The use of homeless shelters by Indigenous peoples in Canada

by admin | Oct 3, 2019 | Aboriginal Peoples, Alberta, Calgary, Cities, Data Sharing, Demographics, Determinants of Homelessness, Ending Homelessness, Government, Harm Reduction, Homeless, Housing, Indigenous peoples, municipalities, Research and Data, seniors, Toronto

The use of homeless shelters by Indigenous peoples in Canada

The Canadian Press recently gained access to results of analysis of the use of homeless shelters across Canada by Indigenous peoples. The results are summarized in a March 2019 slide presentation obtained by Jordan Press through an Access to Information and Privacy (ATIP) request, and are discussed in this Canadian Press article. They are based on a research project conducted by Employment and Social Development Canada (ESDC).

Here are 10 things to know:

The analysis draws on data gathered from homeless shelters across Canada. ESDC has data on persons using homeless shelters from roughly half of the country’s homeless shelters. This includes data gathered via the Homeless Individuals and Families Information System (HIFIS) software, as well as data gathered via data sharing agreements with the City of Toronto, the Government of Alberta and BC Housing. The data used for this analysis was gathered in 2016 and is based on approximately 133,000 unique individuals (approximately 41,000 of whom are Indigenous).
According to the slide presentation, Indigenous peoples in Canada are more than 11 times more likely to use a homeless shelter than non-Indigenous people. Results of the analysis are succinctly summarized in a memo prepared for the Minister which accompanies the slide presentation: “Results show that Indigenous peoples are consistently overrepresented in homeless shelters in all 46 communities examined [Indigenous peoples accounted for more than 30% of people using homeless shelters over the course of 2016, while representing less than 5% of the total population]…The degree of overrepresentation is particularly high for Indigenous women, seniors, and Inuit. Indigenous shelter users experience more shelter stays each year, and are less likely to exit a shelter because of finding a residence.”
As noted in the accompanying memo: “A report is being written to expand on the results shown in the deck.” Neither the memo nor the slide presentation indicate when the report will be ready, which people and groups will be invited to provide input on drafts of the report, or whether the report will be made public. Put differently, the federal government seems to be holding its cards close to its chest on this.
I was personally surprised to see the extent to which Indigenous peoples experience high episodic shelter use. In other words, Indigenous peoples (compared with non-Indigenous peoples) tend to cycle in and out of shelters with high frequency, rather than stay for long periods of time.[1]
I find it remarkable that these very important research findings had to be obtained via an ATIP request. In light of the federal government’s stated commitment to reconciliation, I would have thought it would have proactively released these findings and engaged Indigenous stakeholders in the process. This raises the following questions: To what extent were Indigenous peoples part of this analysis (beyond the fact that their data was collected and analyzed)? To what extent will Indigenous peoples be invited to discuss the implications of the analysis? Why does the slide presentation make no mention of the Canadian Housing and Renewal Association’s Indigenous Caucus?
The findings pertaining to shorter shelter stays raise at least two questions. First, why do Indigenous peoples have short, but frequent, stays in homeless shelters? Second, what could be done to address this? Frequent migration between urban centres and First Nations communities may help explain this. This may also speak to the need for more low-barrier and culturally-appropriate housing options in Canada—both emergency and permanent options.
The findings showing Inuit over-representation are disturbing, though not surprising. Canada’s Inuit experience high rates of unemployment, poverty, and housing need. For more on this, see: the Inuit Statistical Profile 2018, published by Inuit Tapiriit Kanatami; this Statistics Canada report from 2018; and this profile of Inuit living in Ottawa.
The findings pertaining to women and seniors merit reflection. The analysis finds that, while Indigenous men are more than 10 times more likely to use a homeless shelter over the course of a year than non-Indigenous men, Indigenous women are more than 15 times more likely to use a homeless shelter than non-Indigenous women over the course of a year. Meanwhile, Indigenous seniors are more than 16 times more likely to use a homeless shelter over the course of a year than non-Indigenous seniors. Why would rates of Indigenous over-representation in Canada’s homeless shelters be higher for women and seniors than for other categories?
I was disappointed to see Canada’s largest city dropped from the analysis. According to the slide presentation, City of Toronto data could not be included in the analysis because the City of Toronto lacked Indigenous status data for more than 40% of unique individuals using its homeless shelters. I hope it serves as wake-up call to the Toronto’s homeless-serving sector.
Among the communities studied, Calgary’s rate of Indigenous over-representation was especially high (see screenshot below). The analysis found that, in Calgary, shelter users are about 16 times more likely to be Indigenous than are members of the city’s total population. The rate for Edmonton appears to be about half of that, with only York Region (near Toronto) having a higher rate among the cities studied. It is worth noting that the Calgary Homeless Foundation recently commissioned a research project assessing flow between Treaty 7 First Nations and Calgary’s Homeless-Serving System of Care. Hopefully that project can shed light on this matter. (Full disclosure: I’m one of the research consultants working on this project, along with Gabrielle Lindstrom, Steve Pomeroy, and Jodi Bruhn.)

