When tenants ‘graduate’ from Housing First programs: 10 things to know

When tenants ‘graduate’ from Housing First programs: 10 things to know

When tenants ‘graduate’ from Housing First programs: 10 things to know

Nick Falvo is Director of Research and Data at the Calgary Homeless Foundation.

With limited resources at their disposal, System Planners—such as the Calgary Homeless Foundation (CHF)—like to know how long various subgroups of persons experiencing homelessness will likely require various forms of housing support. With this in mind, Ali Jadidzadeh and I have co-authored a study that appears in Housing Studies—a leading housing journal. Titled Patterns of exits from housing in a homelessness system of care: The case of Calgary, Alberta, the study looks at the case of CHF-funded Housing First programs.[1]

Here are 10 things to know:

 

  1. The study uses survival analysis and hazard models. To quote from the study: “[S]urvival analysis tells us when we can expect new housing units to become available for new tenants, and which programme types will have available units more quickly… [while] hazard analysis can tell us which tenants will be most likely to graduate, based on the individual characteristics of those tenants” (p. 7).
  1. The data in the study comes from Calgary’s Homelessness Management Information System (HMIS). Gathered between 1 April 2012 and 31 March 2015, the data pertain to people residing in Housing First programs funded by CHF. Literally thousands of people were involved in this data collection effort, including: persons living in Housing First programs who signed release of information forms; staff in Calgary’s Homeless-Serving System of Care who inputted the data; CHF staff who provided training and support to community on how to use HMIS; as well as CHF staff who then cleaned the data.[2] The data in question were gathered on each person residing in Housing First every three months. An intake form was first completed by a case manager at intake into the program; then, another assessment form got completed every three months. There was also a form completed at exit from the program. These forms ask basic demographic information, as well as information about education, income, employment, history of family violence, use of health services and involvement in corrections. Most of the data gathered is based on self-reporting by an experienced case manager who receives accreditation. Blank copies of these forms can be accessed here.
  2. Key to the study is a concept known as graduation. Alberta’s provincial government provides homelessness funding to System Planners (such as CHF). To quote directly from the study: “In line with provincial programme guidelines in place during the period under consideration in the present study, a client is said to graduate from CHF-funded housing when they no longer require ‘housing support’ (i.e. case management). And in the case of temporary housing funded by CHF, a client is said to graduate once they complete programme requirements and move into a more permanent form of housing—either subsidized or unsubsidized…” (p. 3). [Note: subsequent to the period of study, the definition of graduation has changed for Calgary.] For a recent academic consideration of graduation, see this 2018 article.
  1. One of the study’s findings is that single adults without dependents require housing support longest, and families for the least amount of time. Put differently: single adults without dependents who have recently been homeless require social work[3] support longer than other groups. I suspect a few factors may be at play here. First, single adults without dependents sometimes don’t have dependents because their children have been taken into child protection (possibly stemming from the parent’s challenges with mental health and/or substance use). It’s therefore intuitive that a person with such challenges would require social work support for a longer period of time. Also, in Alberta, singles without dependents receive less income assistance than other groups, making it more challenging to live independently (I encourage people to read the poverty chapter in this year’s Alberta Alternative Budget, which argues that the poverty gap for singles without dependents is much larger than for other groups).
  1. Women require social work support for longer periods than men (even when we control for employment and income). In fact, the study finds that men are 32% more likely to graduate than women. As noted in the study: “One possible reason for this is that women experiencing homelessness often find themselves in relationships with people who in turn jeopardize their housing stability…” (p. 20).
  1. Having a history of addictions does not appear to affect a client’s graduation rate. This is consistent with findings from the At Home/Chez Soi study, which found that formerly-homeless persons who consume large amounts drugs and/or alcohol maintain housing about as well as other formerly-homeless persons. This reaffirms the importance of the Housing First approach, which holds that a person should not have to go to a drug or alcohol treatment program as a precondition to receiving permanent housing.
  1. Older clients have lower graduation rates (meaning that it takes longer for them to move on to independence). Put differently: older people who have recently been homeless require social work support longer than other groups. The study notes: “Older clients having lower graduation rates should also not be surprising to many readers, as the health outcomes of seniors are poorer than those of younger clients” (p. 21). This is an especially important findings for System Planners across Canada, as older adults are making up an increasingly large share of the homeless population. In Calgary’s homeless shelter system, adults aged 55 and over now account for 19% of bed spaces on any given night; in 2008, they accounted for just 9% of all bed spaces.[4] This trend will likely continue for at least another decade or two.
  1. Findings pertaining to Indigenous peoples have already had ramifications on the ground. Indeed, the study finds that Indigenous peoples in the study needed support longer than non-Indigenous peoples. This holds even after controlling for income, education, and a history of family violence. Future research is needed that looks at factors that inhibit success among Indigenous peoples in Housing First.[5] These findings have also informed CHF’s engagement strategies with Indigenous peoples, including CHF”s hiring of an Indigenous advisor (since promoted to Director), a business case for two supportive housing buildings for Indigenous peoples (not yet funded) and future Indigenous-focused research (to be discussed in future blog posts).
  1. The study finds that having a source of income is positively correlated with graduation rates (i.e., it speeds up the move toward independence)—and this has already led to several changes in Calgary’s Homeless-Serving System of Care. This finding has helped inform an effort by CHF to identify, in collaboration with community partners, specific individuals in CHF-funded Housing First programs who, with some additional (short term) financial support, could likely graduate. This particular effort has been taking place for roughly one year; thus far, it has involved approximately 170 individuals with considerable success. The additional financial assistance provided varies by individual and is not intended to be permanent.
  1. In Calgary’s family homelessness sector, the study’s finding pertaining to income has led to the development of a new Adaptive Case Management (ACM) approach. ACM has a strong focus on providing short-term financial assistance to households in need (and it is discussed in detail in our Family System Planning Framework).

