Integrated Approaches to Developing and Operating Permanent Supportive Housing CHRA 2019 Congress

Homeward Trust Edmonton Stewards and directs funding from 3 levels of government to meet community priorities Invests in programs, housing supply, and community capacity Leads efforts to end homelessness in Edmonton Responsible for provincial and local plans to end homelessness Implementation Community planning and engagement Review and investment in what works Taking risks and learning System planning Community leadership Data and knowledge management Evaluation Innovation First, a little about my perspective & about HTE I belong to an organization called HTE, which is the backbone organization for work to end homelessness in YEG -we are responsible for plans and funding for 3 levels of government -we are a leader and system planner in implementing this work in community; -we are also are hands-on in addressing housing supply (development, property management, LR), and supporting the work of the whole sector (training, capacity development, research, prioritization…)

Housing: Supports: Housing first program is big part of what we do Community:

PSH in the Housing Continuum For individuals with complex needs Tenants sign a lease and pay rent Distinct program mandate and client population, with person centered case plan Harm reduction, with some exceptions

PSH – Critical to Ending Homelessness Goal of 900 units in next 5 years City of Edmonton support through policy, funding, sites for development Referrals through Coordinated Access Integrated with Homeless Management Information System (Efforts to Outcomes) database

>> ASSUMPTIONS – PROGRAM SUITABILITY Robbie The program suitability by level of need is based on existing Housing First data and helps estimate the new program spaces and funding that may be required Diversion is included for low acuity individuals but is not yet implemented fully; this will be an important focus in the Plan Update

>> ASSUMPTIONS - ACUITY Robbie We used existing data (Coordinated Access VI-SPDATs) to match duration of homelessness to level of acuity This helps us draw assumptions about program suitability based on the estimations of need (using our estimation of the prevalence of homelessness)

Designing Perfect | Working in Reality

PSH Support Model Categories MODEL 1 (LOW INTENSITY): 24/7 TENANCY MANAGEMENT AND MOBILE SUPPORTS MODEL 2 (MODERATE INTENSITY): 24/7 TENANCY MANAGEMENT, LIMITED ON-SITE SUPPORT AND IN-REACHED CLINICAL CARE MODEL 3 (HIGH INTENSITY): 24/7 TENANCY MANAGEMENT, ON-SITE CLINICAL CARE AND IN-REACHED SUPPORTS

PSH2 (Medium Intensity) The Need   PSH3 (High Intensity) PSH2 (Medium Intensity) PSH1 (Low Intensity) Housing & Supports 24/7 tenancy management, on-site clinical supports, and/or in-reached health and disability (PDD) services 24/7 tenancy management, on-site non-clinical supports, in-reached health services 24/7 tenancy management and mobile support workers as needed (e.g. ICM, ACT). Units Needed 240 176 500 Capital Cost ($/Unit) $310,000 $210,000 $200,000 Annual Cost of Supports per person $85,000 $ 45,000 $5,000 Example Ambrose Place, Balwin Christopher’s Place, Balwin Canora Place, Right at Home 18/07/2019

Range of sites, built form, ownership Canora Place Iris Court Morning Fire Protector We are partners/funded all or in part/programs Canora Place – operated by Jasper place Wellness Centre Iris Court – Schizophrenia Society of Alberta (53 people at risk of becoming homeless) Hope Terrace – Bissell Centre operated the PSH program in the building – the first PSH in Canada for people at risk of homelessness & living with FASD (fetal alcohol spectrum disorder) Ambrose Place – 40+ people identify as indigenoug who were chronically homeless with culturally appropriate supports – harm reduction, game changer Hope Terrace Ambrose Place Christopher's’ Place

Balwin

Challenges Clear roles and accountabilities Financial responsibilities Owner, Property Manager, Supports Services Provider, Client Financial responsibilities Damages, arrears, etc, etc, etc…. Program definition and evaluation Indicators, outcomes, and fidelity Snowflakes or models?

Improving Practice & Moving forward Community of Practice focused on addressing challenges Banking sites throughout Edmonton City leadership in focusing efforts through Housing Strategy Advocating for a ‘rights based’ approach to housing Coordinating and formalizing supports with main stream and community providers Communication of success, building confidence

Modelling Need & Investment Strong base of local evidence about need, costs, flows in and out of homelessness…modelling program spaces, investments forward into the future. Intentional shifts toward both ends of the spectrum Plan Update is a living document, commits to regular course correction and update