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Departments > Sustainability > Homelessness Initiative > Community Plan

1.0 Introduction to Community Plan
Victoria is widely recognized for its natural beauty and urban heritage, but not for the homeless people on its streets, under bridges, in doorways, alleys, parks, or living in their cars. Sadly, there is a significant and growing number of the visible homeless in our city who are cold, wet and hungry, who suffer from serious physical and mental health conditions, misuse substances and who are often isolated from family and friends.

There are also the invisible homeless - people who have lost their jobs, who live in motels and campgrounds, who move from friend to friend or sleep in accommodation that is neither safe or secure. While there is literally no data to gauge the extent of the invisible homeless in Victoria, there is a sense that the situation is worsening rapidly because of the combination of the lack of safe and affordable housing and the severe strain on the City's service network.

Certainly agencies in Victoria providing basic services – shelter, hygiene and food – are responding to the homeless, and are doing so cooperatively and collaboratively. However, the supply of shelter and support service is unable to meet the demand.

Why does this situation exist? There are several reasons. There has been virtually no private investment in the development of new rental housing because it is not economical. The federal government has withdrawn from building new social housing. The provincial government has continued to build some new social housing, but not enough to meet the need. Victoria ranks in the top two Canadian cities having the highest housing costs and lowest vacancy rates; 25% of its population is living below the poverty line. Waiting lists for affordable social housing have grown and currently there are not enough units of social housing to meet the demand. Shelters and services are utilized to capacity, in large part by people with mental health and/or substance misuse issues. The income assistance rate is below the poverty line and the shelter rate, in particular, hasn’t changed in years. Other factors commonly cited as contributing to homelessness are family violence, underemployment, deinstitutionalization and the lack of social supports such as life skills programs, supportive recovery services, support services for ex-institutional individuals.

Victoria, a city of almost 80,000 people, is at the core of 13 municipalities in the Greater Victoria Capital Regional District. These municipalities include:

  • Central Saanich
  • Colwood
  • Esquimalt
  • Highlands
  • Langford
  • Metchosin
  • North Saanich
  • Oak Bay
  • Saanich
  • Sidney
  • Sooke
  • View Royal
  • Victoria

There is a growing trend of people from outlying municipalities to migrate to the downtown core of Victoria to access services. So while homelessness has been an issue for the City of Victoria since the late 1980's, primarily in the downtown, it is fast emerging as a regional issue.

Who are the Homeless in Victoria?

  • Homeless people in Victoria are a diverse group consisting of:
    • women and children, primarily single mothers and women fleeing abusive situations youth at risk, sexually exploited youth, young adults over the age of 19;
    • members of the urban Aboriginal community;
    • new immigrants; and
    • the newly poor.

  • Many of of these people have special needs. They include persons:
    • with mental illness;
    • who misuse substances, including injection drug users;
    • with HIV/AIDS;
    • with multiple diagnoses;
    • with fetal alcohol syndrome/fetal alcohol effect;
    • with attention deficit disorder;
    • with brain injuries; and
    • with criminal justice system involvement.

The community plan process has responded to this diversity by seeking out the many voices of our community, and ensuring there has been an opportunity for their participation.

Why does Victoria need a Homelessness Plan?
The City of Victoria was one of the first municipalities in Canada to declare homelessness a national disaster. Currently it is working with the Federation of Canadian Municipalities and the federal government to proactively address this nation-wide crisis.

The City of Victoria was a key stakeholder in "CRUNCH", a three-year community development initiative which started in 1997 with an initial focus on downtown Victoria and then expanded throughout the City. The CRUNCH initiative brought a wide range of people to the table including: businesses, churches, developers and builders, community people, non-profit social services agencies, planners and the downtown residents themselves. CRUNCH identified the lack of safe affordable and supportive housing as a significant social challenge in the City. CRUNCH ended in the fall of 2000 with the formulation of eight key principles:

1. Community Solutions: Together we are building solutions which strengthen our community.
2. Participation: We seek out the diverse voices of our community, recognizing the value of broad input in identifying obstacles and opportunities.
3. Commitment: Solutions require an ongoing personal commitment to working together.
4. Openness: Our minds are open to other points of view. We build relationships and trust through listening, learning and respecting each other.
5. Language: We use plain language to build greater understanding.
6. Cooperation: We reach our goals more effectively by working together to identify the roots of a problem, make decisions and take action.
7. Sharing: For the good of the community we share power, information and resources.
8. Leadership: We take responsibility to act while applying these principles.

This community plan to address homelessness builds on the foundation CRUNCH developed, that is, applying a cross-sector approach to consensus building, problem solving and increasing community capacity. Victoria's Steering Committee on Homelessness decided it was essential to continue this approach ensuring a coordinated strategy in place for planning and delivering services for and to the homeless, thereby lessening the chance of people "falling through the cracks". The plan complements the work of the Housing Affordability Partnership (HAP), a CRUNCH legacy focusing on the broader housing affordability issues in the Capital Regional District.

The Victoria Steering Committee on Homelessness
Over the summer months of 2000, federal government representatives from Human Resources Development Canada met with City of Victoria officials to establish a way to work collaboratively to address homelessness. In November 2000 the official Victoria Steering Committee on Homelessness met with the goal of collaborating in order to develop a community plan. Wherever possible, those representing community coalitions joined the Committee to provide strong links back to the broader community. The current membership includes the following groups, most providing representation on behalf of the existing community coalitions:

  • Downtown Churches
  • Victoria Housing Providers
  • Community Center Network
  • Community Economic Development Corp.
  • Downtown Service Providers
  • City of Victoria's Social Planning and Housing Advisory Committee
  • Victoria Native Friendship Centre
  • United Way of Greater Victoria
  • Canadian Homebuilders Association
  • Intercultural Association
All levels of government were represented including:
  • Local: City of Victoria
  • Regional: Capital Health Region
  • Provincial: BC Housing & Ministry of Human Resources
  • Federal: CMHC & HRDC
The Committee is co-chaired by Chris Coleman, an independent and well-respected businessperson and former City councilor and Andrew Lane, Director of the HRCC Victoria who is familiar with the specific initiative and other related programs in Victoria.

In late 2000 and early 2001, the Steering Committee's initial focus identified ‘urgent need’ populations relating to homelessness in Victoria. Nine key populations emerged as particularly vulnerable and guided an urgent need "Expression of Interest" call for proposals. The Steering Committee received 21 proposals of which 12 were recommended for funding. The Steering Committee continues to act as the decision making body for years two and three of the Supporting Communities Partnership Initiative (SCPI) Program.

The Steering Committee learned a great deal through the urgent need planning and implementation stage. In preparation of this community plan the committee undertook a number of tasks including:

  • Consolidation of existing information and research about homelessness in Victoria in a community reference guide;
  • Review of existing programs and services in the City which address absolute and relative homelessness in the context of assets and gaps;
  • Consideration of the community's capacity to respond, and
  • Identification and prioritization of gaps in programs and services to be filled.
The Steering Committee undertook this work respecting the CRUNCH principles, and will continue doing so. It utilized the following definitions of homelessness:

Absolute Homelessness: A situation in which an individual or family either has no housing at all or is staying in a temporary form of shelter.

Relative Homelessness: A situation in which people's homes do not meet basic housing standards of:

  • Adequate protection from the elements
  • Access to safe water and sanitation
  • Provide secure tenure and personal safety
  • Situated within easy reach of employment, education and health care
  • Does not cost more than 50% of total income
Committee members agreed at the outset of the process that there are three specific problems that produce homelessness and a population at risk of becoming homeless. These problems are:
  • An inadequate supply of affordable and appropriate housing;
  • Insufficient income (employment or income support)
  • A lack of supportive Services

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1.1 Geographic Area

Social Geographic Context

Victoria is one of 13 municipalities in the Capital Region. It has a resident population of 76,830 within an estimated Capital Region District (CRD) population of 320,000. This population is contained in a mix of urban, suburban and rural municipalities, each operating with differing organizational and governance styles.

