Tina Antrobus, FASD Connections 2004 FASD and Homelessness A Reality Check The absence of housing is the absence of everything Presented By Tina Antrobus

Tina Antrobus, FASD Connections 2004

FASD and HomelessnessFASD and HomelessnessA Reality CheckA Reality Check

The absence of housing is the The absence of housing is the absence of everythingabsence of everything

Presented By Tina AntrobusPresented By Tina Antrobus

Adults with FASD: Swimming Upstream Conference Adults with FASD: Swimming Upstream Conference Vancouver, BCVancouver, BC


Why is housing important?Why is housing important?““The balancing actThe balancing act””


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


Why do adults with FASD Why do adults with FASD become homeless?become homeless?

Because four walls and a roof Because four walls and a roof are not enough. Ever.are not enough. Ever.


Question:Question:What is the primary goal of What is the primary goal of independentindependent living? living?

Answer:Answer:Successful management of the Successful management of the activities of daily activities of daily

livingliving


FASD and HomelessnessFASD 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


Streissguth et al. Longitudinal Study (1996), Streissguth et al. Longitudinal Study (1996),

Sample of adults age 21+ were Sample of adults age 21+ were unable tounable to: : Manage moneyManage money 82%82% Make daily living decisionsMake daily living decisions 78%78% Obtain social servicesObtain social services 70%70% Get medical careGet medical care 68%68% Handle interpersonal relationshipsHandle interpersonal relationships 57%57% Grocery shopGrocery shop 52%52% Cook mealsCook meals 49%49% Structure leisure activitiesStructure leisure activities 48%48% Stay out of troubleStay out of trouble 48%48% Handle hygieneHandle hygiene 37%37% Use public transportationUse public transportation 24%24%

FASD and Activities of Daily LivingFASD and Activities of Daily Living



* Streissguth et.al. (1996)

80% are unable to live independently*

(Regardless of IQ)

Why?


All activities of daily living are done in, All activities of daily living are done in, around, and out of the place in which around, and out of the place in which

you live. you live.

If you don’t have a place to live . . . If you don’t have a place to live . . . The rest doesn’t matter.The rest doesn’t matter.

The Conundrum of FASD and Housing


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 =Absence of Housing =Inability to Function. Period.Inability to Function. Period.

DIVERSION

SOCIAL

RELATIONS

MEDS


Sole qualification in BC for even the most Sole qualification in BC for even the most minimal of services from minimal of services from Community Community Living Services, MCFDLiving Services, MCFD, the only branch of , the only branch of social services where housing supports for social services where housing supports for adults can be obtained, is: adults can be obtained, is:

IQ < 70IQ < 70



Options for the Options for the HomelessHomeless

Emergency Shelter Emergency Shelter

$31- $85/day$31- $85/day Detox CentreDetox Centre $80 - $80 -

$185/day$185/day Provincial JailProvincial Jail $155 - $155 -

$250/day$250/day Psychiatric Hospital Psychiatric Hospital

$200 - $600/day*$200 - $600/day*

Permanent Housing Permanent Housing OptionsOptions

SRO Room SRO Room

$11/day$11/day Self-contained Apt. Self-contained Apt.

$14 - $20/day$14 - $20/day Supportive Housing Supportive Housing

$32 - $38/day*$32 - $38/day* Supportive Housing for Supportive Housing for

Adults w/ FASD Adults w/ FASD

$100 / day ?????$100 / day ?????

““Denial by Design”Denial by Design”FASD and HomelessnessFASD and Homelessness

VS

* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.


The homeless use 33% more government The homeless use 33% more government services than those with permanent shelter, services than those with permanent shelter, and are such heavy users of services that it and are such heavy users of services that it

would be more cost effective to provide them would be more cost effective to provide them with decent stable housing.* with decent stable housing.*

““Denial by Design”Denial by Design”FASD and HomelessnessFASD and Homelessness

* Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001.


““Supportive Housing”Supportive Housing”

for adults with FASDfor adults with FASD


The 7 S’s of Supportive HousingThe 7 S’s of Supportive HousingJan Lutke, 2004Jan Lutke, 2004

SSELECTIONELECTIONSSTRUCTURETRUCTURE

SSUPPORTUPPORTSSTABILITYTABILITY

SSAFETYAFETYSSECURITYECURITY

SSUPERVISIONUPERVISION


““Supportive” Housing for FASDSupportive” Housing for FASD Long Term Safe Permanent Long Term Safe Permanent “Place to Call Home”“Place to Call Home” Awake Staff 24/7Awake Staff 24/7 Integrated Individualized Case ManagementIntegrated Individualized Case Management Meals ProvidedMeals Provided Programs (Employment, Education, Leisure)Programs (Employment, Education, Leisure) Comprehensive Supported Activities of Daily LivingComprehensive Supported Activities of Daily Living Peer Support (Circle of Friends, mentor)Peer Support (Circle of Friends, mentor) Family Involvement / SupportFamily Involvement / Support Addictions ServicesAddictions Services Health Care (GP, PHN, meds)Health Care (GP, PHN, meds) Mental HealthMental Health TransportationTransportation Legal ResourcesLegal Resources Staff SupportStaff Support

No Eviction Policy

* Specifically for non-parenting adults with FASD


Reality CheckReality Check

The absence of housing is the The absence of housing is the absence of everything!absence of everything!

Documents

Tina Antrobus, FASD Connections 2004 FASD and Homelessness A Reality Check The absence of housing is the absence of everything Presented By Tina Antrobus