Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe...

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Homelessness, A New Phenomenon In Canada May 12, 2014 All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing

Transcript of Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe...

Page 1: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Homelessness, A New Phenomenon In Canada

May 12, 2014 All Our Sisters Conference 2014

Dr. Abe OudshoornArthur Labatt Family School of Nursing

Page 2: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.
Page 3: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

History of Homelessness• Pre-1977: transience and skid row• “Report on Skid Row” – City of Toronto

Planning Division, 1977

Page 4: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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

Page 5: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

A Reaction• Food Banks Canada – 1989• 400 shelters developed across Canada by

1990 (including domestic violence shelters)• The charitable impulse

Page 6: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Current Situation

• 1,086 shelters; 28,495 shelter beds• 146,726 unique individuals accessed shelter• 5,263,182 shelter bed nights

Page 7: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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

Page 8: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

The Pressure

Page 9: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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

Page 10: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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

Page 11: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Housing First

• All things held equal…

Page 12: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Policy Issues

• Orders to reside

Page 13: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Policy Issues

• Hospital discharge to shelter

Page 14: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Policy Issues

• Rent supplement, direct to landlord

Page 15: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Therefore…

• Where is the housing?

Page 16: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Housing First in Action

Page 17: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

New Model• London CAReS• A municipal commitment• Flexibility• Monitoring outcomes• Outreach partnered with housing stability

Page 18: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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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

Page 19: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

19

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

Page 20: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Fiscal Impact

• $800 per ED visit• $335 per street arrest• $255 per night in prison• $75 per night in shelter

source: HomelessHub

Page 21: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Women’s Homelessness

Page 22: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Violence and Homelessness

• 26% of all people experience homelessness report family violence as cause of admission to shelter

• Rises to 40% for homeless families• Rises to 73% for homeless women• Intersectionality of other social locations

(LGBTQ, Aboriginal, new Canadians, households with substance use)

Page 23: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Best Practices

• Risk escalates during intervention/separation• A place unknown to abusive partner• Involved and aware professionals• Focus on maintaining custody of children• A safety plan• All services aware of no contact orders• Connection with legal and financial advocacy

Page 24: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Chronic/Episodic

• Housing First has best results with chronic homelessness to date

• Women’s homelessness more likely to be episodic than men’s homelessness

Page 25: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Social Exclusion, Peers, and The Support of Women

Page 26: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.
Page 27: Homelessness, A New Phenomenon In Canada May 12, 2014All Our Sisters Conference 2014 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

Questions

Contact

[email protected]

@abeoudshoorn