1. Implementing Housing First Dec 4, 2013 OMSSA Conference 2013 Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing

3. History of Homelessness Pre-1977: transience and skid row “Report on Skid Row” – City of Toronto Planning Division, 1977

4. 1977-1987 Homelessness as a real problem in developed nations To 1985: 136,334 social housing units developed UN 1987 – International Year of Shelter for the Homeless

5. A Reaction Food Banks Canada – 1989 400 shelters developed across Canada by 1990 (including domestic violence shelters) The charitable impulse

6. Current Situation 1,086 shelters; 28,495 shelter beds 146,726 unique individuals accessed shelter 5,263,182 shelter bed nights

7. The Pressure

10. Ontario’s Affordable Housing Policy Vision 1.Demonstrating outcomes 2.Housing First 3.Collaboration with non-profit and private market 4.Integration with other services 5.Priority populations 6.Environmental sustainability

11. Housing First All things held equal…

12. Policy Issues Orders to reside

13. Policy Issues Hospital discharge to shelter

14. Policy Issues Rent supplement, direct to landlord

15. Fiscal Issue

16. Therefore… Where is the housing?

18. Existing Model

19. New Model London CAReS A municipal commitment Flexibility Monitoring outcomes Outreach partnered with housing stability

20. Current Housing Status * as of August 31 st, 2013 20

21. Participant #8 21

22. Fiscal Impact $800 per ED visit $335 per street arrest $255 per night in prison $75 per night in shelter source: HomelessHub

23. Elucidating Outcomes Hours of service, number of contacts, satisfaction with service Vs Housing result, fiscal impact, health and QoL outcomes Managing Ending

25. Questions Contact aoudsho@uwo.ca @abeoudshoorn