Janine, the magic of MST, and the myth of easy-to-get food bank vouchers

The new lie in circulation is that people are heading to food banks in vastly increasing numbers simply because they’re now aware that food banks exist. Was it Chancellor George Osborne who got this myth up and running earlier in 2013, when he suggested food bank use had gone up, ‘because people have been made aware of the food bank service through jobcentres’? The insulting implication being that a bunch of layabout chancers are flooding through the doors of food banks in search of freebies that ‘hard-working people’ would never dream of taking.

It’s been emphasised already, and it was good to see this addressed in the first episode of Famous, Rich and Hungry, but the message hasn’t quite got through yet: Getting a food bank voucher is anything but easy. If you want to use a Trussell Trust food bank, you need to be referred by the jobcentre, by a frontline professional such as a doctor, a health visitor, a social worker or the police. They are deemed to be best placed to identify if you’re going through a real crisis and that your need is genuine. It’s only then that a voucher will be issued.

Are thousands of people in the UK – escalating numbers every month – really jumping through those hoops to collect a three-day supply of long-life food, without being in real need of help? In six months of interviewing clients at a number of food banks in this fairly typical London borough, I’ve met very few indeed whom I thought were anything other than desperate. Most of them have problems with delayed, sanctioned or stopped benefits, or are trying to move from jobseeker’s allowance (JSA) to employment and support allowance (ESA) due to (often extreme) ill health. Most have disabilities and multiple health problems, including severe depression in many cases.

Some, like Janine (not her real name) who came in just before the weekend, are former victims of domestic abuse and experience periods of crisis when the food budget becomes impossible to manage. Janine, a mum of a 12 year-old boy and a 15 year-old girl, is starting to get her life back on track after splitting with her partner. He’s a drug addict and an alcoholic, and her children had to watch him being violent towards Janine. She says her 42-year-old ex-partner is now very ill indeed as a result of his addictions. Janine, 39, was happy for me to use her real name and be photographed, but I’ve given her a pseudonymn instead to protect her identity and that of her still-vulnerable family.

Her life hit its lowest point in October last year, after she lost the job she loved in the charity sector. By that time she’d become extremely depressed because of her partner’s problems with addiction and violent behaviour, and the effect on the children. She has no support from any extended family. Why did she need to access a food bank? Had she simply heard that food banks offered free food, and decided to head on down? No. She was referred by her council social worker, who gave her a voucher. She needed it because she is struggling to survive on £71 a week of ESA and the £56 (child tax credit and child benefit) she gets for her daughter. She’s currently paying heating of £20 a week and water rates of £7, plus £3 for her council flat rent (reduced from £38 since she lost her job). Her son of 12 moved back in with her a week ago after he was removed from his father’s residence. Janine says that while with his father he was fending for himself – running out on the streets until late at night and missing school.

So although she’s relieved to have her son back, she has another mouth to feed, but as yet no benefits in place for him. That’s what plunged her into crisis this week.

Luckily, her plight was spotted by a key person who’s been working extremely closely with her and her children. Our local council has got involved with an intensive family and community based treatment programme that originates in the US called MST (Multisystemic Therapy). It’s an approach that’s fairly new to England, and ‘blends the best clinical treatments including Cognitive Behavioural Therapy and family therapy to put parents and caregivers in control and to improve family relationships and functioning’. It aims to treat troubled young people ‘in the full context of their lives’. MST is also offering to support Janine as she tries to get back into the workforce. The MST key worker told Janine to ask her social worker for a food voucher, and Janine says the only reason she got it is ‘because my boy came back to live with me’. She had only ever used the food bank once before, with a voucher.

She’s evangelical about the positive impact the programme is having – given that it’s a small team based out of a local health centre: ‘I suffer from really bad depression, and they’ve been brilliant to me. They’re helping me sort out my finances, and that help is ongoing. My 15-year-old daughter suffers from anxiety, and is seeing a paediatrician(within the MST programme). They’re really good. They’re helping me with my CV and with ‘getting back into work.’

Before MST got involved, local council social services ‘didn’t provide the support, to be honest’, in Janine’s view. ‘My ex had alcohol and drugs problems, but the council still let my boy live with his father.’ She says he daughter has ‘a bit of an eating disorder, and is losing too much weight – myself and MST are keeping an eye.’ Her daughter did not go to school for six months last year, but she’s now in a good specialist school for children who have witnessed violence and suffer from conditions such as anxiety and depression. ‘There’s an open door at all times for her to go in and out and talk to people. She’s doing really well, and is ready for her exams. She’s caught up.’

It’s still too early to feel that things have permanently improved for the family, but so heartening to hear Janine say that MST is the best thing that’s ever happened to her: ‘It’s changed my whole life. My daughter is so much more relaxed. The people from MST turn up at school and ask her if she has any problems.’ Her account of why she was offered a food bank voucher should be read alongside the stories of greedy, dishonest, food bank clients that are starting to feature in some sections of the media.

Will Peter and Sue get added to this year’s malnutrition statistics?