The regional (CRD) population includes about 10,000 aboriginal people who live off reserve and another 5000 who live on one of the 11 reserves in the Capital Region. As well, urban aboriginal people represent at least 10 different North American Indian Bands and numerous Metis communities. There is a visible minority population of about 8% and this population is increasing.

As a provincial capital, the largest employer is government and the majority of government activities, ministries, crown corporations and regulatory agencies are concentrated within City boundaries. Victoria is also a working city. About 12,500 service-oriented businesses are located in the region. Greater Victoria boasts more than 16, 000 small businesses, most employing less than eleven staff. These small enterprises represent 93% of Greater Victoria's employers.

Within the Capital Region, a larger percentage of the population of poor people is located within the City of Victoria. In Victoria, 25.1% of private households and 39.3% of unattached individuals are poor as compared to 15.4% of private households, and 36.2% of unattached individuals in the Capital Region. These numbers do not include the transient or hidden populations such as those living in illegal secondary suites, an estimated 7%. There is a concentration of poor people moving into the City core partly as a result of the regionalization/centralization of health services (the Victoria downtown is where the majority of the community support services are located) as well as the urban drift of the homeless population.

Historically, Victoria relied on government administration and tourism for creating job opportunities and economic growth. Today, however, the economic base is changing and new industries are emerging (Victoria Economic Development Strategy, p.3). This creates new opportunities and new challenges. More jobs are being created and more people are moving to the city. Correspondingly, rental vacancy rates are dropping and are expected to stabilize at 1.6% by October 2001 (CMHC Victoria Housing Market Outlook, autumn 2000).

Private home ownership and rental rates are among the highest in the country. Therefore accessing safe, affordable housing is extremely difficult for those in the lower income brackets. 10% of all Victoria households earn less than $10,000 per year and another 22% earn less than $20,000 per year.

Lack of rental housing affects the whole Capital region. As of the 1996 Statistics Canada Census data, nearly one quarter (23.5%) of all renters and nearly one third (32.2%) of single parents were paying more than 50% of their household income on rent. This will increase, as rental housing becomes scarce.

The number of people living with disabilities must be considered when looking at housing access, design and job opportunities. In July 1999 just over 3,500 people in the region were receiving disability benefits from the provincial government. In this region, 9000 disabled people live below the low-income cut-off (LICO).

Victoria's official Community Plan, outlines future planning for growth and change in the city, has an extensive section on affordable housing, demonstrating Victoria's acknowledgment of factors affecting all sectors of the population, including the poor. Victoria's social and community service organizations have a long history of working collaboratively and this plan aims to build on and foster those good working relationships.

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2.0 Community Plan Objectives

Specific objectives of the Community Plan on Homelessness for Victoria are listed below.
1. Decrease the number of homeless people in Victoria by increasing the number of emergency shelter beds and transitional and long-term supportive housing units to begin filling the gaps identified.

2. Identify, better coordinate, expand and initiate the supportive and preventative support services identified consistent with the ‘Continuum of Support’ System.

3. Encourage partnerships and synergies among service organizations, government, housing and health care providers and the local business community in providing funding and resources for needed shelter and support services.
4. Develop a communications strategy that increases community awareness and support for the Community Plan on a sustained basis. Ensure that the community and appropriate stakeholders are invited to participate in the development of this strategy.

5. Establish a process for monitoring, evaluating and updating the Plan on an annual basis to ensure it is a ‘living planning document’.

6. Administer the Plan through the supervision of a Community Steering Committee.

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3.0 Community Plan Development Process

3.1 Review of background information and establishment of the Victoria Steering Committee

  • In early fall of 2000, City of Victoria officials and HRDC staff met to gather preliminary research highlighting key issues regarding homelessness in Victoria and to determine a strategy to ensure progress.
  • In November, the official Victoria Steering Committee on Homelessness met and started to build on progress to date to develop a community plan. Wherever possible, those representing community coalitions joined the Committee providing strong links back to the broader community. Participants and the organizations they represent appear in Appendix I.
  • As part of the initial planning process, a research phase which included a literature review, expert consultation and community liaison was conducted to ensure a common understanding and agreement on needs and key issues related to homelessness in Victoria. This document was completed in November 2000 and provides the foundation for understanding homelessness for the community plan.
  • The members of the Steering Committee formal liaised with members of the organizations and groups they represented. This liaison facilitated information sharing, consultation and validation. In addition, one-to-one meetings with community stakeholders and subject experts were conducted augmenting the committees’ knowledge on homelessness issues.
  • In January of 2001, the Steering Committee sought to address some of the most urgent needs in the community. Through a transparent public process encouraging information sharing and a response from many sectors in the community, ‘Expressions of Interest’ (call for proposals) were solicited from the community. Twenty-one proposals were received, of which the committee recommended twelve. All twelve have subsequently been approved by Minister Bradshaw and contracted. This ‘urgent need’ process provides the first opportunity to respond to critical needs identified in the community.
  • A review of existing services designed to address absolute and relative homelessness was conducted in Victoria. A comprehensive report identifying the assets and gaps is attached.
  • The report forms part of the community plan. The report identifies where resources should be invested thus providing a framework guiding future funding addressing homelessness and its prevention in Victoria. This agreement was held with the City of Victoria, a member of the Committee. An open process inviting proposals was implemented.
  • Further consultation and validation from the community will be required to ensure broad-based community input, which will be achieved through a number of communication strategies.
  • The Steering Committee has decided to adopt a shared delivery model for SCPI delivery. As such, the Government of Canada will contract through HRDC directly with successful applicants as recommended by the review team. The review team will be comprised of Steering Committee members. Youth, as a part of a mentoring opportunity, will also be invited to participate in the review process. To ensure a fair, open process, Steering Committee members submitting applications will not review any applications identified in that priority category (eg. Steering Committee members applying for funding to build an emergency shelter would not be able to review any proposals in the Safe, Affordable Housing priority area).

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3.2 Community Plan Validation Process
The Community Action Plan to address homelessness in Victoria incorporates a comprehensive community validation process. The Steering Committee ensured all interested sectors of our community were involved in the ongoing decision making process. The goal of the Victoria Plan is to build on the recent work as highlighted in the Asset and Gap report and to expand opportunities for stakeholders to experience meaningful involvement. This is reflected in the Steering Committee's ongoing attention to membership. Committee membership is continuously reviewed to ensure a broad representation of key community coalitions.

Steps to Validation
1.Analyze information/data captured in the Asset and Gap report.
2.Prepare summary for formal presentation to the community through a "Community Forum".
3.The Community Forum to take the form of a town hall meeting in the fall of 2001.
4.Ensure broad community representation including all levels of government.
5.SCPI Committee Members to provide an overview of the process for determining service gaps and priorities.
6.Seek validation from the target populations as identified in "The Gaps – A Strategic Approach" report.
7.Seek community endorsement of the plan.
8.Discuss next steps.

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4.0 Assets and Gaps
Taking into account what is known about homelessness, it is clear that a broad network or continuum of supports are necessary to ensure that homeless individuals do not "fall through the cracks." Figure 1 illustrates how programs and services for the homeless are integrated with shelters, transition housing and long-term supportive housing to form a comprehensive continuum of support.

A complete asset inventory for Victoria is contained within Appendix A of this document. The asset mapping exercise was conducted by Urban Aspects Consulting Group Limited. The consulting group was hired by the City of Victoria through an open expression of interest process. An executive summary of service gap findings for the homeless in Victoria is shown below.

Assets And Gaps Review On Homelessness In Victoria

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4.1 The Gaps - A Strategic Approach

Quoted anonymously with permission.
"I'm an alcoholic. I know it now and I knew it when I was drinking too. I also knew I couldn't change my life by myself. I was broke, I was homeless, but I did know how to change that! I committed a robbery. Afterwards, I looked straight into the security camera for several seconds. When I was sure they had a good look at my face, I waved at them, then I left. This was not an act of defiance, I was not 'saying cheese', it was a plea for help. When I was apprehended, I entered a plea of guilty and went to jail. Now I'm sober, I have a roof, a bed, three squares a day and regular showers. Hell, I'm even doing my laundry - how normal is that?"
Source: Barbara Green, BG Consulting

Background
This strategic paper reflects a synthesis of research contained in reports, extensive discussions with those working in a variety of front-line capacities with the homeless in Victoria, as well as insights from the clients themselves. The primary vehicle for gathering the information was a series of focus groups geared to the client groups. The consultant team sincerely thanks all those who participated and provided comments and input. Without their insight and assistance this set of information would be a mere shadow of what you read here.

