Implementing Housing First Dec 4, 2013 OMSSA Conference 2013 Dr. Abe Oudshoorn Arthur Labatt Family...
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Transcript of Implementing Housing First Dec 4, 2013 OMSSA Conference 2013 Dr. Abe Oudshoorn Arthur Labatt Family...
Implementing Housing First
Dec 4, 2013 OMSSA Conference 2013
Dr. Abe OudshoornArthur Labatt Family School of Nursing
History of Homelessness• Pre-1977: transience and skid row• “Report on Skid Row” – City of Toronto
Planning Division, 1977
1977-1987
• Homelessness as a real problem in developed nations
• To 1985: 136,334 social housing units developed
• UN 1987 – International Year of Shelter for the Homeless
A Reaction• Food Banks Canada – 1989• 400 shelters developed across Canada by
1990 (including domestic violence shelters)• The charitable impulse
Current Situation
• 1,086 shelters; 28,495 shelter beds• 146,726 unique individuals accessed shelter• 5,263,182 shelter bed nights
The PressureWelfare Benefits
(1992 Dollars* )
$ 0
$200
$400
$600
$800
$1000
$1200
$1400
J an-35 J an-40 J an-45 J an-50 J an-55 J an-60 J an-65 J an-70 J an-75 J an-80 J an-85 J an-90 J an-95 J an-00 J an-05
Month
Mo
nth
ly W
elf
are
Be
ne
fit
($)
Single person Sole support parent with one child
* Deflated using C anada C PI
The Pressure
The Pressure
2007 2008 2009 2010 2011 2012 20130
50000
100000
150000
200000
250000
300000
350000
400000
450000
Foodbank Users per Month - Ontario
Foodbank Users per Month - Ontario
Ontario’s Affordable Housing Policy Vision
1. Demonstrating outcomes2. Housing First3. Collaboration with non-profit and private
market4. Integration with other services5. Priority populations6. Environmental sustainability
Housing First
• All things held equal…
Policy Issues
• Orders to reside
Policy Issues
• Hospital discharge to shelter
Policy Issues
• Rent supplement, direct to landlord
Fiscal Issue
Therefore…
• Where is the housing?
Housing First in Action
Existing Model
New Model• London CAReS• A municipal commitment• Flexibility• Monitoring outcomes• Outreach partnered with housing stability
20
Current Housing Status*as of August 31st, 2013
85%
Shelter 2
4%
Tenuously
Housed
36%
Incarcerated 12%
Residential Treatment/Hospital 2
4% Housed 46Shelter 2Tenuously Housed 3Incarcerated 1Residential Treatment/Hospital 2
21
Participant #8
Jun-12
Jul-1
2
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
02468
101214161820
# of Emergency Room Visits
# of Emergency Room Visits
Fiscal Impact
• $800 per ED visit• $335 per street arrest• $255 per night in prison• $75 per night in shelter
source: HomelessHub
Elucidating Outcomes
• Hours of service, number of contacts, satisfaction with service
Vs• Housing result, fiscal impact, health and QoL
outcomes
Managing Ending