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For this, the final post on the Here At Home webdoc blog, we asked Stephen Gaetz for some final thoughts. Gaetz, who has written for us before, is director of the Canadian Homelessness Research Network and the Homeless Hub. These projects are dedicated to mobilizing homelessness research so that it has a greater impact on policy, planning and service provision, thereby contributing to solutions to end homelessness in Canada. Dr. Gaetz is also Associate Dean, Research and Professional Development in the Faculty of Education, York University, Toronto.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment was the largest of its kind in the world. The theory it tested: there’s a way to end homelessness for people with mental illness and it starts with giving them homes. 

The At Home/Chez Soi project is a fantastic example of research impact.  For many years I have argued that our progress on ending homelessness has been impeded by a curious anti-intellectualism – people, often frustrated, would tell me: “We don’t need research – we know what the problem is, and we know what the solution is”.  I used to think: “Wrong! On all counts!”

Now in 2013, we are seeing how research really does matter!  Recently the Homeless Hub (Canadian Homelessness Research Network) in partnership with the Canadian Alliance to End Homelessness, released “The State of Homelessness in Canada – 2013”, the first national report card on homelessness.  The report paints a pretty grim picture.  At least 30,000 people are homeless in Canada on a given night, and minimally over 200,000 in a given year.  Many others are at risk, as we are suffering from an acute shortage of affordable housing in Canada.  Since the 1990s, we have seen incomes decline for approximately 40% of Canadians, and at the same time housing prices rise and low rent housing becomes more and more scarce.

I would argue that since that time we have become all too comfortable with the presence of homelessness in our communities.  In some cases it is our prejudices that permit us to not care; our belief that people who are homeless choose to be so, or are lazy, or just want to live on benefits (a national poll conducted for the Salvation Army in 2011 suggested as much).  The research does not support any of these beliefs.

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes. 

For today’s post we matched the Vancouver film, “Waiting for Jon” with Jacqueline Kennelly, Associate Professor in the Department of Sociology and Anthropology at Carleton University. She is currently completing a 6 year qualitative study on the effects of the Olympic Games and its associated urban development projects on homeless youth in Vancouver, BC and London, UK.

In ‘Waiting for Jon,’ we follow Doug, the Peer Employment Coordinator at the Bosman Hotel in Vancouver, as he works with residents to facilitate their involvement in the daily upkeep of their home. The Bosman Hotel is not a hotel in the tourist sense of the word, but rather a supportive housing structure designed to assist the people who live there to put the pieces of their lives back together and keep them together. As Doug notes, the Bosman “should be the safety net for everyone”, there for those who need help transitioning out of a bad situation, and also there for those who simply cannot live successfully in traditional market housing. Its structure is highly aligned with the principles of ‘housing first’, where people are provided with the basic support that they need in terms of housing and support, which then enables them to take positive steps towards improving their own lives.

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Here’s the second in a series of short takes on the five trial cities. Three stills, three quotes and nine stats. Click on any of the photos to go to the Vancouver page of our webdoc.

 

The still above is from the Here At Home film “Heart of Hell.” As Josh Evans says in his guest post about it, “After prolonged periods without housing, individuals pass a point of no return, becoming so adapted to street life that escape, from their point of view, is unimaginable.”

 

Filmmaker Lynne Stopkewich was hoping to shoot a portrait of Mr. MadDogg while he was out traplining. That didn’t work out so she ended up making the amazing film, “A Model Person.”

 

You only have to watch a few Here At Home films to realize that none of the stereotypes about homeless people are true.

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

For today’s post we matched the Toronto film, “Find My Way” with Eric Weissman, an ethnographic filmmaker whose recent book, Dignity in Exile, stories of struggle and hope from a modern American Shantytown, (Exile, 2012) recounts time spent in North America’s only legal shantytown, Dignity Village, Oregon.  His documentary film series, Subtext-real stories was featured as part of the Housepaint Phase II exhibition at the Royal Ontario Museum (2008).

In the summer of 2001, I was gathering video interviews with homeless folks on the streets of Toronto. That’s when I met Butch who had been in and out of jails and on the streets for several years. He had told me that the streets were not the same anymore; in 2001, there were a lot of “sick people,” people who needed psychiatric help but who had been all but deserted by the retraction of social and health services for the poor. Butch took me to the 24 acre plot of land at the foot of Cherry Street and Lakeshore Blvd. It was there that he and a handful of street people were building shacks in which to live. That they were building structures from waste materials and scrap, devising ways to heat their structures, living without plumbing, and more or less managing to keep up their crude homes was astonishing. Tent City as it came to be known, housed 115 people by the summer of 2002.  But the bad press that Tent City received focused on drugs, misreported children being born there, and painted the residents as undeserving criminals, a stroke of indifference that still colours conventional attitudes towards the street poor.  Tent City was hastily evicted and the grounds swept clean of any evidence of their existence in the Autumn of 2002.

