Predictors of change in housing status over 12 months among individuals using emergency shelters, temporary housing or permanent housing in Quebec, Canada

Author(s):  
Gesthika Kaltsidis ◽  
Guy Grenier ◽  
Zhirong Cao ◽  
Karine Bertrand ◽  
Marie‐Josée Fleury
Author(s):  
Anson Wong ◽  
Jerry Chen ◽  
Renée Dicipulo ◽  
Danielle Weiss ◽  
David A. Sleet ◽  
...  

Emerging evidence shows that homelessness continues to be a chronic public health problem throughout Canada. The Bridge Healing Program has been proposed in Edmonton, Alberta, as a novel approach to combat homelessness by using hospital emergency departments (ED) as a gateway to temporary housing. Building on the ideas of Tiny Villages, the Bridge Healing Program provides residents with immediate temporary housing before transitioning them to permanent homes. This paper aims to understand effective strategies that underlie the Tiny Villages concept by analyzing six case studies and applying the lessons learned to improving the Bridge Healing Program. After looking at six Tiny Villages, we identified four common elements of many successful Tiny Villages. These include a strong community, public support, funding with few restrictions, and affordable housing options post-graduation. The Bridge Healing Program emphasizes such key elements by having a strong team, numerous services, and connections to permanent housing. Furthermore, the Bridge Healing Program is unique in its ability to reduce repeat ED visits, lengths of stay in the ED, and healthcare costs. Overall, the Bridge Healing Program exhibits many traits associated with successful Tiny Villages and has the potential to address a gap in our current healthcare system.


2021 ◽  
Author(s):  
Kevin Quan

The attachment of the homeless to the city's residual spaces is a result of a lack of choice, but in some instances, it is a preference. This thesis focuses on the latter in addressing the housing needs of those who prefer to live outdoors rather than in the institutionalized environment of emergency shelters, or even permanent housing. It explores the role of architecture in empowering independence, dignity, and security without socially engineering the homeless and changing their lifestyle. This exploration is informed by the works of architects, urban geographers, cultural critics, artists and psychologists, among them the members of the Situationist International, Bernard Tschumi, Donald MacDonald, Michael Benedikt, David Harvey, Neil Smith, and Abraham Maslow. It proposes an alternative scenario whereby those persons preferring to live outdoors may be safely, decently, and innovatively sheltered independently in some of the many residual spaces found on streets and in parks.


2013 ◽  
Vol 8 (3) ◽  
pp. 495-507 ◽  
Author(s):  
Elizabeth Maly ◽  
◽  
Tamiyo Kondo ◽  

On Aug. 29, 2005, Hurricane Katrina struck the southern coast of the United States, causing the most damage of any disaster in the country’s history. Faced with a need for housing relief that overwhelmed all expectations, and failures and criticisms surrounding FEMA’s use of trailers as temporary housing, the Alternative Housing Pilot Project (AHPP) was created to explore better options. Designed as a temporary-topermanent post disaster housing solution, the Mississippi Cottages were created though theMississippi Alternative Housing Project (MAHP), 1 of the 5 AHPP projects, as replacement temporary housing for residents of FEMA trailers several years after Katrina. Due to strong local resistance to the Cottages, along with issues of affordability, few temporary Cottage residents were able to keep them for permanent housing, and the implementation of the program failed to provide long term affordable housing to a large group of disaster survivors who most needed it. However, the Mississippi Cottages have high levels of resident satisfaction, represent significant potential as a temporaryto-permanent housing form and demonstrate flexibility in the way they have been reused as affordable housing by a number of different organizations and individuals.


