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

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

4. 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

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

6. 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

7. Why? =

8. == Barriers to Care

10. Other Barriers Transportation Stigma Cost Identification Hierarchy of needs

11. Why? == Environ- mental Hazards

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

13. Why? = + Poverty

14. Social Determinants of Health

15. 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

16. 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

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

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

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

20. Housing and Health Filling the gap

22. Case Study

26. 1. Property Standards and Enforcement

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

28. A Model

29. Outreach

30. Housing First and Health

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

33. Housing Status * as of August 31 st, 2013 33

34. Participant #8 34

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

37. Questions Contact aoudsho@uwo.ca @abeoudshoorn