful in making the core argument about siloed versus joined-up service provision, and its findings helped to inform a number of policy and practice initiatives including Making Every Adult Matter (MEAM), Fulfilling Lives, Changing Futures and Troubled Families.

What also happened as a result…

Restrictive conceptions of ‘severe and multiple disadvantage’ became stuck: the boundaries of the debate around homelessness, the criminal justice system, addictions and (often) mental health became their own ‘hard edges’.

 

This created new exclusions, and ‘SMD’ became another damage-based label to attach to groups of people.

 

This troubled us, as we knew there were issues and people being missed by statistical and service-based data trawls in these domains, particularly women and people of colour.

 

We saw that new siloes were forming, and that the reasons for the inclusion or exclusion of particular people and groups from our work was becoming less and less coherent.

 

The debate could even become unpleasantly competitive, with different groups vying for consideration as the ‘most disadvantaged’ or the ‘biggest problem’. Our confidence that we’d drawn the right boundary(s) faded.

 

This is discussed in greater detail in the ‘knowledge’ section.

 

Our work was also used to support policy interventions we felt distinctly uncomfortable with – see this article from the Daily Mail.

Questions the work raised
Defining the issue/setting the terms is an exercise of power. What should philanthropic organisations consider when starting new work? 
Does research profiling disadvantaged populations merely serve to deepen stigma and ‘othering’?
Many reports mapping different forms of disadvantage end up focused on the same people/places – what is the point of repeating this ad infinitum?

 

What it led to for Lankelly Chase

Hard Edges in particular led to a purple patch of influence, and was at least partly responsible for significant expansion in policy and practice focus on multiplicity and interconnection, rather than individual siloes.

 

Because we were heavily involved in the report, it became part of our own ‘brand’ rather than just something that we’d funded; this enabled us to inhabit a more active and mission-driven identity, beyond ‘just a funder’.

 

The work on profiling disadvantage made it clear that our mission related to a ‘wicked’ or complex problem, i.e. it had a number of interdependent variables, many of which were uncertain and could result in multiple potential solutions, and which could not be solved through linear or predictable means. Accepting this changed our approach and led to our focus on systems change

People in the field
The authors of Hard Edges, Professor Suzanne Fitzpatrick and Professor Glen Bramley, are experts in profiling hidden and marginalised populations of people.