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 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.

Download this blog (PDF)

[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?”

 

 

 

 

 

 

 

Book Review: Indigenous Homelessness

Book Review: Indigenous Homelessness

Book Review: Indigenous Homelessness

 

Evelyn Peters and Julia Christensen recently wrote an edited book on homelessness among Indigenous peoples in Canada, Australia and New Zealand. Excluding the Introduction and Conclusion, more than half of the chapters are either authored or co-authored by an Indigenous person. A useful contribution to researchers, students, consultants and policymakers in all three countries, it should be required reading for anyone wanting to learn more about homelessness experienced by Indigenous peoples.

Here are 10 things to know about this book.

 

  1. The book contains lots of useful information. In Chapter 1, Christensen—citing research done previously by Yale Belanger, Olu Awosoga and Gabrielle Weasel Head—notes that on any given night in Canada, approximately 7% of Canada’s urban Indigenous population is homeless, compared to fewer than 1% for Canada’s total population. Chapter 8, authored by Yale Belanger and Gabrielle Lindstrom, includes a succinct, three-page section titled “Understanding Indigenous Homelessness” that provides a useful history of the Canadian context. And in Chapter 9—co-authored by Rebecca SchiffAlina Turner and Jeannette Waegemakers Schiff—we learn that many Indigenous people in Canada migrate from urban to rural areas (as well as between rural areas). By contrast, it is commonly believed that Indigenous migration in Canada happens only from rural to urban areas.
  2. The book includes contributions from three countries with similar social welfare systems. The book looks at Canada, Australia and New Zealand, allowing readers in each respective country to learn from other countries’ experiences and perspectives. What’s more, many researchers will appreciate the opportunity to compare the experiences of these particular countries because all three are considered “liberal welfare states.” That means their social welfare systems are considered stingier than those of many other OECD countries—they have relatively low rates of taxation, relatively low levels of public social spending (including spending on housing for low-income households) and relatively high levels of income inequality (the United States, while not a focus of this book, is also considered a liberal welfare state). At the other extreme of the spectrum are social democratic welfare states (e.g. Denmark, Finland, Norway and Sweden); they’re known for having relatively generous social welfare systems—relatively high tax rates, relatively high levels of public social spending (including spending on housing for low-income households) and relatively low levels of income inequality.[1]
  3. The book’s account suggests that the history of Indigenous peoples in all three countries is similar. As Dr. Peters notes in the book’s Conclusion: “All of the [book’s] authors situate their analysis within the ongoing legacy of Western colonialisms that dispossessed people of their lands, waters and resources, attempted to destroy Indigenous cultures, and resulted in intergenerational individual and collective trauma…Indigenous homelessness cannot be understood without recognition of this legacy” (p. 390).
  4. One of the book’s chapters which I found very empirically-grounded was Chapter 4 which makes the case that police often relocate Indigenous peoples from affluent areas of Edmonton to poor areas of the city. Chapter 4, written by Joshua Freistadt,is a condensed version of the author’s PhD thesis, which can be downloaded here[2] and which is now available in book format here. (I suspect that people involved with the Homeless Charter of Rights project in Calgary will find this chapter especially interesting.)
  5. Chapter 13, by Kelly Greenop and Paul Memmott, calls for the need to rethink the concept of crowding for Indigenous peoples. Indeed, the authors suggest that, rather than think of crowding in simple mathematical terms (e.g., number of rooms per person, square footage per person), we should consider asking Indigenous people to personally define how crowded they actually feel. To make this point, the authors draw on previous research done by Robert Gifford. The authors also note that, for some Indigenous people, too few people in a house can be a problem. (This information is useful to the Calgary Homeless Foundation as we continue to plan and design culturally appropriate housing with and for Indigenous peoples. In 2016, for example, we began surveying tenants about their own perception of the quality of their housing unit.)
  6. I find the book pays insufficient attention to each country’s social welfare system—including the macroeconomic factors that shape it. In fact, even though all three countries are classified as being in the same family of social welfare systems (as discussed in point #1 above) the editors make no explicit mention of this. Do the editors not believe the amount of public social spending (as a percent of GDP) in each country can have a major impact on Indigenous homelessness? What about social housing stock in each country (as a percentage of total stock)? How about the amount of money each country provides to people—both Indigenous and non-Indigenous—receiving social assistance?
  7. The book could have benefited from a discussion of advocacy approaches in each country. Canada has gone through an interesting evolution of advocacy approaches to homelessness; I’ve previously discussed them here. What have advocacy campaigns looked like in Australia and New Zealand? Do advocates in those countries seek to “end homelessness?” To what extent have Indigenous and non-Indigenous advocates worked collaboratively in each country to end homelessness?[3] I would have liked to have seen these questions addressed.
  8. The book could have benefited from some quantitative analysis. My colleague and friend, Michael Shapcott, once said: “Qualitative research engages the heart. Quantitative research engages the mind.” With that said, I would have liked to have seen a bit more quantitative research in this book.  For example, in 2014, Jalene Tayler Anderson and Damian Collins authored this journal article; it looks at the prevalence and causes of urban homelessness among Indigenous peoples in all three countries considered in this book. A modified version of that article would have therefore made for an excellent contribution.[4]
  9. Chapter 1, which focuses on the Canadian context, ought to have made at least passing reference to the Truth and Reconciliation Commission (TRC)Indeed, Canada’s federal government has committed to “fully” implementing all 94 of the final report’s Calls to Action. These “calls to action” include calls pertaining to child welfare, health, and missing and murdered Indigenous women and girls (all of which have important ramifications for homelessness experienced by Indigenous peoples).
  10. The book lacks content from the United States (likely because very little has been written about homelessness among Native Americans). The book includes nine chapters of Canadian content, five of Australian content, three from New Zealand and none from the United States. Trouble is, there does seem to be a shortage of research on homelessness among Indigenous peoples in the United States (one of the only recent exceptions I’m aware of is this report). The editors could have taken this issue head on by discussing this important research gap in the book’s preface (especially since the United States is also one of the so-called liberal welfare states discussed above).

