Landmark research shows housing first approach proves effective

The Winnipeg At Home/Chez Soi project team

The Winnipeg At Home/Chez Soi project team

WINNIPEG, MB – New research findings were released today in Winnipeg by the Mental Health Commission of Canada (MHCC) that underscore the clear effectiveness of the Housing First approach to ending homelessness amongst people with mental illness, particularly within the local Aboriginal context. The results are clear: the Housing First model rapidly ends homelessness, there are clear economic benefits, and people who are homeless and living with mental illness can aspire to a better quality of life.

“The success of the Housing First model in Canadian cities shows that we have a winning strategy for helping people move away from homelessness,” states Louise Bradley, President and CEO of the Mental Health Commission of Canada. “We are proud to have worked with a number of partners in Winnipeg – especially amongst the Aboriginal community – on this innovative project.”

She adds: “The Winnipeg At Home/Chez Soi project is an example of a successfully, culturally safe partnership among universities, local Aboriginal organizations, and government. The researchers from the universities of Winnipeg and Manitoba, along with entire Winnipeg site team, have created a world-class body of research on the positive impacts of the Housing First approach in Winnipeg, particularly when tailored to the Aboriginal context. This joint effort amongst institutions translates into efficient and effective use of public dollars to address homelessness amongst people with mental illness.”

At Home/Chez Soi was created in 2008 thanks to a $110 million investment from the Government of Canada. Demonstration sites included Winnipeg, Vancouver, Toronto, Montréal, and Moncton. The study followed more than 2,000 Canadians with mental illness experiencing homelessness; 513 participants were followed at the Winnipeg site. Central to the Housing First approach is providing people with a place to live first and then offering recovery-oriented services and additional support for underlying issues, such as addiction and mental health that best meet the needs of the individual. This approach helps affected individuals become self-sufficient, fully participating members of society.

“Thanks to this world-leading study, we have the evidence that Housing First works. The results specific to Winnipeg clearly indicate that Housing First can rapidly end homelessness among different groups, including Aboriginal people in our urban centres, while also being a sound financial investments,” says the Honourable Candice Bergen, Minister of State (Social Development).

In Winnipeg, study participants represent a distinct group, with 71 per cent identifying they are of Aboriginal descent. Most of the study participants were from shelters or the streets, with 69 per cent being absolutely homeless and the remainder were in precarious living situations. The program successfully developed culturally safe partnerships among universities, local Aboriginal organizations, and government.

“At Home/Chez Soi demonstrated that by working together in partnership to support the Housing First model, we can make a difference in the lives of those who are homeless, but the work must not end now,” says the Honourable Peter Bjornson, Manitoba Minister of Housing and Community Development.  “On behalf of the Province, I’m pleased to announce that we will continue to provide housing subsidies and supports with over $2 million this year alone for participants of At Home/Chez Soi.”

Key conclusions of the study:

  • Housing First is feasible in Winnipeg – The At Home/Chez Soi team was successful in Winnipeg in a manner faithful to the model, yet tailored to the local Aboriginal context.
  • Housing First is effective – The participants had multiple challenges in their lives that have contributed to disadvantaged states, including mental health and medical issues, only 69 per cent finished high school and all had low monthly incomes.
  • While 91 per cent of the participants were unemployed at the time of the study, 52 per cent had worked steadily in the past, suggesting a reasonable potential for re-employment after stabilization in housing.
  • Excellent research follow-up rates of 81 per cent overall clearly favour the Housing First approach in Winnipeg. In the last six months of the program, 73 per cent of the Housing First participants were housed all or some of the time. However, historically low vacancy rates made securing housing difficult. The market may also reflect systemic patterns of discrimination by many property owners against Aboriginal tenants.
  • Housing First can rapidly end homelessness for people with mental illness and is an important component of a larger strategy to address homelessness.
  • A larger strategy needs to include strategies to prevent the flow into homelessness as well as an increase in affordable housing options more generally.
  • Housing First resulted in lower costs associated with other services.
  • The Winnipeg project was similar to the national picture―every $10 invested resulted in average savings of $9.30 for high needs, and $3.85 for moderate needs.

“After an extraordinary four years, dedicated researchers and service members brought together a great Winnipeg team that ended homelessness  ‎for a significant number of persons who are now living in their own homes, supported as needed, said Dr. Jino Distasio, Associate Vice President, Research and Innovation; Director, Institute of Urban Studies, University of Winnipeg. “The project was a collaborative effort that resulted in many successes and few challenges.

“The At Home / Chez Soi project is an outstanding example of translating novel interventions for vulnerable groups into culturally safe interventions that have impact on improving lives of First Nations Inuit and Metis people,” says Jitender Sareen, professor of psychiatry, Psychology and Community Health Sciences, University of Manitoba and Assistant Head, WRHA Adult Mental Health Program. “This project also shows that partnerships across different sectors are essential in helping homeless people with mental illness.”

The Winnipeg At Home/Chez Soi study was conducted between 2009 and 2013. Participants were randomly assigned to receive either a Housing First intervention or usual services provided to people who are homeless in Winnipeg.

About The Mental Health Commission of Canada

The Mental Health Commission of Canada is a catalyst for change. We are collaborating with hundreds of partners to change the attitudes of Canadians toward mental health problems and to improve services and support. Our goal is to help people who live with mental health problems and illnesses lead meaningful and productive lives. Together we create change. The Mental Health Commission of Canada is funded by Health Canada.

www.mentalhealthcommission.ca | strategy.mentalhealthcommission.ca

MEDIA CONTACT
Glenn Johnson, Senior Media Relations Specialist, Mental Health Commission of Canada, Mobile: 1-613-857-1292, or email:      gjohnson@mentalhealthcommission.ca

Naniece Ibrahim, Communications Officer, University of Winnipeg, 204-988-7130, or email: n.ibrahim@uwinnipeg.ca

Chris Rutkowski, Media Communications, University of Manitoba, 204-474-9514, or email: Chris.Rutkowski@umanitoba.ca

 

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