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Ending HomelessnessMental Health and Addition Supportive Housing May 22, 2019
Ending Homelessness
Mental Health and Addition Supportive
Housing
Kerri KightleyImprovement AdvisorBuilt For Zero Canada
Dorothy OlverProgram Manager,
Homelessness and Addition ServicesCity of Peterborough Social Services
Donna RogersExecutive Director
Four Counties Addiction Services [email protected]
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Session Goals
3
1. Participants will be able to describe the Built For Zero Canada
collective impact initiative to end chronic homelessness
2. Participants will learn about evidence based methodology to end
chronic homelessness using a community collaborative approach.
3. Participants will acquire information about provincial strategies to
end homelessness and identify the potential role of mental health
and addiction supportive housing in meeting targets to end
homelessness.
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Session Overview
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1. Overview of Canadian Alliance to End Homelessness - Built for Zero
2. Overview of the City of Peterborough’s system design and
implementation that aims to end chronic homelessness by 2025
3. Overview of Fourcast’s supportive housing programs and outcomes
that are contributing to City of Peterborough’s plan to end
homelessness.
5
How We Got
Here
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Based on Success and Learning from the US
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Year 1 Video
2010-2014 2015-2016 2016-Present
Year 2 Video
Final Year Video
Ending Veteran Homelessness – It’s Happening!What It Takes To End Homelessness
How This Community Ended Homelessness
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Progress and Learning in US BFZ
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10 COMMUNITIES ENDED VETERAN HOMELESSNESS
3 COMMUNITIES ENDED CHRONICHOMELESSNESS
105,000TOTAL PEOPLE HOUSED
74COMMUNITIES WITH QUALITY BY-NAME LIST39
COMMUNITIES HAVE ACHIEVED MEASUREABLE REDUCTIONS IN ACTIVEHOMELESS NUMBERS
60-90%FUNCTIONAL ZERO COMMUNITIES SUSTAINING GOAL
20
,00
0 H
OM
ES
CA
MP
AIG
N 20/20/20
End chronic homelessness in 20 communities and house 20,000 of Canada’s most vulnerable
homeless people by July 1, 2020.
20KHomes Launched June 2015
44 Communities Across CanadaSigned-Up for 20KHomes
• 20,000 Homes Campaign beats goal to house 20,000 of Canada’s most vulnerable homeless people
• 20KHomes Results Infographic
• On March 6th Built for Zero Canada launches after communities house 21,254 of Canada’s most vulnerable homeless population
Between June 2015 and February 2019, 38 communities participating in the 20,000 Homes Campaign house 21,254 of the most vulnerable people experiencing homelessness
On March 6, 2019 20KHomes relaunched as Built for Zero Canada
Built for Zero Canada is an ambitious national change effort helping a core group of leading communities
end chronic homelessness –a first step on the path to eliminating all
homelessness in Canada.
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Solving Complex Problems
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Structured Process - Campaign Milestones
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11/11
BNL SCORECARD
RELIABLE BNL DATA
Achieve a comprehensive,
real-time, quality By-Name List
that produces reliable data
BASELINE
By-Name List
EXPAND TO NEW
POPULATIONS
SUSTAIN ZERO
CONFIRM ZERO
Sustain your gains while
expanding to new
populations
Zero for All
LEADERSHIP, LOCAL TEAM, BUILDING THE WILL
COORDINATED
ACCESS & SYSTEM
IMPROVEMENTS
MONTHLY
REDUCTIONS
HOME STRETCH
Drive monthly reductions
in your active chronic
homeless number
Reduce to Zero
Communities Who Have Achieved a Quality By-Name List
Chatham-Kent
Edmonton
Guelph-Wellington
Hamilton
Kawartha-Haliburton
Lanark (youth)
Medicine Hat
Ottawa
Peel Region
Waterloo Region
Windsor
1414
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Benefits of a By-Name List
15
Smarter Triage
Target limited housing resources to the most vulnerable individuals and families
Stretch resources further by connecting people to the most cost effective support to meet their needs
Improved Systems
Use aggregate data to see trends, flag bottlenecks, and identify improvement opportunities across your system
Test new strategies and know quickly whether your efforts are reducing homelessness
Resource Advocacy
Ground your advocacy in concrete data Use monthly data trends to make stable projections and quantify your
projected resource gaps
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Monthly Data Submissions
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Start by tracking monthly housing move ins. As your community builds a real-time, by-name list, you’ll
track and respond to a more dynamic picture of your full systems.
INFLOW
INFLOW:
NEWLY
IDENTIFIED
INFLOW:
RETURNED FROM
HOUSING
INFLOW:
RETURNED FROM
INACTIVE
OUTFLOW:
HOUSING
MOVE-INS
OUTFLOW:
MOVED TO
INACTIVE
ACTIVELY
HOMELESSOUTFLOW
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Structured Process - Campaign Milestones
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11/11
BNL SCORECARD
RELIABLE BNL DATA
Achieve a comprehensive,
real-time, quality By-Name List
that produces reliable data
BASELINE
By-Name List
EXPAND TO NEW
POPULATIONS
SUSTAIN ZERO
CONFIRM ZERO
Sustain your gains while
expanding to new
populations
Zero for All
LEADERSHIP, LOCAL TEAM, BUILDING THE WILL
COORDINATED
ACCESS & SYSTEM
IMPROVEMENTS
MONTHLY
REDUCTIONS
HOME STRETCH
Drive monthly reductions
in your active chronic
homeless number
Reduce to Zero
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Measuring Reductions
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Structured Process - Campaign Milestones
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11/11
BNL SCORECARD
RELIABLE BNL DATA
Achieve a comprehensive,
real-time, quality By-Name List
that produces reliable data
BASELINE
By-Name List
EXPAND TO NEW
POPULATIONS
SUSTAIN ZERO
CONFIRM ZERO
Sustain your gains while
expanding to new
populations
Zero for All
LEADERSHIP, LOCAL TEAM, BUILDING THE WILL
COORDINATED
ACCESS & SYSTEM
IMPROVEMENTS
MONTHLY
REDUCTIONS
HOME STRETCH
Drive monthly reductions
in your active chronic
homeless number
Reduce to Zero
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Functional Zero Chronic Homelessness
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BFZ-C Functional Zero Q&A Document
By-Name List & Functional Zero Chronic Video
Questions?
