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Antrobus & Lutke 2008 FASD and Homelessness A Reality Check The absence of housing is the absence...
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Transcript of Antrobus & Lutke 2008 FASD and Homelessness A Reality Check The absence of housing is the absence...
Antrobus & Lutke www.faseout.ca 2008
FASD and HomelessnessA Reality Check
The absence of housing is the absence of everything
Authored by
Tina Antrobus and Jan Lutke
Antrobus & Lutke www.faseout.ca 2008
Why is housing important?“The balancing act”
Antrobus & Lutke www.faseout.ca 2008
FAMILY
WORK
HOUSING
ACTIVITIES OF DAILY
LIVING
SCHOOL
PARENTING
LEGAL DIVERSION
A & D
MENTAL HEALTH
HEALTH/ NUTRITION
FINANCES
SOCIAL RELATIONS
LEISURE
MEDS TRANSPORT
FASD Pyramid of Need
Antrobus & Lutke www.faseout.ca 2008
Why do adults with FASD become homeless?
Because four walls and a roof are not enough. Ever.
Antrobus & Lutke www.faseout.ca 2008
Question:What is the primary goal of independent living?
Answer:Successful management of the activities of daily
living
Antrobus & Lutke www.faseout.ca 2008
FASD and Homelessness
Activities of Daily Living
Manage Money
Grocery Shopping
Cook Meals Pay Bills
Medical Care
Interpersonal Relationships
House Keeping
Leisure Recreation
Hygiene
Transportation
Problem Solving
Food Safety
Laundry
Medication
Birth Control
Family
Employment
Banking
Nutrition
Home Repair/ Maintenance
Appointments
Purchases
Dress
Access Services
Emotions
Antrobus & Lutke www.faseout.ca 2008
• Streissguth et al. Longitudinal Study (1996),
Sample of adults age 21+ were unable to: – Manage money 82%– Make daily living decisions 78%– Obtain social services 70%– Get medical care 68%– Handle interpersonal relationships 57%– Grocery shop 52%– Cook meals 49%– Structure leisure activities 48%– Stay out of trouble 48%– Handle hygiene 37%– Use public transportation 24%
FASD and Activities of Daily Living
Antrobus & Lutke www.faseout.ca 2008
FASD and Homelessness
* Streissguth et.al. (1996)
80% are unable to live independently*
(Regardless of IQ)
Why?
Antrobus & Lutke www.faseout.ca 2008
All activities of daily living are done in, around, and out of the place in which you live.
If you don’t have a place to live . . . The rest doesn’t matter.
The Conundrum of FASD and Housing
Antrobus & Lutke www.faseout.ca 2008
LEIS
UR
E
TRANSPORT
PARENTING
FIN
AN
CE
S
HEALTH /
NUTRITION
A & D
WORKEDUCATION
MENTAL
HEALTH
SCHOOL
FAMILY
ACTIVITES
OF DAILY LIVING
Absence of Housing =Inability to Function. Period.
DIVERSION
SOCIAL
RELATIONS
MEDS
Antrobus & Lutke www.faseout.ca 2008
Sole qualification in BC for even the most minimal of services from Community Living Services, MCFD, the only branch of social services where housing supports for adults can be obtained, is:
IQ < 70
FASD and Homelessness
Antrobus & Lutke www.faseout.ca 2008
Options for the Homeless
• Emergency Shelter $31- $85/day
• Detox Centre $80 - $185/day
• Provincial Jail $155 - $250/day
• Psychiatric Hospital $200 - $600/day*
Permanent Housing Options
• SRO Room
$11/day• Self-contained Apt.
$14 - $20/day• Supportive Housing
$32 - $38/day*• Supportive Housing for
Adults w/ FASD
$100 / day ?????
“Denial by Design”FASD and Homelessness
VS
* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.
Antrobus & Lutke www.faseout.ca 2008
The homeless use 33% more government services than those with permanent shelter, and are such heavy users of services that it
would be more cost effective to provide them with decent stable housing.*
“Denial by Design”FASD and Homelessness
* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.
Antrobus & Lutke www.faseout.ca 2008
“Supportive Housing”
for adults with FASD
Antrobus & Lutke www.faseout.ca 2008
The 7 S’s of Supportive HousingJan Lutke, 2004
SELECTION
STRUCTURE
SUPPORT
STABILITY
SAFETY
SECURITY
SUPERVISION
Antrobus & Lutke www.faseout.ca 2008
“Supportive” Housing for FASD• Long Term Safe Permanent “Place to Call Home”• Awake Staff 24/7• Integrated Individualized Case Management• Meals Provided• Programs (Employment, Education, Leisure)• Comprehensive Supported Activities of Daily Living• Peer Support (Circle of Friends, mentor)• Family Involvement / Support• Addictions Services• Health Care (GP, PHN, meds)• Mental Health• Transportation• Legal Resources• Staff Support
No Eviction Policy
* Specifically for non-parenting adults with FASD
Antrobus & Lutke www.faseout.ca 2008
Reality Check
The absence of housing is the absence of everything!
Antrobus & Lutke www.faseout.ca 2008
Thank you!