Annotated Bibliography: Homelessness Studies Completed by Albertan Researchers (2010-2014)
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Annotated Bibliography: Homelessness Studies Completed by Albertan Researchers (2010-2014) Roxanne Felix-Mah Erica Roberts Dr. Carol Adair Prepared for: Alberta Centre for Child, Family and Community Research Edmonton, Alberta, Canada April 2014
Background In 2014, the Housing and Homelessness Research Strategy for Alberta was developed to identify research priorities to advance knowledge and understanding of housing and homelessness in Alberta. This research strategy is one of the first outcomes of an innovative research partnership between the Alberta Interagency Council on Homelessness and the Alberta Centre for Child, Family and Community Research and will serve to generate and mobilize evidence to inform Alberta Interagency Council on Homelessness priorities, decisions and recommendations relevant to A Plan for Alberta: Ending Homelessness in 10 Years. Research priorities, with specific areas of emphasis, emerged from an extensive review of the literature and consultation with stakeholders. These priorities are: 1. Homelessness Prevention and Early Intervention a. Structural Factors b. Gaps in Systems of Care and Support c. Migration and Employment d. Identification of Those-At-Risk 2. Effectiveness of Interventions 3. Continuum of Housing and Homelessness Supports and Services a. Rural Homelessness b. Coordinated Planning for Long-term Housing and Supports c. Community Support, Engagement and Mobilization for Homelessness It was also identified that the unique needs and special circumstances of vulnerable populations and Aboriginal Peoples are to be studied in relation to each priority. This annotated bibliography provides information on research studies conducted or led by Alberta researchers in these research priority areas between the years of 2010-2014. It builds upon the Homelessness-Related Research Capacities in Alberta: A Comprehensive Environmental Scan 1990-2010 Final Report completed by Dr. Katherine Kovacs-Burns and Dr. Solina Richter, a foundational document for the Housing and Homelessness Research Strategy for Alberta. A published synthesis1 of this document is available in the Canadian Journal of Urban Research. Recommended Citation Felix-Mah, R., Roberts, E. & Adair, C.E. (2014). Annotated Bibliography: Studies completed between 2010-2014 by Albertan researchers in identified research priorities for homelessness research. AB: Alberta Centre for Child, Family & Community Research. Keywords: housing, homelessness, research strategy, research priorities, Alberta 1Burns, K., & Richter, S. (2011). Alberta's Urban Homelessness Research Capacities: A Comprehensive Environmental Scan from 1990 to 2010. Canadian Journal Of Urban Research, 20(2), 71-90.
1. Homelessness Prevention & Early Intervention 1A. Structural Factors 1A. Structural Factors 1A. Structural Factors Citation Synopsis Jones, M. E., Shier, M. L., & Graham, J. R. This article describes innate factors of intimate relationships that contribute to a situation of (2012). Intimate Relationships as Routes into homelessness for men and women. We conducted interviews with 61 people experiencing and out of Homelessness: Insights from a homelessness in Calgary, Alberta, Canada. We were particularly interested in documenting with Canadian City. Journal of Social Policy, 41, greater specificity their perceptions of their individual pathways to and from homelessness. 101-117. Jones, M. E., Shier, M. L., & Graham, J. R. This article argues that homelessness in Calgary, Canada is entrenched, in part, due to a (2013). Social exclusion and self-esteem: systemic cycle of exclusion and defensive tactics carried out by those who are homeless and The impact of the identity–bureaucracy employed. A major proportion of this systemic exclusion occurs via a number of societal nexus on employed people experiencing institutions: the provincial welfare structure in place to assist those in need; the provincial registry homelessness in Calgary, Canada. Journal system for identification and licensing; the banking system, employment service providers; and the of International and Comparative Social civil society organizations that provide shelter. Through one-to-one interviews with employed Policy, 29(2), 134-142. people experiencing homelessness in Calgary (n = 61) we found four identifiers that contribute to maintaining the adverse situation facing those who find themselves homeless: security of, and access to, replacement identification; access to banking; access to a mailing address; and accessibility to stable, permanent employment. Without access to these elements re-establishing social inclusion and navigating the transition to stable housing and non-vulnerable employment is far more difficult. Kolkman, J.; Ahorro, J. ; Varlen, K.; Moore- An overview of research and provincial poverty strategies to support an Albertan provincial Kilgannon, Bill. (2010). Time for Action: strategy to reduce poverty, using the Ten Year Plan to End Homelessness as a model. Working Together to End Poverty in Alberta. Edmonton, AB: Public Interest Alberta and http://pialberta.org/sites/default/files/Documents/Alberta-Poverty-Report_2010.pdf Edmonton Social Planning Council. Kolkman, J., Ahorro, J. Varlen, K., Moore- An overview of research and provincial poverty strategies to support an Albertan provincial Kilgannon, B. Sigurdson, L., Christiani, B., & strategy to reduce poverty. ; MacDonald, S. (2011). In This Together: Ending Poverty in Alberta. Edmonton, AB: http://pialberta.org/sites/default/files/Documents/Report_2011_Ending-Poverty_web.pdf Public Interest Alberta, Alberta College of Social Workers & Edmonton Social Planning Council April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 3
1A. Structural Factors 1A. Structural Factors Citation Synopsis Kolkman, J. & Moore-Kilgannon, B. (2013). The From Words to Action report contains updated information on the extent of child and family From Words to Action: Alberta can afford a poverty in Alberta. Also highlighted are the many worthwhile programs, services and initiatives real poverty reduction strategy. Edmonton, already underway that contribute to reducing poverty. This report outlines modest changes to the AB: Public Interest Alberta, Alberta College personal and corporate tax systems that would generate the revenues required to properly fund of Social Workers & Edmonton Social key poverty solutions. These solutions are also costed. Planning Council http://pialberta.org/sites/default/files/Documents/Report_2013_From%20Words%20to%20Actions %20Poverty%20Report_Final.pdf Kovacs-Burns,K. & Richter, S. (2010). Attachment 5 lists various grey literature documents completed in this area between 1990-2010, Homelessness-Related Research Capacities under "VII. Prevention of Homelessness". in Alberta: A Comprehensive Environmental Scan. Lee, C.R., & Briggs, A. (2012) Poverty This report provides an economic case for a preventative poverty reduction strategy in Alberta. Costs: An Economic Case for a Preventative http://www.vibrantcalgary.com/uploads/pdfs/Poverty_Costs.pdf Poverty Reduction Strategy in Alberta. Calgary, AB: Vibrant Communities Calgary and Action to End Poverty in Alberta Lee, C.R., & Briggs, A. (2013). Reducing