Isolation, Physical Distancing and Next Steps Regarding Homelessness: A Scan of 12 Canadian Cities

by admin | Dec 7, 2020 | Aboriginal Peoples, Calgary, Cities, Corrections, Ending Homelessness, Government Funding, Health Care, Homeless, Housing, Housing First, Indigenous peoples, municipalities, Social Policy, Toronto

Isolation, Physical Distancing and Next Steps Regarding Homelessness: A Scan of 12 Canadian Cities

La version française de ce billet se trouve ici.

During the COVID-19 pandemic, officials in Canada’s major cities have partnered with health officials and others to create more physical distancing for persons experiencing homelessness. In a recent report (available here) I provide an overview of what this has looked like in the following cities: Toronto; Montreal; Vancouver; Calgary; Edmonton; Ottawa; Winnipeg; Quebec City; Hamilton; Regina; Saskatoon; and St. John’s.

Here are 10 things to know.

1. The report was commissioned by the Calgary Homeless Foundation (CHF).
As the System Planner for Calgary’s Homeless-Serving System of Care, CHF was interested in scanning what homelessness officials in other cities were doing during this unprecedented time. While the report was initially intended for internal use, CHF decided to release it publicly so that homelessness officials, researchers and advocates in other cities could learn more about the national picture.

2. Homelessness officials in Canada’s major cities have created more physical distancing through a variety of measures.
They have created more physical distancing at existing shelters, opened new facilities, and created space for both isolation and quarantine. Toronto and Vancouver are noteworthy in that both cities have secured large numbers of hotel rooms.

3. Officials in most of Canada’s large cities have continued to move persons directly from emergency shelters into permanent housing.
They have also developed innovations. For example, several cities have developed new models of moving people from homelessness into permanent housing. The report discusses these in detail.

4. Networks of cooperation have generally improved during this crisis; this is especially true with health officials.
In several cases, local health officials were perceived to have not been very engaged in homelessness prior to the pandemic, but improved their approach during the pandemic. It is hoped that these improved forms of collaboration will continue.

5. Many homelessness officials have expressed frustration with the lack of cooperation from the corrections sector.
The report finds officials in correctional facilities commonly discharge inmates without housing plans and without reaching out to homelessness officials to coordinate a transition into emergency shelter (however, Quebec City is an important exception here).

6. Across Canada, a surprisingly large number of newly-created spaces for persons experiencing homelessness are staying open (or re-locating).
Put differently, the new physical distancing arrangements put in place during the pandemic appear to be having a remarkable amount of staying power. The state of this ‘new normal’ will vary by city, however. For example, most emergency shelters in Calgary and Edmonton do not expect to be able to comply with a two-metre requirement.

7. Challenges remain in the sector.
While the current situation varies across Canada, the following challenges remain in the sector as a whole: outdoor sleeping; shared bathrooms and other common areas (as well as the additional costs of cleaning associated with these shared spaces); and new homelessness created by the economic downturn.[1]

8. Canada’s federal government has made important new funding announcements since the start of the pandemic.
The Government of Canada announced $157.5 million in one-time funding for Reaching Home in March 2020 (Reaching Home is the federal government’s main funding vehicle for homelessness). Further, in September 2020, the Government of Canada announced an additional $236.7 million for Reaching Home, along with $1 billion for modular housing, the acquisition of land, and the conversion of existing buildings into affordable housing.

9. However, all of these funding enhancements are temporary.
There has been no enhancement to permanent federal homelessness funding announced since the start of the pandemic. An enhancement to permanent funding could: support local officials in maintaining the improved physical distancing; assist in transitioning more people from both emergency shelters and outdoor encampments into permanent housing; and help pay for increased cleaning costs and staffing needs associated with the ‘new normal’ discussed above.

10. The report recommends the enhancement of the Canada Housing Benefit (CHB).
Central to the National Housing Strategy is the recent launch of the CHB, providing financial assistance to help low-income households afford their rent. It is expected that half of this money will come from the federal government, and the other half from provinces and territories. The CHB was supposed to launch nationally on 1 April 2020; however, just five provinces have formally agreed to terms on the new benefit. The federal government could increase the value of this benefit, which could encourage provinces and territories to sign on. For example, the federal government might offer 2/3 or 3/4 cost-sharing.

In sum: Homelessness officials across Canada have worked hard to improve physical distancing during the pandemic. Permanent increases in federal funding would help them both maintain this ‘new normal’ and find more permanent, affordable housing for persons experiencing homelessness.

[1] I have recently written another report about new homelessness created by the downturn. That report, commissioned by Employment and Social Development Canada, will be released in December 2020.

I wish to thank Susan Falvo and Vincent St-Martin for assistance with this blog post.

