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EXPLORING EFFECTIVE SYSTEMS RESPONSES TO HOMELESSNESS

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INTER-SEC<strong>TO</strong>RAL COLLABORATIONS<br />

TABLE 4.7<br />

BOYLE MCCAULEY HEALTH CENTRE —PATHWAYS <strong>TO</strong> HOUSING EDMON<strong>TO</strong>N,<br />

ANNUAL PROGRAM REPORT, 2011-2012<br />

POPULATIONS IDENTIFIED/<br />

TARGETED<br />

ISSUES OR IDENTIFIED RESULTS FOR<br />

DETERMINANTS OF <strong>HOMELESSNESS</strong><br />

HOUSING<br />

NON-HOUSING<br />

APPROACHES<br />

DESCRIBED <strong>TO</strong> ADDRESS<br />

NEEDS & GAPS<br />

People who have severe<br />

mental illness and who<br />

are both chronically and<br />

currently homeless<br />

Market housing rental rates<br />

are increasing which places a<br />

pressure on new admissions<br />

and lease renewals – this is a<br />

larger community issue<br />

Assertive Community<br />

Treatment (ACT) team delivers<br />

recovery services; ACT teams<br />

are multidisciplinary, available<br />

24/7 and provide outreach to<br />

clients in the community<br />

Housing First model –<br />

Pathways to Housing<br />

is committed to harm<br />

reduction, client-centered<br />

care, housing as a basic<br />

human right and a recovery<br />

orientation; ACT is most<br />

effective and cost-effective<br />

treatment approach for<br />

persons with severe mental<br />

illnesses<br />

OUTCOMES OR<br />

RECOMMENDATIONS<br />

Model highly effective at improving outcomes for clients and decreasing the use of local<br />

institutions such as hospitals and jails.<br />

Pathways to Housing program has served 70 clients, 87% of its 80 client capacity. It has been<br />

recognized that some individuals do not have the cognitive capacity to live independently. In<br />

partnership with Homeward Trust Edmonton, the Homeless Commission, The City of Edmonton<br />

and Alberta Health Services will be used in developing a systemic plan.<br />

TABLE 4.8<br />

PATHWAYS <strong>TO</strong> HOUSING – EDMON<strong>TO</strong>N: A <strong>HOMELESSNESS</strong> HOUSING INITIATIVE,<br />

PHASE II – FINAL REPORT,<br />

SUROOD, MCNEIL, CRISTALL, GODBOUT AT ALBERTA HEALTH SERVICES, 2012<br />

POPULATIONS IDENTIFIED/<br />

TARGETED<br />

ISSUES OR IDENTIFIED RESULTS FOR<br />

DETERMINANTS OF <strong>HOMELESSNESS</strong><br />

HOUSING<br />

NON-HOUSING<br />

APPROACHES<br />

DESCRIBED <strong>TO</strong> ADDRESS<br />

NEEDS & GAPS<br />

Individuals with very serious,<br />

severe, persistent and<br />

multiple problems in their<br />

health and living situations;<br />

individuals with physical and<br />

mental illnesses, ongoing<br />

comorbid health conditions,<br />

psychosocial problems,<br />

drug and alcohol problems,<br />

have been hospitalized or<br />

incarcerated within the last<br />

year, have experienced chronic<br />

and absolute homelessness for<br />

an average of six years, have<br />

lower levels of education, are<br />

unemployed, and on income<br />

assistance<br />

Continuum of housing is<br />

discussed but with the<br />

emphasis on getting people<br />

to prepare for moving into<br />

permanent affordable housing<br />

wherever possible<br />

Treatment for mental and<br />

physical health problems<br />

and/or addiction issues;<br />

provide comprehensive<br />

services through Boyle<br />

McCauley Health Centre in<br />

Edmonton<br />

Based on Housing First<br />

Model<br />

OUTCOMES OR<br />

RECOMMENDATIONS<br />

At 12 months, provision of a home provided improvement in living conditions, work and leisure<br />

activities and overall total health outcomes<br />

268

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