the This report provides information on poverty and social indicators in Medicine Hat; on the definition, Cost of Poverty in Medicine Hat: Moving causes, effects and indicators of poverty; and on the current state of the six priority areas of action from Charity to Investment. Calgary, Alberta: for poverty reduction (Living Wages, Affordable Housing, Recreation, Education, Transportation Vibrant Communities Calgary and Food Security). http://cfsea.ca/new/wp-content/uploads/2013/03/Medicine-Hat-Report-Mar-4.pdf Payne, J.D. (2013) Day In, Day Out: This thesis explores the experiences of the homeless working poor in Calgary, Alberta through Exploring the Experiences of the Homeless semi-structured interviews with homeless sector service providers (n=7) and homeless working Working Poor in Calgary, Alberta. Edmonton, poor individuals (n=24). The results are interpreted within a capital theory framework. Results AB, CAN: University of Alberta show this population's paths towards homelessness relate to shifts and shortages in capital, https://era.library.ualberta.ca/public/view/item particularly around a lack of familial and social networks and supports, economic challenges, /uuid:9d0f0a00-2608-49bc-9689- education, training, or skill gaps, and health issues. The findings highlight the fact that homeless 2f952f31f6a2 working poverty amounts to more than financial issues and present implications for programs and policies. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 4
1A. Structural Factors 1A. Structural Factors Citation Synopsis Shier, M. L., Jones, M. E., & Graham, J. R. In a study that sought to identify the multiple factors resulting in homelessness from the (2010). Perspectives of Employed People perspective of 65 individuals in Calgary, Alberta, Canada who were both employed and homeless, Experiencing Homeless of Self and Being we found that participants' perceptions of being homeless emerged as a major theme which Homeless: Challenging Socially Constructed impacts their entry to and exit from homelessness. Four sub-themes related to these perceptions Perceptions and Stereotypes. J. Soc. & Soc. were identified: (1) perceptions of self and situation; (2) impact of being homeless on self- Welfare, 37, 13. reflection; (3) aspects of hope to consider; and (4) perspectives on having a permanent residence. Analytically, these findings help challenge present stereotypes about homelessness and usefully inform social service delivery organizations. Shier, M. L., Graham, J. R., & Jones, M. E. In 2008 and 2009 we conducted one-to-one interviews with 61 people experiencing homelessness (2011). Social Capital for Vulnerable Groups: in an effort to investigate the concept of “pathways” from homelessness. Our findings show that Insight from Employed People Experiencing personal issues of identity, self-Esteem, and individualization were contributing factors to Homelessness. Journal of Social Distress developing social capital; and social service agency practices could contribute to how these are and the Homeless, 19(3-4), 129-153. experienced. Shier, M. L., Jones, M. E., & Graham, J. R. Pathways to and from homelessness were examined from the perspective of people who were (2011). Social Communities and both employed and homeless in Calgary, Alberta. Based on data collected through semi- Homelessness: A Broader Concept Analysis structured open-end interviews (n = 61) with employed homeless people), we found that of Social Relationships and Homelessness. respondents identified aspects of five predominant social relationships that had the greatest Journal of Human Behavior in the Social impact on their present homeless situation: relationships with friends and family, acquaintances in Environment, 21(5), 455-474. shared accommodation, landlords and employers, other homeless people, and the social service delivery system. Tanasescu, A., & Smart, A. (2010). Limits of A common explanation of immigrants' under-representation among the homeless population in Social Capital: An Examination of Canada is that kinship and community networks act as a buffer to absolute homelessness. This Immigrants' Housing Challenges in Calgary, paper draws on a larger study of housing difficulties among immigrants in Calgary to address the The. J. Soc. & Soc. Welfare, 37, 97. ways in which social capital serves a buffering role, and under what conditions it loses its ability to prevent absolute homelessness. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 5
1A. Structural Factors 1A. Structural Factors Citation Synopsis Tutty, L., Bradshaw, C., Waegemakers This literature review summarizes research, particularly published studies from the past decade or Schiff, J., Worthington, C., MacLaurin, B., so, that focus on the risk factors, predictors and pathways in and out of homelessness. Hewson, J.,... & McLeod, H. (2009). Risks Unpublished research reports from reputable organization are also included. The primary focus and Assets for Homelessness Prevention: A was on factors that differentiate those that have become absolutely homeless from those that are Literature Review for the Calgary Homeless on the cusp of homelessness, either being relatively homeless, or living in hidden homelessness. Foundation. Notably, relatively few articles differentiate factors between housed and non-housed individuals. We also searched for articles on resilience and protective factors, again finding relatively few. A final focus of the literature review was studies on the pathways in and out of homelessness. This analysis identifies the assets and resiliencies of those from vulnerable populations who do not become homeless, and highlights protective factors or strategies that could prevent a journey into homelessness. These assets and protective factors form the core of a screening tool (Homelessness Asset and Risk Screening tool – HART) that can be used to identify vulnerability to homelessness in at-risk populations, and those not yet experiencing homelessness, in the hope of providing early interventions. The document presents research first on structural factors that have been causally linked to homelessness and then on individual factors – protective and risk - that affect homeless individuals across the life-span. Yablonski, S. & O'Connor, S. (2013). This research project was undertaken by students in the Nursing Faculty at Grande Prairie Presentation. Homelessness in Grande Regional College. A certain percentage of Rotary House clients that have established long-term Prairie: an inability to sustain community community housing are returning to Rotary House. This qualitative research project used key housing amongst Rotary House Clients. informant interviews with returning clients (n=7) to discover factors that contribute to the inability of Rotary House clients to sustain long-term housing. 1A. Social Determinants of Homelessness - Cross-Cutting Theme: Vulnerable Populations - Women Sjollema, S. D., Hordyk, S., Walsh, C. A., The focus of this article is on the use of found poetry as a tool in qualitative research to examine Hanley, J., & Ives, N. (2012). Found poetry– the experience of precarious housing and homelessness among immigrant women in Montreal. Finding home: A qualitative study of The article provides a context for understanding female, newcomer homelessness and homeless immigrant women. Journal of summarizes the history of the found poem in a variety of disciplines with an emphasis on "social Poetry Therapy, 25(4), 205-217. work and the arts" context. This article also details the study methodology and illustrates the process of the found poem technique with two found poems used as data representation. The found poems we present in this article reveal two of the study's key findings related to causes of homelessness: unexpected crises (tipping points) and exploitation. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 6