In sum. Many years of work go into this kind of analysis. Thousands of people were involved in the data collection, including shelter staff and officials both inside and outside of government. Further, people using homeless shelters patiently answered questions about their lives in order for this analysis to happen. However, it is clear that much work remains. It would appear that ESDC up their game in terms of working with Indigenous peoples and groups on such research projects, and some cities clearly must do a better job of data collection. We must all work collectively to understand what specific policy measures are required to address the over-representation of Indigenous peoples in Canada’s homeless shelters.

The following individuals provided me with assistance in preparing this blog post: Jodi Bruhn, Kathy Christiansen, Damian Collins, Dan Dutton, Ron Kneebone, Diana Krecsy, Eric Latimer, Katelyn Lucas, Jenny Morrow, Jennifer Robson, Vincent St-Martin, and two anonymous reviewers. Any errors are mine.

[1] Federal definitions of chronic vs. episodic homelessness are available here.

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.

Ten Things to Know About Homelessness in Canada

by admin | Sep 15, 2015 | Aboriginal Peoples, Alberta, Canada, Cities, Demographics, Employment, Employment Insurance, Fiscal policy, Homeless, Housing, Income, Income Support, Indigenous peoples, Labour Market, Macroeconomics, municipalities, Nunavut, Ontario, population aging, Poverty, seniors, Social Policy, taxation, Toronto, Unemployment

Ten Things to Know About Homelessness in Canada

This afternoon I gave a presentation at Raising the Roof’s Child & Family Homelessness Stakeholder Summit in Toronto. My slide deck can be downloaded here. To accompany the presentation, I’ve prepared the following list of Ten Things to Know About Homelessness in Canada.

1.Efforts to enumerate persons experiencing homeless have generally been spotty, but it is reasonable to assert that homelessness in Canada saw substantial growth in the 1980s and 1990s. On a nightly basis in Toronto, there were about 1,000 persons per night staying in emergency shelters in 1980. By 1990, that figure had doubled. And ten years later, there were 4,000 persons per night staying in Toronto’s emergency shelters. The Toronto figure of 4,000 per night has remained relatively constant for the past 15 years, though it has edged up in the aftermath of the 2008-2009 recession a phenomenon which I’ve previously written about here. (Admittedly, the number of persons living in emergency shelters on a nightly basis is a rather narrow gauge of homelessness. According to Canada Mortgage and Housing Corporation, approximately 13% of Canadian households are in core housing need; for Nunavut, the figure is a whopping 39%.)

2. Though it’s difficult to establish causation, I think relatively safe assumptions can be made about some of the major contributors to homelessness. Researchers are generally careful about using the term causation in fact, there are long-standing tensions among academic disciplines as to what methodological approaches are required to establish it. Statisticians, for example, generally believe that randomized controlled trials (RCTs) are needed to establish causation; but as David Freedman has argued, RCTs are often impractical or unethical (Freedman, 1999, p. 255). Rather, careful researchers are more likely to say things like these factors have likely contributed to this effect,” or “I think it’s likely that this effect caused this to happen And with that in mind, I’d like to suggest that there are probably three major factors that have contributed to homelessness in Canada: 1) macroeconomic factors (especially unemployment); 2) changes to our social welfare system (including a decrease in the availability of government-subsidized housing); and 3) the design and administration of policies whose specific intent is to respond directly to homelessness (often referred to as ‘systems responses’ to homelessness).

3. Homelessness has profound ramifications on the lives of children. As I wrote in 2012: Two studies have been done in Toronto looking at the role of housing with respect to children in care. Results of both studies indicate that the state of the family housing was a factor in one in five cases in which a child was temporarily admitted into care. Results from the Toronto research also indicate that, in one in 10 cases, housing status delayed the return home of a child from care (Falvo, 2012, p. 14). Other research estimates that, on an annual basis in Toronto alone, approximately 300 babies are born to mothers who are homeless. (Of course, homelessness can have profound ramifications on the lives of adults as well. For more on this, see this 2007 study.)

4. The role of Canada’s federal government in funding both housing for low-income persons and programming for homeless persons has varied considerably over time. Provinces and territories spend much more of their own money on housing for low-income persons when the federal government leads. Thus, a considerable amount of subsidized housing for low-income Canadians was built from the mid-1960s through to the early 1990s. Since the early 1990s, comparatively little subsidized housing has been built for low-income persons in Canada. I should also note that the annual, inflation-adjusted value of federal funding for homelessness today is worth just 35% of what it was worth in 1999.

5. Not every province/territory responds to homelessness in the same way. While much mores subsidized housing for low-income persons gets built when the federal government leads, provinces and territories don’t always respond to federal funding initiatives in the same way. For example, between 2002 and 2013, three times as many subsidized housing units were built in Alberta (on a per capita basis) than in Ontario. I would argue that a driving force behind this differential stems from Alberta’s strong economic performance during this same period relative to that of Ontario’s.