We are very conscious that while this paper and the supporting background documents are the first consolidated set of benchmark information on homelessness in the City of Victoria, they are far from complete. The challenge will be to incrementally improve them, as resources become available. The conclusion, nevertheless, is unmistakable – there are overwhelming gaps.

To put this report in context, as one focus group participant noted, much energy has been directed at homelessness and although the agencies in Victoria provide a vast array of accommodation, programs and services, there remain some critical gaps.

  • The extreme level of need in some areas highlights gaps in an asset base unable to handle a high volume of demand.
  • The nature of the gaps also emphasizes the strong interrelationships across shelter, physical and mental health services, the complexities of government funding and bureaucracy, and other social and community services – all affecting homelessness and the gaps in the continuum of services.
  • There are higher order gaps (see definition on page 13) at the partnership level which, if filled, have a potential for funding and facilitation of service delivery.
  • Major data gaps present a challenge for research and planning - front-line workers are stretched severely, with very little time for data collection on services that are sometimes difficult to quantify but have major impact on the lives of the homeless – namely the few minutes taken for conversation or to provide a small service. This results in a catch twenty-two situation, as data is needed to justify funding allocations but is unavailable given the nature of the operating environment.
For contextual reference the following definitions have been used. Absolute Homelessness refers to those living on the street, in temporary shelters or in locations not meant for human habitation. Relative Homelessness - includes those individuals who pay too high a portion of their income for housing or those living in inadequate accommodations (i.e. poor sanitation, inadequate shelter from the elements), and who are sometimes referred to as "at risk".

The assets and gaps review and analysis was conducted respecting the principles of CRUNCH namely community solutions, community participation in identifying solutions, a commitment to working together, open mindedness and respect for other views, use of plain language, co-operation, sharing and leadership. These principles are seen as the overriding framework for guiding the planning of responses to homelessness in Victoria.

The ten client groups that form the basis for the homelessness review of assets and gaps are:

  • Women and Children*
  • Substance Misusers (including injection drug users)
  • Youth at Risk
  • Mental Health/Forensics
  • Sexually Exploited Youth
  • HIV & AIDS**
  • Young Adults over the age of 19
  • Urban Aboriginal Homeless Persons
  • Newly Poor
  • Ex-Institutional (Prison)
*Primarily single mothers, and including Women Fleeing Abusive Situations
**HIV/AIDS was separated from Substance Misuse, as a number of factors contribute to its cause, of which injection drug use is only one

This paper is organized around the higher order gaps identified through the review and analysis, and validated by the community through the interviews and focus group discussions. The higher order gaps include:

  • availability of housing, including supportive housing and a continuum of services;
  • programs and services;
  • timing, which can affect availability of services;
  • process – where provision of services are impeded;
  • a supportive network across agencies; and,
  • ability to access financing due to gaps in data or in administrative capacity where agencies rely on volunteers.
An Appendix contains more detailed information from Focus Group discussions held to get community validation of the assets and gaps information, and to identify gaps and priorities.

1. Safe, Affordable Housing and the Continuum of Services
The overriding shortfall between supply and demand is in the basic need for shelter. All focus groups strongly validated this gap, most poignantly described as a lack of "safe places" clients can go to escape street life, the sex trade, substance misuse, and to find respect and start to build self-esteem. Ready or quick access to affordable housing is a critical and primary gap for all client groups, given the lack of funding for housing.

Particular insights across the client groups reflect some different perspectives:

  • Families, especially women and children (living in motels) have no access to any shelter accommodation from mid-May through early October (the high tourist season). Campground accommodation at Thetis Lake or Goldstream is the alternative but high daily rates and transportation pose difficulties. There are also limits on the time one can stay in a campground, so the family must move every two weeks. Moreover, while staying in a motel, children might not be able to attend school and may be exposed to substance misuse by other guests.
  • Women with sons age 16 and over, who have experienced domestic violence, have nowhere to turn, except motels. Transition houses do not allow males over that age. Many women will not leave sons with an abusive partner.
  • There are few "safe" homes for sexually exploited youth trying to leave the sex trade (Turning Point has 5 beds).

    "When I was ready to leave the streets, it was 3:00 o’clock in the morning. I had had a bad date and I said enough. I didn’t know where to go, my friends took me in a cab to KEYS. I didn’t want to stay there. We went back downtown. My boyfriend promised to treat me better, get me more drugs. That was seven months ago, I’m still here." (Helen M. 16 years old)
  • Urban Aboriginal persons stress the almost uniform gap in shelters and services that are culturally sensitive and where there are Aboriginal front-line workers/counsellors. These are barriers to Aboriginal persons accessing shelter and services. Aboriginal Women, especially those who have experienced abuse, have need of a shelter. This need has long been recognized, but proposed shelters have been met with community resistance.
  • Women in recovery who want to get off the streets but want to stay away from substance misuse have no shelter option, as the women's shelter is "wet" (i.e. takes women under the influence of substance). Complicating the situation further, children are not permitted in the shelter. Women who seek treatment are often fearful that their children will be taken into care. Substance misuse amongst women is often linked to issues such as abuse, child neglect, foster care, generational addiction, and fetal alcohol syndrome.
  • For people with mental health, substance misuse or dual diagnosis there is a severe housing shortage. Many persons with chronic mental illness and /or substance misuse problems have behaviours that can be problematic and unacceptable, both in independent and family living situations. This population recycles through housing, crisis, homelessness, shelters, and around again. Some of those interviewed feel that this group often overshadows other client groups and that if their needs were met, the needs of others’ could be better handled.
  • There are relatively few resources committed to seniors (individuals over 65 years of age)[1] with substance misuse and/or mental health problems. (Cool Aid runs one outreach program, VISTA has 3 treatment beds and together these agencies are in the process of developing a supportive housing project for older adults with substance misuse and/or mental illness – although a gap in unmet need will remain). As Victoria Cool Aid notes, the latest trend indicates a growing number of senior-aged clients along with more people suffering from mental illness and drug and alcohol misuse - in addition to diseases such as hepatitis C and HIV.
  • Those working with ex-institution (prison) clients, as well as the clients themselves, emphasised their chances of living in safe, affordable housing upon release are extremely remote, given the stigma of being an ex-offender coupled with coping with the chaotic experience of being released from prison. The severity of the gap in housing is doubly aggravated for Aboriginal persons released from provincial prisons who have the additional stigma of being Aboriginal. The gap in housing and gap in support services is the reason people keep re-offending.

"The process is extraordinary if you have never done it before, or have little or no marketable skills, have poor social skills or a history of dependency on others, or an addiction. Can you imagine what your chances would be like if you were facing the world with all of the above difficulties. For many of our young people in jail this describes their competencies and barriers." Chris Rowand, John Howard Society

"When I left jail the last time I was trying to fool myself. But I knew I couldn’t do it - I had nowhere to go, no money and no sense of identity." Aboriginal Offender (spent over 20 years in adult prisons) There are also gaps across the area of Supportive Housing. Focus group participants and clients emphasized the gaps in transitional housing (1-3 month period), and second stage housing offering semi-permanent and semi-independent living.

Examples include transitional housing for youth (15 years plus) who have left the care of the provincial ministry or street youth who are not returning home, with the opportunity to move to second stage housing with supportive services.

"When I moved out on my own at first all I ate was McDonalds. My money ran out fast. I don’t know how to cook, do the dishes all that crap. I need someone to check up on me and see if I’m okay. Have someone to call when I needed, not just in the day, the night too." (Chris C. age 17 yrs.)