1A. Structural Factors 1A. Structural Factors Citation Synopsis Thurston, W. E., Roy, A., Clow, B., Este, D., Housing insecurity is a major barrier to leaving domestic violence; it may force abused women to Gordey, T., Haworth-Brockman, M., ... & live in inadequate conditions or to return to their abusers. Immigrant women face additional Carruthers, L. (2013). Pathways Into and Out barriers. Longitudinal interviews with 37 abused immigrant women living in three Canadian cities of Homelessness: Domestic Violence and investigated key causes of housing insecurity. Results show a need to target systemic factors, a Housing Security for Immigrant Women. diversity of issues foregrounded along pathways into and out of homelessness, and complex Journal of Immigrant & Refugee Studies, indicators of risk. Advocacy is key to exiting abuse and obtaining secure housing, and cultural 11(3), 278-298. competency in services is needed to adequately support immigrant women experiencing domestic violence. Tutty, L. M., Ogden, C., Giurgiu, B., & Violence from intimate partners is a serious reality for a number of women. For some abused Weaver-Dunlop, G. (2014). I Built My House women, leaving becomes a path to homelessness. In fact, when abused women and their children of Hope Abused Women and Pathways Into leave their homes because of partner abuse, they become homeless even if they subsequently Homelessness. Violence against women, seek residence in a shelter for woman abuse. This project interviewed 62 women from across 1077801213517514. Canada who had been abused by partners and were homeless at some point. The women were asked about their experiences with both partner abuse and homelessness and the effects on themselves and their children, which suggest important policy shifts. Social Determinants of Homelessness - Cross-cutting Theme: Vulnerable Populations - Youth Calgary Homeless Foundation. (2011). Plan On the journey to end homelessness in Calgary, it became clear that young people (under the age to end youth homelessness in Calgary. of 24) require a plan tailored to their unique needs. Research and local consultations told us that Calgary, AB. most young people enter into homelessness largely as a result of difficulties in their families. Young people experiencing homelessness for the first time are likely leaving a setting in which their lives were governed by adult caregivers (i.e. parents, foster parents, group homes). The pathway into youth homelessness also often involves episodes of hidden homelessness (i.e. couch surfing, staying with friends). http://calgaryhomeless.com/assets/research/Youth-PlanFinalweb.pdf Walsh, C., Newman, J., Spencer, B., This report examines the spectrum of vulnerability that many youth in Calgary experience and Doucette, K., Joseph, J., Classens, M., seeks to provide a greater understanding of the challenges and strengths that have such a Thompson, A., Gilmour, L. (2011) Towards profound impact on youth as they transition to adulthood. Resiliency for Vulnerable Youth. Calgary, http://www.calgaryunitedway.org/vulnerableyouth/wp-content/uploads/2011/04/VY-FullReport.pdf AB, CAN: Calgary United Way April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 7
1B. Gaps in Systems of Care & Support 1B. Gaps in Systems of Care & Support 1B. Gaps in Systems of Care and Support Citation Synopsis Cummings, G. & Rowe, B. (In progress). Emergency department visits by homeless patients. Dong, K. (in progress). Data collected but Research on vulnerable individuals (homeless and/or substance using adults presenting to the paper not yet published. Edmonton, Alberta Emergency Department) from inner city Edmonton using emergency services at Royal Alexandra Hospital regarding their need for broader spectrum of social services; The objectives were as follows: 1. To characterize patients presenting to the ED who are unstably housed and/or have acute or chronic substance use issues. 2. To assess the need for a broader spectrum of medical and social services. 3. To determine their health care resource utilization (hospital admissions and ED visits) over the next 6 months. Iahtail, B. & Lafrance, J. (In progress). Housing and support needs of Aboriginal fathers in Edmonton involved with child welfare and justice systems. The Mustard Seed Edmonton, University of In Canada, the link between incarceration and homelessness has been most fully described by a Alberta. (2013). Housing Needs of Adults recent Toronto study. According to Homeless and Jailed: Jailed and Homeless, a study conducted Post-Incarceration in Edmonton. by the John Howard Society of Toronto (2010) being homeless increases the likelihood of ending up in jail, while imprisonment increases the risk of homelessness. As Padgett et al. (2006) have argued, a ‘housing first’ approach to addressing the needs of those dealing with homelessness, mental illness, and drug addiction – common challenges to many leaving prison – is much more successful in dealing with mental illness and drug addiction issues than standard models of care. The research questions informing this project are: 1. What is the housing status of adults transitioning from correctional facilities into the Greater Edmonton Area into the community? 2. Do releases from correctional facilities impact the homeless count in the Greater Edmonton area? 3. Does this demographic require additional support around issues pertaining to housing? http://www.homewardtrust.ca/images/resources/2013-02-11-14- 31MustardSeed_FINAL_2013%2001%2030.pdf April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 8
1C. Migration & Employment 1C. Migration, Industry & Employment 1C. Migration & Employment Citation Synopsis Kneebone, R. D., Emery, J. C. H., & Homelessness in Alberta is overwhelmingly concentrated in Calgary and Edmonton, with almost Grynishak, O. (2011). Homelessness in two-thirds of total provincial shelter usage in the former. Calgary also experiences much greater Alberta: The Demand for Spaces in Alberta's fluctuations in shelter use. Three interconnected economic factors — the supply of rental Homeless Shelters. School of Public Policy, accommodations, the state of the labour market and the inward flow of jobseekers— go a long University of Calgary. way toward explaining both Calgary’s unusually large share of Alberta’s homeless as well as the swings in shelter use. Calgary has proportionately less than half as many rental units as Edmonton and this gap is widening. Simultaneously, Calgary, more than any other Canadian city, attracts a significant share of migrants during times of economic growth increasing demand for affordable housing and then shelter space when the availability of housing approaches zero. Shier, M. L., Jones, M. E., & Graham, J. R. Labor