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Board Report Services Administration Board THE DISTRICT OF THUNDER BAY SOCIAL BOARD REPORT SERVICES ADMINISTRATION BOARD REPORT NO.: 2017-89 MEETING DATE: NOVEMBER 23, 2017 DATE PREPARED: NOVEMBER 7, 2017 SUBJECT: POSITION PAPER: TOWARDS A GREATER SUPPORTIVE HOUSING SYSTEM: HOUSING, MENTAL HEALTH, AND ADDICTIONS IN THE DISTRICT OF THUNDER BAY RECOMMENDATION THAT with respect to Report No. 2017-91 (CAO’s Office), we, The District of Thunder Bay Social Services Administration Board (TBDSSAB or the Board), approve the Position Paper Housing, Mental Health, and Addictions in the District of Thunder Bay, as presented; AND THAT with respect to Report No. 2017-91, we, the Board, encourage the Ontario Government through their respective responsible Ministers, including the Ministry of Health and The Ministry of Housing, to assist in the development of partnerships to effectively address mental health and addictions among in situ social housing tenants; AND THAT we direct Administration to circulate this Position Paper and resolution to the Hon. Peter Milczyn, Minister of Housing and to the Hon. Eric Hoskins, Minister of Health and Long-Term Care, local MPPs Michael Gravelle and Bill Mauro, the Northwestern Local Health Integration Network Board, the Northwestern Ontario Municipal Association, the Northern Ontario Service Deliverers’ Association, The Association of Municipalities of Ontario, The Ontario Municipal Social Services Association and all fifteen District of Thunder Bay municipal Councils. REPORT SUMMARY To provide The District of Thunder Bay Social Services Administration Board (TBDSSAB or the Board) with information demonstrating the need for partnership to effectively address mental health and addictions among in social housing tenants. BACKGROUND The recognition that various supports are required to ensure successful tenancies for the hard to house segment of the chronically homeless population – frequently due to mental health and addictions issues – has become a fairly widespread, evidence- Rev(03/17) REPORT NO. 2017-89 (CAO’s Office) PAGE 2 OF 3 based approach. This is demonstrated by the Home for Good funding for TBDSSAB that was announced in October by local MPPs Bill Mauro and Michael Gravelle on behalf of the Minister of Housing. However, addressing these concerns outside of the homeless population, specifically with in situ tenants, is an area that has been overlooked. Statistical evidence with reference to mental health and opioid-related morbidity and mortality rates in the District of Thunder Bay, as well as damages to TBDSSAB owned housing believed to have been the result of mental health and addictions issues, support the contention that partnerships are required in order to provide appropriate supports for in situ tenants. COMMENTS The position paper provides a statistical overview of mental health and addictions in the District of Thunder Bay, with an emphasis on the mental health hospitalization and opioid-related morbidity and mortality rates, both of which occur at a rate much higher than the provincial average. The paper then demonstrates the impact of these concerns in TBDSSAB owned housing, highlighting units that have required extensive repairs where it is believed that the damage is a result of mental health or addictions issues. In order to address these concerns, the paper argues that the Province assist in the formation of partnerships to specifically effectively address mental health and addictions among in situ social housing tenants. It is recommended that the Ministry of Health facilitate the development of a stronger partnership between Service Managers and the LHIN with additional resources committed to mental health and addictions agencies for direct supports. It is noted that Ontario recently provided TBDSSAB with $3,175,310 in operating funding, and $2,100,000 in capital funding, from 2017 through 2020, to provide supports through the Home for Good initiative. This is a positive development and it is anticipated that this funding will allow TBDSSAB and its partners to eliminate overflow capacity emergency shelter usage, and in so doing, make a significant contribution to addressing chronic homelessness in the District of Thunder Bay. However, it is the Board’s position that this supportive approach should be extended beyond the homeless to in situ tenants – many of whom struggle with undiagnosed mental health and addictions issues which put them at risk of homelessness – through the formation of appropriate partnerships. FINANCIAL IMPLICATIONS There are no financial implications related to this report. CONCLUSION It is concluded that the Board endorse the position that the Province assist in the formation of partnerships to address mental health and addictions issues among in situ social housing