HOMELESSNESS: RESPONDING TO THE HARD TO HOUSE
A BRITISH COLUMBIA PERSPECTIVE ON A NATIONAL PROBLEM

Introduction

Homelessness has emerged as a major social issue in Canada despite this country’s wealth and
reputation for a high standard of living. This situation has not gone unnoticed by the United
Nations Committee on Human Rights, which recently criticized Canada for its lack of action on
homelessness.

Many cities in the country are experiencing a trend towards more homeless people living on their
streets and in emergency shelters. Along with this trend is a corresponding rise in the number of
individuals who are considered “hard to house”. While the magnitude of the problem and the
profile of the homeless and the hard to house vary across the country, the common experience is
that communities are struggling to address this difficult and complex issue. The situation in B.C.
is illustrative of many of the issues that exist across the country.

The issues surrounding homelessness and the hard to house are inextricably linked. In many
instances, homelessness is the end result of being “hard to house” and the lack of appropriate
housing and supports in the community for this group. Moreover, the living situations of much
of the hard to house population in Canada would fall under one of the two categories of
homelessness as defined by the United Nations – absolute and relative homelessness.

1
This paper will present an overview of the issue of homelessness in British Columbia, and will
then profile issues specific to the hard to house population. The paper will also highlight some of
the initiatives that are underway in B.C. to respond to homelessness and those who are considered
hard to house.

The Face of Homelessness in B.C.

While the homeless may share the need for housing, they are not a homogeneous group. There is
an increasing diversity among B.C.’s homeless, including an increase in the number of women,
youth, seniors, families with children, immigrants and refugees. Aboriginal people make up a
disproportionate share of the homeless in most cities in the province.
The number of people living on the streets and relying on emergency shelters in Vancouver is
estimated to be between 600 to 1,000. The vast majority of these individuals would be
considered hard to house.

1 According to the United Nations, absolute homelessness refers to individuals living with no physical shelter.
This would include, for example: people living on the streets or in doorways, parkades or vacant buildings, in
parks or on beaches, or in their vehicles. Relative homeless includes those living in spaces that do not meet basic
health and safety standards, including protection from the elements, access to safe water and sanitation, security of
tenure, personal safety and affordability. For example, relative homeless would include many individuals living in
substandard single room occupancy (SRO) hotels and rooming houses.
 

In Vancouver, people are being turned away from shelters due to lack of space or lack of
appropriate beds suited to the particular needs of the individual. About 500 people are turned
away each month by the four largest shelters in the city due to lack of space or appropriate beds.
There are also increasing numbers of homeless persons in the more suburban municipalities in the
Greater Vancouver area such as Surrey and New Westminster. Homelessness is not just a big
city phenomenon; there is also increasing homelessness in Victoria, Nanaimo, Prince George,
Kelowna and Kamloops as well as in other communities around the province.

There are 13,000 to 14,000 individuals living in single room occupancy (SRO) hotels and
rooming houses throughout the province – a large proportion of whom would be considered hard
to house. The inadequacy of much of this housing stock and the loss of units due to demolitions
and conversions puts many of these individuals at serious risk of becoming homeless.
Factors Contributing to Homelessness:

i) Broad Social and Economic Forces

There are many factors behind homelessness stemming from broad economic and social forces
leading to increased poverty. Although there are many causes of homelessness, poverty remains
one of the major contributing factors.

Homelessness may also stem from individual circumstances such as mental illness, physical
disability and/or alcohol and substance misuse. Many homeless people lack support networks and
have limited family and social relationships that they can count on for support. Hard to house
individuals may also end up being homeless as a result of falling between the gaps in the health
and social support systems.

ii) Lack of Access to Affordable Housing

Access to housing which is affordable is also an important factor in B.C. Although the province
continues to build social housing, including units specifically targeted to individuals who are
homeless or at risk of becoming homeless, the demand for this housing far exceeds supply.
Furthermore, the withdrawal of the federal government in 1994 from funding new social housing,
the limited construction of new private rental housing, and losses in the existing supply of low
cost rental housing such as SROs and apartment buildings have further contributed to the
problem.

