Antrobus & Lutke 2008 FASD and Homelessness A Reality Check The absence of housing is the absence...

Antrobus & Lutke www.faseout.ca 2008

FASD and HomelessnessA Reality Check

The absence of housing is the absence of everything

Authored by

Tina Antrobus and Jan Lutke


Why is housing important?“The balancing act”


FAMILY

WORK

HOUSING

ACTIVITIES OF DAILY

LIVING

SCHOOL

PARENTING

LEGAL DIVERSION

A & D

MENTAL HEALTH

HEALTH/ NUTRITION

FINANCES

SOCIAL RELATIONS

LEISURE

MEDS TRANSPORT

FASD Pyramid of Need


Why do adults with FASD become homeless?

Because four walls and a roof are not enough. Ever.


Question:What is the primary goal of independent living?

Answer:Successful management of the activities of daily

living


FASD and Homelessness

Activities of Daily Living

Manage Money

Grocery Shopping

Cook Meals Pay Bills

Medical Care

Interpersonal Relationships

House Keeping

Leisure Recreation

Hygiene

Transportation

Problem Solving

Food Safety

Laundry

Medication

Birth Control

Family

Employment

Banking

Nutrition

Home Repair/ Maintenance

Appointments

Purchases

Dress

Access Services

Emotions


• Streissguth et al. Longitudinal Study (1996),

Sample of adults age 21+ were unable to: – Manage money 82%– Make daily living decisions 78%– Obtain social services 70%– Get medical care 68%– Handle interpersonal relationships 57%– Grocery shop 52%– Cook meals 49%– Structure leisure activities 48%– Stay out of trouble 48%– Handle hygiene 37%– Use public transportation 24%

FASD and Activities of Daily Living



* Streissguth et.al. (1996)

80% are unable to live independently*

(Regardless of IQ)

Why?


All activities of daily living are done in, around, and out of the place in which you live.

If you don’t have a place to live . . . The rest doesn’t matter.

The Conundrum of FASD and Housing


LEIS

UR

E

TRANSPORT

PARENTING

FIN

AN

CE

S

HEALTH /

NUTRITION

A & D

WORKEDUCATION

MENTAL

HEALTH

SCHOOL

FAMILY

ACTIVITES

OF DAILY LIVING

Absence of Housing =Inability to Function. Period.

DIVERSION

SOCIAL

RELATIONS

MEDS


Sole qualification in BC for even the most minimal of services from Community Living Services, MCFD, the only branch of social services where housing supports for adults can be obtained, is:

IQ < 70



Options for the Homeless

• Emergency Shelter $31- $85/day

• Detox Centre $80 - $185/day

• Provincial Jail $155 - $250/day

• Psychiatric Hospital $200 - $600/day*

Permanent Housing Options

• SRO Room

$11/day• Self-contained Apt.

$14 - $20/day• Supportive Housing

$32 - $38/day*• Supportive Housing for

Adults w/ FASD

$100 / day ?????

“Denial by Design”FASD and Homelessness

VS

* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.


The homeless use 33% more government services than those with permanent shelter, and are such heavy users of services that it

would be more cost effective to provide them with decent stable housing.*

“Denial by Design”FASD and Homelessness

* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.


“Supportive Housing”

for adults with FASD


The 7 S’s of Supportive HousingJan Lutke, 2004

SELECTION

STRUCTURE

SUPPORT

STABILITY

SAFETY

SECURITY

SUPERVISION


“Supportive” Housing for FASD• Long Term Safe Permanent “Place to Call Home”• Awake Staff 24/7• Integrated Individualized Case Management• Meals Provided• Programs (Employment, Education, Leisure)• Comprehensive Supported Activities of Daily Living• Peer Support (Circle of Friends, mentor)• Family Involvement / Support• Addictions Services• Health Care (GP, PHN, meds)• Mental Health• Transportation• Legal Resources• Staff Support

No Eviction Policy

* Specifically for non-parenting adults with FASD


Reality Check

The absence of housing is the absence of everything!


Thank you!

Antrobus & Lutke 2008 FASD and Homelessness A Reality Check The absence of housing is the absence...

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