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PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team
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PFCC. Breakout 1. Barbara Baumgartner - Presentation on Housing First RainCity ACT Team

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  • 1. Presentation onHousing First RainCity ACT TeamPresented by:Barbara Baumgartner, Housing First RainCity ACT TeamFebruary 2013
  • 2. At Home/Chez SoiIn 2008 the Federal government invested $110million to the MentalHealth Commission of Canada to undertake At Home/Chez Soi, a 5-year research demonstration project on homelessness and mentalillness.At Home/Chez Soi is: delivering on the ground impact in 5 communities: Vancouver, Winnipeg, Toronto, Montreal, Moncton proving an intervention to break the cycle of dependence among the highest cost users of existing systems: chronically homeless people living with mental illness providing the results & metrics required to invest with confidence in reducing homelessness social innovation in action/2
  • 3. People in the Study• 2210 participants nationally (1240 in Housing First, 970 in control group)• 490 participants in British Columbia (290 in Housing First, 200 in control group)• Histories reflect high levels of need and high engagement with criminal justice and emergency services/3
  • 4. At Home Model of Housing First• Primary goal to provide permanent, stable housing in private market• Combines housing with outreach services and supports to help access existing community services• Participants contribute 30% of their own income• Develops independence based on individual choice• Provides access to typical rental housing• Promotes integration within the community• Government is not the landlord – shifts the infrastructure costs to the private sector• Builds community partnerships: police, health and social services, landlords/4
  • 5. Vancouver Demonstration Project HIGH NEED MODERATE NEED (N=290) (N=200) Housing First Congregate Usual Care Housing First Usual Care + Assertive Housing (100) + Intensive Case (100) Community (Bosman) + Management Treatment On-Site Team Team Team Supports (100) (90) (100)/5
  • 6. At Home Models of SupportAssertive Community Treatment•Multi-disciplinary team including psychiatrist, nurse practitioner and nurses•Client/staff ratio of 10:1Intensive Case Management•Team based approach with primary case managers•Connecting people to primary health, mental health and addiction services•Client/staff ratio of 16:1Bosman Hotel•Multi-disciplinary team including family doctor, psychiatrist and nurses•On-site services and supports/6
  • 7. Interim Report Findings • Over 900 people currently housed in adequate, affordable, suitable settings • Stable living conditions contribute to a shift from the frequent use of inappropriate and expensive services • Housing First has the potential to provide system-wide cost offsets. • Canada can (and is) implementing Housing First • Benefits cross a range of sectors (health, social services, criminal justice)/7
  • 8. Local Interim ResultsStrong support for continued investment in Housing First: • After 12 months, participants in intervention groups in Vancouver have been stably housed over 70% of the time while those in usual care were stably housed 20% of the time • The majority of Housing First participants reported integrating into their new neighbourhoods • There have been fewer emergency department visits • Crime has decreased and public safety improved • Individuals who have not been well-served by our current approach, are being successfully housed in adequate, affordable, and suitable settings/8
  • 9. Early Findings Qualitative Findings - Themes from 18-month follow-up: • People less preoccupied with safety or survival concerns on a typical day • People experience more control over interactions with others • People experience changes in significant relationships Sunshine ________________ This young lady always brightens my day with her youthful spirit. Caring, sharing and willing to learn, she can be a ray of sunshine on a cloudy day./9
  • 10. Preliminary National Data Shows Housing Stability Improving 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 3M 6M 9M 12M Intervention TAU/ 10
  • 11. What next? • With the help of funding from the federal government the provincial government is now finalizing plans to continue to fund housing and comparable support after the At Home/Chez Soi project ends in March • Vancouver Coastal Health Authority is committed to supporting participants in their transition from the research project • The At Home/Chez Soi teams are working with the Health Authority to find the best ongoing support options for participants • Participants will continue to be housed after March 2013 and will be provided with supports • A one-year lease extension has been signed for the Bosman Hotel/ 11
  • 12. Thank you Visit: www.mentalhealthcommission.ca Follow us on: The views represented herein solely represent the views of the presenters. Production of this document is made possible through a financial contribution from Health Canada./ 12

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