The federal government also has constitutional responsibilities with respect to meeting the
housing needs of Aboriginal peoples, new immigrants and refugees. The failure of the federal
government to respond effectively has contributed to the homeless problem and has placed
increasing pressures on other levels of government and the existing support network.
 

iii) Shift from Institutional to Community-based Services
It is also widely acknowledged that in many parts of the country, the shift from institutional to
community-based services for persons with mental illness created gaps in the provision of housing
and support services for this group in the community. This shift, in the context of insufficient
funding for services at the community level, has been identified as part of the problem. For
individuals with a mental illness combined with a drug or alcohol addiction, the service gaps are
even more pronounced.

Focussing on the Hard to House
In looking at the issue of homelessness, perhaps the greatest challenge lies in responding to the
needs of those who are considered “hard to house”. Generally, the hard to house include
individuals of all ages who for a variety of reasons have demonstrated difficulty in maintaining
stable housing, and who are at risk of becoming or remaining homeless because of their situation
or particular vulnerabilities. In addition, it should be recognized that access to affordable housing
alone may not be enough for this group. Many also require necessary support services to allow
them to maintain their housing.

Many of the individuals within this group are homeless and alternate between living on the street
and accessing emergency shelters or hostels as well as other types of emergency health or social
services. The hard to house also include individuals who may be inadequately housed, e.g., in an
SRO or rooming house, experience repeated evictions, and who are at serious risk of becoming
homeless.

Individuals may be considered hard to house because of particular behaviors (e.g. collecting,
aggressiveness) or visual appearance, or because of the lack of social skills that are difficult for
housing providers or other tenants to deal with. In other situations, individuals may be considered
hard to house because of a lack of appropriate housing options and/or services gaps within a
particular community.

Individuals with Multiple Challenges
Another large segment of the hard to house population would include individuals with multiple
challenges such as a severe mental illness or mental disability combined with a drug or alcohol
addiction. Many of these individuals may also experience a physical disability or physical illness.
A Vancouver study conducted in 1996 found that 61 percent of individuals most in need of shelter
and housing were men and women with multiple problems, including mental illness combined with
substance misuse problems, or physical disabilities combined with substance misuse problems.
Similarly, a 1999 Shelter Study found that 75 percent of shelter users have alcohol and/or drug
misuse issues and 66 percent suffer from a severe mental illness.

Responding to the multi-faceted needs of this group requires a large degree of flexibility and co-ordination
in the provision of housing, health and support services.

Supportive Housing
For the hard to house population, access to affordable housing alone is not an effective solution to
their homelessness – although it is a critical starting point. What is needed is appropriate housing
combined with a range of health and social supports that are tailored to the individual’s situation.
Supportive housing has proven to be successful and effective in responding to the needs of the
hard to house. It combines housing with support services in a flexible and co-ordinated manner to
assist individuals in making the transition to stable housing, and in maintaining their housing over
time. It also provides opportunities for individuals to stabilize their personal situation and re-establish
their connections within the community. The type of housing and the form of support
that are provided may significantly vary in order to reflect the diversity of the hard to house
population. As a housing model, supportive housing is flexible and can serve a wide range of populations with
differing support needs. Services can be provided on site, or they can be accessed though
existing agencies within the community. The types and levels of support required by tenants vary
considerably, ranging from help with housekeeping, meal preparation, banking and life skills, to
medical care, counseling and drop-in programs, referrals to service agencies, and training and
employment services. The level of on-site support may range from enhanced building
management to 24 hour staffing by trained individuals.

Successful Supportive Housing Initiatives in B.C.
There are numerous examples of successful supported housing developments in British Columbia,
including Jim Green Residence and the Portland Hotel and its replacement project in the
Downtown Eastside of Vancouver. In Victoria, there is the Medewiwin development which
involved converting a motel in the downtown area into permanent housing for the homeless.
These developments generally serve a hard to house population, for example, individuals with
multiple challenges who previously lived on the streets or in inadequate housing.
 

The Need for a Pro-Active Response
The B.C. government has been pro-active in maintaining its commitment to social housing
through the HOMES BC program. Since 1994, the provincial government has funded more than
4,100 units of housing for families and for individuals who are homeless or at risk of
homelessness.

Through the Homeless/At Risk component of HOMES BC, the province has made a determined
effort to specifically target individuals who are hard to house, and who would have previously
“fallen between the cracks” of the housing, health and social systems.

Referred to as second stage or supportive housing, it is an intermediate stage of accommodation
from emergency to fully independent housing. Homeless/At Risk developments involve
partnerships with housing providers and community agencies who provide the necessary supports
to assist individuals to make the transition into stable housing and to maintain their housing over
the longer term.