6. Though a careful researcher will be cautious in discussing what causes homelessness, I think we know a lot about what solves it. In many cases, a person who stays in an emergency shelter will exit homelessness without substantial public resources. In some cases, they might find housing on their own; in other cases, family and friends may provide them with short term assistance e.g. some financial support, a couch to sleep on, etc. (To learn more about lengths of stay in homeless shelters in a sample of Canadian cities, see this 2013 study.) Researchers and advocates for the homeless generally don’t view such short-term stays as a major public policy challenge the bigger challenge is in the case of persons who stay in emergency shelters (and outside) for longer periods of time. Even here though, I would argue that it’s hardly a mystery as to what constitutes an effective policy response.

Indeed, as early as the mid-1980s, small non-profit organizations in Ontario (and possibly in other provinces as well) found success in building subsidized housing for persons who had experienced long-term homelessness they did so by providing professional staff support to help such tenants live independently in those units. This was (and still is) known as supportive housing. The emergence of supportive housing in Ontario happened in large part due to strong advocacy by community-based groups. This included: the Singles Displaced Persons Project; the consumer/survivor movement; the slogan homes not hostels the founding of Houselink Community Homes; and the founding of Homes First Society. Conditions of eligibility for such housing varied from one provider to the next. In many cases, the tenant did not have to prove housing readiness before being offered a unit. In fact, Homes First Society got its name because its founders believed that its tenants needed homes first before addressing other challenges (i.e. mental health, substance use, employment, etc.).

Today, researchers, practitioners and advocates refer to this approach ashousing first. And very recently, a successful RCT of housing first was conducted in five Canadian cities; I’ve previously written about that study here.

7. There are several ways of making housing available to low-income households; all of them involve the private sector to varying degrees. Sometimes when government subsidizes housing for low-income persons, it provides money to a non-profit entity that develops, owns and operates the units. Other times, government provides a subsidy to landlords (either for-profit or non-profit); in exchange for the subsidy, the landlord agree to rent units at a reduced rate for a specified period of time (e.g. in some cases, for 10 years). And other times, government provides money (often known as a housing allowance) to low-income tenants who then rent a unit from a for-profit landlord. Of the three possible approaches, I personally have a preference for the option where a non-profit entity develops, owns and operates the units (and I have previously written about this here). Having said that, I think there’s a place for all three approaches, depending on local context.

8. Some jurisdictions have used sophisticated information management systems as part of their efforts to respond to homelessness. Many organizations serving homeless persons in Calgary enter client information into a database called the Homelessness Management Information System, a system that is also used in many American cities. Client-level information (such as age, health status, employment status and housing status) is entered into the database when an initial intake is done. While the client is receiving services, updated information is entered again; in the case of some programs, follow-up assessments are done every three months. In the case of some program types, there are both exit and post-exit follow-up assessments completed. All information-gathering is subject to provincial privacy legislation. There are many uses for the data once it’s gathered. For example, some organizations use the data to provide case management services to clients. Also, funders are able to assess each organization’s performance against benchmarks (i.e. percentage of clients who receive housing after a specific period of time).

9. When it comes to both preventing and responding to homelessness, the capacity of government to generate revenue matters a great deal.Governments typically use revenue generated from taxation to finance both subsidized housing and other important social programs. When tax revenue decreases, many governments have less ability to spend on such programs. Since the mid-1990s, tax revenue in Canada (measured as a percentage of our Gross Domestic Product) has decreased substantially. If this trend doesn’t reverse itself soon, it will be very challenging for many governments (especially provincial, territorial and municipal governments) to invest in important social programs. There is currently a move afoot by some Canadians to increase taxes; it is led by Alex Himelfarb, former Clerk of the Privy Council. Alex and his son Jordan recently co-edited a book that calls for the need for higher taxation in Canada. (Note: according to some schools of thought, it isn’t necessary for a sovereign government with its own currency to tax more in order to finance more social spending. While keeping in mind that such an approach would be most relevant to Canada’s federal government and much less relevant to provincial, territorial and municipal governments readers can read more about one such school of thought here.)

10. Over the course of the next decade, Canada will likely see substantial increases in homelessness among both seniors and Indigenous peoples (First Nation, Metis and Inuit). Seniors and Indigenous peoples are growing as a percentage of Canada’s total population. Further, the percentage of seniors living below Statistics Canada’s Low-Income Measure has grown substantially since the mid-1990s. I think all of this makes it likely that both of these groups will begin to grow as a percentage of Canada’s homeless populations.

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The following individuals were very helpful in helping me prepare the present blog post: Maroine Bendaoud, Lisa Burke, George Fallis, Greg Suttor, Francesco Falvo, Louise Gallagher, Ali Jadidzadeh, Lisa Ker, Jennifer Legate, Kevin McNichol, Richard Shillington, Blake Thomas and Mike Veall. Any errors are mine.

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