adaptation and implementation challenges for housing first

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EUROPEAN RESEARCH CONFERENCE Housing First. What’s Second? Berlin, 20th September 2013 Adaptation and Implementation Challenges for Housing First Stephen Gaetz Canadian Homelessness Research Network York University, Canada

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Presentation by Steve Gaetz, York University, Canada, at the 2013 FEANTSA Research Conference, Alice Salomon Hochschule Berlin, 20th September 2013

TRANSCRIPT

Page 1: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second?!

Berlin, 20th September 2013!

!

Adaptation and Implementation Challenges

for Housing First!Stephen Gaetz!

Canadian Homelessness Research Network!York University, Canada!

!

Page 2: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

CASE STUDY project!Understanding Housing First from conception

to implementation in seven cities!

Page 3: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Lessons Learned!

1.  Clarity about what Housing First is . . .!2.  Planning issues!3.  Implementation challenges!

Page 4: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Lessons Learned!

about what Housing First is . . .!

Page 5: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Clarity about what HF is!

n  Fidelity to core principles!

n  Distinguish between philosophy, system and program!

n  Quality assurance matters!!

n  Evaluation is important!

Page 6: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Housing First Framework!

1.  Immediate access to permanent housing with no housing readiness requirements. !

2.  Consumer choice and self-determination. !

3.  Recovery orientation.!

4.  Individualized and client-driven supports. !

5.  Social and community integration. !

CORE  PRINCIPLES  

Page 7: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Housing First Framework!The Application of Housing First!

Philosophy!

Integrated System Approach!

Program Models!Team interventions!

Assertive!Community!Treatment!

Intensive!Case!Management!

Rapid !Rehousing!

Page 8: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Clarity of roles!Sorting out who does what!

!

Lessons Learned!

Page 9: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Lessons Learned!

PLANNING !issues!

Page 10: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Planning Issues!

n  Embed Housing First in a broader planning framework!

n  Bring in the experts!

n  Adapt program to the local context!

n  Partnerships!

Page 11: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Partnerships are Key!!“So get everybody and anybody together.  If you aren't sure

whether they should be involved, invite them anyway. One of the greatest advantages of collaboration, especially in the early stages, but is important throughout, is that those at the table and part of the development now have a vested interest, when they feel like they are part of something bigger than they are and have influence they become supporters instead of antagonists. "

" " " " "Wally Czech, Lethbridge Housing First!!

Planning Issues!

Page 12: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Addressing the Affordable Housing supply!!

Planning Issues!

Page 13: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

The importance of !

rent supplements!!

Planning Issues!

Page 14: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation!Challenges!

Implementation Challenges!

Page 15: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Matching supports to client acuity!

Implementation Challenges!

Page 16: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!

The first three months !are a crucial transition period!

Page 17: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!Nurturing effective !working relations !with landlords!

Page 18: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!Consider the needs of the fifteen percent for whom !housing stability !continues to be !a challenge.!Don’t give up !on them.!!

Page 19: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!

Adapt Housing First to the needs of sub-populations!

Page 20: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!Aboriginal people are overrepresented amongst the homeless population in Canada!

Belanger,  et  al.  2012  

Page 21: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Implementation Challenges!How does Housing First work for youth?!!

Infinity Project!Calgary Alberta!

Page 22: Adaptation and Implementation Challenges for Housing First

EUROPEAN RESEARCH CONFERENCE!Housing First. What’s Second? !

Berlin, 20th September 2013!

Questions?!

www.homelesshub.ca!