In Sum. This study finds that some groups move on from Housing First programs more quickly than others, and that some factors (such as a source of income) appear to accelerate graduation from Housing First. Because CHF embeds research into its day-to-day operations, we were well-positioned to start acting on findings well before the research was published.

For assistance with this blog post, I wish to thank Tim Aubry, Carla Babiuk, Victoria Ballance, Candice Giammarino, Ali Jadidzadeh, Stephen Metraux, Shane Rempel and one anonymous source. Any errors are mine.

[1] For a full copy of the article, please email me at nick@calgaryhomeless.com.

[2] Note: Ali Jadidzadeh has spent many hours cleaning this data so that it can be used for analysis—not only for this study, but for other stakeholders in community, including other researchers.

[3] People working in Calgary’s Homeless-Serving System of Care refer to such support as ‘case management.’

[4] These figures apply to single adults without dependents. The 19% figure is for 2017.

[5] Some research has already been undertaken on this in Edmonton. Check out this 2011 report and this 23-minute video.Blog PDF download here.

Ten things to know about Carey Doberstein’s book on homelessness governance

Ten things to know about Carey Doberstein’s book on homelessness governance

Ten things to know about Carey Doberstein’s book on homelessness governance

Carey Doberstein, a professor at the University of British Columbia’s Okanagan campus, has written a book about homelessness governance in Canada. The book’s focus is on the way homelessness funding is targeted and allocated in three cities: Vancouver, Calgary and Toronto. It focuses on the 1995-2015 period.

Here are 10 things to know:

1. There are some major differences in homelessness across Vancouver, Calgary and Toronto.On a per-capita basis, Calgary has the most homelessness of the three cities, and Metro Vancouver the least. Between 2008 and 2014, Calgary saw a 62% drop in street homelessness, while Metro Vancouver saw a 39% decrease and Toronto a 24% increase. Both Calgary and Toronto saw modest increases in Indigenous representation among their homeless populations during the period under consideration (17% and 6% respectively) while Vancouver saw a 15% decrease during this time. Finally, families constituted just 5% of persons living in Vancouver’s shelter system in 2014; in Calgary the figure is 12%, and Toronto 20%. All of these figures are accurate as of 2014 and do not reflect results of more recent enumerations (keeping in mind that cross-city comparisons of homelessness populations do come with challenges).

2. One such difference pertains to policy and governance. According to Doberstein: “These three cities differ dramatically in how government and civil society actors organize themselves in governance arrangements to solve public problems” (p. 6). These differences ultimately have an important impact on what homelessness looks like on the ground; however, they do not fully account for the many differences discussed in point #1 above (for more on the many factors that impact the size of a city’s homeless population, see point #3 of this blog post).

