Embed Size (px)
Citation preview
Housing and Health
Nov 14, 2014 Grey County Housing Day Forum
Dr. Abe OudshoornArthur Labatt Family School of Nursing
Housing and Health• Health and Housing in Transition Study
(HHiT)• Homeless or homeless within the last year• Date: 2010• Also Hwang (2009)
Housing and Health• High rates of chronic illness
Condition Percentage
Arthritis 33
Hep B or C 30
Mobility problem 28
Asthma 23
High blood pressure 18
COPD 18
Ulcer 9
Diabetes 8
Heart disease 8
Condition Percentage
Brain Injury 61
Mental health challenge 52
Victim of assault 38
Depression 31
Cirrhosis 6
Housing and Health• High rates of mental health challenges
Issue Stat
Chance of surviving to 75 (men)
32%
Chance of surviving to 75 (women)
60%
Average age of death of person experiencing homelessness
47
Increased risk of suicide (women)
6x
Housing and Health• High mortality rates
Why?
=
Why?
= =Barriers to Care
Other Barriers
• Transportation• Stigma• Cost• Identification• Hierarchy of needs
Why?
= =Environ-mental
Hazards
Environmental Hazards
• Heat?• Hydro?• Mold• Lighting• Smoke and CO
detectors• Moisture• Fire exit
• Food refrigeration• Pests
Why?
= +Poverty
Social Determinants of Health
PovertyIncome
Basic Needs $250
Shelter Allowance $376
Ontario Trillium Benefit $54
Total $680
Expenses
Housing: Bachelor $554
Nutritious Food Basket (range) $160-$243
London Transit Bus Pass $60
Total (based on low estimate) $774
Difference -$94
PovertyIncome
Basic Needs $250
Shelter Allowance $376
Ontario Trillium Benefit $54
Total $680
Expenses
Housing: Bachelor $554
Nutritious Food Basket (range) $160-$243
London Transit Bus Pass $60
Total (based on low estimate) $774
Difference -$94
Question 1
• “Why don’t they live somewhere else?
Question 2
• “It’s better than shelter, isn’t it?”
Question 3
• “Isn’t there social/affordable housing?”
Housing and Health
Filling the gap
HEALTHCARE DRIVEN SOLUTIONS
Case Study
Case Study
Case Study
HOUSING DRIVEN SOLUTIONS
1. Property Standards and Enforcement
2. Housing with Supports
• “Housing First• Principles
1. Safe2. Affordable3. Permanent4. With Supports
A Model
Outreach
Housing First and Health
The Support
• Private market housing• 24/7 access to worker• Wraparound with other agencies
33
Housing Status*as of August 31st, 2013
85%
Shelter 2
4%
Tenuously
Housed
36%
Incarcerated 12%
Residential Treatment/Hospital 2
4% Housed 46Shelter 2Tenuously Housed 3Incarcerated 1Residential Treatment/Hospital 2
34
Participant #8
Jun-12
Jul-1
2
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
02468
101214161820
# of Emergency Room Visits
# of Emergency Room Visits
The ‘Secret Sauce’
• Harm reduction• Rent supplement• Landlord liaison and procurement
– Includes seeing apartment!• Re-housing if necessary