Program Expansion
Over the next two years, the HOMES BC program will be expanded and will include additional
Homeless/At Risk housing units. Specifically, the province has committed to providing:
· 180 units of second-stage housing for people at risk of becoming homeless. Developments
will include the necessary supports to help stabilize hard to house individuals within their
housing and community;

· 170 units of second-stage housing for people who are homeless combined with emergency
shelter beds in the same development(s). This combination of shelter and housing is intended
to facilitate individuals moving from the street or shelter system to stable housing. The
developments will also contain the capacity for additional temporary shelter beds during
severe cold or wet weather;

· 700 housing units for low-income urban singles. Low income singles are individuals who are
at risk of homelessness due to the loss SRO housing, and who generally capable of
independent living with more limited supports; and

· 200 supportive housing units for seniors who require some assistance to continue living
independently as they age.

Purchase and Rehabilitation of SRO Hotels
The province is also involved in a number of other initiatives for the hard to house, including the
purchase and rehabilitation of two SRO hotels in the Downtown Eastside. The purchase of the
Sunrise and Washington hotels involved numerous partners including BC Housing, the Ministry of
Human Resources, the Vancouver/Richmond Health Board and the City of Vancouver. As well
funding for some of the rehabilitation was made available through Canada Mortgage and Housing
Corporation (CMHC). Key to the success of this initiative is the experience and expertise of the
Portland Hotel Society who will operate the hotels.

This initiative was put into place based on the belief among the funding partners that stabilizing
and improving the housing for the hard to house in the Downtown Eastside, along with the
enhanced delivery of social and support services, will result in improvements in the quality of life
for the residents living in these SRO units and would reduce the overall costs associated with the
delivery of health and social services. A detailed evaluation to measure these anticipated
outcomes will begin shortly. BC Housing is also involved in similar SRO initiatives in Prince
George and Kamloops.

BC Housing Health Services Program
Another significant initiative is the BC Housing Health Services Program which is a partnership
program between BC Housing and the Ministry of Health, Mental Health Division. The purpose
of the program is to assist individuals with a mental illness to access and maintain housing in the
social housing stock. In 1997, the program received national recognition through the Clarke
Institute of Psychiatry as a Best Practice Model in Mental Health Reform in Canada. There are
currently 350 individuals who have been housed through referrals by local mental health teams.
The program will be expanded to serve 1,100 individuals over the next 3 to 5 years.

Research on Homelessness
BC Housing along with the ministries of Municipal Affairs, Attorney General and Children &
Families, the Vancouver/Richmond Health Board and the City of Vancouver are funding a major
research project on homelessness. This research seeks to develop a profile of the homeless
population in B.C., and describes and analyzes key factors contributing to homelessness in this
province compared to the situations in Ontario, Quebec and Alberta.

The research will also analyze the costs of homelessness, and whether the provision of adequate
and affordable housing is a preventative cost to the health, social and correctional systems.
Preliminary findings from the literature review suggests that people who do not have safe, secure,
affordable shelter:

· have more health problems than the general population;
· experience social problems that may be exacerbated by their lack of shelter; and
· are more likely to become involved in criminal activity than the general public.

2
The literature also suggests that there is greater utilization of some services by the homeless,
particularly hospital emergency services, shelters and detention centres or jails, and that
supportive housing is cost effective and far less expensive than other alternatives such as hospital
beds, shelters and jails. The full results of this research project will be available by January, 2000.
Other research into single adult shelter users in New York City and Philadelphia

3
suggests that
shelter users are not a homogeneous population, and can generally be grouped as follows:

· Those who are transitionally homeless (brief, usually one-time stays at shelters);
· Those who are episodically homeless (more frequent shelter use, generally younger with fairly
high rates of health conditions such as medical, mental health or substance misuse problems);

and

· Those who are chronically homeless (steady users of shelters as a form of long-term housing,
older population with many special needs).

This research shows that the chronically homeless are the heaviest users of the shelter system,
representing 10 percent of shelter users and consuming 50 percent of shelter system days. The
researcher concludes that in many cases transitional and permanent housing with supports would
be more appropriate responses, especially for the episodically and chronically homeless. Similar
research for the Toronto’s Report of the Mayor’s Homelessness Action Task Force found that 17
percent of hostel users over a nine year period were considered chronic (stayed in the hostel
system for one year or more) and used 46 percent of the resources.