3. Better decisions pertaining to homelessness policy and governance are made when multiple stakeholders are involved in decision-making. With regard to homelessness policy and governance, the book is referring to policies with respect to where homelessness funding should go, how homelessness programming should be designed, and which subgroups of a city’s homeless population should be given priority.

4. Multiple stakeholders play important roles in such decision-making in both Vancouver and Calgary, more so than in Toronto. Vancouver and Calgary both have community advisory bodies that meet regularly and where members engage in important debate that leads to decisions pertaining to the disbursement of homelessness funding from the federal and provincial governments. By contrast, Toronto has a community advisory body that advises Toronto’s municipal government on how to direct federal homelessness funding; however, it meets just once or twice a year, and “essentially functions as a rubber stamp for the [municipal] bureaucracy’s homelessness agenda” (p. 95). The book goes on to state: “Toronto advanced many important policy debates and changes in the late 1990s and early 2000s, but the city has since lost its position on the cutting edge…” (p. 88).

5. Toronto may be turning a corner. The book notes that, in 2014, Toronto City Council tasked the newly-formed Toronto Alliance to End Homelessness “to serve as the designated advisory group to the City of Toronto on all aspects of its policy response to homelessness and housing…with the aim of engaging with community stakeholders in a more sustained and substantive fashion” (p. 123). This may give some Toronto-based readers reason for optimism.

6. Government plays a crucial role as a funder of homelessness programming, but government officials have a limited line of sight. Former BC Housing manager Michael Anhorn is quoted in the book stating: “It’s way too easy as a government bureaucrat to sit in our office and look at stats and think you know what’s happening [on the streets] is because of this or that. And, in part, that is because your statistics will only tell you what you measure, whereas service providers are in the day-to-day, and they will recognize trends that are happening before the statistics can identify them” (pp. 83-84).

7. Government officials can be risk averse. Public servants ultimately need to have their proposals vetted by elected officials, who in turn are nervous about risk. By contrast, staff at smaller non-profit agencies tend to be governed by board members who are often more nimble and less risk averse.

8. The book argues that Vancouver and Toronto’s municipal governments have been more directly involved in housing and homelessness than Calgary’s. For example, according to the book: “The City of Calgary has the same key homelessness-policy levers as other cities do—namely, the control over land use and development—yet it has not fully leveraged that control through inclusionary zoning policies such as we see in Vancouver, and to a lesser extent, in Toronto.” (p. 129).

9. The book could have done a better job of outlining the various funding streams for homelessness programs across the country. In Calgary, for example, funding available for the local homelessness governing network provided by the provincial government dwarfs federal funding for homelessness by roughly a 4:1 ratio. And in Vancouver, provincial spending on homelessness exceeds federal spending on homelessness by a 20:1 ratio (if one includes capital funding). These arrangements vary tremendously across Canada. What’s more, across Canada there are approximately 3,700 municipal governments (many of which are quite small); yet, only some of them directly receive federal funding for homelessness. A general overview of the homelessness funding framework early in the book would have been helpful.

10. The book contains a few factual errors, though none of them undermine the book’s main arguments. In Chapter 3, the book notes (incorrectly) that in 1993 it was the Chrétien government that put an end to federal funding for new social housing units in Canada (with the exception of on-reserve housing). It was actually the Progressive Conservative government that ended this housing (in its April budget that year). Chapter 3 also notes that Vancouver’s community advisory body has shown innovation in “being the first to fund low-barrier homeless shelters (no requirement to be clean and sober)…” (p. 65). In fact, the first homeless shelter I worked at in Toronto in 1998 (Dixon Hall Men’s Shelter) had no such requirement.

In Sum: I believe this book is important for people interested in homelessness policy and governance in Canada. Officials in both government and the non-profit sector should read this. So should volunteers and consultants. I also recommend that professors read it and assign it to their students (especially graduate students).


I wish to thank Janice Chan, Brian Davis, Carey Doberstein, Paul Dowling, Melissa Goldstein, Katherine Graham, Jonn Kmech, Kevin McNichol, Tim Richter, Robert Shepherd and five anonymous reviewers for assistance in preparing this blog post. Any errors are mine.

