Antrobus & Lutke FASD and Homelessness A Reality Check The absence of housing is the absence of everything Authored by Tina Antrobus and Jan Lutke
Antrobus & Lutke Why is housing important? “The balancing act”
Antrobus & Lutke 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
Antrobus & Lutke Why do adults with FASD become homeless? Because four walls and a roof are not enough. Ever.
Antrobus & Lutke Question: What is the primary goal of independent living? Answer: Successful management of the activities of daily living
Antrobus & Lutke 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
Antrobus & Lutke Streissguth et al. Longitudinal Study (1996), Sample of adults age 21+ were unable to: –Manage money82% –Make daily living decisions78% –Obtain social services70% –Get medical care68% –Handle interpersonal relationships57% –Grocery shop52% –Cook meals49% –Structure leisure activities48% –Stay out of trouble48% –Handle hygiene37% –Use public transportation24% FASD and Activities of Daily Living
Antrobus & Lutke FASD and Homelessness * Streissguth et.al. (1996) 80% are unable to live independently* (Regardless of IQ) Why?
Antrobus & Lutke All activities of daily living are done in, around, and out of the place in which you live. If you don’t have a place to live... The rest doesn’t matter. The Conundrum of FASD and Housing
Antrobus & Lutke 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
Antrobus & Lutke 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
Antrobus & Lutke Options for the Homeless Emergency Shelter $31- $85/day Detox Centre $80 - $185/day Provincial Jail $155 - $250/day 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.
Antrobus & Lutke 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.
Antrobus & Lutke “Supportive Housing” for adults with FASD
Antrobus & Lutke The 7 S’s of Supportive Housing Jan Lutke, 2004 SELECTION STRUCTURE SUPPORT STABILITY SAFETY SECURITY SUPERVISION
Antrobus & Lutke “Supportive” Housing for FASD Long Term Safe Permanent “Place to Call Home” Awake Staff 24/7 Integrated Individualized Case Management Meals Provided Programs (Employment, Education, Leisure) Comprehensive Supported Activities of Daily Living Peer Support (Circle of Friends, mentor) Family Involvement / Support Addictions Services Health Care (GP, PHN, meds) Mental Health Transportation Legal Resources Staff Support No Eviction Policy * Specifically for non-parenting adults with FASD
Antrobus & Lutke Reality Check The absence of housing is the absence of everything!
Antrobus & Lutke Thank you!