In Sum.  The publication of this book is a remarkable accomplishment. I consider it a ‘must read’ for anybody interested in understanding what contributes to, and what can end, homelessness among Indigenous peoples. You can order a copy of the book here.

The author wishes to thank the following individuals for invaluable assistance with this book review:  Vicki Ballance, Cynthia Bird, Sally Carraher, Janice Chan, Julia Christensen, Joshua Freistadt, Kahente Horn-Miller, Evelyn Peters, Robert Regnier, Rebecca Schiff, Michael Shapcott, Joel Sinclair, Ken Swift and Billie Thurston.  Any errors lie with the present author.

 


 

[1] Building on the work of Richard Titmuss, the early work on categorizing OECD countries into different categories like this was done by Gøsta Esping-Andersen.  Interestingly, Esping-Andersen’s work has been criticized for providing insufficient attention to Indigenous peoples (see chapter 3 in this book).

[2] More recently, it has come to light that Indigenous people in Edmonton are six times more likely than white people to be ‘street checked’ by police.

[3] For more on the importance of weighting macroeconomic and social welfare factors into any consideration of housing and homelessness, see this recent blog post.

[4] To be fair, Christensen does reference this article in the book’s Introduction.

 


 

You can view a PDF version of this blog post here: Book review – Indigenous Homelessness

Monitoring Program Performance in Calgary’s Homeless-Serving System of Care

Monitoring Program Performance in Calgary’s Homeless-Serving System of Care

Monitoring Program Performance in Calgary’s Homeless-Serving System of Care

Calgary Homeless Foundation (CHF) recently unveiled new key performance indicators (KPIs)for programs they fund.[1] These new indicators were developed after nine months of community consultation and have been piloted over the course of the past year. A May 2017 slide presentation on the development of some of these KPIs can be found here, while a seven-page guide for staff in the sector who do data entry can be found here.

Here are 10 things to know.