market issues and challenges are primarily understood at an individual level, entrenched (2012). Employment Difficulties Experienced socially in policies and initiatives that seek to improve the workplace skills of people having by Employed Homeless People: Labor difficulty attaching to the labor market, including people experiencing homelessness. In fact, the Market Factors That Contribute to and labor market is perceived to alleviate a person's situation of homelessness. In 2008 and 2009 Maintain Homelessness. Journal of Poverty, qualitative data was collected from 61 employed people experiencing homelessness in Calgary, 16(1), 27-47. Alberta, Canada, to better understand the intersection between the labor market and housing- related experiences. Respondents identified aspects of the labor market that were contributing to their current and ongoing situation of homelessness. Implications for practitioners are discussed to help address labor market attachment difficulties experienced by homeless people. Migration & Employment - Cross-Cutting Theme: Aboriginal Peoples Belanger, Y. D., Weasel Head, G. 2013. Aboriginal urbanization has occurred in most regions of Canada. Despite the growth of permanent Urban Aboriginal Homelessness and Aboriginal communities since the 1970s, academic and government reports have captured a Migration in Southern Alberta. Final Report startling level of Aboriginal mobility between cities and reserves, within cities, and between prepared for the Alberta Homelessness municipalities. An elevated level of Aboriginal overrepresentation among the homeless population Research Consortium (AHRC). Edmonton, is also evident. What has yet to be fully explored, is the link between urban Aboriginal Alberta. April 30, 2013. homelessness and mobility in southern Alberta, and their respective and combined impact upon municipal service delivery and programs. This project employs qualitative interview data for the purposes of: (1) improving our theoretical understanding of this migration stream; (2) improving our conception of whether Aboriginal mobility influences urban Aboriginal homelessness; and, (3) whether a lack of programs and services is exacerbating urban Aboriginal homelessness and mobility. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 9
1C. Migration, Industry & Employment 1C. Migration & Employment Citation Synopsis Thurston, W.E., Milaney, K., Turner, D., Aboriginal people are overrepresented in Canada’s urban homeless numbers and the same is true Coupal, S. (2013). Final Report: No moving for Calgary where the most recent count of homeless persons found 21% were Aboriginal and back: A study of the intersection of rural and 38% of those found sleeping rough were Aboriginal. In the research project reported on here we urban homelessness for Aboriginal people in critically examined Aboriginal people’s experiences of migration from rural to urban settings and Calgary, Alberta. Prepared for Human how systems create and respond to homelessness. Specifically we explored the community’s Resources and Skills Development Canada, capacity to adequately respond in a timely way to an emergent need; coordination and resourcing National Housing Secretariat. Available from of systems of care; and culturally safe nature of current approaches to service provision. Department of Community Health Sciences, 3rd Floor TRW, 3280 Hospital Drive NW, Calgary, Alberta, T2N 4Z6. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 10
1D. Identification of Those at Risk 1D. Identification of those at risk 1D. Identification of Those at Risk Citation Synopsis Schneider, B. (2010). Housing people with This article examines how written and spoken language are used to categorize potential residents mental illnesses: The discursive construction for supported housing designated for people diagnosed with severe mental illnesses. It examines of worthiness. Housing, Theory and Society, the discursive work of agency representatives as they construct versions of clients as appropriate 27(4), 296-312. or inappropriate for housing. I show that what appear to be clear cut criteria for admission such as medication compliance, no history of violent behaviour and no active addictions are in fact contingent, locally negotiated categories that are used by agency representatives in flexible ways to determine worthiness for admission to supported housing. The categorization work of agency representatives in turn produces the meanings of the categories themselves. In doing the discursive work of categorization, agency representatives negotiate a "dilemma of caring" in which they must tread a careful path between the directives of the organizations they work for and their view of themselves as caring professionals. They also reaffirm the hegemonic bio-medical understanding of mental illnesses as "real" biological entities. Tutty, L. M., Bradshaw, C., Hewson, J., The Homelessness Assets and Risk Screening Tool (HART) is used to identify vulnerability to MacLaurin, B., Waegemakers-Schiff, J., homelessness in at-risk populations, but those not yet experiencing homelessness, in the hope of Worthington, C., ... & Turner, A. (2013). On providing early interventions. The purpose of the current research is to test the validity of the the Brink? A Pilot Study of the HART, including its predictive validity with respect to identifying those at risk of homelessness. A Homelessness Assets and Risk Tool (HART) second objective is to determine the applicability of the HART tool in a Calgary context and assess to Identify those at Risk of Becoming the tool’s feasibility from an administrative perspective. This was achieved by utilizing the HART Homeless. tool with an initial sample of service recipients at multiple community agencies within the city of Calgary. This allowed us to test the tool’s content validity (the ability to capture elements of risk) and to test the HART’s predictive validity (ability to predict homelessness) by tracking a sub- sample of participants over a one-year period. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 11
2. Effectiveness of Interventions 2. Effectiveness of Interventions 2. Effectiveness of Interventions Citation Synopsis Calgary Homeless Foundation. (2011). “Ending homelessness” is a complex and multifaceted endeavor. Case management has been Research Report: Dimensions of Promising identified as a critical aspect to successfully ending a person’s or family’s homelessness. Several Practice for Case Managed Supports in months of consultation and research facilitated by the Calgary Homeless Foundation led to the Ending Homelessness. development of this report. Its purpose is to gain clarity on and to set dimensions around the promising practices essential for case managed supports to end homelessness. http://calgaryhomeless.com/assets/research/Case-management-dimensions-of-promising- practicefinal-report.pdf Calgary Homeless Foundation. (2012). The current project proposes to articulate a best practice framework for the development of a Sustainable supports for adult males: Supportive Employment program in Calgary. In collaboration with members of the Calgary Action effective employment models to end Committee on Housing and Homelessness’ Interagency Sector, this research sought to uncover homelessness: research report of