For ex-institutional (prison) clients released from provincial jails there is no half-way house accommodation (unless they are forensics and can access the three beds in Manchester House).

For those actively injecting drugs there are no known safe, affordable and supportive housing options with adequate staffing support for those actively injecting drugs.

Options for supportive housing need to include:

  • housing in which drug use is permitted;
  • housing in which drug use is permitted off the premises but where on-site support is available to help people transitioning toward abstinence;
  • housing where drug use is not permitted and where a focus on abstinence is the overall goal.
The development of a successful, comprehensive continuum of care is heavily dependent on drug users’ ability to access supportive housing.

For those discharged from detox there is no continuum of care (from prevention to treatment to recovery) and very few options exist for supportive or recovery housing, so substance misusers usually go back to the environment they came from. This is the "revolving door" syndrome.

"Even if someone is able to go through detox, there's extremely limited opportunities for them to go through a recovery program afterwards. So again, they have an opportunity to move away from the drug using social network that they’ve had…But there is nowhere for them to go. I think that's a huge problem."

"People with mental health or addictions problems just get bounced around. They get stable, then have a setback or a problem. Then they lose everything. They are back here, to start again. There isn’t enough support for them." (A shelter manager participating in a focus group)

There is a lack of safe, affordable, appropriate housing for people living with HIV/AIDs, especially for those who need assistance with daily living. For many infected people, housing is a primary concern… either they have no housing, are about to lose their housing, or they require different housing from what they currently possess. The lack of palliative care is a particular need - "a place to die peacefully, with adequate medications and support - at present, people die on the street."

All respondents reported that a large proportion of shelter users have issues relating to mental health, substance misuse and/or dual diagnosis. Shelters are staffed for shelter purposes, not for mental health and addiction services. Downtown Victoria agencies have identified a need for over 200 supported apartments and suites (safe, decent, affordable housing from rooming houses to 1 bedroom apartments) for the downtown homeless having a serious mental illness. There is a lack of safe housing units that are appropriate for the range of disorders that substance misusers experience. Depending on what phase they are in, substance misusers may need a facility for a "wet - acute phase (like Portland Hotel in Vancouver), damp phase –a transition house where people may still relapse, or dry– an, abstinence/ longer term supportive recovery (needs access to services, health care)".

There is no safe place where Aboriginal persons can sleep, leave and return. There is no First Nations shelter with a continuum of services; or in other words, a complete healing centre where a person can go to get help and services under one roof.

For Aboriginal ex-offenders there is no halfway house or second stage housing. While Manchester House will accommodate Aboriginal federal ex-offenders they prefer not to use the shelter for cultural reasons. Similarly there is no half-way house for Aboriginal youth released from correctional services. As a result of chronic incarceration the ex-institutional (prison) Aboriginal population is seen to very much represent the hardest to house due to the gaps in shelter and support services, followed in turn by their non Aboriginal counterparts.

There is a gap in the provision of supportive housing for clients with unclear diagnosis and for those clients with FAS/FAE (Fetal Alcohol Syndrome/Fetal Alcohol Effect), ADD (Attention Deficit Disorder), head injury, or organic brain damage. Most affordable places are slums. Clients are unable to get away from drug and alcohol issues.

How two young clients feel they could be helped:

  • "finding better people who don’t use drugs…who won’t use me for whatever I have";
  • "more permanent housing, someplace you feel good about going to."

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4.2 Program and Service Gaps
Homeless people have the same basic set of needs that we all do, but often these are complicated by additional needs related to poverty, health, culture, life skills, employment, etc., that prevent the individual from adjusting and integrating on a sustainable basis into the community. Significant gaps in programs and services jeopardize and complicate life for the homeless. For example, there is a lack of funding for support services for Aboriginal ex-offenders, all services that are provided are volunteer based.

The review of assets, the interviews and focus group discussions highlighted the following areas:

Basic Daily Needs
To function on a daily basis people need - food, personal hygiene supplies, clothing, social contacts and a place to gather, a storage facility for possessions, etc. Usually this set of fundamental needs is met through a drop-in or resource centre. Some drop-in facilities exist, but are overloaded and staff are stretched to meet the demand. For some client groups there are gaps. One example is the lack of a holistic resource centre for Aboriginal persons, which is culturally sensitive to the spiritual healing needs of the people and can serve as a crisis centre where people can drop in and get information. By default, the Victoria Native Friendship Centre finds itself serving as a gathering place for Aboriginal Elders who are homeless, although this is not the role of the organization. A resource centre provides a fundamental link in overcoming homelessness.

"For many young people access to laundry, grocery shopping and so on is a regular struggle. Especially if they have children to care for." Frontline Youth Worker.

A gap frequently mentioned by many front line workers with several urgent needs groups was storage for possessions. When a person loses their housing, they may have no other options for storing their possessions. They may then lose everything. When they again have housing, they then have to start over gathering household items, though no amount of assistance can replace items of personal and family value.

Health and Related Services
Many clients have serious illnesses, many may not have seen a physician in years and are not aware of any medical problems. Services and service delivery for the homeless generally require a different approach than mainstream health care. While there are a number of health and related services serving the homeless, there are also a number of gaps. Many services /facilities have a single location (either downtown or elsewhere), making it difficult for some to access. Some services are provided on a limited basis, some not at all.

  • The Needle Exchange site is fixed and there is not enough availability of all the drug paraphernalia needed to be safe (e.g. spoons, filters, sterile water and bleach) in the downtown area.
  • Street Outreach needs to include both peer youth and adult outreach workers, expanded social work and street nursing services.
  • Mobile outreach services, including a van (or vans) for nursing/medical services, counselling and referral, need to be provided/expanded.
"When you are cold and tired and hungry and lonely and a person who actually cares comes to see you – you don’t know what a difference that makes. It makes your whole day."

"They’re great with helping hook up people with services. Their focus is people who are out on the street. They’re great at cutting through the things that are blocking them. For a person with a mental illness or addictions it can be really difficult trying to work through the system. Often there can be this huge crisis that could have so easily been averted."

  • There is a shortage/lack of withdrawal management services, including methadone treatment and detoxification outpatient programs and beds, in the community – especially for those with mental illness, substance misuse, and/or are infected with HIV/AIDS and hepatitis C.
  • There is a need to enhance Mental Health services in the downtown core – the Mental Health Program needs to ensure that the Dual Diagnosis program provides service both in the community and in the hospital for outpatients and inpatients. Attending appointments with regularity can be a challenge for the concurrently disordered, and travelling to services (e.g. to Eric Martin) can be a further complication.
  • Home support services have been cut back so people who need assistance and who are homeless or living in temporary accommodation often do not benefit from this service.
  • Many clients have not had any dental care for years and none is available.

    Poverty itself impacts the lives of the homeless – it takes its toll on an individual's physical and emotional health, standard of living and access to public institutions. Living in poverty imprisons people. It curtails their ability to preserve or improve their health and frequently increases risk behaviours. Health needs are neglected to meet the most basic needs for shelter and food.

    Emergency Services
    Between 85-95% of all mental health patients come through the Emergency Room at the Royal Jubilee Hospital
    – the "only walk in site in the Capital Health Region for mental health clients". Many go to the ER because of an inability to access urgent assessment/ treatment services elsewhere.

    • There is no facility to handle urgent mental health referrals and walk-ins. Such a facility should be able to provide services (emergency stabilization), referrals to other clinical sources and referrals for other services in the community including housing.
    • There is no Crisis Stabilization Unit. This is a 24-hour co-ed, staffed, residential facility that provides short-term care to voluntary clients who require specialized services in the community but are not in need of hospitalization. A CSU could provide services for people with both mental health and substance misuse problems (Dual Diagnosis) in an integrated way. The target population would be clients with a psychiatric diagnosis (and/or substance misuse) who are experiencing a psychosocial crisis and are in need of short-term crisis intervention. Referrals would come through the Community Mental Health Service or the Mobile Crisis Service who would maintain responsibility for residential placement follow-up and care.
    • The Mobile Crisis Service only operates from 13:00 hours to 24:00 hours.
    Adjusting to society and the community
    For the person who is homeless or on the verge of being homeless, programs and services that help with adjustment are important, often they are unavailable.