Saskatchewan budget misses opportunity on rental housing assistance

Saskatchewan budget misses opportunity on rental housing assistance

Saskatchewan budget misses opportunity on rental housing assistance

I recently wrote a ‘top 10’ overview blog post about the 2018 Saskatchewan budget. Following on the heels of that, I’ve now written an opinion piece about the budget’s announcement of a phase out a rental assistance program for low-income households.

Points raised in the opinion piece include the following:

-Across Saskatchewan, rental vacancy rates are unusually high right now, making this a good time to provide rental assistance to tenants for use in private units (indeed, right now it’s a so-called renter’s market in Saskatchewan, meaning it’s a relatively good time for tenants to negotiate rental agreements with private landlords).

-Thus, rather than phasing out the program, it would have been sensible to have expanded it.

-Phasing it out will very possibly lead to more homelessness, which in turn may lead lead to higher public costs elsewhere (especially to the health care sector).

Interestingly, just yesterday the Saskatchewan Landlord Association made many of these same points themselves; they like the rental assistance program, as it increases demand for its members’ housing units (many of which are currently sitting empty).

It’s of course also important for government to finance housing owned by non-profit entities. I recently wrote about the importance of a variety of measures to improve housing affordability in the housing chapter of this year’s Alternative Federal Budget.

Meanwhile, the link to my recent opinion piece is here.

Ten things to know about the newly-signed federal-provincial-territorial housing framework agreement

Ten things to know about the newly-signed federal-provincial-territorial housing framework agreement

Ten things to know about the newly-signed federal-provincial-territorial housing framework agreement

Nick Falvo is Director of Research and Data at the Calgary Homeless Foundation

A federal-provincial-territorial (FPT) framework agreement on housing was signed on April 10 in Toronto. It supports the Trudeau government’s National Housing Strategy, which was released last fall.

Here are 10 things to know about the just-signed agreement:

  1. Though a National Housing Strategy (NHS) was released last fall, a federal-provincial-territorial (FPT) framework agreement still had to be signed. That’s because a lot of the funding proposed in the Strategy is dependent on cooperation from provincial and territorial governments.
  2. The federal government will now seek to negotiate bilateral agreements with every provincial and territorial government. In fact, it’s quite likely that the federal government has already begun to negotiate such agreements with some provinces and territories. If recent history serves as any guide, the federal government will likely begin by trying to negotiate agreements with provincial/territorial governments they think are especially keen to sign on (British Columbia might be low-hanging fruit in this regard).
  3. Each bilateral agreement will have a clause that ensures equal terms for all jurisdictions. Such a clause will stipulate that if a subsequent signee gets better terms, those better terms will apply to any provincial or territorial government that previously signed. The intent of such a clause is to not discourage a provincial or territorial government to come to the table early.
  4. One important section of the newly-signed agreement pertains to the National Housing Co-Investment Fund. The newly-signed agreement stipulates that provincial and territorial governments will have a role in decision-making pertaining to this fund; whereas, last fall’s NHS agreement suggested it would be a unilateral federal program. (For more on this fund, see point #3 of this previous blog post.)
  5. The newly-signed agreement touts the goal of removing 490,000 households from core housing need over 10 years. While hundreds of thousands of households may well be removed from core need, this is likely an unrealistic target. For example, the Canada Housing Benefit would need to be very deep and reflect regional differences in order to completely remove most beneficiary households from core housing need(For more on problems associated with using core housing need as a metric, see this June 2017 analysisby Steve Pomeroy.)[1] Also, the (NHS) released just last fall indicated that the goal was to remove 530,000 households from core housing need; likewise, the media release for the just-signed agreement also uses the 530,000 figure.
  6. Much of the federal funding committed will have to be matched by provinces and territories—but still, very few details have been offered as what this will look like. Some of the matching dollars won’t come from provincial/territorial governments themselves—but rather, from municipal governments, Indigenous organizations, non-profits and private entities. Some of these details will surface later in bilateral agreements. Also, some of the federal funding (such as the “targeted northern funding”) won’t require cost matching
  7. No specific information has been provided on program structure. These details will appear in the schedules in bilateral agreements. Such details will include information regarding who’s eligible for housing support and how exactly funds can be used.
  8. The federal government plans to introduce legislation that would underpin the framework agreement. Regardless, future federal, provincial and territorial governments will still have some opportunity to back out asfuture governments always have the opportunity to pass legislation to undo all of this. However, there would be political risk in doing so (i.e., they’d get a lot of political flak).
  9. The just-signed agreement says nothing new about homelessness per se. The homelessness file is being handled by Employment and Social Development Canada (ESDC), while the NHS is being handled by Canada Mortgage and Housing Corporation. An Advisory Committee on Homelessness has been meeting over the course of the past year “to support the redesign” of Canada’s Homelessness Partnering Strategy. Their consultation has recently concluded.
  10. The just-signed agreement says nothing about supportive housing. Supportive housing refers to subsidized housing for marginalized groups (including persons experiencing homelessness) that comes with social work support. I suspect we may hear something about supportive housing from ESDC over the coming months. It’s also possible that the bilateral agreements stemming from the just-signed agreement will get into the details on supportive housing.