  1. Once a client is referred to a housing program, staff who work for that program are expected to locate the client and move them into housing ASAP. Calgary’s Homeless-Serving System of Care uses a triage system called Coordinated Access and Assessment (CAA). On a weekly basis, staff from the sector meet to discuss persons who are experiencing homelessness and who need to be housed, available housing units and ‘who fits where.’ Program referrals are based on conversations that take place at that table. Once a referral is made, CHF makes sure program entry occurs in the shortest possible time. CHF’s KPIs also monitor the percentage of referrals that never materialize (possible reasons for a referral not materializing include: the referral was declined by the funded program or by the client, or the referral didn’t happen because the client couldn’t be located).[2]
  2. Funded programs are encouraged to provide staff only as required (i.e. to not ‘over support’). CHF takes the position that while some tenants will always need case management support (i.e., ongoing professional staff support) many tenants won’t require such support (and some never require it). CHF therefore encourages funded programs to remove unnecessary professional support and promote independence. In that way, CHF creates a smoother ‘flow’ through the system.
  3. Programs funded by CHF are encouraged to persevere in keeping challenging tenants housed. Programs in the single adults and families sector are encouraged to keep people housed for at least nine months (i.e., three consecutive quarters); whereas those in the youth sector are expected to keep a person housed for at least six months (i.e., two consecutive quarters). In all sectors, maintaining housing can include moving people to a new unit in cases where a specific tenancy hasn’t worked well. In effect, programs are encouraged to take on challenging clients and to not give up on them.
  4. Once a person is successfully housed, CHF encourages program staff to be mindful of ‘missing tenants.’ This incentivizes funded programs to track down clients who are missing and to go back to the ‘CAA table’ to offer the vacated spaces to a future tenant within a short time frame.
  5. CHF-funded programs are encouraged (and generally want) to beat the average score for their cohort. On most of the above measures, a cohort average figure (based on the previous year) is calculated for all programs in a specific category (for more on the different categories of programs funded by CHF, see this recent blog post on CHF’s System Planning Framework). CHF sets a benchmark score 10% above the average. Funded programs in that category are then encouraged to score at or better than that benchmark (i.e. at or better than 10% above the cohort average of the previous year).
  6. All of this data is tracked through Calgary’s HMIS systemEach quarter, CHF staff use HMIS data to calculate KPI results for all CHF-funded programs. KPI results are then emailed to funded programs each quarter. No follow-up is required for programs that perform well in their KPIs. However, if CHF staff finds a program’s KPIs to be problematic, they may contact the program for clarification. CHF recognizes that a problem may be simply technical in nature (e.g., a new staff person isn’t entering data into HMIS properly). Other times, it may be a performance issue.
  7. An accreditation process helps ensure accurate data entry. Programs funded by CHF go through an accreditation process with an external accrediting body called the Canadian Accreditation Council (CAC). This service is paid for by CHF. CHF has its own standardsthat it has developed with help from CAC, and CHF-funded programs are expected to meet these standards. This process involves client file review, staff interviews and client interviews. Detailed reports are then provided to both CHF and the funded program. Among other things, this process helps ensure accurate data entry. Client case notes and files are reviewed during each accreditation by the CAC team.
  8. HMIS training also helps ensure accurate data entry. This training, provided free of charge, is provided to programs by CHF staff on a regular basis. Follow-up HMIS technical support is offered throughout the year.
  9. The Government of Alberta (GoA) is a strong supporter of the CHF’s KPIs. The GoA continues to show very strong interest in CHF’s KPIs. GoA plans to report on similar KPIs for the 2018/19 Ministry of Community and Social Services Business Plan which will include results from across the homeless serving system. According to one GoA source: “We have drawn heavily on CHF work to inform this thinking.”
  10. CHF will soon unveil new KPIs for programs that specifically serve Indigenous peoples. These KPIs have been developed in collaboration with key members of Calgary’s Indigenous community. This will be the subject of a future blog post.

The author wishes to thank Brian Bechtel, Jennifer Eyford, Geoff Gillard, Chantal Hansen, Sarah Knopp, Friney Labranche, Kara Layher, Sara Mikhail, Angela Pye, Jaime Rogers, Ken Swift, Alina Turner and two anonymous reviewers for invaluable assistance with this blog post. Any errors lie with the author.


