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TRANSCRIPT
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FASD and Homelessness
A Reality CheckThe absence of housing is the absence
of everyth ing
Au thored by
Tina An trobus and Jan Lu tke
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Why is housing important?
The balancing act
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FAMILY
WORK
HOUSING
ACTIVITIES
OF DAILYLIVING
SCHOOL
PARENTING
LEGAL
DIVERSION
A & D
MENTAL
HEALTH
HEALTH/
NUTRITION
FINANCES
SOCIAL
RELATIONSLEISURE
MEDS TRANSPORT
FASD Pyramid of Need
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Why do adults with FASD become homeless?
Because four walls and a roof are not enough.Ever.
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Question:What is the primary goal ofindependentliving?
Answer:Successful management of the activities of daily
living
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FASD and Homelessness
Activities of
Daily Living
Manage
Money
Grocery
Shopping
Cook Meals Pay Bills
Medical Care
Interpersonal
Relationships
House Keeping
Leisure
RecreationHygiene
Transportation
Problem
Solving
Food Safety
Laundry
Medication
Birth Control
Family
Employment
Banking
Nutrition
Home Repair/
Maintenance
Appointments
Purchases
Dress
Access
Services
Emotions
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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
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FASD and Homelessness
* Streissguth et.al. (1996)
80% are unable to live
independently*
(Regardless of IQ)
Why?
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All activities of daily living are done in, around, and
out of the place in which you live.
If you dont have a place to live . . . The rest
doesnt matter.
The Conundrum of FASD and Housing
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Absence of Housing =
Inability to Function. Period.
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Sole qualification in BC for even the mostminimal of services from Community LivingServices, MCFD, the only branch of socialservices where housing supports for adults canbe obtained, is:
IQ < 70
FASD and Homelessness
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Opt ions for theHomeless
Emergency Shelter
$31- $85/day Detox Centre
$80 - $185/day
Provincial Jail$155 - $250/day
Psychiatric Hospital
$200 - $600/day*
Permanent Housing
Opt ions SRO Room
$11/day Self-contained Apt.
$14 - $20/day
Supportive Housing
$32 - $38/day*
Suppor t ive Housing for
Adul ts 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.
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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 themwith decent stable housing.*
Denial by Design
FASD and Homelessness
* Homelessness Causes & Effects Volume 3: The Costs of Homelessness in British
Columbia, February 2001.
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Supportive Housing
for adults with FASD
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The 7 Ss of Supportive HousingJan Lutke, 2004
SELECTION
STRUCTURE
SUPPORTSTABILITY
SAFETY
SECURITY
SUPERVISION
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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 Evict ion Pol icy
* Specifically for non-parenting adults with FASD
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Reality Check
The absence of housing is the absence of
everyth ing!
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Thank you!