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Tina Antrobus, FASD Connections 2004 FASD and Homelessness A Reality Check The absence of housing is the absence of everything Presented By Tina Antrobus.

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Presentation on theme: "Tina Antrobus, FASD Connections 2004 FASD and Homelessness A Reality Check The absence of housing is the absence of everything Presented By Tina Antrobus."— Presentation transcript:

1 Tina Antrobus, FASD Connections 2004 FASD and Homelessness A Reality Check The absence of housing is the absence of everything Presented By Tina Antrobus Adults with FASD: Swimming Upstream Conference Vancouver, BC

2 Tina Antrobus, FASD Connections 2004 Why is housing important? The balancing actThe balancing act

3 Tina Antrobus, FASD Connections 2004 FAMILY WORK HOUSING ACTIVITIES OF DAILY LIVING SCHOOL PARENTING LEGAL DIVERSION A & D MENTAL HEALTH HEALTH/ NUTRITION FINANCES SOCIAL RELATIONS LEISURE MEDSTRANSPORT FASD Pyramid of Need

4 Tina Antrobus, FASD Connections 2004 Why do adults with FASD become homeless? Because four walls and a roof are not enough. Ever.

5 Tina Antrobus, FASD Connections 2004 Question: What is the primary goal of independent living? Answer: Successful management of the activities of daily living

6 Tina Antrobus, FASD Connections 2004 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

7 Tina Antrobus, FASD Connections 2004 Streissguth et al. Longitudinal Study (1996), Streissguth et al. Longitudinal Study (1996), Sample of adults age 21+ were unable to: Manage money82% Manage money82% Make daily living decisions78% Make daily living decisions78% Obtain social services70% Obtain social services70% Get medical care68% Get medical care68% Handle interpersonal relationships57% Handle interpersonal relationships57% Grocery shop52% Grocery shop52% Cook meals49% Cook meals49% Structure leisure activities48% Structure leisure activities48% Stay out of trouble48% Stay out of trouble48% Handle hygiene37% Handle hygiene37% Use public transportation24% Use public transportation24% FASD and Activities of Daily Living

8 Tina Antrobus, FASD Connections 2004 FASD and Homelessness * Streissguth et.al. (1996) 80% are unable to live independently* (Regardless of IQ) Why?

9 Tina Antrobus, FASD Connections 2004 All activities of daily living are done in, around, and out of the place in which you live. If you dont have a place to live... The rest doesnt matter. The Conundrum of FASD and Housing

10 Tina Antrobus, FASD Connections 2004 LEISURE TRANSPORT PARENTING FINANCES HEALTH / NUTRITION A & D WORK EDUCATION MENTAL HEALTH SCHOOL FAMILY ACTIVITES OF DAILY LIVING Absence of Housing = Inability to Function. Period. DIVERSION SOCIAL RELATIONS MEDS

11 Tina Antrobus, FASD Connections 2004 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 FASD and Homelessness

12 Tina Antrobus, FASD Connections 2004 Options for the Homeless Emergency Shelter Emergency Shelter $31- $85/day Detox Centre $80 - $185/day Detox Centre $80 - $185/day Provincial Jail $155 - $250/day Provincial Jail $155 - $250/day Psychiatric Hospital 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.

13 Tina Antrobus, FASD Connections 2004 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.

14 Tina Antrobus, FASD Connections 2004 Supportive Housing for adults with FASD

15 Tina Antrobus, FASD Connections 2004 The 7 Ss of Supportive Housing Jan Lutke, 2004 SELECTION STRUCTURE SUPPORT STABILITY SAFETY SECURITY SUPERVISION

16 Tina Antrobus, FASD Connections 2004 Supportive Housing for FASD Long Term Safe Permanent Place to Call Home Long Term Safe Permanent Place to Call Home Awake Staff 24/7 Awake Staff 24/7 Integrated Individualized Case Management Integrated Individualized Case Management Meals Provided Meals Provided Programs (Employment, Education, Leisure) Programs (Employment, Education, Leisure) Comprehensive Supported Activities of Daily Living Comprehensive Supported Activities of Daily Living Peer Support (Circle of Friends, mentor) Peer Support (Circle of Friends, mentor) Family Involvement / Support Family Involvement / Support Addictions Services Addictions Services Health Care (GP, PHN, meds) Health Care (GP, PHN, meds) Mental Health Mental Health Transportation Transportation Legal Resources Legal Resources Staff Support Staff Support No Eviction Policy * Specifically for non-parenting adults with FASD

17 Tina Antrobus, FASD Connections 2004 Reality Check The absence of housing is the absence of everything!


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