Ten things to know about affordable housing in Alberta

by admin | Jun 30, 2019 | Aboriginal Peoples, Alberta, Alternative Federal Budget, Calgary, Ending Homelessness, Fiscal policy, Government, Government Funding, Homeless, Housing, Housing First, Income Inequality, Indigenous peoples, Policy, Poverty, Poverty Reduction, Research and Data, Ron Kneebone, seniors, Social Housing, Social Policy

Ten things to know about affordable housing in Alberta

People without affordable housing suffer from poor health outcomes, have difficulty finding and sustaining employment and are at greater risk of having their children removed by child welfare authorities.

Here are 10 things to know about affordable housing in Alberta specifically:

The NDP government of Rachel Notley undertook important initiatives pertaining to affordable housing. In its 2016 budget, the Notley government announced the near doubling of provincial spending on housing. This represented a total of $892 million in new funding, spanning a five-year period.
According to the most recent Census, 11.4% of Alberta households experience core housing need, representing more than 164,000 households. In order to assess housing need for Canadians, the Canada Mortgage and Housing Corporation uses a measure called core housing need. A household is said to be in core housing need if, out of financial necessity, they either pay more than 30% of their gross household income on housing, live in housing requiring major repairs, or live in housing with insufficient bedrooms for the household size in question (as determined by the National Occupancy Standards).
Seniors living alone in Alberta face particularly high rates of core housing need. Nearly 34% of senior (65+) females living alone in Alberta were in core housing need in 2011, while the figure for senior (65+) males living alone was just under 26%.
Female lone-parent households in Alberta also face a particularly high rate of core housing need. More than 27% of these households were in core housing need in 2011. However, that figure likely dropped after the NDP government of Rachel Notley introduced the Alberta Child Benefit, a major feature of the 2016 Alberta budget.
Members of Alberta First Nations also experience very high rates of core housing need. In fact, the rate of core housing need for Status Indians is nearly 25%—more than double the rate for non-Indigenous households in the province. And get this: these core need figures do not account for households living on reserve (if they did, that figure would be much greater). I should also note that more than 25% of persons experiencing absolute homelessness in Alberta identify as being Indigenous, even though Indigenous peoples make up just 7% of Alberta’s total population.
Housing typically constitutes a larger share of spending for low-income households (compared with middle- and higher-income households). And as the figure below illustrates, that phenomenon got measurably worse for low-income households in Alberta between 2010 and 2016.
Source. Kneebone, R., & Wilkins, M. G. (2018). Social Policy Trends: Paying for the Essentials: Shelter, Food and Energy Consumption by Household Income Quintile for 2010 and 2016. The School of Public Policy Publications, 11. Retrieved from Policy School’s website: https://www.policyschool.ca/wp-content/uploads/2018/07/Social-Trends-Engel-Curves-July-2018.pdf
On a per capita basis, Alberta has far fewer subsidized housing units than the rest of Canada. According to the most recent Census, subsidized housing represents just 2.9% of Alberta’s housing units; for Canada as a whole, the figure is 4.2%.
Some Alberta cities have much more low-cost rental housing (per capita) than others. The visual below shows the range of private market rents paid on one- and two-bedroom apartments across Alberta’s seven major cities. The light-coloured bars show the range of rents paid on the second quintile (i.e., the second-poorest quintile) of private market rents. The next darkest bar shows the range of rents paid on the third quintile (i.e., the middle quintile) of rents, while the darkest bars define the range of rents paid on the fourth quintile of rents. Among the seven major cities, Medicine Hat appears to have the most low-cost rental housing units (per capita), and Calgary the fewest.
Notes. Monthly rent quintiles by city in 2017. Data provided to Ron Kneebone (University of Calgary) by Canada Mortgage and Housing Corporation. The range of rents paid on the first and fifth quintiles are not reported due to confidentiality reasons.
Going forward, the impact of the federal government’s National Housing Strategy will be modest. Recent analysis by Canada’s Parliamentary Budget Officer (PBO) projects future federal housing spending to actually decrease over the next decade (relative to Gross Domestic Product). The same analysis projects that total spending on Indigenous housing by Canada’s federal government will be “substantially lower” going forward. (For a general overview of the National Housing Strategy, see this analysis.)
There are considerable cost savings to be realized when investing in affordable housing, especially when the tenants have serious mental health challenges. Subsidized housing for vulnerable subpopulations (including persons with mental health challenges) that is accompanied by professional staff support is referred to as supportive housing. Recent analysis in Calgary estimates considerable cost savings in the health and justice sectors attributable to formerly-homeless persons receiving supportive housing.

In Sum. For a more comprehensive look at affordable housing in Alberta, see this year’s Alberta Alternative Budget (AAB). Full disclosure: I was primary author of the chapter on affordable housing and homelessness.

I wish to thank the following individuals for invaluable assistance with the housing chapter of this year’s AAB: Meaghan Bell, John Kmech, Claire Noble, Chidom Otogwu, Steve Pomeroy, Ron Kneebone, Vincent St. Martin, John Veenstra and one anonymous reviewer. Any errors are mine.

