Ending HomelessnessMental Health and Addition Supportive Housing May 22, 2019

Ending Homelessness

Mental Health and Addition Supportive

Housing

Kerri KightleyImprovement AdvisorBuilt For Zero Canada

kerri@caeh.ca

Dorothy OlverProgram Manager,

Homelessness and Addition ServicesCity of Peterborough Social Services

dolver@peterborugh.ca

Donna RogersExecutive Director

Four Counties Addiction Services Teamdrogers@fourcast.ca

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Session Goals

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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.

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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

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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

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Benefits of a By-Name List

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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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SHELTERS

SOCIAL SERVICES

Grass roots case conferencing

initiative to improve partner

collaboration and housing

outcomes.

ADDICTION

SERVICES

HCRT

Addiction Services to End Homelessness

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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

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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

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Supportive Housing Admission Profile

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• 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

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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

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• Continuous improvement

• Bias toward Action

• Real time data

• Evidence informed

• Agility

Key Ingredients

Questions

Thank you

Kerri KightleyImprovement AdvisorBuilt For Zero Canada

kerri@caeh.ca

Dorothy OlverProgram Manager,

Homelessness and Addition ServicesCity of Peterborough Social Services

dolver@peterborugh.ca

Donna RogersExecutive Director

Four Counties Addiction Services Teamdrogers@fourcast.ca