Housing and Health Nov 14, 2014 Grey County Housing Day Forum Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing.

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Presentation transcript:

Housing and Health Nov 14, 2014 Grey County Housing Day Forum Dr. Abe Oudshoorn Arthur Labatt Family School of Nursing

Housing and Health Health and Housing in Transition Study (HHiT) Homeless or homeless within the last year Date: 2010 Also Hwang (2009)

Housing and Health High rates of chronic illness ConditionPercentage Arthritis33 Hep B or C30 Mobility problem28 Asthma23 High blood pressure18 COPD18 Ulcer9 Diabetes8 Heart disease8

ConditionPercentage Brain Injury61 Mental health challenge52 Victim of assault38 Depression31 Cirrhosis6 Housing and Health High rates of mental health challenges

IssueStat Chance of surviving to 75 (men) 32% Chance of surviving to 75 (women) 60% Average age of death of person experiencing homelessness 47 Increased risk of suicide (women) 6x Housing and Health High mortality rates

Why? =

== Barriers to Care

Other Barriers Transportation Stigma Cost Identification Hierarchy of needs

Why? == Environ- mental Hazards

Environmental Hazards Heat? Hydro? Mold Lighting Smoke and CO detectors Moisture Fire exit Food refrigeration Pests

Why? = + Poverty

Social Determinants of Health

Poverty Income Basic Needs$250 Shelter Allowance$376 Ontario Trillium Benefit$54 Total$680 Expenses Housing: Bachelor$554 Nutritious Food Basket (range) $160-$243 London Transit Bus Pass$60 Total (based on low estimate) $774 Difference-$94

Poverty Income Basic Needs$250 Shelter Allowance$376 Ontario Trillium Benefit$54 Total$680 Expenses Housing: Bachelor$554 Nutritious Food Basket (range) $160-$243 London Transit Bus Pass$60 Total (based on low estimate) $774 Difference-$94

Question 1 “Why don’t they live somewhere else?

Question 2 “It’s better than shelter, isn’t it?”

Question 3 “Isn’t there social/affordable housing?”

Housing and Health Filling the gap

Case Study

1. Property Standards and Enforcement

2. Housing with Supports “Housing First Principles 1.Safe 2.Affordable 3.Permanent 4.With Supports

A Model

Outreach

Housing First and Health

The Support Private market housing 24/7 access to worker Wraparound with other agencies

Housing Status * as of August 31 st,

Participant #8 34

The ‘Secret Sauce’ Harm reduction Rent supplement Landlord liaison and procurement – Includes seeing apartment! Re-housing if necessary

Questions