    • Lifeskills programs can provide an opportunity to start to learn how to interact with others in an appropriate, useful way, establish regular patterns of eating and sleeping, make meals, clean and take care of their belongings and their personal hygiene.
    • For the person with substance misuse issues, the lack of supportive recovery services and facilities is acute. Such programs provide an opportunity to start to learn how to "live life and remain clean and sober". People are able to remain in their home community, see their own alcohol and drug counsellor and maintain contact with other supportive individuals in the community. They also have the opportunity to attend groups related to their substance misuse where they meet other supportive people and are able to integrate into the recovery community or, at the very least, develop friendships with people who have the same goals.
    • Support services are especially critical for ex-institutional (prison) clients who have to orient themselves in the community. An example suggested was a program (possibly using Justice Institute students) to help released offenders become familiar with the community e.g. the welfare office, the police station where they need to check-in, etc. The longer periods of incarceration in Federal prisons makes re-integration into society very challenging. Upon release, it can be difficult to achieve or relearn daily lifeskills, especially for Aboriginals lacking self-esteem as a result of the stigma of prison and lack of past employment experiences.

    "90% of the people coming out could be successful, if there was a team of people who could be there to help individuals get back on their feet, to let them know what resources are available, to introduce them to the community and to help them meet people in the community. If a person does not have any family, but was able to meet a group of volunteers it would open up opportunities for communication." (An ex-offender living successfully in the community)

    Currently, the services available do not address the needs of the 19 to 24 year old age group, consequently they are overlooked; without support services geared to their needs they often associate with older adults who are chronically homeless, and as a result get entrenched in homelessness.

    "I mean who are they kidding. I have been on the streets for four years, now that I’m twenty magically I’m supposed to change. I was expected to become healthy and independent in a short time without any help. Come on, I do drugs and I’ve seen things no one should. I’d get better faster if I could." John, aged 20

    Outreach
    For families in motels or on the street and for the people who are in a financial and/or housing crisis, the network of social services, financial aid and access to housing may be totally unfamiliar, confusing, frustrating, and inaccessible. Families in motels or people who are ‘couch surfing’ with friends and relations are the ‘invisible homeless’. There is no one agency that is responsible for ‘finding’ them, nor is there an obvious place to go for comprehensive assistance or guidance in accessing services and accommodation. Outreach and case management follow up is needed to ensure that people access the services they need and will feel comfortable using. Assistance may also be needed to help fill out forms and obtain necessary documentation.

    Support for Motel Owners
    Over the winter months, conscientious motel owners find themselves in the unpaid role of social service provider. In addition to outreach services for homeless motel guests, there is a gap in services for owners themselves. If an owner would like to provide a safe haven for homeless families and women, there is currently no assistance in identifying known drug dealers and substance misusers who also might want to stay in the motel. The owners cannot protect family guests without assistance.

    Employment
    Unemployment amongst the homeless is high – many have had only periodic work or none at all for years. Many left school before graduation and have few skills or training. For the homeless, it is also difficult to get clean and look presentable for job interviews and job attendance. Lack of an address and telephone for contact with employers is another obstacle.

  • Employment and life-skill programs are required or need to be expanded. For example, one such program, Laurel Enterprises (a pre-employment project for individuals who have been psychiatric patients offered by the Capital Mental Health Association) has a wait list. There is no employment and life-skill program for youth 19-24 years, a critical gap in supporting this group in developing job skills.
  • There is a catch-22 to some employment programs. In order to participate a person is required to have an address and a stable housing situation. They thus need to find housing before they can participate in an employment program to find work to be able to afford housing.

    Special Needs
    A look at the continuum of services for homeless with special needs highlights a number of gaps.

    • Most services are geared to persons 19 and older and/or are not geared to the differing developmental levels of youth.
    • For people living with HIV/AIDS their current and changing health issues need to be recognized, and in some situations services (particularly housing) need to recognize gender issues.
    • The downtown "hard to reach" population generally requires a different approach than ‘mainstream’ mental health clients. In many cases, there is resistance to service. They often do not respond to ‘mainstream’ clinical interventions or fit into ‘mainstream’ service alternatives (e.g. residential). Housing and other resources need to be developed specifically to meet their needs.
    • People who are dually diagnosed are often "excluded" from services because the presence of one disorder is an "obstacle" to the successful treatment of another.[10] Fragmentation of care for dual diagnosis patients with substance misuse "has been identified as a major difficulty in the CHR mental health system".
    Prevention
    Families or individuals at risk of losing their housing and becoming homeless have very few places to turn. There are a few services for landlord / tenant disputes, but even fewer services to help with rent or financial issues. There are several models of ‘rent banks’ being used across Canada. One neighbourhood in Victoria is working on a ‘community chest’ for small amounts of emergency financial aid for local residents. Wider use of these mechanisms have been shown to be cost effective compared to motel accommodation and multi-service efforts to find housing and get a family re-established after a period of homelessness. This type of service is especially important for families with children in school. School performance is directly related to stability. The more often a child changes schools, the poorer the performance.

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    4.3 Timing
    Timing delays and waiting periods to access services create gaps that result in people reverting back to homelessness. In many instances access to services is required immediately for emergency or crisis purposes. In other cases, the hours of operation during which services are available are an issue. Late evening, night times, early mornings and weekends are poorly served. There are a variety of examples across the client groups, and the situations vary in complexity from intergovernmental jurisdictional issues, to resource limitations, to a simple inability to access information and programs.

    • One example of a gap relating to timing is the lack of support services on weekends for women and children living in motels. This is especially true for women who have experienced domestic violence. The stress and isolation of unsupportive motel accommodation can send the women and children back to an abusive partner. In addition it was noted earlier that there are timing gaps in the availability of seasonal motel accommodation.
    • The long wait for housing through the waiting list process is well known. Thus, many people do not put their names on the list.
    • The time taken to access a cheque or damage deposit through GAIN can sometimes mean the loss of an opportunity to secure housing.
    • Timing can also be critical for youth wanting to leave sex trade. There is nowhere to go or no one to call, other than the police, in the middle of the night. Moreover, the beds are in the city where the pimp and friends also live.

      "When I was ready to leave the streets, it was 3:00 o’clock in the morning. I had had a bad date and I said enough. I didn’t know where to go, my friends took me in a cab to KEYS. I didn’t want to stay there. We went back downtown. My boyfriend promised to treat me better, get me more drugs. That was seven months ago, I’m still here." (Helen M. 16 years old)

    • An additional aspect of timing is the time limits on the use of some services. If a person has taken several years to get into his or her current difficult situation, it may take more than thirty days, or any other specific time, to turn the situation around.

      "I’ve been through half a dozen residential treatment programs. Twenty-eight days in total (for treatment) is totally inadequate and not effective for most people. It wasn’t for me…I participated in a six-month treatment program that was much more effective (and provided) much more personal growth and understanding of who I am."

    • Often there are wait times between detoxification, treatment and recovery programs because of long wait lists which can lead to clients giving up and going back to their old ways and environment. In this sense the gap generated could be met by community based supported transition programs. For many, the length of time provided in treatment or recovery programs is inadequate, and for Aboriginal persons facilities that are more lenient than existing centres in their requirement for a period of sobriety are an issue.

      "I wish there was more places in Victoria (for detox). When you need to quit, you need to quit right now! You need to quit at that time or else you’re just going to go out and use again. And then you’re back in the same scene. So there needs to be more places where you can just go there and they can let you in."

    • Status First Nations people in the urban Aboriginal persons client group are sometimes faced with timing delays in accessing shelter, support and health services because of intergovernmental requirements which implicate Federal, Provincial and Band responsibilities. The complexities of Federal and Provincial funding arrangements aggravate the need in some cases, particularly when there is an inaccurate presumption that the reserve will pay. There is a need to "make sure this issue is addressed and to put in place a process to help people to overcome this problem". Culturally the international Canada/US border is an arbitrary one for the Coast Salish peoples but it can create problems, especially for those needing medical services.

