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Street to Homes (Toronto) powerpoint presentation February 23, 2011



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This presentation was delivered by Streets to Homes program staff visiting St. John's, NL on February 23, 2011.

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Street to Homes (Toronto) powerpoint presentation February 23, 2011

  1. 1. Streets to Homes and Housing First St. John’s Newfoundland Gordon Tanner and Katie Keating City of Toronto, Streets to Homes Program February 23, 2011
  2. 2. Outline <ul><li>Shelter, Support and Housing Administration Priorities </li></ul><ul><li>Setting the Context </li></ul><ul><li>Housing First and Streets to Homes </li></ul><ul><li>Outcomes to date </li></ul><ul><li>What’s next </li></ul><ul><li>Critical success factors and future / ongoing challenges </li></ul>
  3. 3. Shelter Support and Housing Division <ul><li>What we do </li></ul><ul><li>Fund and coordinate services for homeless and vulnerably housed people, including: </li></ul><ul><ul><li>Streets to Homes </li></ul></ul><ul><ul><li>Emergency shelters </li></ul></ul><ul><ul><li>Pre-employment support services </li></ul></ul><ul><ul><li>Housing help and eviction prevention </li></ul></ul><ul><ul><li>Drop-in services </li></ul></ul><ul><li>Administer the social housing portfolio </li></ul><ul><li>Coordinate emergency human services </li></ul><ul><li>Service delivery in partnership with about 346 community agencies </li></ul>
  4. 4. Top Priorities <ul><li>End street homelessness </li></ul><ul><li>Help prevent homelessness </li></ul><ul><li>Provide emergency shelter services </li></ul><ul><li>Sustain and revitalize social housing </li></ul><ul><li>Create more affordable and transitional housing </li></ul>
  5. 5. Early learning – Tent City 2002
  6. 6. Early learning – Bathurst Bridge 2004
  7. 7. <ul><ul><li>“ City Council make a commitment to ending street homelessness by working with other orders of government, private sector landlords, such as the Greater Toronto Apartment Association, and community partners to implement an outreach-based and rent support-based Homelessness Strategy to assist homeless persons find permanent housing.” </li></ul></ul><ul><ul><li>February 2005 </li></ul></ul>
  8. 8. Streets to Homes – How did it start? <ul><li>Hire a City staff led team – 10 people </li></ul><ul><li>Lead change management in the sector (9 agencies funded to do street outreach) </li></ul><ul><li>Re-focus from managing street homelessness to ending street homelessness </li></ul><ul><li>Conduct a needs assessment and count of people experiencing homelessness in Toronto </li></ul><ul><li>Develop a strategy to serve people with significant mental health and concurrent disorders </li></ul>
  9. 9. Street Needs Assessment, 2006 <ul><li>Estimated 5,052 homeless people </li></ul><ul><ul><ul><ul><ul><li>72% staying in emergency shelters </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>16.2% sleeping outside </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Remainder in health and treatment facilities, corrections and VAW shelters </li></ul></ul></ul></ul></ul><ul><li>818 estimated to be living outside </li></ul><ul><li>24% of all people living outside were Aboriginal </li></ul><ul><li>9 out of 10 homeless people surveyed said they wanted permanent housing </li></ul>
  10. 10. <ul><li>Where did our clients live? </li></ul>
  11. 19. Street Outreach: Then and Now <ul><li>People have a right to sleep outside </li></ul><ul><li>Focused on meeting immediate needs </li></ul><ul><li>Getting people into shelter </li></ul><ul><li>Many volunteer led initiatives </li></ul><ul><li>Report on activities and contacts in an aggregate form </li></ul><ul><li>No central administration </li></ul><ul><li>Anecdote driven </li></ul><ul><li>Not okay for people to sleep outside </li></ul><ul><li>Intensive case management focus around housing (no survival supports) </li></ul><ul><li>Focus on getting people into housing as quickly as possible </li></ul><ul><li>Professionalized staff led service with increased training and accountability </li></ul><ul><li>Report on outcomes on a client by client basis </li></ul><ul><li>Central administration </li></ul><ul><li>Evidence driven </li></ul>