findings the needs of working-aged homeless men and understand the barriers experienced to obtaining and recommendations. and maintaining employment within the context of Calgary; a key player in the national. Key informants were interviewed from homeless-serving and private business sectors in order to better understand employment needs and barriers. In order to develop this framework, the following questions were investigated: • What are the most effective employment models for homeless men with multiple barriers? For those who are not able to sustain employment due to chronic physical or mental health conditions, what interventions are most effective in assisting them to sustain stable housing? http://calgaryhomeless.com/assets/research/Employment-Models-Report.pdf Goering, P. N., Streiner, D. L., Adair, C., Housing First is a complex housing and support intervention for homeless individuals with mental Aubry, T., Barker, J., Distasio, J., ... & health problems. It has a sufficient knowledge base and interest to warrant a test of wide-scale Zabkiewicz, D. M. (2011). The At implementation in various settings. This protocol describes the quantitative design of a Canadian Home/Chez Soi trial protocol: a pragmatic, five city, $110 million demonstration project and provides the rationale for key scientific decisions. multi-site, randomized controlled trial of a Methods: A pragmatic, mixed methods, multi-site field trial of the effectiveness of Housing First in Housing First intervention for homeless Vancouver, Winnipeg, Toronto, Montreal and Moncton, is randomizing approximately 2500 individuals with mental illness in five participants, stratified by high and moderate need levels, into intervention and treatment as usual Canadian cities. BMJ open, 1(2). groups. Quantitative outcome measures are being collected over a 2-year period and a qualitative process evaluation is being completed. Primary outcomes are housing stability, social functioning and, for the economic analyses, quality of life. Hierarchical linear modeling is the primary data analytic strategy. The results of the multi-site analyses of outcomes at 12 months and 2 years will be reported in a series of core scientific journal papers. Extensive knowledge exchange activities with non-academic audiences will occur throughout the duration of the project. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 12
2. Effectiveness of Interventions 2. Effectiveness of Interventions Citation Synopsis Goering, P., Velhuizen, S., Watson, A., Over 900 individuals from our shelters and on our streets who have not been well served by our Adair, C., Kopp, B., Latimer, E., & Ly, A. current approach are now housed in adequate, affordable and suitable settings. Eighty six percent (2012). At Home/Chez Soi Interim of participants remain in their first or second unit (as of August 2012). At 12 months those in the Report. Mental Health Commission of Housing First intervention had spent an average of 73% of their time in stable housing. In contrast, Canada. those in treatment as usual (TAU) spend only 30% of their time in stable housing. This creates the possibility of better long term health and social functioning outcomes for individuals who have histories of trauma and poor health. Once housed many are beginning to take advantage of the safer places and the opportunities that are created to make better life choices – including pursing opportunities to engage in part or full-time employment. LaPerle, A. (2012). Downtown street This report describes the objectives and outcomes of the Downtown Street Outreach Initiative. outreach initiative: Final evaluation report. This project was designed to help homeless individuals in Edmonton make the transition from living on the street to adopting a more stable lifestyle, to help community stakeholders learn more about this group and the unique challenges they face, and to become more aware of service gaps and systemic barriers that homeless individuals in Edmonton experience. http://www.threesource.ca/documents/February2012/Downtown-Street-Outreach-Initiative.pdf Surood, S., McNeil,D., Cristall, M., Godbout, This study is Phase II of a four-phased research proposal to examine functioning and other J. & Zhou, H. (2012). Pathways to Housing- outcomes in a Canadian Housing First program, the Pathways to Housing program in Edmonton, Edmonton: A Homelessness Housing Alberta that serves individuals with very serious, severe, persistent and multiple problems in their Initiative (A Four-Phase Project). health and living situations. Preliminary analyses of available data at baseline, and subsequent follow-ups show positive participant outcomes through their involvement in the program. At 12 months, provision of a home provided improvement in living conditions, work and leisure activities, and overall total health outcomes. The results show promise with respect to the effectiveness of Housing First for housing stability and certain aspects of quality of life. http://www.homewardtrust.ca/images/resources/2013-04-26-11- 26BMHC_Formatted_FINAL_2013%2004%2018.pdf Waegemakers Schiff, J. & Rook, J. (2012). Speedy implementation of a new initiative is often fraught with issues of fidelity in replicating the Housing first - Where is the Evidence? model program in other locations (McGrew, et al., 1994). Our search uncovered three founding (Toronto: Homeless Hub). programs that can be considered housing first models. Because of their differences, we begin this review with a brief description of each and then turn our attention to the evidence base for housing first as reported in the academic literature. Because of the limited documentation of this approach, we will further the understanding of housing first by reviewing government documents and reports that provide an insight on this evolution and its current public acceptance. Finally, we critically examine the assumptions and gaps in the literature that require further evidence-based data. http://www.homelesshub.ca/sites/default/files/HousingFirstReport_final.pdf Calgary Homeless Foundation (In-Progress) Intervention analysis on HMIS data by population group and program model April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 13
2. Effectiveness of Interventions 2. Effectiveness of Interventions Citation Synopsis 2. Effectiveness of Interventions - Cross Cutting Theme: Vulnerable Populations - Women Brower, Krista (2012). Best practices: As a component of the Healthy, Empowered, Resilient (H.E.R.) Pregnancy Program Year One services and supports for street-involved process evaluation, a literature review was conducted. The purpose was to identify elements of pregnant and parenting women – A Review successful programming and models similar to the work of the H.E.R. Program. The review was of the Literature. Report prepared by Charis designed to capture information on what similar programs are operating both in Canada and Management Consulting for the Alberta internationally to support street-involved pregnant women and youth. The review provides Centre for Child, Family and Community information on key questions and information sought about service delivery models for street- Research, Calgary, AB. involved pregnant women. It summarizes and provides details on similar programming offered for street-involved pregnant