2 “The Relationship between Homelessness, Health, Social Services and Criminal Justice Systems: A Review of the
Literature”, prepared by Margaret Eberle, Deborah Kraus, Luba Serge and David Hulchanski. Prepared for the
B.C. Ministry of Municipal Affairs, and BC Housing, June, 1999.

3 “A test of a typology of homelessness by pattern of public shelter utilization”, R. Kuhn and D. Culhane, 1996, as
referenced in the testimony of D. Culhane at the U.S. Housing of Representatives, Subcommittee on Housing and
Community Opportunity, March, 1997.

Homeless Individuals and Families Information System
A related project which is currently being explored in B.C. and in other parts of the country is the
piloting of the Homeless Individuals and Families Information System (HIFIS) initiated and
developed by CMHC. This project has the potential to address the significant gap in information
on the homeless population.

This information system will assist in the daily operations of shelters, e.g., register clients, collect
demographic and health information etc., and will also provide aggregated information about
shelter clients in central databases so that the information can be analyzed at a local, regional or
provincial level. Ultimately, the system can be used to obtain accurate, aggregated longitudinal
data on characteristics of shelter/hostel clients which will assist in developing more effective
policies and programs in responding to homelessness.

Another recent CMHC initiative concerning homelessness is a series of Round Tables on Best
Practices in Responding to Homelessness. Regional Round Tables were held in most parts of the
country, followed by a national event in Ottawa in June, 1999. One recommendation coming out
of this event is for CMHC to continue to support the dialogue to further develop a best practices
approach in responding to homelessness.

BC Housing’s Board of Commissioner’s Brief on Homelessness: A Call for Action
BC Housing’s Board of Commissioners prepared a brief on homelessness for presentation at the
Federation of Canadian Municipalities’ annual conference in Halifax, Nova Scotia in June 1999.
This brief describes the homeless situation in British Columbia, and calls for a stronger federal
role in responding to this issue.

Although B.C. has continued to be pro-active through the provincial HOMES BC housing
program and other initiatives, homelessness continues to grow and will become worse unless
there is a concerted effort involving the federal government. The Board’s brief notes that an
effective response to homelessness requires all three levels of government to work together to
provide affordable housing and access to the required social and support services.

Next Steps
The issues of homelessness and the hard to house are a major concern, and there is a need for a
clear and coherent strategy to respond to this issue. The Senior Officials should work towards
developing a series of options for consideration by the Provincial/Territorial Housing Ministers.
 

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Homelessness
A Call for Actionl
ess.

Homelessness: A National Emergency

Homelessness is a major social issue in Canada today despite the country’s wealth and reputation for a high living standard. There are an estimated 200,000 people without shelter in Canada—a national emergency.

This situation has not gone unnoticed by the international community. The United Nations Committee on Human Rights recently criticized Canada for its lack of action on homelessness.

Most Canadian cities continue to experience an increase in the number of homeless living on their streets and in emergency shelters and many others living in various forms of substandard accommodation who are at risk of
becoming homeless.

While the magnitude of the problem and the profile of the homeless may vary across the country, communities from coast to coast are increasingly unable to cope with this crisis.

If the Canadian government can quickly mobilize resources to transport, feed, clothe and house 5,000 people fleeing Kosovo, it has the capacity to provide housing for at least that number of homeless Canadians. The people of Kosovo are not responsible for their homelessness; neither are the people living on the streets of Canada.

The Face of Homelessness in B.C.

While the homeless may share the need for housing, they are not a homogeneous group.

There is an increasing diversity among B.C.’s homeless, including an increase in the number of women, youth, seniors, families with children, immigrants and refugees.

June 1999
Mike Farnworth
Minister Responsible
for Housing Highlights

 Homelessness is a national emergency.
Communities from coast to coast are
increasingly unable to cope with this
crisis.

 The federal government is the missing
partner in this housing crisis. The
withdrawal of federal funding and the
cancellation of numerous programs in
the 1990s resulted in about 11,000
fewer housing units built in the
province.

 The B.C. government responded by
initiating the HOMES BC program in
1994—to build homes for families,
seniors and for those who are homeless
or at risk of becoming homeless.

 Even with the B.C. government’s pro-active
response, homelessness continues
to grow. The situation will become
worse without a concerted effort
involving the federal government.