In sum. The just-signed FPT housing framework agreement marks a crucial step toward making NHS a reality on the ground. The Calgary Homeless Foundation will be watching the status of bilateral negotiations closely, especially those involving the Government of Alberta. We’ll also be watching for developments on the federal homelessness front.

The author wishes to thank Vicki Ballance, Steve Pomeroy and Greg Suttor for assistance with this blog post. Any errors lie with the author.

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[1] There’s a footnote in the NHS in reference to this. It makes reference to this target being related to either the removal of a household from core housing need or the household’s degree of core need being “significantly reduced” (p. 4).

Homelessness and Employment: The Case of Calgary

Homelessness and Employment: The Case of Calgary

Homelessness and Employment: The Case of Calgary

Nick Falvo is Director of Research and Data at the Calgary Homeless Foundation.

On March 8, I gave a guest presentation to students in Professor Naomi Lightman’s Sociology of Work class at the University of Calgary. I was joined by Alexander Kulakov and Amit Nade, employment coaches at the Mustard Seed. My PowerPoint slides can be downloaded here.

Here are 10 things to know:

1. In Calgary, there aren’t enough jobs to go around, and income support programs for those without work are inadequate. According to the most recent Labour Force Survey, there are almost 173,000 adults in Alberta actively searching for work [1] (in spite of this, 15% of persons experiencing homelessness in Alberta do report some income from employment). While some unemployed people qualify for Employment Insurance (EI), most don’t. And for those who do qualify, benefits are both modest and temporary. Unemployed people who don’t qualify for EI can always apply for social assistance, but these benefits are even more modest (for an overview of social assistance throughout Canada, see this blog post; and for an overview on social assistance in Alberta specifically, see this blog post).

2. For persons experiencing homelessness, one major barrier to finding and maintaining work is poor health. According to Stephen Hwang: “Homeless people in their forties and fifties often develop health disabilities that are more commonly seen only in people who are decades older.” Consider some of these findings from one of the most comprehensive health surveys done on persons experiencing homelessness in Canada: 41% of persons experiencing homelessness report being “usually in some pain or discomfort.” Yet, for the general population, the figure is 15%. Among people who are usually in pain, 35% of persons experiencing homelessness report that pain being “severe,” while for the general population the figure is just 2%.

3. Mustard Seed has an employment program for persons currently experiencing homelessness. That program is funded entirely by private giving (i.e., charitable donations from individuals and foundations). One stream of this program involves one-on-one coaching. This stream is geared toward those needing the most support (typically persons with the poorest health outcomes). Staff help people with resumes and cover letters. Staff even physically go out job searching with participants. Another stream involves job preparation in a group format; this happens at the Seed Academy. Assistance is provided with writing resumes, writing cover letters and networking. Employers even come in and do mock interviews! The third stream of the program is designed for people who are very close to landing a steady job (and in some cases have even received a formal offer). Participants in this stream can get short-term financial assistance to purchase such things as clothing, tools, and transportation to another part of Alberta.

