housing and health nov 14, 2014 grey county housing day forum dr. abe oudshoorn arthur labatt family...
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Housing and Health
Nov 14, 2014 Grey County Housing Day Forum
Dr. Abe OudshoornArthur Labatt Family School of Nursing
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Housing and Health• Health and Housing in Transition Study
(HHiT)• Homeless or homeless within the last year• Date: 2010• Also Hwang (2009)
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Housing and Health• High rates of chronic illness
Condition Percentage
Arthritis 33
Hep B or C 30
Mobility problem 28
Asthma 23
High blood pressure 18
COPD 18
Ulcer 9
Diabetes 8
Heart disease 8
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Condition Percentage
Brain Injury 61
Mental health challenge 52
Victim of assault 38
Depression 31
Cirrhosis 6
Housing and Health• High rates of mental health challenges
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Issue Stat
Chance of surviving to 75 (men)
32%
Chance of surviving to 75 (women)
60%
Average age of death of person experiencing homelessness
47
Increased risk of suicide (women)
6x
Housing and Health• High mortality rates
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Why?
=
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Why?
= =Barriers to Care
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Other Barriers
• Transportation• Stigma• Cost• Identification• Hierarchy of needs
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Why?
= =Environ-mental
Hazards
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Environmental Hazards
• Heat?• Hydro?• Mold• Lighting• Smoke and CO
detectors• Moisture• Fire exit
• Food refrigeration• Pests
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Why?
= +Poverty
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Social Determinants of Health
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PovertyIncome
Basic Needs $250
Shelter Allowance $376
Ontario Trillium Benefit $54
Total $680
Expenses
Housing: Bachelor $554
Nutritious Food Basket (range) $160-$243
London Transit Bus Pass $60
Total (based on low estimate) $774
Difference -$94
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PovertyIncome
Basic Needs $250
Shelter Allowance $376
Ontario Trillium Benefit $54
Total $680
Expenses
Housing: Bachelor $554
Nutritious Food Basket (range) $160-$243
London Transit Bus Pass $60
Total (based on low estimate) $774
Difference -$94
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Question 1
• “Why don’t they live somewhere else?
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Question 2
• “It’s better than shelter, isn’t it?”
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Question 3
• “Isn’t there social/affordable housing?”
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Housing and Health
Filling the gap
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HEALTHCARE DRIVEN SOLUTIONS
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Case Study
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Case Study
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Case Study
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HOUSING DRIVEN SOLUTIONS
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1. Property Standards and Enforcement
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2. Housing with Supports
• “Housing First• Principles
1. Safe2. Affordable3. Permanent4. With Supports
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A Model
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Outreach
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Housing First and Health
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The Support
• Private market housing• 24/7 access to worker• Wraparound with other agencies
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33
Housing Status*as of August 31st, 2013
85%
Shelter 2
4%
Tenuously
Housed
36%
Incarcerated 12%
Residential Treatment/Hospital 2
4% Housed 46Shelter 2Tenuously Housed 3Incarcerated 1Residential Treatment/Hospital 2
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34
Participant #8
Jun-12
Jul-1
2
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
02468
101214161820
# of Emergency Room Visits
# of Emergency Room Visits
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The ‘Secret Sauce’
• Harm reduction• Rent supplement• Landlord liaison and procurement
– Includes seeing apartment!• Re-housing if necessary
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