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

For today’s post we matched the Moncton film “Tea or Salt” with Susan McIsaac, President and CEO of United Way Toronto. In 2007 McIsaac received the National Award of Excellence from United Way of Canada–Centraide Canada and in 2012, she was awarded a Queen Elizabeth II Diamond Jubilee medal in recognition of her ongoing community service work.

Listening to Robert speak so candidly about living with schizoid personality disorder and the struggles he faces really drives home how important it is to have access to the right social supports and services.

Living with mental illness is challenging, especially when you are homeless and living without help. Robert talks about sleeping in parks, being exposed to the elements and fighting hunger many times. His reality has been one where he has had no money to afford the most basic of necessities like food or clothes. These challenges have only worked to intensify his situation.

Robert, like many others, is dealing with complex and often-times life changing issues.  Issues like inadequate income, education and social supports. Having access to vital supports and services that help people live healthy, strong lives makes the difference. Through the At Home/Chez Soi program we see why. The shift in tone and demeanor when Robert talks about the program is obvious. He credits it with saving his life. He’s had a place to sleep for the last two years – a home where he is building a life. He’s been able to take cooking classes which have given him new, and potentially employable skills. And he now has regular access to food from the local food bank. We see that Robert is not only surviving, he’s thriving in this new environment.

We all recognize that the causes of mental illness are deep-rooted. And while they are complex, support doesn’t have to be. We can develop and extend educational programs to foster awareness. Build stronger collaboration among agencies, communities, individuals, and families. Learn from our challenges and move forward on our successes. And provide greater resources to support key social services and programs. Everyone’s life is touched by mental illness in some way. And we each have a role in being more mindful, accepting and empathetic to others. Only by supporting one another can we build a stronger, healthier community for us all.

 

 

 

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by Here At Home.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment was the largest of its kind in the world. The theory it tested: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

Because the study recently came to an end, we asked the Chair of the Mental Health Commission, Dr. David Goldbloom to reflect on the project as a whole. Besides his role at the Commission, Dr. Goldbloom is the Senior Medical Advisor at the Centre for Addiction and Mental Health in Toronto and a Professor of Psychiatry at the University of Toronto.

It’s hard to believe that just five years ago, the federal government made a decision to invest in the cause of homelessness among people with mental illness in a major way. And they turned to the newly created Mental Health Commission of Canada to design and run an unprecedented social experiment.

And make no mistake – this was a research study, carefully designed and executed, but one that had the potential to change the lives of the participants and to generate knowledge that could help many more people long after the study came to an end (as it did April 1, 2013).

If you were looking for a justification of the creation of the Mental Health Commission, At Home/Chez Soi was one. Here was a national body – not a federal, provincial or territorial government – who could operate outside of the constitutional framework of health to stimulate and lead an amazing collaboration.

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

For today’s post we matched the Vancouver film, “A Model Person” with The Centre of Research, Policy & Program Development at the John Howard Society of Ontario. The Centre engages in research which contributes to the evidence-based literature in the criminal and social justice fields, policy analysis and rigorous program evaluation.

 “I do brunch once a month.”

If this were uttered by a well-to-do urbanite, you’d probably take it as a given; banal, even. However, context matters. When MadDogg says it, it’s given entirely new meaning; to ‘do’ brunch, is to prepare a meal for 100 people. Many take for granted their disposable income, that they have a roof over their heads every night, that if they had a mental illness or addiction, they would never wind up in a shelter, let alone jail. ‘It couldn’t happen to me’. Stability is taken for granted. Unfortunately for thousands of Canadians, instability shapes their daily lives.

MadDogg, through the supportive housing he resides in, is experiencing stability and continuity for the first time in a long time. Homeless individuals face numerous challenges. Here’s some context: poverty, lack of social supports, unemployment and lack of stable housing all increase an individual’s likelihood of becoming homeless. Homelessness, in turn, is linked with mental illness and addictions, poor health outcomes, victimization and criminal justice system involvement. Due to a lack of community treatment options, many people with mental illness and/or addictions are ‘housed’ in overcrowded jails. And if these individuals were not homeless entering jail, they have a good chance of leaving homeless, which in turn increases the likelihood of re-incarceration. Not having housing arranged prior to release from jail creates, in criminal justice parlance, a ‘revolving door’.