 A federal response and a national
housing strategy are absolutely
essential in addressing homelessness
across Canada. A commitment of
federal funding for new, affordable and
permanent housing is a critical starting
point.

 BC Housing’s Board of Commissioners
challenges other provincial governments
and the federal government to join with
the B.C. government in addressing this
national crisis, and calls on municipalities to form partnerships and  to play a role in resolving this issue.

2  Homelessness A Call for Action
In addition, aboriginal people make
up a disproportionate share of the
homeless in most cities.

Factors Contributing to
Homelessness

There are many factors contributing to
homelessness. They range from broad
economic forces to individual
circumstances, such as mental illness
and/or alcohol and substance misuse.
Many homeless people lack support
networks and are unable to form
supportive social relationships.

However, poverty and lack of access
to affordable housing are major
contributing factors.

Absolute Homelessness

The United Nations has defined two
kinds of homelessness: absolute and
relative.

Absolute homeless refers to
individuals living with no physical
shelter—people living on the street, in
doorways or parkades, in parks or on
beaches, or in their vehicles and youth
squatting in vacant buildings. Too
often, absolute homelessness is treated
as a law-and-order problem rather
than a housing problem.

Even with mild winters in Vancouver
and Victoria, the lack of shelter can be
fatal because of hypothermia. The
Coroners Service has documented 14
exposure-related deaths of homeless
persons in B.C. between 1992 and
1997.

Relative Homelessness

Persons living without any physical
shelter actually make up a small
percentage of the homeless
population.

Relative homeless includes those
living in spaces that do not meet basic
health and safety standards, including
protection from the elements, security
of tenure, personal safety and
affordability.

This group includes individuals who
rely on emergency shelters and hostels
for accommodation (although some
may be among the absolute homeless
as well).

The relative homeless includes the
thousands of lower-income single
persons in B.C. living in substandard
Single Room Occupancy (SRO) hotels
that rent out single rooms, usually
with shared washrooms and limited or
no kitchen facilities.

Inadequate housing can have a
detrimental effect on tenants’ health
and well-being and can place an
additional strain on health and
correctional services, and on other
social and support services.

The Need for a Pro-active Response

Affordable housing plays a key role in
addressing homelessness.

Given the diversity of the homeless,
we need a wide range of housing
options with appropriate health and
support services.

Housing alone is not an effective
solution to the needs of many
segments of the homeless, but it is the
first step to stability.

Unlike most other provincial
governments and the federal
government, the B.C. government has
been pro-active in maintaining its
commitment to social housing
through the HOMES BC program.
Safe, affordable and stable housing is
vital to British Columbians’ health and
well-being.

Since 1994, the B.C. government has
funded more than 4,100 units of
housing for families and for
individuals who are homeless or at risk
of homelessness, and, in conjunction
with the local health board and the
City of Vancouver, the B.C.
government has purchased several
SRO hotels. They are being upgraded
and converted for non-profit
management.

While the main focus of the B.C.
government’s response to
homelessness is to provide permanent,
affordable housing, we are also
working on emergency shelters.
In addition to continued support of
the HOMES BC program, the B.C.
government:

 participated in developing a cold-and-
wet-weather strategy to increase
shelter beds and improve
coordination of shelter services
during the winter months,

and

 is researching the problem of
homelessness so as to develop more
effective policies and programs.

Homelessness A Call for Action

 3
Since the federal government’s
withdrawal from an active role in
social housing, British Columbia and
Quebec are the only provinces with
governments that continue to help
develop significant amounts of new
non-profit and co-operative housing
units.

This year’s B.C. budget includes
funding to increase the number of
social housing units developed in 1999
from 600 to 1,200 throughout the
province.

By improving access to affordable
housing, the B.C. government is
committed to building healthy
communities.

However, even with the initiatives
now in place, the number of homeless
people in B.C. continues to grow.
While the crisis has not reached the
acute stage of other parts of the
country like Toronto, the homeless
situation in B.C. will continue to
become worse without a concerted
effort.

Federal Government—the
Missing Partner

The federal government’s decision to
end funding for new social housing in
1993 has contributed to the homeless
crisis by limiting the ability of
provincial governments, municipalities
and communities to respond
effectively to local housing needs.
The withdrawal of federal funding
and the cancellation of numerous
programs in the 1990s—including the
federal/provincial non-profit program
and the federal co-op and urban native
programs—has meant about 11,000

The Facts

 The number of people living on
Vancouver’s streets is estimated
between 600 to 1,000, with
increasing numbers living in the
surrounding municipalities, such as
Surrey and New Westminster.