women that align with the H.E.R. Program goals and principles. OrgCode Consulting, Inc. & E4C. (2013). In order to expand the existing body of evidence on how to best support chronically homeless Intensive Case Management Considerations women who have been involved in high-risk behaviour to become stably housed and end their to Improve Housing Stability Amongst homelessness, a nine-month, qualitative research project to engage with clients receiving housing Women Involved in High-Risk and/or and support through the E4C Housing First program was initiated. This study followed twelve Exploitative Situations clients between February-March of 2012 and September-October of 2012, and gathered information about their lives and histories, their patterns of substance use, high-risk behaviour, and involvement with emergency services, both before and during the study period. In addition, the research examined how the participants’ quality of life was affected by becoming housed, using a range of indicators. The project aimed to answer four research questions: 1. What are the characteristics of the population? This includes age, past and present involvement with service delivery systems, and housing history. 2. Was involvement in high-risk and/or exploitative situations triggered as a result of clients’ homelessness, or did involvement in these situations predate homelessness? 3. What aspects of Housing First/ICM are currently working well, and how might amendments be made to improve service delivery and housing stability specifically for women? 4. Based on the available literature, which evidence-based or evidence-informed practices should be considered for working with this population? http://www.homewardtrust.ca/images/resources/2013-02-06-14- 59OrgCode_FINAL_2013%2001%2030.pdf April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 14
2. Effectiveness of Interventions 2. Effectiveness of Interventions Citation Synopsis 2. Effectiveness of Interventions - Cross Cutting Theme: Vulnerable Populations - Youth Currie, C. L., & LaBoucane-Benson, P. Some of the most vulnerable homeless are youth who are at special risk for gang recruitment, (2011). Impacts of a peer support program prostitution, and exploitation. The Links program began in 2005 as a three-year project bringing for street-involved youth. Pimatisiwin: A street-involved youth and university students together to increase understanding, foster supportive Journal of Aboriginal & Indigenous relationships, and enhance the knowledge and skills of each group. Emphasis was placed on Community Health, 9(1). recruiting Aboriginal youth to the program. As a result 50% of street-involved youth who took part identified as Aboriginal. Qualitative evaluation data were collected via surveys, written assignments, and in-person interviews. Findings suggest the program created intense bonds between students and youth. Stereotypes were identified and broken down and youth were empowered to broaden their perspectives on what they could achieve. Both groups gained knowledge they can use to build a better future for themselves and their communities. 2. Effectiveness of Interventions - Cross Cutting Theme: Aboriginal Populations Bird, C. E., Thurston, W. E., Oelke, N., Aboriginal peoples (First Nation, Métis, Inuit peoples) are highly overrepresented in homeless Turner, D., & Christiansen, K. (2013) populations. The need for culturally safe services and programs to address the multiple needs of Understanding Cultural Safety: Traditional Aboriginal people who are homeless is great. Cultural safety, according to our understanding, is a and Client Perspectives. Final Report for more advanced stage in cultural competence. The research project reported here investigated the Funder, February 2013. concept of cultural safety as it applied to the delivery of homeless services for urban Aboriginal peoples from the perspective of Aboriginal Elders, clients and former clients, and staff in a non- Aboriginal organization. The partner organization in the research, Alpha House, provides a continuum of services for street involved people in four areas: outreach, shelter, detox, and housing. This project is part of a program of research to broaden understanding of how to enhance service and program delivery models when working with homeless Aboriginal clients so as to meet the goal of ending homelessness. Bodor, R. (2011). Perspectives on the In 2010, Homeward Trust Edmonton (HTE) proposed to explore their Housing First Support Housing First Program with Indigenous Program delivery to Aboriginal people. It was to be a strengths-based qualitative research project Participants. Accessed from: that would assess the successes of the program, as well as identify gaps in services, and/or challenges in service delivery for Aboriginal peoples. In July 2011, the Blue Quills First Nations College - Research Team (BQFNC-RT) submitted two reports – the attached thematic document and an “Interactive Text” – a 35-minute play rooted in the voices of the people interviewed for the assessment. Both reports grew out of an Indigenous Research Methodology that focuses on ceremony and stories as the foundation of Aboriginal epistemology. Ceremony generates space for making enquiries and is essential to gaining knowledge through the sharing of stories and experiences through Circle Process. HTE and BQFNC wishes to honor the individuals who agreed to be interviewed, as well as the BQFNC and Housing First teams for their dedication and acceptance to the project. http://www.homewardtrust.ca/images/resources/2012-07-05-10-26BlueQuillsWEB3.pdf April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 15
2. Effectiveness of Interventions 2. Effectiveness of Interventions Citation Synopsis Thurston, W.E., Oelke, N.D., Turner, D., & Cultural safety in policies, procedures and practices is foundational to creation of best practices in Bird, C. (2011). Final Report: Improving Aboriginal homelessness services. In developing cultural safety, partnerships with Aboriginal housing outcomes for Aboriginal people in organizations within and outside of the homelessness sector may be needed and resources are Western Canada: National, regional, needed to build the relationships that partnerships require. Aboriginal specific funding envelopes community and individual perspectives on can be used more effectively where they exist and can build in partnership development and changing the future of homelessness. capacity development within the Aboriginal community where needed. Ending Aboriginal Prepared for Human Resources and Skills homelessness will take greater effort in the economic development and education sectors. This Development Canada, National Housing project provided the first attempt to provide an extensive overview of organizations that offer Secretariat. services and programs to homeless populations, with a particular focus on Aboriginal populations. But, more importantly, the project identified existing success stories, and used the information gathered from organizations seen by their peers and their clients as providing effective services, to create a framework for improving service delivery to Aboriginal peoples, service delivery that is culturally safe and effective for Aboriginal people. 2. Effectiveness of Interventions - Cross Cutting Theme: Persons with Disabilities Calgary Homeless Foundation (In-Progress) Promising Practices in Delivering Housing and Support Interventions to Chronically and Episodically Homeless with Fetal Alcohol Spectrum DIsorder April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 16
