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    Antrobus & Lutkewww.faseout.ca 2008

    FASD and Homelessness

    A Reality CheckThe absence of housing is the absence

    of everyth ing

    Au thored by

    Tina An trobus and Jan Lu tke

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    Why is housing important?

    The balancing act

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    FAMILY

    WORK

    HOUSING

    ACTIVITIES

    OF DAILYLIVING

    SCHOOL

    PARENTING

    LEGAL

    DIVERSION

    A & D

    MENTAL

    HEALTH

    HEALTH/

    NUTRITION

    FINANCES

    SOCIAL

    RELATIONSLEISURE

    MEDS TRANSPORT

    FASD Pyramid of Need

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    Antrobus & Lutkewww.faseout.ca 2008

    Why do adults with FASD become homeless?

    Because four walls and a roof are not enough.Ever.

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    Question:What is the primary goal ofindependentliving?

    Answer:Successful management of the activities of daily

    living

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    FASD and Homelessness

    Activities of

    Daily Living

    Manage

    Money

    Grocery

    Shopping

    Cook Meals Pay Bills

    Medical Care

    Interpersonal

    Relationships

    House Keeping

    Leisure

    RecreationHygiene

    Transportation

    Problem

    Solving

    Food Safety

    Laundry

    Medication

    Birth Control

    Family

    Employment

    Banking

    Nutrition

    Home Repair/

    Maintenance

    Appointments

    Purchases

    Dress

    Access

    Services

    Emotions

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    Streissguth et al. Longitudinal Study (1996),

    Sample of adults age 21+ were unable to: Manage money 82%

    Make daily living decisions 78%

    Obtain social services 70%

    Get medical care 68%

    Handle interpersonal relationships 57%

    Grocery shop 52%

    Cook meals 49% Structure leisure activities 48%

    Stay out of trouble 48%

    Handle hygiene 37%

    Use public transportation 24%

    FASD and Activities of Daily Living

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    Antrobus & Lutkewww.faseout.ca 2008

    FASD and Homelessness

    * Streissguth et.al. (1996)

    80% are unable to live

    independently*

    (Regardless of IQ)

    Why?

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    Antrobus & Lutkewww.faseout.ca 2008

    All activities of daily living are done in, around, and

    out of the place in which you live.

    If you dont have a place to live . . . The rest

    doesnt matter.

    The Conundrum of FASD and Housing

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    Absence of Housing =

    Inability to Function. Period.

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    Sole qualification in BC for even the mostminimal of services from Community LivingServices, MCFD, the only branch of socialservices where housing supports for adults canbe obtained, is:

    IQ < 70

    FASD and Homelessness

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    Antrobus & Lutkewww.faseout.ca 2008

    Opt ions for theHomeless

    Emergency Shelter

    $31- $85/day Detox Centre

    $80 - $185/day

    Provincial Jail$155 - $250/day

    Psychiatric Hospital

    $200 - $600/day*

    Permanent Housing

    Opt ions SRO Room

    $11/day Self-contained Apt.

    $14 - $20/day

    Supportive Housing

    $32 - $38/day*

    Suppor t ive Housing for

    Adul ts w / FASD

    $100 / day ? ????

    Denial by Design

    FASD and Homelessness

    VS

    * Homelessness Causes & Effects Volume 3: The Costs of Homelessness in British Columbia,

    February 2001.

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    The homeless use 33% more government

    services than those with permanent shelter,and are such heavy users of services that it

    would be more cost effective to provide themwith decent stable housing.*

    Denial by Design

    FASD and Homelessness

    * Homelessness Causes & Effects Volume 3: The Costs of Homelessness in British

    Columbia, February 2001.

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    Supportive Housing

    for adults with FASD

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    The 7 Ss of Supportive HousingJan Lutke, 2004

    SELECTION

    STRUCTURE

    SUPPORTSTABILITY

    SAFETY

    SECURITY

    SUPERVISION

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    Antrobus & Lutkewww.faseout.ca 2008

    Supportive Housing for FASD

    Long Term Safe Permanent Place to Call Home Awake Staff 24/7 Integrated Individualized Case Management Meals Provided Programs (Employment, Education, Leisure)

    Comprehensive Supported Activities of Daily Living Peer Support (Circle of Friends, mentor) Family Involvement / Support Addictions Services Health Care (GP, PHN, meds) Mental Health Transportation Legal Resources Staff Support

    No Evict ion Pol icy

    * Specifically for non-parenting adults with FASD

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    Reality Check

    The absence of housing is the absence of

    everyth ing!

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    Thank you!