 There is also an increasing number
of homeless people in Victoria,
Nanaimo, Prince George, Kelowna
and Kamloops.

 It is increasingly difficult for
emergency housing providers in
Greater Vancouver to keep up with
demand. There are about 330
emergency shelter and hostel beds
in this region with most beds in
Vancouver.

 More and more people are being
turned away from shelters due to
lack of space or lack of appropriate
beds. About 500 people are turned
away each month by Vancouver’s
four largest shelters due to lack of
space.

 In Greater Victoria, the number of
individuals accessing shelter beds is
similar to Toronto on a per-capita
basis.

 There are 13,000 to 14,000
individuals living in single room
occupancy (SRO) accommodation
and rooming houses throughout B.C.

 In Vancouver, the SRO housing stock
is decreasing due to demolition,
redevelopment or conversion of the
hotels to other uses such as tourist
or backpacker accommodation. An
estimated 800 to 900 SRO units
have been lost since 1996.

 In B.C.’s interior, many SRO hotel
residents must find other shelter
during summer when the rooms are
converted for tourist use.
fewer housing units were built in B.C.
This estimate is based on previous
federal program commitments.

BC Housing’s waiting list for social
housing now totals 10,500 households,
an increase of about 50 per cent since
1994. This number does not include
those on separate waiting lists
maintained by non-profits and co-ops.

The Need for a Stronger
Federal Presence

An effective response to homelessness
requires all three levels of government
to work together to provide affordable
housing and access to the required
social and support services.

The B.C. government has responded
through HOMES BC and the
development of second-stage and
permanent housing for those who are
homeless or at risk of homelessness.

Many municipalities have also
responded by providing land at
reduced costs or implementing other
measures to facilitate affordable
housing.

Community agencies, non-profit
societies and co-ops have brought their
knowledge and expertise by crafting
local responses to homelessness and, in
some cases, also contribute equity or
land.

The federal government has made a
modest contribution by improving the
quality of housing for the homeless
through the Rental and Rooming
House component of the Residential
Rehabilitation Assistance Program and
through the Shelter Enhancement
Program. However, these initiatives do
not provide permanent housing

solutions nor do they address some of
the root causes of homelessness.
Without a concerted effort from all
three levels of government, the efforts
of the provincial governments and
municipalities will continue to be
severely hindered.

The United Nations Committee on
Human Rights noted:

“The Committee is concerned that
homelessness has led to serious health
problems and even to death. The
Committee recommends that the State
party take positive measures required by
article 6 to address this serious problem.”
United Nations Human Rights
Committee, Concluding Observation
on Canada, April 9, 1999.

A Blueprint for Federal Action
The National Housing Policy Options
Team of the Federation of Canadian
Municipalities has developed an
excellent discussion paper on housing.
It includes a menu of options for an
effective federal response.

The paper calls for a national
housing strategy that provides the
flexibility for provincial governments,
municipalities and communities to
respond to particular housing issues in
local areas.

Options for an effective federal
response are divided into five main
categories:

 Funding support for the
development of new social housing;

 Repairing and preserving the
existing affordable housing stock;

 Block funding, which can be
targeted to specific needs, such as
housing for persons with mental
health issues, specialized housing for
youth, women or new immigrants;

 Incentive-based policies to support
housing responses from the private
sector;

and

4  Homelessness A Call for Action
 An enhanced role for CMHC in
helping to build and facilitate
affordable housing partnerships
including the continued cost-sharing
of on-going subsidies.

This menu of housing options and
strategies, described in more detail in
the FCM paper, could serve as a basis
for developing a national policy to
address homelessness.

Action is urgently needed in each of
the five identified areas to properly
address the crisis.

Conclusions

A federal response and a national
housing strategy are absolutely
essential in addressing homelessness
across Canada.

A commitment of federal funding
for new affordable and permanent
housing is a critical starting point.

The B.C. government has a
comprehensive strategy to address
homelessness involving new social
housing units targeted to individuals
who are homeless or at risk of
homelessness.

The B.C. government is also working
with municipalities, community
agencies and other levels of
government to put in place an
integrated and coordinated response.
Even with these efforts, however, the
homeless situation in B.C. will
continue to become worse unless the
federal government supplements the
concerted efforts already underway.