3. Continuum of Housing & Homelessness Supports & Services 3A. Rural Homelessness See Review by Jeanette Waegemakers-Schiff and Alina Turner (2014). 3B. Coordinated Planning for Long-term Housing & Supports 3B. Coordinated Planning for Long-term 3B. Coordinated Planning for Long-term Housing & Supports Housing & Supports Synopsis Citation City of Edmonton Housing Branch (2010). This paper intends to provide information to further discussion around how to encourage diverse Options to encourage diverse inclusive inclusive housing in Edmonton. It frames relevant issues, identify key Edmonton neighbourhoods housing in neighbourhoods across in distress, proposes a protocol for non-market housing development and outlines three policy Edmonton. options. http://www.ascha.com/PDF_files/rollout/inclusivehousingedmonton-DiscussionPaper.pdf Cook, D., Initiative, C. P. R., Kneebone, R., At the request of the Calgary Poverty Reduction Initiative’s Stewardship Committee, the Affordable & O’Brien,K. H. H. (2012). Proposed Housing Working Group developed a strategy focused on the issues of housing and homelessness Affordable Housing Strategy. in the context of poverty reduction. The working group’s recommendations center on the concept of an Affordable Housing Charter. Affordable housing is a critical issue in ongoing discussions between Alberta’s major urban centers and the Government of Alberta regarding city charters as it presents a key opportunity to deliver more streamlined services for the benefit of our communities. Within this shifting context where the provincial-municipal roles and responsibilities are being reconsidered, a locally-driven affordable housing development and management model could be implemented where leadership and service delivery is coordinated at the community level. The roles of federal and provincial governments would be to support local leadership through enabling policy and resources. Cummings, G. & Rowe, B. (In progress). Accessibility of housing programs for brain- injured homeless populations. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 17
3B. Coordinated Planning for Long-term 3B. Coordinated Planning for Long-term Housing & Supports Housing & Supports Synopsis Citation Downie, R. (2011). The City of Red Deer The focus of this study has been the examination of current and future housing needs and support and Red Deer & District Community services, as well as the identification of existing gaps and anticipated programs and services to be Foundation: The City of Red Deer Housing developed in response to these gaps. and Homelessness Assessment Report. The purpose of the study has been to provide the City of Red Deer and the Red Deer District and Community Foundation with up-to-date information of current and future housing needs and to identify current and future gaps between existing programs and services. The resulting information is used in evaluating and targeting the housing needs of the city’s residents in line with the City of Red Deer’s 10 Year Vision and Framework for ending homelessness and the 5 Year Implementation Plan for housing and homelessness strategies. http://www.reddeer.ca/NR/rdonlyres/697C19CA-42BC-4685-99F6- EF033772CCF1/0/Feb2011CityofRedDeerHousingandHomelessnessAssessment.PDF Edmonton Homeless Commission. (2011). Since 2009, the Edmonton Homeless Commission (EHC) has overseen numerous partners Final Report: Study of the Homeless in working to implement A Place to Call Home – Edmonton’s 10 Year Plan to End Homelessness Edmonton with Intensive Needs. (The 10 Year Plan). In alignment with The 10 Year Plan, the EHC recently identified the need to explore better ways to house and support a segment of the homeless population whose intensive needs have not been addressed effectively to date by the housing and support options available in Edmonton. http://www.threesource.ca/documents/December2011/EHC-Final-Report.pdf Goldblatt, A., Felix, R., Chotai, V., & Fleger, The Housing Support Services Hub (“Hub”) was launched in 2008 in Edmonton as an interagency M. (2011). Prepared for the Housing Support strategy to enhance the capacity of 13 member agencies to secure housing, prevent evictions and Services Hub, Edmonton, Alberta. Final increase the housing stability of the people with whom they work. This report highlights some of Report: Systemic Barriers to Housing the systemic barriers that had an unintended negative impact on individuals' and families' ability to Initiative. access and maintain stable housing. The report was used to facilitate an initial dialogue to facilitate joint problem solving on these barriers between community and government. http://www.threesource.ca/documents/August2011/hub_systemic_barriers.pdf Homeward Trust Edmonton. (2013). This report focuses on the results of an in-depth examination of housing retention challenges in Understanding tenancy failures and Edmonton. The research questions were as follows 1) Why do some tenancies fail thereby successes: final report: a research project by necessitating re-housing sometimes on multiple occasions? 2) What best practices are in use Edmonton Social Planning Council and locally and elsewhere to maximize housing retention? 3) What practical and effective measures Edmonton Coalition on Housing and can be put in place to reduce the risk of tenancy failure due to negative circumstances? Homelessness. Accessed from: While the re-housing mandate of Edmonton’s Housing First program brought the challenge of housing retention into sharper focus, housing retention is a broader challenge affecting most low income and many modest income tenants. http://www.homewardtrust.ca/images/resources/2013- 02-06-14-21ESPC-ECOHH_FinalReport_Oct2012.pdf April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 18
3B. Coordinated Planning for Long-term 3B. Coordinated Planning for Long-term Housing & Supports Housing & Supports Synopsis Citation John Howard Society of Alberta (2014). This discussion paper provides an overview of social impact bonds from several countries as they Social impact bonds and their potential for pertain to criminal justice matters. It focuses on how social impact bonds are structures and how corrections Alberta programming. success criteria are measured. It also examines the feasibility of social impact bonds projects that may be explored in regards to reducing the recidivism rate of offenders with short-term prison/custody sentences. Kovacs-Burns,K. & Richter, S. (2010). Attachment 5 lists various grey literature documents completed in this area between 1990-2010, Homelessness-Related Research Capacities under "IV. Housing and Homelessness". in Alberta: A Comprehensive Environmental Scan. Noble, C. & Selinger, C. (2012). Calgary This housing needs assessment provides information on who is in need of affordable housing and Affordable Housing Needs Assessment. what types of affordable housing are deficient. Calgary, AB: The City of Calgary, Affordable http://www.calgary.ca/CS/OLSH/Documents/Affordable- Housing Division housing/Housing%20Needs%20Assessment%20June%202012.pdf?noredirect=1 