Presentation by Brigitte Witkowski, Executive Director, Mainstay Housing

AMHO Workshop: “Housing First – Yes and..! A Provocative Exploration of Longstanding Housing First Approaches to Ending Homelessness”

May 25, 2015Toronto

The Promises We Make and the Evidence We Have

Outcome:Recovery thru Support in Housing Approach

Choose … Maintain security of tenure

Motivated and make informed decisions …

In recovery

Successful tenant

IndicatorsMeasures

Tenants who apply are housed(% applied are accepted)Tenants with complex needs are housed (1-5%)(% applied are accepted)Tenants choose housing(% tenants who accept unit)Tenants living in deep core poverty have housing they can afford (RGI, average tenant income)Tenants have a support plan(OCAN, welcome checklist)Tenants learn about being a tenant (% tenants who get handbook, orientation, welcome surveys)Tenants receive the support they need (from Mainstay & partner agency)(via welcome surveys)

Tenants maintain housing (number of tenants who remain housed against benchmark)Tenants choose to be good neighbours(% where no N5, N6, N7)Tenants access support & counselling (contact stats)Tenants know how to work with landlord(# cleaning related work orders, outcome annual inspections, % after hour calls that are reasonable) Tenants know how to pay rent (# of tenants who choose to use payment plan rather than go into arrears, % of successful repayment plans)

Tenants who use Mainstay Opportunity Fund(# who accept, use fund)Tenants become WRAP graduates(# who participate in intro, level 1 & level 2)Tenants can articulate their understanding of ‘recovery’(through WRAP) Tenants participate in a support plan(via OCAN, Streets to homes@ rent supplement records)Tenant manage hoarding(% safety plans in place / adhered to)

Tenants maintain long term security of tenure (number of tenants who maintain housing against long term bench mark)Decrease in (premature) deaths for people with mental health & complex needs(system number, research) Decrease in access to (unnecessary) emergency/ primary care/hospital for People with mental health & complex needs(system number, Streets to Homes)Tenants who exercise choice in housing moves(% from move out check list)

Promoting Housing Choice & Recovery for tenants with mental health and complex needs

Opportunities for Voice, Community & Belonging

Tenant directed activities: Community Kitchen,

Coffee Groups, Movie Days, Garden Clubs…

Portfolio Level: steering groups WRAP, Conflict

Resolution

Activities

Immediate Outcomes

Increased Community Engagement

Increased Self-Advocacy &

Empowerment

Long Term Outcomes

Community Belonging

(citizenship) is promoted through Support in Housing

Indicators

Current State# participate; #

groups Future State?????

Reduction in ER & Withdrawal

Management, etc

Getting Ready for the Excellent Care for All Act...Dimension Indicator Baseline

(2013/14)Target

2014/15Q1

2014/15Q2

2014/15Q3

2014/15 Q4

2014/15

Actual2014/15

Safe # Critical Incidents# of Tenants at Risk Due to Hoarding (3+)

Effective # Tenant Attendances in Internal Programs Number of Evictions

Average Cleanliness Score (%)

% Tenants on Track to Meet Service Goals

Access % Acceptances (Access Point)

Tenant-Centered

% Applicants refuse an offer of housing (Access Point)% tenants who feel involved in decision-making

Integrated % CM return calls w/in 24 hrs for serious issues# ED visits for high risk tenants% high risk tenants linked to primary care

5

Social Return on Investment – Impacting Emergency Services Use

Shelt

er Usag

e

Emerg

ency

Room Usage

Psychiat

ric Hosp

ital U

sage

3 Months P

rior t

o Housing H

ospita

l Acu

te In-Pati

ent B

ed Usag

e

Housing T

reatm

ent C

entre

Hospita

l Admiss

ion

With

drawal

Manag

emen

t Usag

e $-

$20,000

$40,000

$60,000

$80,000

$100,000

$120,000

$140,000

$160,000

$26,202 $31,588

$5,850

$17,816 $20,504

$90,122

$134,143

$0 $12,720

$0 $14,672 $10,485 $0 $7,557

Prior Housing 2 Years After Housing

Cost

of E

mer

genc

y Se

rvic

es