tenants. Rev(03/17) REPORT NO. 2017-89 (CAO’s Office) PAGE 3 OF 3 REFERENCE MATERIALS ATTACHED Attachment #1: Position Paper: Towards a Greater Supportive Housing System: Housing, Mental Health, and Addictions in the District of Thunder Bay PREPARED BY: Saku Pinta, Senior Social Policy Analyst The District of Thunder Bay Social Services Administration Board APPROVED / SIGNATURE: William (Bill) Bradica, Chief Administrative Officer, The District of Thunder Bay Social Services Administration Board SUBMITTED / SIGNATURE: William (Bill) Bradica, Chief Administrative Officer The District of Thunder Bay Social Services Administration Board Rev(03/17) Attachment# 1 Report No. 2017-89 POSITION PAPER: TOWARDS A GREATER SUPPORTIVE HOUSING SYSTEM: HOUSING, MENTAL HEALTH, AND ADDICTIONS IN THE DISTRICT OF THUNDER BAY Saku Pinta, Senior Social Policy Analyst November 7, 2017 Attachment# 1 Report No. 2017-89 Introduction There is a growing recognition in the social housing sector that various supports are required to ensure successful tenancies, prevent evictions, and to end the cycle of homelessness. As the authors of one report on housing stability for the hard to house noted, “What has become apparent is that individualized interventions are often required to support tenants, especially those persons who have presence of mental health issues.”1 The Housing First approach to ending homelessness, in particular, is well-known for its inclusion of individualized and client-driven supports as a core principle in sustaining independent and permanent housing. Similarly, the Home for Good initiative launched by the Province has committed funding to help service managers, house homeless individuals and connect them to appropriate supports. In the District of Thunder Bay, it is anticipated that the Home for Good funding received from the Province will help TBDSSAB and its partners to eliminate overflow capacity emergency shelter usage, and in so doing, make a significant contribution to addressing chronic homelessness. It is submitted that this supportive approach to addressing homelessness is the proper method to creating permanent and independent housing solutions. However, the need to provide supports for in situ tenants is an area that has been overlooked. This paper advances TBDSSAB’s position that the Province assist in the formation of partnerships to effectively address mental health and addictions impacts among in situ social housing tenants. Specifically, TBDSSAB contends that further collaboration and information sharing between Service Managers and Local Health Integration Networks (LHIN) at senior levels is required, along with additional Ministry of Health funding designated for mental health and addictions agencies to provide direct supports for in situ tenants. Such an approach aligns with the Premiere’s 2016 Mandate Letter to the Minister of Housing and the Minister Responsible for the Poverty Reduction Strategy to work with the Minister of Health towards a greater supportive housing system. In the context of social housing in the District of Thunder Bay, this paper will demonstrate the need for such supports given incidence of mental health and addictions higher than the provincial average and evidence that these unaddressed issues have created challenges in TBDSSAB owned housing and in rent supplement units. A collaborative approach, with robust partnerships and additional resources facilitated by the Ministry of Health, will ensure better outcomes. Mental Health and Addictions in the District of Thunder Bay: A Statistical Overview It is known that the mental illness hospitalization rate per 100,000 both in the City of Thunder Bay (972) and the broader North West LHIN service area (933) is more than 1 J. Distacio, S. McCullough et al., Holding On!: Supporting Successful Tenancies for the Hard to House (Winnipeg: Institute of Urban Studies, University of Winnipeg, 2014), III. Available online: http://homelesshub.ca/sites/default/files/2014%20Successful%20Tenancies%20-%20FINAL.pdf Attachment# 1 Report No. 2017-89 double the provincial rate (392).2 While it goes beyond the scope of this paper to determine with any degree of certainty why incidence of mental illness is so much more prevalent in the TBDSSAB service area than the province as a whole, researchers in American “rust belt” states consider increasing mental illness rates to be a part of the “diseases of despair” which also includes addictions, obesity, and other pathologies fuelled by unemployment and lack of opportunity. The social impacts of the economic decline in the Great Lakes and upper Midwest States – arising from the loss of traditional industries – has certain parallels in the District of Thunder Bay. Like many “rust belt” states, the District of Thunder Bay faces
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