BC Housing’s Board of
Commissioners challenges other
provincial governments and the federal
government to join with the B.C.
government in addressing this national
crisis, and calls on municipalities to
form partnerships and to play a role in
resolving this issue.

Related Resource
Materials

Building a Strong Shelter System in the
Lower Mainland: An initial evaluation
of the cold/wet weather strategy (1999)
Housing Survey with Residents of
Vancouver’s Downtown Area, Ministry
of Municipal Affairs (1993)

Measuring Up: Considering Critical
Housing Needs in New Westminster,
New Westminster Reachout (1998)

Nowhere to Live, A Call to Action by the
Lower Income Urban Singles Task Force
(1995)

Nowhere to Live Next Steps: Report and
Outcomes on the Premier’s Roundtable
on Housing for Lower Income Urban
Singles, Ministry of Municipal Affairs
(1997)

Opening Doors, Homelessness fact
sheets and video
SRO: A New Frontier or a Step to the
Rear?, Single Room Occupancy
Research and Discussion Paper,
Ministry of Municipal Affairs (1994)

Taking Responsibility for Homelessness:
An Action Plan for Toronto, A Report of
the Mayor’s Homelessness Action Task
Force (January 1999)

Under the Viaduct, Sheila Baxter (1991)

For more information
Contact BC Housing at
(604) 433 1711 or visit our website:
 
 


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BC/Yukon Roundtable on Best Practices Addressing Homelessness
                           Vancouver, April 23, 1999
 

                     "The true answer to homelessness is homes."
       — Karen O'Shannacery, Executive Director, Lookout Emergency Aid Society

     The B.C./Yukon regional Roundtable on Best Practices Addressing Homelessness
  brought together forty individuals from all areas of the province, including one guest from
  the Yukon. The group included consumers, funders, government and front line service
  providers and represented smaller as well as major urban centres. Their clients include
  youth, men, women, and seniors as well as the aboriginal, ethnic and people with
  disabilities. The services ranged from shelters, drop-ins and safe houses to advocacy,
  health, outreach and special needs, provided to single people, couples and families.

     There was general agreement that a "best practices" approach is beneficial to all
  parties provided that the criteria are not "cast in stone" or used as a tool to curtail or
  eliminate programs and services to homeless people. Ideally, "best practices"
  incorporates a seamless continuum of services which supports clients/consumers from
  the street through to independent or supported permanent housing.

  The Regional Perspective

     The starting point for the discussion was the Backgrounder document provided to
  participants before the event. In acknowledging the points made in this assessment of
  regional issues, a number of critical points were highlighted:

       The alarming increase in the numbers of youth as well as adults living on the streets
       throughout the province (this is less true in the Yukon because of the severity of the
       climate), with more than 50 percent of youth coming from outside the province. It
       was noted that there are different "ages of majority" across the country, which
       results in a "hit and miss" approach to treatment and support for transient young
       people. The group agreed that a common standard for the definition of "youth"
       should be created. Participants commented that focusing more recognition and
       appropriate support for young people would go a long way towards preventing future
       multiple problems and homelessness.

       A lack of shelter beds throughout the province results in large numbers of people
       being turned away from accommodation. The group felt that more shelter beds are
       necessary as a critical part of the housing continuum, while acknowledging that
       shelters are a "band aid" rather than the solution.

       The deinstitutionalization of mentally ill persons without the requisite development of
       housing and support services in the community was seen as a major cause of the
       rising numbers of shelterless, vulnerable street people. The solutions are not limited
       to funding appropriate services and housing but must embrace the attitudes of
       communities that refuse to deal with their own problems (NIMBY). It would also be
       helpful to proclaim as yet unimplemented sections of B.C.'s progressive child
       welfare legislation.

  Initial Review of "Best Practices" - What Does "Best Practice" Mean to Me?

     This session began with presentations from a funder, a service provider and a number
  of people with experience of being homeless (consumers). The essential qualities of best
  practices include building quality relationships and connections between the providers
  and those needing the services based on honesty, respect and acceptance (defined as
  being non-judgemental).

     From the service provider's perspective, "best practices" are about demonstrating
  that everyone has something to learn in each situation, navigating through difficulties and
  sticking with people when there are setbacks. "You cannot make people change," several
  participants noted. "And you cannot predict and prevent every harm that may come to
  them." Accordingly, collaborative community relations develop over time and should not
  just respond to crises.