  12. 20. What is Housing First? <ul><li>A client-driven strategy that provides options and rapid access to a home without requiring initial participation in treatment </li></ul><ul><li>Based on a belief that housing is a basic human right, not a reward for clinical success </li></ul><ul><li>Don’t need to be “housing ready” </li></ul><ul><li>Two models for implementation : </li></ul><ul><ul><li>Assertive Community Treatment Team (ACT) – eg, Pathways to Housing </li></ul></ul><ul><ul><li>Intensive Case Management (ICM) – eg, Streets to Homes </li></ul></ul>
  13. 21. Why Housing First? <ul><li>People who experience homelessness want permanent housing </li></ul><ul><li>The best place to learn the skills necessary for housing stability is while in housing </li></ul><ul><li>More cost effective to focus on long term housing solutions than emergency measures </li></ul><ul><li>Quality of life improves for people housed </li></ul><ul><li>Separates housing (homelessness) issues from other life issues </li></ul><ul><li>“ Treatment first” is not needed to achieve stable, independent living </li></ul><ul><li>Decreases demand and costs of other health, emergency and criminal justice services </li></ul>
  14. 22. Taking services to the street <ul><li>Street outreach helps with: </li></ul><ul><li>Obtaining ID </li></ul><ul><li>Accessing income supports </li></ul><ul><li>Accompaniment and referrals to services </li></ul><ul><li>Looking for an apartment </li></ul><ul><li>Negotiating the lease with the landlord </li></ul><ul><li>Acquiring furniture </li></ul><ul><li>Moving In </li></ul><ul><li>Connecting with follow-up supports </li></ul>
  15. 23. Clients Choose Where They Live Three requirements for service <ul><li>Must agree to have rent paid directly to landlord </li></ul><ul><li>Must agree to have follow-up supports </li></ul><ul><li>Must agree to complete an application to be on the centralized waiting list for subsidized housing </li></ul>
  16. 24. Housing Options <ul><li>Private market partnerships </li></ul><ul><li>Toronto Community Housing </li></ul><ul><li>Priority access because clients come with supports </li></ul><ul><li>New supportive & affordable housing projects provide direct access to units </li></ul>
  17. 25. Specialized Services <ul><li>Aboriginal specific outreach and follow up </li></ul><ul><li>Youth outreach and housing team </li></ul><ul><li>New comers, refugees and people with settlement issues </li></ul><ul><li>Post Incarceration support for people leaving detention </li></ul>
  18. 26. Mobile Multi-Disciplinary Outreach Team (MDOT) <ul><li>Multi organizational team of specialists (nurse, concurrent disorders therapist, case manager, housing worker, psychiatrists) provide outreach to individuals with severe mental illness </li></ul><ul><li>Provide comprehensive assessment to clients on the street </li></ul><ul><li>Focused on linking to appropriate services within the mental health, primary care and addiction sectors </li></ul><ul><li>Consultation to outreach teams is also provided. </li></ul>
  19. 27. Housing First but not Housing only <ul><li>Follow up Support Program </li></ul><ul><li>Individualized service planning and goal setting </li></ul><ul><li>Landlord support and mediation </li></ul><ul><li>Monthly rent checks </li></ul><ul><li>Linking clients with new communities </li></ul><ul><li>Harm reduction strategies </li></ul><ul><li>Eviction prevention and crisis intervention </li></ul><ul><li>Exit strategy, and re-housing if applicable </li></ul>
