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Housing First

The housing first approach offers access to permanent, supported housing for individuals who are homeless and who may have mental health issues without any preconditions for acquiring housing.

The housing first approach is based on three core principles:

  • housing is a basic human right;
  • housing is a key determinant of health; and
  • clinical and social stabilization is more enduring, once the problems associated with homelessness are eliminated from a individual’s life.

What differentiates a housing first approach from traditional emergency shelter or transitional housing approaches is that it is “housing-based,” with an immediate and primary focus on helping individuals and families quickly access and sustain permanent housing.

The goal of the housing first approach is to assist clients to achieve community integration while decreasing the costs and demand on the health, social and criminal justice systems.

The housing first approach puts client choice at the centre of all considerations regarding the provision of housing and support services. Critical elements of the housing first approach include:

  • a focus on helping individuals and families access and sustain permanent rental housing as quickly as possible;
  • housing that is not time-limited;
  • a variety of services delivered to promote housing stability and individual well-being; and
  • services that are time-limited or long-term depending upon individual need.

The housing first approach is viewed as a ‘best practice’ for addressing homelessness and has been implemented in the United States, the United Kingdom as well as British Columbia, Toronto and Ottawa.

The Mental Health Commission of Canada will utilize the housing first model as part of its five-year, five-city research demonstration projects to commence in 2009.  Winnipeg has been chosen as one of the research sites, focusing on the aboriginal community.

Types of Housing and Levels of Health and Social Supports for
Manitobans with Mental Health and Homelessness Issues

Level of
Support for Mental Health Issues

Types of Housing

Emergency / Crisis

Interim

Long-Term Housing

Supports Attached to the Facility

Supports
Attached to the Individual

No
Supports

Living on the Streets

Couch-surfing
Family and friends

Social Housing
Subsidized rental costs

Manitoba Shelter Benefit /
Rent Supplements

Low

Homeless Shelters

Transitional Shelters

Social Housing
Tenant Services Coordinators

Rooming Houses/
Board & Room
Single Room Occupancy Hotels

Moderate

Hospital Emergency Wards
Crisis Stabilization Units

 

Interim Housing for Youth

Board & Room - Care & Supervision
Community Wellness Initiative (CWI)
â
CWI Expansion

Portable Housing Benefit

Permanent Housing with Supports

Housing for the Chronically Homeless

CMHA Supported Housing Projects

High

Hospital Psychiatric Wards

Mental Health Centres
Selkirk, Eden

Mental Health Centres
Selkirk, Eden

Licensed Residential Care Facilities

Mental Health Supportive Housing

Program of Assertiveness Community Treatment (PACT) Teams

Information

Coordination
  Homeless                 Project                    Salvation               Emergency                  Cold
   Outreach              Breakaway                    Army                      Shelter                  Weather
      Team                                                      Project                  Standards               Strategy

Prevention
Homeless
Prevention Summit

Current services are in blue.                                              New investments are in Red.