Presentation by Brigitte Witkowski, Executive Director, Mainstay Housing AMHO Workshop: “Housing...
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Transcript of Presentation by Brigitte Witkowski, Executive Director, Mainstay Housing AMHO Workshop: “Housing...
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