  20. 28. Streets to Homes: Building on success <ul><li>Post-occupancy survey of people housed through Streets to Homes </li></ul><ul><ul><li>49% decreased or quit alcohol </li></ul></ul><ul><ul><li>73% decreased or quit other drugs </li></ul></ul><ul><ul><li>Less use of 911, ambulance, fire, court and police detox services </li></ul></ul><ul><ul><li>54% panhandled when homeless </li></ul></ul><ul><ul><li>23% reported panhandling once housed </li></ul></ul><ul><li>Housing makes the future look better – 82% more positive. </li></ul>
  21. 29. Client Perspective on Housing First <ul><li>Friendliness and persistence of outreach workers was key to accepting service </li></ul><ul><li>Being housed – especially the first few months – is a difficult adjustment and many people think about leaving </li></ul><ul><li>Despite all the difficulties and adjustments, clients are inclined to want to stay housed </li></ul><ul><li>“… to leave would screw everything up. I would go back to square one. I’m walking a fine line right now and I don’t want to go that way.” </li></ul>
  22. 30. Expansion of Streets to Homes <ul><li>Increase of 48 FTE staff </li></ul><ul><li>24/7 service </li></ul><ul><li>Specialized supports for individuals who are housed and panhandle </li></ul><ul><li>Expansion of pre-employment work preparation program </li></ul><ul><li>May 2008, Council approved an enhancement to Streets to Homes services, to address the needs of people who panhandle or are otherwise street involved </li></ul>
  23. 31. Outcomes to date <ul><li>3,000 people housed in 5 years </li></ul><ul><ul><li>Most in the private market </li></ul></ul><ul><ul><li>In housing of their choice </li></ul></ul><ul><ul><li>Spend an average 41% of monthly income on rent </li></ul></ul><ul><li>More than 80% remain in housing at 12 months </li></ul><ul><ul><li>Most in the first apartment they chose </li></ul></ul><ul><ul><li>Intensive monitoring and support </li></ul></ul>
  24. 32. Evidence that Housing First is working in Toronto <ul><li>2009 Street Needs Assessment </li></ul><ul><li>51% reduction in street homelessness in Toronto </li></ul>
  25. 33. What’s New – Fall 2010 <ul><li>Streets to Homes Assessment & Referral Centre </li></ul><ul><li>Street Respite </li></ul><ul><li>Walk-in Housing Access </li></ul><ul><li>Overnight Program </li></ul><ul><li>Walk-in Referral to Shelter </li></ul><ul><li>Dedicated Local Outreach Services </li></ul>
  26. 34. Critical success factors <ul><li>Partnership, Partnership, Partnership </li></ul><ul><li>Council commitment to end street homelessness </li></ul><ul><li>Opportunity to pilot projects and innovate under Federal Homelessness Partnership Strategy </li></ul><ul><li>Committed and innovative staff who believe in making a difference, one person at a time </li></ul><ul><li>Client-centred thinking; listening to clients </li></ul><ul><li>Tracking outcomes and evaluation </li></ul>
  27. 35. Future / ongoing challenges <ul><li>Sustainable follow up supports </li></ul><ul><li>Need to re-housing clients </li></ul><ul><li>Access to affordable and supportive housing </li></ul><ul><li>Maintaining a healthy staff team </li></ul><ul><li>Tracking outcomes and evaluation </li></ul><ul><li>Integrating health services with social (homeless) services </li></ul><ul><li>Ongoing sustainable funding from provincial and federal governments </li></ul><ul><li>Ongoing impact of extreme poverty on our clients </li></ul>
  28. 36. James and Maurice
  29. 37. Contact us: <ul><li>Gord Tanner </li></ul><ul><li>Manager, Streets to Homes </li></ul><ul><li>416-397-4210 </li></ul><ul><li>[email_address] </li></ul><ul><li>Katie Keating </li></ul><ul><li>Supervisor, Social Assistance, Streets to Homes </li></ul><ul><li>416-397-5182 </li></ul><ul><li>[email_address] </li></ul><ul><li>www.toronto.ca/housing </li></ul>