Presentation by Brigitte Witkowski, Executive Director, Mainstay Housing AMHO Workshop: “Housing First – Yes and..! A Provocative Exploration of Longstanding Housing First Approaches to Ending Homelessness” May 25, 2015 Toronto The Promises We Make and the Evidence We Have

Outcome: Recovery thru Support in Housing Approach Choose … Maintain security of tenure Motivated and make informed decisions … In recovery Successful tenant Indicators Measures Tenants who apply are housed (% applied are accepted) Tenants with complex needs are housed (1-5%) (% applied are accepted) Tenants choose housing (% tenants who accept unit) Tenants living in deep core poverty have housing they can afford (RGI, average tenant income) Tenants have a support plan (OCAN, welcome checklist) Tenants learn about being a tenant (% tenants who get handbook, orientation, welcome surveys) Tenants receive the support they need (from Mainstay & partner agency) (via welcome surveys) Tenants maintain housing (number of tenants who remain housed against benchmark) Tenants choose to be good neighbours (% where no N5, N6, N7) Tenants access support & counselling (contact stats) Tenants know how to work with landlord (# cleaning related work orders, outcome annual inspections, % after hour calls that are reasonable) Tenants know how to pay rent (# of tenants who choose to use payment plan rather than go into arrears, % of successful repayment plans) Tenants who use Mainstay Opportunity Fund (# who accept, use fund) Tenants become WRAP graduates (# who participate in intro, level 1 & level 2) Tenants can articulate their understanding of ‘recovery’ (through WRAP) Tenants participate in a support plan (via OCAN, Streets to rent supplement records) Tenant manage hoarding (% safety plans in place / adhered to) Tenants maintain long term security of tenure (number of tenants who maintain housing against long term bench mark) Decrease in (premature) deaths for people with mental health & complex needs (system number, research) Decrease in access to (unnecessary) emergency/ primary care/hospital for People with mental health & complex needs (system number, Streets to Homes) Tenants who exercise choice in housing moves (% from move out check list) Promoting Housing Choice & Recovery for tenants with mental health and complex needs

Opportunities for Voice, Community & Belonging Tenant directed activities: Community Kitchen, Coffee Groups, Movie Days, Garden Clubs… Portfolio Level: steering groups WRAP, Conflict Resolution Tenant directed activities: Community Kitchen, Coffee Groups, Movie Days, Garden Clubs… Portfolio Level: steering groups WRAP, Conflict Resolution Activities Immediate Outcomes Increased Community Engagement Increased Self- Advocacy & Empowerment Long Term Outcomes Community Belonging (citizenship) is promoted through Support in Housing Indicators Current State # participate; # groups Future State????? Current State # participate; # groups Future State????? Reduction in ER & Withdrawal Management, etc

Getting Ready for the Excellent Care for All Act... Dimension Indicator Baseline (2013/14) Target 2014/15 Q1 2014/15 Q2 2014/15 Q3 2014/15 Q4 2014/15 Actual 2014/15 Safe # Critical Incidents # of Tenants at Risk Due to Hoarding (3+) Effective # Tenant Attendances in Internal Programs Number of Evictions Average Cleanliness Score (%) % Tenants on Track to Meet Service Goals Access % Acceptances (Access Point) Tenant- Centered % Applicants refuse an offer of housing (Access Point) % tenants who feel involved in decision-making Integrated % CM return calls w/in 24 hrs for serious issues # ED visits for high risk tenants % high risk tenants linked to primary care

Social Return on Investment – Impacting Emergency Services Use 5