2021 ◽  
Author(s):  
Kevin Quan

The attachment of the homeless to the city's residual spaces is a result of a lack of choice, but in some instances, it is a preference. This thesis focuses on the latter in addressing the housing needs of those who prefer to live outdoors rather than in the institutionalized environment of emergency shelters, or even permanent housing. It explores the role of architecture in empowering independence, dignity, and security without socially engineering the homeless and changing their lifestyle. This exploration is informed by the works of architects, urban geographers, cultural critics, artists and psychologists, among them the members of the Situationist International, Bernard Tschumi, Donald MacDonald, Michael Benedikt, David Harvey, Neil Smith, and Abraham Maslow. It proposes an alternative scenario whereby those persons preferring to live outdoors may be safely, decently, and innovatively sheltered independently in some of the many residual spaces found on streets and in parks.


2019 ◽  
Vol 2 (3) ◽  
pp. 17
Author(s):  
Kyle Dewsnap ◽  
Hasham Kamran ◽  
Kimberly Rondeau ◽  
Alicia Polachek ◽  
Gabriel Fabreau ◽  
...  

Background Certain kinds of housing instability, such as foreclosure and homelessness, have been associated with poorer physical and mental health. The Connect 2 Care (C2C) program targets medically complex individuals who are unstably housed, primarily aimed at reducing acute care utilization and connecting clients to appropriate community-based care. However, because housing status is a fundamental determinant of health, the team also assists clients in finding permanent housing. As the C2C program aims to improve the health of its clients, we hope that this intervention positively impacts the housing stability of clients. Objective To determine whether the C2C program is effective in reducing factors of housing instability, such as the frequency of housing moves made, and time spent in unstable housing (such as shelters or sleeping outside). Methods C2C clients were asked to participate in 6- and 12- month follow-up surveys with a member of the research team. During both surveys, participants were prompted to describe their housing history using the Residential Time-Line Follow-Back (rTLFB) inventory. Starting at six months prior to their intake into C2C, participants created a twelve- to eighteen-month timeline that detailed their residential locations and number of housing transitions. Location descriptions provided by clients were categorized as stable, temporary, institutional, or literal homelessness. The number of housing transitions and the proportion of time spent in each housing category were then calculated for each individual. Changes in proportion of time spent over three unique time periods were evaluated using Wilcoxon’s paired rank test with Holm’s multiplicity correction. Results Since September 2018, housing data was collected from 100 unique clients. In comparing the six months preceding C2C intake with the six-to-twelve months after C2C intake, significant reductions in the amount of time spent in literal homelessness (p < 0.001) and reductions in the number of housing changes (p = 0.014) were observed. Discussion Housing stability for C2C clients improved after enrolment in the program. This study was potentially limited by incomplete sampling of the C2C population. Based on our findings, further research should be conducted in evaluating the relationship between increases in housing stability and increases of health status. Acknowledgements The C2C research team thanks Alberta Innovates and the Canadian Institute of Health Research for their financial support. The authors have no conflict of interests to state.


Crisis ◽  
2020 ◽  
Vol 41 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Masatsugu Orui

Abstract. Background: Monitoring of suicide rates in the recovery phase following a devastating disaster has been limited. Aim: We report on a 7-year follow-up of the suicide rates in the area affected by the Great East Japan Earthquake, which occurred in March 2011. Method: This descriptive study covered the period from March 2009 to February 2018. Period analysis was used to divide the 108-month study period into nine segments, in which suicide rates were compared with national averages using Poisson distribution. Results: Male suicide rates in the affected area from March 2013 to February 2014 increased to a level higher than the national average. After subsequently dropping, the male rates from March 2016 to February 2018 re-increased and showed a greater difference compared with the national averages. The difference became significant in the period from March 2017 to February 2018 ( p = .047). Limitations: Specific reasons for increasing the rates in the recovery phase were not determined. Conclusion: The termination of the provision of free temporary housing might be influential in this context. Provision of temporary housing was terminated from 2016, which increased economic hardship among needy evacuees. Furthermore, disruption of the social connectedness in the temporary housing may have had an influence. Our findings suggest the necessity of suicide rate monitoring even in the recovery phase.


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