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FASD and Homelessness A Reality Check

The absence of housing is the absence of everything

Authored by Tina Antrobus and Jan Lutke


Antrobus & Lutke www.faseout.ca 2008

Why is housing important? The balancing act

Antrobus & Lutke www.faseout.ca 2008

FASD Pyramid of Need

FAMILY

A&D

PARENTING

LEISURE

SOCIAL RELATIONS

HEALTH/ NUTRITION

MEDS

SCHOOL

TRANSPORT

FINANCES

LEGAL DIVERSION

MENTAL HEALTH

WORK

ACTIVITIES OF DAILY LIVING

HOUSING

Antrobus & Lutke www.faseout.ca 2008

Why do adults with FASD become homeless? Because four walls and a roof are not enough. Ever.

Antrobus & Lutke www.faseout.ca 2008

Question:
What is the primary goal of independent living?

Answer:
Successful management of the activities of daily living

Antrobus & Lutke www.faseout.ca 2008

FASD and Homelessness


Nutrition Laundry Family Problem Solving Food Safety Banking

Dress Manage Money Grocery Shopping

House Keeping

Medication

Cook Meals Emotions

Pay Bills

Activities of Daily Living


Medical Care Transportation

Employment

Home Repair/ Maintenance

Interpersonal Relationships
Appointments Antrobus & Lutke www.faseout.ca 2008 Leisure Recreation

Purchases

Birth Control

Hygiene

Access Services

FASD and Activities of Daily Living


Streissguth et al. Longitudinal Study (1996), Sample of adults age 21+ were unable to:
Manage money Make daily living decisions Obtain social services Get medical care Handle interpersonal relationships Grocery shop Cook meals Structure leisure activities Stay out of trouble Handle hygiene Use public transportation Antrobus & Lutke
www.faseout.ca 2008

82% 78% 70% 68% 57% 52% 49% 48% 48% 37% 24%

FASD and Homelessness

80% are unable to live independently* (Regardless of IQ)

Why?
* Streissguth et.al. (1996)
Antrobus & Lutke www.faseout.ca 2008

The Conundrum of FASD and Housing

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.

Antrobus & Lutke www.faseout.ca 2008

Absence of Housing = Inability to Function. Period.

Antrobus & Lutke www.faseout.ca 2008

FASD and Homelessness

Sole qualification in BC for even the most minimal of services from Community Living Services, MCFD, the only branch of social services where housing supports for adults can be obtained, is: IQ < 70

Antrobus & Lutke www.faseout.ca 2008

Denial by Design FASD and Homelessness


Options for the Homeless
Emergency Shelter $31- $85/day Detox Centre $80 - $185/day Provincial Jail $155 - $250/day Psychiatric Hospital $200 - $600/day*
February 2001.

Permanent Housing Options


SRO Room $11/day Self-contained Apt. $14 - $20/day Supportive Housing $32 - $38/day* Supportive Housing for Adults w/ FASD $100 / day ?????

VS

* Homelessness Causes & Effects Volume 3: The Costs of Homelessness in British Columbia,
Antrobus & Lutke www.faseout.ca 2008

Denial by Design FASD and Homelessness

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 them with decent stable housing.*
* Homelessness Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001. Antrobus & Lutke www.faseout.ca 2008

Supportive Housing for adults with FASD

Antrobus & Lutke www.faseout.ca 2008

The 7 Ss of Supportive Housing


Jan Lutke, 2004

SELECTION
STRUCTURE SUPPORT

STABILITY
SAFETY SECURITY

SUPERVISION

Antrobus & Lutke www.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 No Eviction Policy Health Care (GP, PHN, meds) Mental Health Transportation Legal Resources Staff Support
Antrobus & Lutke www.faseout.ca 2008

* Specifically for non-parenting adults with FASD

Reality Check

The absence of housing is the absence of everything!

Antrobus & Lutke www.faseout.ca 2008

Thank you!

Antrobus & Lutke www.faseout.ca 2008

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