Is the government rushing to close down the few remaining sources of help for people like Peter and Sue (not their real names), a couple who came into the London food bank last week? Both of them have serious health issues and their sickness benefits have been delayed.

Yesterday, the story broke that the £347m hardship fund, a potential safety net for the couple, is being scrapped. The Local Government Association (LGA) is calling for ministers to review the decision. The LGA says its abolition could leave councils unable to support families who face a crisis. The loss of the Local Welfare Assistance Fund would leave councils having to find money for this from their overall budgets. The government is reported as saying that councils will continue to give support to those in financial difficulties, but the LGA has highlighted that overall funding for local government has been cut by more than 40 per cent over the course of this parliament. Doing away with this fund could leave some areas unable to afford to help out people in crisis.

This development is not going to make life any easier for Peter and Sue, who usually get employment and support allowance (ESA), but had no way of feeding themselves last week. Peter, who is bipolar, had sent the sick note that he hopes would have triggered a renewal of ESA to an office in Ireland, but believes it’s been lost in the post. Before he can start receiving ESA again, he has to repeat the process of getting his key mental health worker to arrange an appointment with his psychiatrist. It’s easy to see that this is all going to take a while to sort. Sue, who is epileptic, had been friends with Peter for many years before they became a couple. They got together after she broke up with her ex-husband, who had been violent towards her. She doesn’t seem to know why her ESA has been delayed.

Both of them have older children from their previous relationships, and now Sue, 36, thinks she may be pregnant. The couple, who are clearly devoted to each other, are living together. Sue receives housing benefit and disability living allowance (DLA) in addition to ESA. With both sets of ESA now on hold, they are trying and failing to survive on Sue’s DLA of £41 a week. That sum has to cover rent, gas, electricity, council tax and food for two. Except of course, it isn’t covering food, which is why they’re here at the food bank.

They’re worried their gas and electricity are about to run out. That would leave them in a cold house, unable to heat up some of the tins of food we’re giving them. Our food bank manager Alan rang their energy supplier Utilita, which calls itself “the UK’s leading prepayment gas and electricity supplier”. He said they weren’t very interested in helping. “The couple had recently switched suppliers and this supplier (Utilita) did not seem to understand its responsibility to help vulnerable people and in any case could not act until their smart meter was installed.”

He added that in stark contrast, he contacted energy provider EDF the same day on behalf of another client, and they quickly agreed to provide an emergency supply of gas and electricity – £20 in each case. A bit of welcome good news. Well done EDF.

Getting help from the state seems to be getting harder and harder. Sue says that when they went to the job centre to use the phones, only one phone was left for clients to use. There used to be six lines available. The pair walked miles from their home to the job centre only to find they were unable to get help.

For Peter and Sue, life is very tough at the moment. Peter says they have both been “hungry the last week or two”. This is a particularly worrying development for someone who may be in the first three months of pregnancy. Life is a daily battle for survival. Peter says the key person who helps them is a local vicar. He’s the one who gave them a voucher for the food bank. “He’s understanding and he looks after us. He hates the government like I do. We are just oiks to them. If we get one less payment then the government saves a bit of money.”

The anger expressed by Peter’s vicar is being writ large across the nation. The open letter published in the Daily Mirror last week signed by 27 Anglican bishops is scathing about the Coalition’s “cutbacks to and failures in the benefit system” that have left half a million people visiting food banks since last Easter. It also says that 5,500 people were admitted to hospital in the UK with malnutrition last year. Peter and Sue are in danger of being included in this year’s malnutrition statistics.

Quotas for food bank vouchers at job centres?

Is an unofficial quota system for food bank vouchers operating at job centres? One man who called into a food bank in this London borough recently said he was told by his job centre that they’d given out 15 vouchers already that week. Persuading the staff there that he was in need was hard work. He said he did get a voucher eventually, but his experience begs a question. How many people in genuine need of an emergency supply of food are now being refused a food voucher by job centres?

There’s already a substantial level of need in this borough – a fairly typical one for London, with its pockets of deprivation. Between April 1 2013 and the end of January this year, Trussell Trust food banks in the borough fed 3,225 people (1937 adults and 1288 children). There was a month on month increase in clients from the middle of last year leading up to Christmas.

Everyone who received emergency help will have needed to present a voucher. But it’s vital to get a clearer idea of how many are trying to access help through job centres and are being refused that essential piece of paper.

With the number of people having their benefits sanctioned, or experiencing other delays (for example while their employment and support allowance entitlement is reassessed) on the increase, are job centres under orders to limit vouchers?

Accessing help to eat at short notice is becoming a fact of life for a growing number of people in this very average area of London. One experienced food bank helper here, whose day job is as an outreach worker in children’s services, says that half of the people coming to his food bank are there because of benefit sanctions. He adds: ‘A lot of them are on housing benefit. They have a roof over their heads, but they still have to eat.’ The most worrying thing is that they may be the ‘lucky’ ones, who managed to get their hands on that all-important voucher.