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Peterborough Core System Partners
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United Way (Community Entity)
Four Counties Addiction Services Team
(Fourcast)
City of Peterborough, Social Services
YES Shelter for Families and Youth
Brock Mission Men’s Shelter
Cameron House Women’s Shelter
Warming Room Community Ministries
2011 – 2013
Peterborough Timeline
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System Engagement System Improvement System Review
PiT Count
Jan2014
MAR2016
MAR 2018
APR 2019
Set aim to end long term
homelessness
Quantify number of homeless individuals
10 Year HHPLaunch
Coordinated Access & BNPL
End Chronic by December 2025
Key populations youth,
indigenous, families
Achieve Quality BNPL – June 2019
Homelessness Coordinated
Response Team (HCRT)
Engage Community in work toward
change
PiT Count and Registry Week
Join 20K Homes Campaign
Partner Engagement for
Coordinated Access and BNPL
Process Framework
System Review with OrgCodeHousing First
Framework
Investment in Housing Supports
Develop Guiding Principles
Engage System
Partners in Housing
Improve Access to Housing
System Redesign Action Lab
Strengthen Relationship
with LHIN
Service Resolution
Protocol
System Framework in development
The Peterborough Pathway
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Service Review
Third party review of the whole system Whole system participated in review and conversations for next steps Recommendations for redesign and improvements Guiding Principles Session + System Redesign Lab
System Mapping
Better understand how people move form homeless to housing and what barriers exist
Case Reviews with system partners Surface barriers with other systems (child welfare, justice, hospital) Highlight where/why mental health system is struggling to meet needs
(ACT Team, Community Treatment, Supportive Housing)
CAS/BNPL Framework
Co-developed with system partners Guides work of Coordinated Access and Prioritization MOU agreements with many system partners with dedicated inventory –
Housing AND Supports
Coordinated Access in Peterborough
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Coordinated Access in Peterborough
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Prioritization in Peterborough
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Housing and Support Inventory
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Addiction Services to End Homelessness
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Fou
r C
ou
nti
es A
dd
icti
on
Ser
vice
s Te
am
SHELTERS
SOCIAL SERVICES
Grass roots case conferencing
initiative to improve partner
collaboration and housing
outcomes.
ADDICTION
SERVICES
HCRT
Addiction Services to End Homelessness
30
Fou
r C
ou
nti
es A
dd
icti
on
Ser
vice
s Te
am
MOST VULNERABLE
BANNED from MH
and ADD system
SHELTER INREACH
OTHER SYSTEMS
Directors and CAOs work
together to remove
system barriers
Service
Resolution
SHELTERS
SOCIAL SERVICES
Grass roots case conferencing
initiative to improve partner
collaboration and housing
outcomes.
ADDICTION
SERVICES
HCRT
Addiction Services to End Homelessness
31
Fou
r C
ou
nti
es A
dd
icti
on
Ser
vice
s Te
am
HOUSING NOW
MASH
ASH
Health investments in
supportive Housing
dedicated to vulnerable
homeless
Supportive
Housing
SHELTERS
SOCIAL SERVICES
Grass roots case conferencing
initiative to improve partner
collaboration and housing
outcomes.
ADDICTION
SERVICES
HCRT
MOST VULNERABLE
BANNED from MH
and ADD system
SHELTER INREACH
OTHER SYSTEMS
Directors and CAOs work
together to remove
system barriers
Service
Resolution
1. Focus on Housing Before Anything Else
2. Create an Individualized Service Plan
3. Increase Self Awareness
4. Support Achievements in Self
Management
5. Allow the Client to Reframe/Rebuild
One’s Life and Future
https://www.orgcode.com/the_5_essential_and_sequential_elements
5 Essential and
Sequential Steps
to
Successful Housing Programs
32
Supportive Housing Admission Profile
33
Fou
r C
ou
nti
es A
dd
icti
on
Ser
vice
s Te
am
• Serious Mental Health &/or addictions
High rates of being "Banned" from Mental Health services including Supportive Housing
• Discharges from provincial institutions & ACCT
• High prevalence of seniors especially with complex health
• Distinction between Mental Health and Homelessness sector
Outcome
Evaluation
34
ICM clients had better health and mental health outcomes after involvement in the program.
Some Highlights• 41% reported poor health at baseline,
this dropped to 24%
• 65% had a doctor at baseline, compared to 88% at follow-up
• 24% reported a good quality of life at baseline, this rose to 47%
Outcome
Evaluation
35
• Continuous improvement
• Bias toward Action
• Real time data
• Evidence informed
• Agility
Key Ingredients
Questions
Thank you
Kerri KightleyImprovement AdvisorBuilt For Zero Canada
Dorothy OlverProgram Manager,
Homelessness and Addition ServicesCity of Peterborough Social Services
Donna RogersExecutive Director
Four Counties Addiction Services [email protected]