4. The Calgary Drop-In & Rehab Centre (the DI) has an employment program funded by Alberta’s provincial government. The DI’s program has two employment specialists who meet one-on-one with persons experiencing homelessness. The DI also provides a three-week training program in which people are trained in interview skills, employment strategies, resume writing, financial literacy, first aid, forklift operation, interviewing and employee rights. Staff at the DI then follow up with graduates at 90 days, and then again at 180 days. In the span of one month, this program gets 800 unique individuals out at a job at some point. Also during the course of one month, as many as 500 different employers use this service. [2] The majority of the jobs are general labour (i.e. moving and lifting things; landscaping; clean up). This particular program is especially good at helping workers to find jobs at festivals (i.e., Canada DayLilac FestivalCalgary Pride, etc.). Where possible, the DI tries to turn casual positions into full-time ones—last year, they managed to get 21 full-time permanent positions created out of this initiative.

5. There are several other employment-readiness programs for persons experiencing homelessness in Calgary. For example, Calgary John Howard Society has a Learning Enhanced Employment Program for persons involved or at-risk of becoming involved in the criminal justice system; it’s a three-week training program. Also, the DI has a WoodWorks program—it’s a social enterprise that funds itself through the sale of the product. Participants work in the program for 12 weeks, with the goal of then entering directly into the woodworking industry.

6. The most successful participants in all of these programs tend to be relatively healthy (compared to others experiencing homelessness) and be between the ages of 25 and 60. Healthier workers having more successful outcomes will be intuitive for most readers. Meanwhile, one of the reasons workers over the age of 60 struggle with work is that some computer literacy is often required for jobs. According to Patty Rideout from the Seed: “Most jobs, even entry level work, require employees to use technology for work schedules, reporting, or organization.”

7. Persons housed by programs funded by the Calgary Homeless Foundation (CHF) see a modest improvement in employment over time. CHF stewards a large database with information about persons funded in Housing First programs that we fund. We have data on more than 3,000 unique individuals. A quick glance at employment status upon entry, compared with three months later, suggests a modest increase in percentage of clients employed (based on self-reported data).

8. In some cases, persons experiencing homelessness are overqualified for jobs. One employment support worker in Calgary tells me via email: “We are taking master’s degrees off of resumes to try to get clients working.” This may speak to the fact that, even in Calgary, there simply aren’t enough jobs to go around. (Note: this year’s Alternative Federal Budget would create 470,000 full-time equivalent jobs across Canada in just one year.)

9. More affordable child care in Calgary would make it easier for parents experiencing homelessness to access employment. A lack of subsidized child care is a major barrier to employment, especially for women. In the case of households experiencing homelessness, this is especially challenging. The median monthly childcare fee for a Calgary infant is $1,250. (For a recent review of barriers to affordable childcare across Canada and a proposed ‘way forward,’ see the child care chapter in this year’s Alternative Federal Budget; and to see the Alberta picture, see the child care chapter in this year’s Alberta Alternative Budget (coming soon!).

10. Just as affordable housing can improve employment outcomes, so too can employment help end homelessness. According to the DI’s Santino Marinucci: “We have many successes in helping clients achieve their housing goals with independent living through employment. It is one of my personal goals to start tracking metrics related to employment and housing moving forward.”

In Sum. Too few jobs, inadequate income assistance programs, major health challenges and a lack of subsidized child care all pose barriers to employment for persons experiencing homelessness. Fortunately, programs in Calgary offered by Mustard Seed, the Calgary Drop-In and Rehab Centre, and Calgary John Howard Society help many persons experiencing homelessness to overcome some of these barriers. For a ‘big picture’ advocacy ask at the federal level that could address all of these issues, check out this year’s Alternative Federal Budget; and for a similar ‘big picture’ ask at the provincial level, check out this year’s Alberta Alternative Budget (coming soon!).

The author wishes to thank Anna Cameron, Tanya Gerber, Alicia Kalmanovitch, Naomi Lightman, Santino Marinucci, Chidom Otogwu, Patty Rideout, John Rook, John Rowland and Debbie Tripp for assistance with this blog post. Any errors are his own.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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[1] This figure doesn’t include the many discouraged workers in Alberta who’ve given up looking for employment.

 

 

 

 

 

 

 

[2] These impressive figures may help explain why more than 30% of persons experiencing homelessness in Calgary report some income from employment, while the average for Alberta’s homeless population as a whole is just 15%. Specifically, this is in response to the question: “Where do you get your money from?”