Schiff, R., Waegemakers-Schiff, J., & This review of over 750 reports from academic and grey literatures examines the evolution of Schneider, B. (2010). Housing for the policy and best practice movements that have linked housing, treatment, and supports for persons Disabled Mentally Ill: Moving Beyond with a mental illness disability. A notable gap in this literature is that reports assume homogeneity Homogeneity. Canadian Journal of Urban among this population with the disability as the prime criteria for housing type. Canadian Research, 19(2). acceptance of a diverse society includes acceptance of subpopulations that have significant and unique needs, which are unaccounted for in this housing literature. These include people who are "hard to house" because of severe functional impairments, the elderly, those of Aboriginal or non- Western (European) ethnic origin, and people in small town and rural settings. This synthesis of the literature challenges the unspoken assumption that all persons disabled by a mental illness need or accept a uniform housing approach. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 19
3B. Coordinated Planning for Long-term 3B. Coordinated Planning for Long-term Housing & Supports Housing & Supports Synopsis Citation Tsenkova, S., & Witwer, M. (2011). Bridging In the context of growing shortages of affordable housing in Alberta, the policy discourse in the last the Gap: Policy Instruments to Encourage decade has centered on ways to get the private sector involved through a variety of public-private Private Sector Provision of Affordable Rental partnerships, policy incentives and regulatory measures. This research explores alternatives for Housing in Alberta. Canadian Journal of private sector engagement in the provision of affordable housing focusing on four clusters of policy Urban Research. instruments-regulatory/planning, fiscal, financial and institutional. The article provides a much- needed overview of challenges and opportunities in Alberta using conceptually appropriate analytical framework, fresh empirical evidence, case study analysis and insights from the practical experiences of industry professionals. It argues that a much more robust and sustainable system of direct subsidies is required to bridge the funding gap between the cost of development and potential revenue generation in affordable rental housing. In addition to fiscal support from senior governments and improved access to more affordable long-term finance, it suggests that municipalities can play a significant role in facilitating private sector involvement by creating a positive planning and policy environment. Key recommendations in that regard focus on density bonusing, streamlined development approval and acquisition of land through land trusts and land leases. 3B. Coordinated Planning for Long-term Housing & Supports - Cross Cutting Theme: Vulnerable Populations: Youth Kovacs-Burns,K. & Richter, S. (2010). Attachment 4 lists various published research literature between 1990-2010 under "homeless Homelessness-Related Research Capacities youth". Attachment 5 lists various grey literature documents completed in this area between 1990- in Alberta: A Comprehensive Environmental 2010, under "XII. Youth Homelessness/Homeless Youth". Scan. 3B. Coordinated Planning for Long-term Housing & Supports - Cross Cutting Theme: Vulnerable Populations: Women Kovacs-Burns,K. & Richter, S. (2010). Attachment 4 lists various published research literature between 1990-2010 under "homeless Homelessness-Related Research Capacities women". in Alberta: A Comprehensive Environmental Scan. 3B. Coordinated Planning for Long-term Housing & Supports - Cross Cutting Theme: Vulnerable Populations: Newcomers Kovacs-Burns,K. & Richter, S. (2010). Attachment 5 lists various grey literature documents completed in this area between 1990-2010, Homelessness-Related Research Capacities under "V. Immigrants and Homelessness". in Alberta: A Comprehensive Environmental Scan. April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 20
3B. Coordinated Planning for Long-term 3B. Coordinated Planning for Long-term Housing & Supports Housing & Supports Synopsis Citation Murphy, L. (Doctoral Thesis). Housing Project focused on understanding housing precariousness for low income Aboriginal and Vulnerability, Social Capital, and Mobility -- A Newcomer families in Edmonton (using the Families First dataset). Quantitative methods Case Study of Newcomer Immigrant and (regression, descriptives) to estimate housing indicators and to get a benchmark for Indigenous as Indigenous Families. (In Progress) well as immigrant families, as compared to the overall sample population. Qualitatively, looking at case worker notes to get a sense of what those statistics mean for families in their lived experience--namely themes of housing as well as emergent strategies that families use in terms of housing. Maps also used to explore where families were living and where they moved during the project (families listed postal codes) to get a sense of 'livability'--where families were located, as well as where they were moving from and where they were moving to. 3B. Coordinated Planning for Long-term Housing & Supports - Cross Cutting Theme: Families Calgary Homeless Foundation (In Progress) Permanent Supportive Housing for Homeless Families with Complex Needs 3B. Coordinated Planning for Long-term Housing & Supports - Cross Cutting Theme: Aboriginal Peoples Belanger, Y. D., Weasel Head, G, & This paper explores the current state of urban Aboriginal housing in Canada, by providing an up- Awosoga, O. (2012). Housing and Aboriginal to-date mapping of national urban Aboriginal housing conditions. This paper demonstrates that People in urban centres: A quantitative home ownership helps to reduce the gap between mainstream and Aboriginal rates of core evaluation. Aboriginal Policy Studies, 2(1). housing need, for Aboriginal renters are substantially worse off than their non-Aboriginal counterparts in terms of core housing need and overcrowding. tis and on-Status Indians are also more likely to become homeowners than Status Indians and Inuit. A cyclical process is identified that hinders urban Aboriginal homeownership, and home rental advancement is also discussed. Existing federal housing programs are inadequate to address the housing and homeless issues identified. We highlight the need to establish proactive policies, the goal being to facilitate individual transition into urban centres, thereby helping to ameliorate existing housing disparities. Belanger, Y.D, Weasel Head, G., Awosogo, This report sought to determine the current state of urban Aboriginal housing and how it can be O. (2012) Assessing Urban Aboriginal improved. An up-to-date mapping of Aboriginal people’s housing conditions in urban areas is Housing and Homelessness in Canada. provided. (The full report of the paper cited above). Ottawa, ON, CAN: National Association of http://www.homelesshub.ca/ResourceFiles/Final_Belanger_Housing_and_Homeless_- Friendship Centres (NAFC) and the Office of _6_May_2012.pdf the Federal Interlocutor for Metis and Non- Status Indians )OFI) April 2014 – Homelessness Studies Completed by Albertan Researchers (2010-2014) 21
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