Winnipeg Free Press - PRINT EDITION

How to solve homelessness? Help them find a home

It may seem simplistic, but 'housing first' approach saves social service, policing costs

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Every night for five years, Lyle Tobacco had no idea where he was going to sleep.

The 47-year-old residential-school survivor said drinking and drugs were his coping mechanism for a painful family split that caused him to lose touch with his former partner and three children.

The downward spiral landed him on Winnipeg streets, where he said he barely survived, floating from stairwells and bus shacks to core-area shelters and riverbanks.

"Life had no meaning. Drinking was a career," he said. "I wanted to give up."

A new national study has found getting rid of homelessness on Winnipeg streets may be as simple as helping people such as Tobacco find a home.

The Mental Health Commission of Canada launched its At Home program in Winnipeg and four other Canadian cities in the fall of 2009 to test whether the "housing first" approach can help improve the lives of homeless individuals who live with at least one serious mental illness.

Preliminary findings, released last week, found spending money to help the homeless find affordable housing works, and saves hospitals, police, and other social service agencies as much as $10,000 per person.

The study investigated whether people who were moved into affordable homes and given a chance to link with other social services fared any better than homeless individuals who continued to use a hodgepodge of existing shelters, social programs and emergency services.

A total of 511 homeless individuals in Winnipeg were involved in the study, and 70 per cent were of aboriginal descent. Slightly more than half -- 278 people -- were placed in their choice of housing and given access to a range of other supports, including addiction treatment and mental health services.

After one year, researchers found 160 people -- about 68 per cent of the "housing first" individuals -- were living in stable housing, compared with only 30 per cent of the group who was not.

"When they're having to spend so much time contemplating and thinking of where they're going to sleep that night, there's not much energy left to pursue health care, to pursue wellness, to pursue eating properly and employment," said Cameron Keller, vice-president of mental health and homeless for the Mental Health Commission of Canada.

"Once people have a home and stable base they can call their own they can quit worrying about that and start focusing on a whole range of personal goals."

For Tobacco, the program was a chance to get clean and piece his life back together. He gets counselling to deal with his alcohol and drug issues and his transition from a foster home to a northern aboriginal community as a child. Tobacco lives with a supportive roommate, and said he has started to contact his children with the hopes of reconciling.

"I'm really starting to see the light here," he said. "It's overwhelming, and I wish I could've done this years ago."

Keller said the program has seen similar success across Canada and overall, 87 per cent of 2,255 "housing first" participants were in their first or second housing unit.

While it often took one or more attempts to get an individual into stable housing, he called the results "remarkable."

Keller said the findings show for every $1 spent on the "housing first" approach, 76 cents is saved by reducing the burden on other health and social services, including police detention and ER visits. For a smaller group of frequent users, the savings are even greater. Keller said for every $1 spent on "housing first," $1.68 is saved.

The federal government spent $110 million to support the five-year project in 2008, but funding is set to expire next spring. Keller said officials are expected to find out in the next week whether the government plans to continue to support the long-term research.

Lucille Bruce, At Home's Winnipeg co-ordinator, said there's a significant number of aboriginal residents who are homeless and are not reached by mainstream social services.

Republished from the Winnipeg Free Press print edition September 25, 2012 B1


Updated on Tuesday, September 25, 2012 at 2:01 PM CDT: corrects typo

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