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

2. 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…)

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

4. 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

5. 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

6. >> 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

7. >> 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)

8. Designing Perfect | Working in Reality

11. 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

12. 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

13. 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

14. Balwin

15. 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?

16. 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

17. 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