    • Timing causes a gap for ex-institutional (prison) clients from provincial jails trying to access shelter, as this is difficult to do ahead of release. Subsequently on release many have nowhere to go, ending up homeless. There is a particularly critical gap in timing when ex-offenders are released on the weekend and services are limited, as there can be a 72 hour period when there are gaps in services.[13]
    • Lack of resources can affect the provision of services, limiting their hours of operation. For example, the Needle Exchange is not open until the afternoon – "In many instances, drug users have to wait over 16 hours before they have access to clean "works" from SOS."[14] There is no evening/night-time "generic" multi-service drop-in centre, including a sobering centre. While the evening hours during which the Swift St. Clinic is open have been recently expanded, there is still no weekend service.

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    4.4 Process
    "the system fights me all the way – nobody helps me" (Interview with client)

    On occasion the process itself for finding shelter and support services is not easy and not all services are in readily accessible locations, further exacerbating the situation for the homeless. Both the interviews and focus groups emphasized the need for better coordinated and improved services in the downtown area, stressing the provision of a "continuum of services, that includes: a "full spectrum" of services in locations readily accessible to downtown residents.

    • ‘Process’ usually starts with paper. Some people may have no identification: young people who have left home before reaching an age when people obtain identification; refugees or new Canadians who might have lost their papers and cannot afford the high fees to obtain copies; women who have fled abusive situations without their papers, among others. Many health services, some food banks, social assistance, housing, and many other services start with some form of paperwork requiring identification. Without it, people either cannot access services or must find specialized services for people without identification. Obtaining identification can, in itself, be a challenging first step to getting off the street.
    • Process often involves classifying people. In addition to the challenges of those with dual diagnosis, there are other people who are not ‘diagnosed’ with anything, but who are unable to function without support. They may lose their housing. If they have children, they may lose their children. They are not ‘disabled’, but they are not able to be completely self sufficient, either.
    • Some of the gaps that frustrate attempts at finding shelter include the lack of a one-stop registration for housing wait lists. People are required to visit each agency to register for the waiting list. To stay on the list, one must fax or mail updated information on a regular basis to each agency. Without transportation and with children in tow this gap imposes hardship. For women with children a child minding service while they search for housing and use other services would facilitate the process.
    • In a similar vein, the process for applying for welfare in the City of Victoria is non-supportive. While the shelters and services for the homeless are concentrated in the downtown area, not everyone is aware that there is a welfare office in downtown Victoria. There are in fact several specialized income assistance offices in Victoria, however it is not always clear which office one should go to. Several of the services are located in Saanich and in other areas outside of the downtown core. Accessing the appropriate service involves determining where the office is and taking transportation, which may be difficult if one is not familiar with the community. In addition, for those lacking lifeskills, or coping with mental health and literacy problems the difficulties are further compounded and assistance should be available at the Welfare office, as it is extremely difficult for some people to complete forms.
    • Interviews and the focus group participants emphasized the need for better coordinated and improved services in the downtown area, stressing the provision of a "continuum of services, that includes: a ‘full spectrum’ of services in locations readily accessible to downtown residents". Examples include the following gaps.
    • The lack of integration in the management of adolescent and child mental health. For older youth this means that their only route for routine hospital admission is to be sent to emergency. There is a need for a late adolescent (17 and 18 year-olds) program.
    • Another example of a gap is the lack of a provincial or regional funding program that addresses both the health/support and housing needs of substance misusers, persons with mental illness, or both. Subsidies for housing are provided through housing programs. Subsidies or full payment for support services are provided through health authorities. Most of these client groups have needs in both areas. If a client does obtain subsidized or affordable market housing, if there is not sufficient support, they might lose their housing. If one is evicted ‘for cause’ from a subsidized housing unit, one cannot obtain another subsidized unit immediately thereafter. If evicted from an affordable market unit, one would not have the landlord reference needed to obtain other housing. One is then left searching for substandard accommodation where no questions are asked, an environment where stability, control or recovery are less likely. Thus, a housing subsidy without support services may not be a lasting solution.
    • Similar referral gaps exist with respect to better case management, follow-up and referral, combined with coordination between service agencies. Integrated assertive case management would: ensure access to a comprehensive continuum of care; allow adoption of a client centered approach; involve all relevant disciplines, agencies and individuals, including users; and, take into account differing philosophical perspectives. ‘Assertive Case Management’, ‘Comprehensive Case Management’, ‘Integrated Case Management’ are phrases used by several agency representatives to describe what is needed in order for to people's needs to be assessed, for services to be obtained and for supportive follow up to be provided for a sufficient length of time.
    • People who are dually diagnosed often are "excluded" from services because the presence of one disorder is an "obstacle" to the successful treatment of another.[15] Fragmentation of care for dual diagnosis patients with substance misuse "has been identified as a major difficulty in the CHR mental health system". The interviews, focus group, and current documents all identified gaps in the treatment of dual diagnosis.
    • Access to methadone is presently limited by the number of physicians who are licensed to prescribe it, by the number of community-based pharmacies that dispense it and the locations of these pharmacies. Access is also dependent on the relationship that the drug user has with the pharmacist. For those who are unable to pay up front and do not have an established relationship, finding a pharmacy willing to dispense is difficult.

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    4.5 Supportive Network Across Agencies
    "All this is very timely. There is a big shift in energy in Victoria in the last couple of years. There are caring people but the resources have not come together to establish contact and support for one another, and it doesn’t serve those having to make the transition into the community. It is like a wheel that is broken – the central focus is the caring part, but the spokes are broken and it doesn’t fit together and work. The intent is to bring the resources together under one umbrella." (Lloyd Haarala, Spiritual Advisor)

    The above comment summarizes succinctly the situation in Victoria. Compared with many communities Victoria has a strong base of community collaboration, but there are gaps and room for strengthening the solidarity of cooperation.

    At the provincial level, Shelter Net BC is moving to strengthen collaboration. It is a fledging organization whose goal is to coordinate and support shelters/hostels throughout the Province advocating on behalf of shelters/hostels to enhance services to homeless people. Shelter Net BC aims to become a resource for shelters/networks and to assist them to develop best practices and an accreditation process.

    Looking at the community level, agencies in Victoria providing basic services - shelter, hygiene and food – cooperate and refer clients to one another when they are full or provide clients with funds or tickets for other agencies’ services. One agency provides a guidebook for essential services in the downtown area. Where it gets difficult is in regard to support services, clinical services and specialized services.

    It was evident from the focus groups that participants wanted to network and learn from one another. More collaborative partnerships and information sharing between agencies would help to open up possibilities and stretch resources to provide supportive services. This would include more coordination between workers. As a counterpoint to this it is evident that the demand exists but the supply of shelter and support services is unable to meet the demand. This may make some workers reticent to strengthen networks and in turn referrals when they know the need cannot be met, such as might be the case with referrals to housing agencies with long waiting lists.

    "There are far too many service transitions and insufficient coordination. Youth do not have time to develop working relationship with a provider before the youth is discharged or worker leaves." Frontline Youth Worker

    It was noted by focus group participants that, "the substance treatment systems have different philosophies and many of the groups overlap but the services do not, and this is one of the hardest things with which the clients have to deal." Many treatment programs require clients to be abstinent. Yet, relapse is a "normal" part of the process of trying to overcome substance misuse. Systems that operate from differing and sometimes diametrically opposed philosophical perspectives hamper the provision of comprehensive and consistent care, treatment and support to substance misuers.

    In the area of mental health/forensics there is recognition of the need for cooperation and collaboration to work towards a proactive strategy to reach out to the street community in a proactive manner and correct the gap of a lack of an inclusive program planning process.