 

[1] For a general overview of the programs funded by CHF, see this previous blog post.

 

[2] It has recently come to light that, in Toronto, officials have trouble locating clients after they’re referred to subsidized housing (and, meanwhile, the units sit vacant).

 


 

You can view a PDF version of the present blog post here: Monitoring Program Performance in Calgary’s Homeless-Serving System of Care

 

Five emerging trends in affordable housing and homelessness

Five emerging trends in affordable housing and homelessness

Five emerging trends in affordable housing and homelessness

On January 24, I gave a presentation to students at the University of Calgary as part of the Certificate in Working with Homeless Populations program. The goal of this presentation was to discuss emerging trends in Canada’s affordable housing and homelessness sectors. A version of my PowerPoint slides, which are chock-full of visuals and references, can be downloaded here: Falvo Recent Emerging Trends in Homelessness WHP 2 of 3 This is Part 2 of a 3-part presentation I gave that day.  I’ve blogged about Part 1 here and you can find a blog post based on Part 3 here.
  1. When it comes to affordable housing and homelessness, the Trudeau government has put its money where its mouth is…so far. In its first budget, substantial new investments were announced for housing for First Nations, Inuit, and Northern communities (approximately $370 million annually for two years). New funding for renovations of existing social housing was also announced. Approximately $55 million in new annual funding was announced for the Homelessness Partnering Strategy (also for two years). Annual funding for the Investment in Affordable Housing Initiative was doubled (for 2016/17 and 2016/18). What’s more, $100 million in new annual funding for seniors housing was announced, also for two years. (A succinct list of housing-related initiatives from the 2016/17 federal budget can be found here, while a more thorough analysis can be found here.)
  2. However, the Trudeau government has yet to put in place a long-term plan to deal with operating agreements that are expiring on existing units of non-profit housing. Canada’s provinces and territories receive funding on an annual basis from the federal government to operate existing housing units (mostly for low-income tenants). This funding is not just used to cover the mortgages; it also helps with the ongoing operating costs—that is, the difference between the rent received from tenants and what it actually costs the housing provider to keep the units in a good state of repair. These funding agreements usually last 35-50 years. Some of these funding agreements have already started to sunset; they’re scheduled to end altogether in 2039.[1]
  3. Canada’s aging population will pose challenges for non-profit housing providers across Canada. It’s well-known that Canada’s population is aging, and this is starting to impact homeless demographics. Among other things, this means that demand for seniors supportive housing (i.e. subsidized housing with professional social staff support for low-income seniors) will grow a July 2010 advocacy paper on this topic (with a Calgary focus) can be found here.
  4. Many plans to “end homelessness” are starting to sunset. Beginning in the late-2000s, several Canadian jurisdictions made plans to “end homelessness.” Most were 10-year plans; and those 10-year ‘deadlines’ are nearing, which means the proverbial chickens are now coming home to roost. Very recently, the City of Victoria announced it was pushing its ‘deadline’ back by three years. An October 2016 report argues that such plans are overly ambitious and ill-advised without substantial new funding from senior orders of government. I think the belief that communities can “end homelessness” with a ‘can do’ attitude is starting to wear thin. Indeed, for some observers, 10-year plans, while well-intentioned, lacked the necessary support from senior orders of government to be successful. I therefore predict we’ll start to see advocates place increased emphasis on the need for deep-seated changes to public policy, and less emphasis on what local communities can do differently.
  5. The final report of the National Housing Strategy will soon be released. Canada’s federal government has undertaken national consultations on the development of a “national housing strategy.” The consultation web site is called “Let’s Talk Housing.” It includes the consultation’s stated vision, principles, themes, intended outcomes, a ‘what we heard’ document and key dates.

The author wishes to thank the Canadian Housing and Renewal Association, Louise Gallagher, Kara Layher, Lindsay Lenny, Steve Pomeroy and one anonymous source for assistance in writing this. Any errors are his. [1] Admittedly, the Trudeau government did announce $30 million in temporary funding for some social housing agreements in its first budget; but that was just two years of funding.

For a PDF version of the present blog post, please click here: Five emerging trends in affordable housing and homelessness