1. Canadian Housing First Toolkit www.housingfirsttoolkit.ca Alberta Webinar November 28, 2014 Lauren Polvere, Ph.D. Research Associate, Douglas Mental Health University Institute Tim MacLeod, Wilfrid Laurier University, PhD Student

2. / 2 http://housingfirsttoolkit.ca/ What is Housing First?

3. / 3 http://housingfirsttoolkit.ca/ What is Housing First?

4. / 4 http://housingfirsttoolkit.ca/ At Home/Chez Soi MHCC received $110 million in 2008 from the federal government. Randomized trial in 5 Canadian cities with over 2000 participants. Participants received HF (ICM, ACT or 3 rd arm services) or TAU. Providing evidence about what services and systems best help people experiencing serious mental health issues and homelessness. Research Questions: For whom does it work best? How does it work? (process and fidelity) What are the key outcomes? Does it work in different settings (in Canada)?

5. / 5 http://housingfirsttoolkit.ca/ Findings HF was found to have a large and significant impact on housing stability. HF worked for well for participants with diverse enthno-racial backgrounds. HF housing units were of significantly higher quality than those housed in TAU. Gains in quality of life and community functioning were significantly greater for HF participants. Participants receiving HF reported primarily positive life trajectories while those receiving TAU reported primarily mixed or negative life trajectories.

6. / 6 http://housingfirsttoolkit.ca/ Findings Continued HF participants used less crisis services and more community services. HF is a wise investment - for every $10 invested in HF, there is an associated $9.60 savings for high needs and $3.42 for moderate needs participants. For the 10% of participants with the highest service use costs at the beginning of the study, every $10 invested had an associated cost savings of $21.72. Housing Stability, quality of life, and community functioning outcomes were more positive for programs that more closely followed the HF model. Investing in training and technical assistance can pay off.

7. / 7 http://housingfirsttoolkit.ca/ Knowledge Translation We had positive findings we wanted to share with relevant stakeholders The MHCC funded the creation of a Canadian Housing First Tool Kit The goal of the toolkit is to make research and practice knowledge accessible to a broad audience of stakeholders We enlisted the help of experts in the area and came up with a new approach.

8. / 8 http://housingfirsttoolkit.ca/ Rapid literature review and incorporation of At Home/Chez Soi research reports Consultation session with At Home/Chez Soi senior leadership team, site operations teams, consumer advisory group, and potential toolkit users Case studies of other Canadian Housing First programs (e.g.Calgary, Hamilton) Incorporation of material from other Housing First toolkits (SAMHSA, 2010; Tsemberis, 2010)

9. / 9 http://housingfirsttoolkit.ca/ What are the key features of the website? Interactive Modules with “how to” content Links to materials  Sample job descriptions, protocols, checklists, and further resources Video clips Info-graphics Interactive graphics Downloadable pdf of each Module

10. / 10 http://housingfirsttoolkit.ca/ Overview of Modules The toolkit modules are:

11. / 11 http://housingfirsttoolkit.ca/ Overview Module – Menu

12. / 12 http://housingfirsttoolkit.ca/ Overview Module – Key Questions

13. / 13 http://housingfirsttoolkit.ca/ Plan Module – Planning Tasks

14. / 14 http://housingfirsttoolkit.ca/ Plan Module – Challenges and Strategies

15. / 15 http://housingfirsttoolkit.ca/ Plan Module – Resources

16. / 16 http://housingfirsttoolkit.ca/ Evaluate Module - Spotlight

17. / 17 http://housingfirsttoolkit.ca/ Sustain Module – Case Example

18. / 18 http://housingfirsttoolkit.ca/ Knowledge User Scenario: Recruiting Landlords “Our agency is in the early stages of planning a Housing First program. How can we recruit landlords in the community?”

19. / 19 http://housingfirsttoolkit.ca/ Knowledge User Scenario: Recruiting Landlords The Planning Module is designed for knowledge users who are at the early stages of program planning

20. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

21. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

22. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

23. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

24. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

25. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

26. Knowledge User Scenario: Recruiting Landlords www.housingfirsttoolkit.ca

27. / 27 http://housingfirsttoolkit.ca/ How We’re Spreading the Word: Social Media @homelesshub @MHCC_ #HFtoolkit

28. / 28 http://housingfirsttoolkit.ca/ How We’re Spreading the Word: Social Media facebook.com/theMHCC facebook.com/homelesshub

29. / 29 http://housingfirsttoolkit.ca/ Now in French!

30. / 30 http://housingfirsttoolkit.ca/ Training and Technical Assistance: MHCC MHCC is continuing to support HF implementation across Canada, including hands-on training and TA in 18 communities -Currently assessing the demand and need for continued training and technical assistance -Within the coming months, MHCC will update the Tool Kit based on feedback and new resources

31. / 31 http://housingfirsttoolkit.ca/ Acknowledgements Canadian Housing First Tool Kit Team: Lauren Polvere, Tim Macleod, Rachel Caplan, Eric Macnaughton, Myra Piat, Geoff Nelson, Steven Gaetz, Paula Goering, Stephanie Vasko Graphic Design and Consultation Funding and Support Video Clips/Resources

32. / 32 http://housingfirsttoolkit.ca/ At Home/Chez Soi: National Research Team Paula Goering, CAMH, University of Toronto, Research Lead Carol Adair, University of Calgary Tim Aubry, University of Ottawa Jeffrey Hoch, St. Michael’s Hospital, University of Toronto, University of Western Ontario Geoff Nelson, Wilfrid Laurier University Myra Piat, Douglas Mental Health University Institute; McGill University David Streiner, Baycrest Hospital; University of Toronto Sam Tsemberis, Pathways to Housing, Inc

33. / 33 http://housingfirsttoolkit.ca/ At Home/Chez Soi Local Leads Moncton: Tim Aubry, University of Ottawa; & Jimmy Bourque, Université de Moncton Toronto: Stephen Hwang, St. Michael’s Hospital, University of Toronto; Vicki Stergiopoulos, St. Michael’s Hospital, University of Toronto; & Pat O’Campo, St. Michael’s Hospital, University of Toronto Montreal: Eric Latimer, Institut Douglas, McGill University; & Christopher McAll, Université de Montréal Winnipeg: Jino Distastio, University of Winnipeg; & Jitender Sareen, University of Manitoba Vancouver: Julian Somers, Simon Fraser University; Michael Krausz, University of British Columbia; & Jim Frankish, University of British Columbia

34. / 34 http://housingfirsttoolkit.ca/ Feedback? Comments/Questions?