    There are a number of key support agencies that are run solely by volunteers. For example, there is a lack of funding for support services for Aboriginal ex-offenders, and all services provided are volunteer based. To avoid burn-out, volunteer based organizations need supportive networks to sustain them and help with organizational development. This is both in terms of continuing to provide the service and obtaining funding.

    Service provider burnout is common. Overwork, lack of funding, marginalization from mainstream care providers are all contributing factors, but working closely with people on the street can be a disheartening experience.

    " … when you actually see what they live, that's hard on the heart."

    "A lot of people that survive in this business as long as I have, have built walls for protection around themselves and those walls have hindered them…They have inhibited us for getting people the help they need."(Frontline worker)

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    4.6 Data Collection and Financing
    Data is essential for justifying and rationalizing funding requests. But the review of assets and gaps has indicated that workers are stressed and have limited time and capability to systematically collect data in a complicated service environment.

    Requests for information on client data, usage of services, etc. met with positive reaction and a tentative commitment to provide it. Reality was that in many cases the follow through was not there, possibly because front line workers are reacting to client requests and needs, and data collection is lower priority. There are significant data gaps in many areas and for many reasons.

    In regard to families using motels and other forms of ‘invisible homelessness’ there is literally no data. Obviously a private business is not going to inquire about a motel guest's housing status. The same would hold true for campgrounds and other temporary accommodations. How does one count people who are temporarily lodged in a friend's living room? This data only appears on the BC Housing waiting list. That data refers only to people who have applied for housing with that agency. When social assistance is involved, the expenses for temporary shelter is coded the same way as other types of shelter and thus cannot be accessed from accounting records. Because of this, it is also unknown what other costs might be attributed to homelessness.

    In addition, there are (relatively small) groups of people who remain uncounted quite intentionally: youth who have run away and want to stay unknown; women who have been stalked and/or threatened and must remain bureaucratically invisible; offenders and others who wish to remain anonymous.

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    4.7 Conclusion
    This strategic paper is one of several components comprising the Assets and Gaps Review on Homelessness in Victoria. It is, however, a critical component as it helps provide guidance on priorities and planning direction.

    The overwhelming scale and complexity of homelessness is readily apparent. Working with limited resources, the challenge is to rationalize the most effective application of funding and community capacity. The six themes discussed in this paper are offered as guidelines for establishing priorities. Overlying the themes are issues related to service approach and philosophies, jurisdictional controls and supply, among others.

    First and foremost is the basic need for safe and affordable shelter and, within this theme, quick access to "safe places". For some the shelter need is for transitional and second stage housing. For others it may require a sensitive resource centre to orient the homeless within the community and assist in finding shelter.

    Beyond the need for shelter, homeless people also have the basic needs everyone does for food, clothing, hygiene, medical services, contacts for social communication and respect. Some require support services for special health needs, to help them adjust to society (e.g. finding employment and developing lifeskills). In Victoria, there are substantive gaps in programs and services.

    This paper identifies gaps in timing and process, both of which serve to frustrate the homeless. In some instances, to be eliminated these gaps require funding, in other cases they may require collaboration and networking.

    Given their history of involvement in dealing with homelessness and the recent CRUNCH initiative, agencies in Victoria are in a stronger position than in most communities to collaboratively strengthen the supportive network across the agencies and reduce gaps in this area. Especially critical is the gap in supporting the volunteer based organizations that are overstretched and are vulnerable to burn-out.

    The final theme discussed is the huge gap in data collection and the dilemma this poses for requesting and justifying funding allocations, when need levels go unidentified.

    We have gained a perception of the magnitude of homelessness in Victoria and the gaps in the asset base. The results of this report will allow the Community Plan to move the process forward.

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    5.0 Priorities
    The Victoria Community Plan sets priorities identified utilizing:
    • analysis of the Asset and Gaps report;
    • knowledge possessed by the Steering Committee members;
    • input from community stakeholders; and
    • focus groups/interviews with identified target populations (women and children, youth at risk, sexually exploited youth, young adults, newly poor, substance misusers, people with mental health issues, urban aboriginal people and ex-offenders).

    After a thorough analysis of all of the findings, recurring themes evolved. The Steering Committee further defined the themes into four priority areas, listed here in descending order of importance.

    1. Safe, Affordable Housing

      Issue:
      There is not enough safe, affordable and suitable housing in Victoria.

      Response:
      a)Increase the minimum barrier emergency shelter beds that can be responsive to the unique needs of all groups including urban aboriginal persons, women and children and youth.
      b)Increase the transitional, supportive and second stage housing to meet the needs of the targeted populations by:

      • Creating partnerships to develop new affordable housing. Potential partners include all levels of government, the private sector, non-profit housing societies, and community-based organizations.
      • Creating partnerships and support for current housing.
      Ongoing Sustainability:
      • Encourage the provincial government to continue to maintain and expand its social housing supply program.
      • Encourage the federal government to establish a national social and affordable housing supply program.

    2. Enhanced Support Services

      Issue:
      While Victoria does have a good foundation of dedicated support services for homeless people, the demand for services is greater then the existing supply. The existing service delivery supply is overloaded and service providers are stretched to their maximum capacity.

      Response:
      a) Coordinate and strengthen outreach services to meet person's basic daily needs (food, hygiene, clothing, social supports).
      b) Develop a Crisis Stabilization Unit (staffed 24/7, residential facility that provides short-term care to voluntary clients who require specialized services in the community but are not in need of hospitalization).
      c) Increase support services and improve access to health and dental care for target populations especially persons with mental health issues and persons living with HIV/AIDS.
      d) Strengthen, increase and coordinate life skill programs for ex-offenders and youth.
      e) Increase preventative services such as providing parenting education, community advocacy work aimed at addressing housing and poverty issues.
      f) Develop a coordinated housing registry service.
      g) Develop storage facilities for homeless persons to house their personal belongings.
      h) Encourage and support training and mentoring opportunities for those working with homeless people

      Ongoing Sustainability:

      • Encourage the provincial government to maintain and expand its community support services.
      • Encourage and create partnerships in the community for the purposes of ongoing sustainability as well as to ensure the efficient use of existing services.

    3. Coordination and Communication

      Issue:
      Although Victoria has a strong base of community collaboration amongst service providers, there are gaps and room for strengthening the solidarity of cooperation.

      Response:
      a) Support collaborative partnerships and information sharing between agencies.
      b) Coordinate the discharge process between mental health care/correctional facilities and agencies for patients/ex-offenders to ensure access to timely support services.
      c) Develop communication and education strategies to publicize the availability of community resources for homeless people.
      d) Develop case management tools so that individuals can benefit from the full continuum of supports.

    4. Capacity

      Issue:
      Gaps and insufficient capacity characterize the continuum of supports for homeless people or those at risk of becoming homeless in Victoria.

      Response:
      a) Determine the number of people who are homeless and at risk of homelessness, their characteristics and indicators of need.
      b) Enhance and support service providers and volunteer-based agencies that assist homeless people.

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    6.0 Sustainability of Community Action Plan
    "Sustainability will be achieved when the entire community develops the capacity to create solutions" –Victoria Committee on Homelessness, July 2001

    The members of the Victoria Steering Committee on Homelessness believe all levels of government and community should be engaged in the long term funding, planning and coordination of supports for the homeless. The root causes of homelessness, the issues of those directly affected, and the after–affects of those recovering from it are so broad and diverse that no one agency or government can excuse itself from a long term engagement on these important issues.

    The creation of capacity within communities to address these complex issues is an important one and is welcomed in Victoria. This plan documents and confirms an emerging consensus on the commitment and allocation of resources in the region. The plan builds on the work and efforts of previous achievements and encourages emerging initiatives.

    The committee foresees that the Victoria Plan will identify many short-term interventions such as workshops, communication strategies and research activities that may be housed within existing organizations and therefore may not require a long-term sustainability strategy. These projects will serve to help the community meet immediate needs, while developing a better understanding of successful approaches to dealing with the issues involved. Activities of this nature will be taken over by the community and will have integral sustainability without requiring ongoing funding.