     From the perspective of the funder, "best practices" help demonstrate that public
  funds are being spent responsibly and help decision makers understand that providing
  appropriate housing and services is an investment, not just a social value.

     Three consumers talked about the destructive force of being homeless, vulnerability
  issues, and how difficult it is to access the necessary support resources in order to make
  the hard decisions necessary to move towards a healthy, stable lifestyle. "Best practices"
  from their perspective mean having physical, emotional and mental safety, flexible
  programs, continued outreach and a continuum of proactive rather than reactive services.
  The consumers' experiences helped their fellow participants grasp the value of
  abandoning exclusionary criteria regarding age, addictions and the use of alcohol.

     An example was described in suburban Surrey, where in a two year period more than
  500 people with no fixed address were turned away from a hospital emergency room.
  Close to a third had mental illness and many were making multiple visits. Effective "best
  practices" also do not deflect responsibility and their common sense application helps
  reduce bureaucratic blocks. "Best Practices" also is the meaningful involvement of
  consumers on program development and service review.

  The Benefits of Improving Networks

     As an example of how forming and improving networks can be beneficial, a report was
  received from the fledgling B.C. Provincial Shelter Providers Network.This group recently
  met for the first time to address how to improve service quality and share common
  concerns. The meeting was made possible as a direct result of the networking activity
  stimulated by the "Roundtables Addressing Best Practices in Homelessness" initiative.
  The group agreed that expectations for an effective network include reducing isolation,
  sharing information, frustrations and successes, enabling common planning around
  obstacles and jointly exploring options and ideas. Another key benefit of networks is the
  opportunity to influence policy and effect change through advocacy. The shelter network
  plans to link with other housing networks, allowing stronger regional representation while
  accounting for different priorities. The group concurred that networks are valuable
  regionally, provincially and nationally and urged support for this approach from all levels of
  government.

  Principal Issues for the National Roundtable

     This session resulted in several key suggestions:

       Senior levels of government should be encouraged to re-enter the field of providing
       housing, but the key is cooperation among all government agencies to avoid the
       "silo" approach to funding. "We are all part of the solution," was the sentiment. This
       inclusive approach is intended to include agencies such as Health Boards, for
       example.
       Involvement needs to be focused on "the common problem" by delivering services
       in a seamless way. Funders also need to be involved from the beginning of projects
       to get buy in and be focused on common objectives rather than judging success by
       criteria applicable only to their agency.
       More effective use should be made of legislation that already exists. An example
       cited by the group was that official community plans may include social policies but
       rarely do and can be used as tools of exclusion.
       Funders should be encouraged to establish criteria more broadly and to involve
       consumers in the development of programs. Success should be defined to reflect
       the experience of consumers rather than program criteria alone.
       There is a benefit to considering homelessness in a broader context, which would
       encourage individual ministries to consider longer term effects that benefit other
       ministries in the future (i.e. investing in youth can minimize future expenditures on
       items such as shelters). This was described as "spending a dollar to save a dollar"
       on an inter-ministry basis.
       Participants were keen to have all levels of government understand the value of the
       "1% solution" which would result in a doubling of funding for homeless relief
       available for supported housing and rent supplements.
       All agreed that Canada needs to develop a national housing policy, recognizing the
       right to shelter.

  Putting "Best Practices" to work.

     "Best Practices" provide a common model to be shared, which reflects the current
  status, and are ever changing. They make a national perspective on the issues possible
  and are a gauge by which to measure success.

     "Best Practices" build relationships, foster partnerships, inform government funders,
  eliminate artificial criteria for funding, break down "silos", demonstrate diversity of funding
  approaches, promote consistency of funding, provide ongoing stimulus for change, help
  stimulate and support fledgling agencies, promote public education, and are instructive
  for public advocates.

     "Best Practices" stress human issues, promote a continuum of support, cooperation
  and sharing of information, client needs, stimulate working groups, provide a framework
  (not a template), promote ongoing attempts to improve service standards, help save time,
  and promote codes of ethics for front line workers.

     "Best Practices" are underscored by principles and values which are central to a core
  of ethics. "Best Practices" address things within the control of service providers but also
  suggest how to deal with things beyond their control. The approach recognizes that we
  can come together in our diversity for a common cause, and reinforces the importance of
  fostering financial and other community support for the issue in such a way as to make it
  "our" issue.
 

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