Homelessness, harm reduction and Housing First

by admin | May 16, 2019 | Aboriginal Peoples, Alberta, Calgary, Harm Reduction, Homeless, Housing, Housing First, Indigenous peoples, Point in time Count, Poverty, Social Policy

Homelessness, harm reduction and Housing First

I was recently invited to give a presentation at a two-day event discussing the overdose crisis and First Nations, with a focus on southern Alberta. My presentation (slide deck available here) focused on homelessness, substance use, harm reduction and Housing First.

With this in mind, here are 10 things to know:

Indigenous peoples are overrepresented among persons experiencing absolute homelessness in Alberta. According to results of the last province-wide Point-in-Time homelessness count, Indigenous peoples represent 7% of Alberta’s total population, but 26% of persons experiencing absolute homelessness in the province’s seven largest cities. A similar phenomenon exists right across Canada, Australia and New Zealand.
To truly understand homelessness among Indigenous peoples, it is important to understand flow between communities. Most Indigenous peoples experiencing absolute homelessness in Alberta’s major cities report not being from the community in question. In Calgary, for example, just 11% of Indigenous peoples experiencing absolute homelessness report always having lived in Calgary.
A major study is about to explore factors behind the flow of First Nations people between southern Alberta communities. Specifically, it will look at those who end up experiencing absolute homelessness in Calgary. Its research team consists of Jodi Bruhn, Gabrielle Linsdstrom, Allan Moscovitch and Steve Pomeroy. More information on this project can be found in last fall’s Request for Proposals. The research is being funded by the Calgary Homeless Foundation.
Traumatic events are an important factor leading a homeless person to use drugs. A 2015 Winnipeg study asked what factors made a homeless person more likely to be a person who uses drugs (PWUD). Traumatic events, especially residential school history, were found to be one of the most important factors. Other factors identified in the study as leading a person to use drugs included mental and physical health problems (i.e., people self-medicate). What’s more, a recent First Nations Health Authority report from British Columbia identifies factors that lead to substance use. They include: racism; intergenerational trauma (e.g., residential schools); and limited access to mental health and addiction treatment (which is often reported by members of First Nations).
Homeless shelters do not and cannot adequately respond to the overdose crisis. A 2014 study looked at the use of homeless shelters in Atlantic Canada (it looked at all four Atlantic provinces). It found that shelters focus on providing shelter and do not have a strong mandate to fully support PWUDs. A 2018 report went further, identifying the following barriers in some homeless shelters in Canada: clients having to ask staff to access harm reduction supplies (to be discussed below); shelters refusing services to people under the influence; and rigid entry process (e.g., extensive paperwork, the need for multiple pieces of documentation).
It is very challenging for staff in homeless shelters to properly engage with people who use drugs, largely because on-site use of illicit substances is prohibited. To put it bluntly, staff give out supplies but forbid the on-site use of drugs. Shelter washrooms can therefore become “de facto unsupervised consumption sites” (p. 87).
Harm reduction focuses on reducing harm caused by drug use without requiring total abstinence. Harm reduction approaches include the distribution of condoms, clean syringes and safe inhalation kits. There is solid evidence supporting the view that harm reduction approaches: reduce risk-taking behaviour; reduce the risk of transmission of blood-borne diseases; prevent overdoses; reduce crime; and increase contact with other supports (including healthcare supports).
Supervised consumption services are one form of harm reduction. According to this report, they “consist of providing a safe, hygienic environment in which people can use drugs with sterile equipment under the supervision of trained staff or volunteers” (p. 2). As of February 2019, 28 supervised consumption services sites were operating under an exemption from Canada’s federal government.
Supervised consumption services have proven to be very effective in southern Alberta. During 2018 alone, Calgary’s supervised consumption site saw nearly 52,000 visits, resulting in more than 700 overdose reversals. Also during 2018 alone, Lethbridge’s site saw nearly 128,000 site visits, resulting in more than 1,300 overdose reversals.
Housing First is an approach whereby people in need of affordable housing receive housing without having to first prove their ‘housing readiness.’ According to this study: “Harm reduction is a key principle of Housing First, where individuals are not required or expected to undergo treatment for substance use or to abstain in order to access and keep permanent housing” (p. 1). However, Housing First does not mean housing only. That is, other social supports—including drug and alcohol treatment, which may lead to reduced substance use—are crucial to the success of Housing First.

In Sum. To understand high rates of homelessness and substance use among Indigenous peoples, it is important to consider the roles played by trauma and racism. It is also important to understand flow between communities, as well as the inadequacies of homeless shelters. Harm reduction and Housing First remain important policy responses to the overdose crisis.

I wish to thank the following individuals for invaluable assistance with this blog post: Lorraine Barnaby, Shannon Beavis, Jodi Bruhn, Julia Christensen, Arlene Haché, Leslie Hill, Diana Krecsy, Bren Little Light, Katelyn Lucas, Adam Melnyk, Susan McGee, Katrina Milaney, Gautam Mukherjee, Bernie Pauly, Steven Richardson, Chris Sarin, Quentin Sinclair, Lorie Steer, Vincent St-Martin and Alina Turner. Any errors are mine.

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