A recent study by the John Howard Society of Ontario found that providing justice-involved homeless individuals with supportive housing, with staffing approaches that are client-centered and strengths-based, works to address the many challenges underlying homelessness. Client-centered care provides that client plans are individualized based on each client’s unique goals and capacities. MadDogg notes that the staff in his building see the qualities of a role model in him. What’s more, he enjoys working in the kitchen and receives modest compensation for his work. These types of experiences and interactions, which enhance self-sufficiency, self-esteem and structure, are invaluable steps toward recovery and integration. To someone who has not experienced mental illness or homelessness, this may not seem like much. But context matters.

Housing is a critical piece of the complicated homelessness puzzle; without a stable home and a fixed address, an individual’s ability to access social services, healthcare, treatment for mental illness and/or addictions and employment will be compromised. MadDogg’s story shows us what promise housing first approaches hold.

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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

For today’s post we matched the Montreal film, A New Lease,” with Stephen Gaetz, director of the Canadian Homelessness Research Network and the Homeless Hub. These projects are dedicated to mobilizing homelessness research so that it has a greater impact on policy, planning and service provision, thereby contributing to solutions to end homelessness in Canada. Dr. Gaetz is also Associate Dean, Research and Professional Development in the Faculty of Education, York University, Toronto.

A friend of mine, who teaches at York University, recently lamented the fact that “The students in my class, they don’t read newspapers any more”.   Well, I still like to read newspapers myself, but that’s not the only way I like to get information.  I follow twitter, I’m on Facebook, I use Youtube for everything from watching music videos, to seeing web-based comedy, to figuring out how to do a home repair. People consume information and, perhaps more importantly, learn new things in all kinds of ways, many of them mediated through technology.

You see, the world has changed, and as a researcher and an educator focused on the issue of homelessness, I am very interested in figuring out how to help the public – as well as decision-makers in government and the community – understand that in responding to homelessness, we can do things differently, and that we must. Through our work at the Homeless Hub, we recognize that it just isn’t enough to just push out academic papers that nobody wants to read; that if we really want people to engage research, we need to think differently about how people might want to consume information, and do things differently.
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This post is the latest in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

From NFB interactive, Here At Home is a cutting-edge documentary experience that offers a look inside At Home, a radical experiment to end chronic homelessness. Led by the Mental Health Commission of Canada, the experiment is the largest of its kind in the world. The theory it’s testing: there’s a way to end homelessness for people with mental illness and it starts with giving them homes.

For today’s post we matched the Toronto film, “Money Changes You,” with Naheed Dosani and Adam Whisler. Naheed is a Family Medicine Resident Physician with the Department of Family and Community Medicine at the University of Toronto and is training at St. Michael’s Hospital; Adam is a Research Coordinator for the At Home/Chez Soi Demonstration Project at the Centre for Research on Inner City Health at St. Michael’s Hospital.

While the At Home study focuses on mental health issues, often participants, like James in “Money Changes You,” have physical health problems as well. Picking up on this element of the film, Naheed and Adam discuss the experiences of one such participant and propose better ways of addressing the problems he faced.

Sayid is a 65 year old South Asian man from Toronto. He has schizophrenia, but with the proper medications and supports, his illness is well controlled, allowing him to work full-time in a manufacturing job. For years, like many of Toronto’s working poor, he lived paycheque to paycheque. When his company underwent downsizing, Sayid lost his job and then his home. Shunned by his cultural community due to stigma and without a network of support to rely on, he turned to Toronto’s shelter system for a safe place to stay. After suffering an assault and robbery one night at the hands of others living at the shelter, Sayid was left without any of his belongings, including his medications. Fearing for his safety, Sayid fled from Toronto’s streets to seek shelter in a tent in the Don River Valley, where he has lived on and off for the past ten years.
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This post is the third in a series of articles from guest bloggers. Each week experts and activists in fields of homelessness and mental health explore some of the issues raised by a Here At Home film.

For today’s post we matched the Toronto film, “Off the Radar” with Nick Falvo, a doctoral candidate in Public Policy at Carleton University. Prior to his doctoral studies, Mr. Falvo worked for 10 years as a community social worker with homeless persons in Toronto.

Last month, the Globe and Mail’s Margaret Wente argued in favour of measuring outcomes of social programs, adding that “we need rigorous evidence about what works.”

Most of her readers likely agreed, and understandably so.

There’s a corollary to that assertion, however, which is that careful, precise measurement of social outcomes costs money and resources, a point that is aptly illustrated in the above video.

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