    It is recognized that major projects such as new physical structures, supported housing and new shelters cannot service the community if they are not established on a solid foundation. Projects of this nature will require a firm sustainability plan as part of the developmental process of this initiative. Project proponents, working closely with the community and government will be required to develop plans for the long-term operation of such facilities.

    To date, representatives from all three levels of government have engaged with the steering committee on the issue of homelessness and are committed to working within existing programs and budgets to address issues wherever possible. In particular, the Federal Government plays a dual role, by its direct funding of programs through departments such as HRDC, CMHC and Health Canada as well as through fiscal transfers to the Provinces which fund the majority of social services.

    The Victoria Plan is a living document that will be reviewed and changed to meet the emerging needs of the community. The committee promotes an opportunity to support short-term solutions while the community works on the capacity for long-term solutions. The process allows for increased awareness and participation of the public and private sectors and is intended to engage the general public in seeking solutions. Plan proponents hope to build support for proactive, preventative initiatives and expand opportunities that will help to build awareness of issues regarding homelessness.

    The overall measures of success of the plan include secured future funding, ongoing participation, decreased demand for services and flexible response activities.

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    7.0 Evaluation Strategy
    Evaluation is a critical component of the need for long term sustainability. A community plan and corresponding series of projects that cannot produce and demonstrate positive results in the long term is limited at best. Evaluation results can serve as the basis for future amendments to the community plan, the development of new partnerships, improvements in existing service provision and new initiatives to help the homeless. The committee recognizes that the demonstration of positive outcomes will be the basis for future community support and the effectiveness of projects.

    The Steering Committee recommends adoption of an evaluation plan that is based on a "participatory evaluation" model. This model is recognized by professional evaluators as an approach that helps to build local evaluation capacity, expertise and buy-in by helping communities learn to self-evaluate projects through evaluation. This approach places as much emphasis on the process as on the final product and is in keeping with the CRUNCH priorities. The purpose of the evaluation is not only to fulfil a government requirement for accountability but also to develop the capacity of stakeholders to assess their environment and take action.

    In support and recognition of the importance of evaluation, the committee intends on doing the following over the course of the SCPI initiative:

    • Set performance indicators and evaluate the Homelessness Steering Committee activities over the next two years. A performance indicator workshop will be held in September 2001.
    • Evaluation results will be included in the committee's annual reports and will serve to amend the community plan accordingly. Short formative evaluations of the wider community homelessness effort will provide the basis for the annual reporting of the community plan. These evaluations will be incorporated into the annual report. The first formative evaluation will be completed by September 2002.
    • Develop a communications strategy to ensure that there is broad understanding about this evaluative process by service providers and stakeholders in the community.

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    8.0 Communications Strategy
    The development of the Victoria, B.C. Community Action Plan for Homelessness contributes to a deeper understanding of the Homelessness issue and has developed a consensus on the need for action. This deeper understanding and consensus on action must be communicated to the public, in order to ensure continued support for the Homelessness Initiative. Such communication also creates awareness and understanding within the communities facing issues related to homelessness.

    A communication working group, comprised of steering committee members, has come together to develop this communication strategy for the community plan. This strategy is a work in progress and includes a detailed Communication Framework as outlined below. The plan will be communicated to key community stakeholders, allied partners, media and the general public through many forums (public meetings, focus groups, media), etc. The Steering Committee will facilitate the distribution of the Plan to key community stakeholders and will make copies of the Plan available to the general community.

    In terms of project funding decisions, the Steering Committee has an open and transparent process whereby interested community stakeholders apply for funding through an ‘Expression of Interest’ (EOI) call for proposals. In order to encourage information sharing and a response from many sectors in the community, advertisements will be placed in local papers and information bulletins strategically posted throughout the community in early September 2001. An applicant workshop to answer questions around the EOI process will be conducted on September 11, 2001. Once proposals have been received, the Steering Committee will make recommendations to HRDC on which projects best meet the needs and priorities as outlined in the Plan. HRDC will then undertake the formal approval and contracting process. The Steering Committee has developed conflict of interest guidelines to ensure the process is fair and equitable. Once approved by the Minister, successful applications will be posted on the City of Victoria website.

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    8.1 Communication Framework
    Purpose: To create awareness of:
    a) The Victoria Steering Committee
    b) Committee's Community Plan
    c) Committee's Priorities to Alleviate Homelessness
    d) Proposal Call for Projects

    To create/elevate understanding of a), b), c), d) and to gain support for c).

    Note: Separate Communication Plans will be required for each purpose.

    Background:
    Point Form list of salient facts about:

    • the steering committee & actions taken since its formation i.e. urgent need proposal call in January, 2001
    • the community plan
    • community assets and gaps
    Objectives:
    a) To inform the general community in Victoria about how the committee proposes to alleviate homelessness
    b) To inform human service providers of the community plan, specifically the asset/gap analysis
    c) To solicit proposals from service providers in response to asset/gap analysis and determination of priorities

    Audiences:

    • City of Victoria - Mayor and Council, MLA's and MP
    • human service providers in Victoria
    • steering committee sectors (churches, community centre network, business, Victoria housing providers, Victoria Native Friendship Centres, Community Economic Development Corporation)
    • development industry
    • media (TV, radio and print)
    Potential Issues:
    What are the vulnerabilities that could hamper the success of this project and/or derail it?

    Key Messages:

    • need 3-5 succinct statements that are positioning statements that we want our stakeholders to know/remember
    • state the benefits of our project or program
    Strategies:
    • should support each of the objectives
    • should have us communicate directly with our stakeholders
    • should address the vulnerabilities identified
    a)appoint a spokesperson to answer all telephone inquiries and questions from the public
    b)utilize internal communication tools, i.e., internal to steering committee - e.g. monthly meetings, broadcast email, newsletters
    c)develop a link to City Hall's web site with information
    d)develop a plain language application form and guidelines (proposal call)
    e)advertise in media
    f)create media release when there's something to announce/communicate
    g)host public forum on homelessness after asset/gap analysis completed
    h)sector representatives to report to their affiliates

    Communication Tools:

    • e.g. fact sheets, poster, email notes, news release, call for proposals
    Resources:
    • What are the human and financial resources required to implement this plan?
    • quantify financial costs
    • estimate human resource time commitment in terms of hours or days

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    9.0 Community Financial Contribution
    The Province of British Columbia has contributed funding to cover the community contribution for SCPI funded projects for the three year term of the initiative. Documentation confirming this funding has been forwarded to the National Secretariat on Homelessness at HRDC.

    Funding, in-kind contributions and partnerships will actively be sought from all sectors including the three levels of government (departments such as Health Canada, DIAND, CMHC, Correctional Services of Canada, Province of BC, City of Victoria), health authorities, the business sector, non-profit sector, the faith community and labour.

    The Victoria Steering Committee on Homelessness – Participants
    The Victoria Steering Committee on Homelessness prepared this plan through a broad-based consultation process. Members of the Steering Committee overseeing the planning process were:

    • Andrew Lane - HRDC Victoria, Committee Co-Chair
    • Chris Coleman - Private Sector, Committee Co-Chair
    • Jane Dewing - Victoria Housing Providers
    • Dean Fortin - Directors of Community Centres
    • Vanessa Hammond - CEDCO
    • Colleen Kasting - Social Planning & Housing Advisory Committee
    • Marlyna Los - Downtown Group
    • Jean McCrae - Inter-Cultural Association
    • Bruce Parisian - Victoria Native Friendship Centre
    • Chris Poirier-Skelton - United Way
    • Mabel Jean Rawlins-Brannan - Community Social Planning Council
    • Dennis Suwala - Capital Health Region
    • Tom Siems - CMHC
    • Christine Warne - Urban Development Institute
    • Wendy Zink - City of Victoria
    • Linda Ross - M’Akola Housing
    • Leelane Asher - Ministry of Human Resources
    • Loralee Judge - PEERS
    • Danella Parks - BC Housing
    • Mike Waters - City of Victoria
    • Pat Caporale - Homebuilders Association
    • Wendy Cheney - HRDC Homelessness and Urban Partnerships

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