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FASD and Homelessness A Reality Check

FASD and Homelessness A Reality Check. The absence of housing is the absence of everything Authored by Tina Antrobus and Jan Lutke. Why is housing important? “ The balancing act ”. FETAL ALCOHOL SPECTRUM DISORDER. FASD Pyramid of Need. FAMILY. SOCIAL RELATIONS. A & D. PARENTING.

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FASD and Homelessness A Reality Check

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  1. FASD and HomelessnessA Reality Check The absence of housing is the absence of everything Authored by Tina Antrobus and Jan Lutke Antrobus & Lutke www.faseout.ca 2008

  2. Why is housing important? “The balancing act” Antrobus & Lutke www.faseout.ca 2008

  3. FETAL ALCOHOL SPECTRUM DISORDER FASD Pyramid of Need FAMILY SOCIAL RELATIONS A & D PARENTING LEISURE HEALTH/ NUTRITION MEDS SCHOOL TRANSPORT LEGAL DIVERSION MENTAL HEALTH FINANCES ACTIVITIES OF DAILY LIVING WORK HOUSING Antrobus & Lutke www.faseout.ca 2008

  4. Why do adults with FASD become homeless? Because four walls and a roof are not enough. Ever. Antrobus & Lutke www.faseout.ca 2008

  5. Question: What is the primary goal of independent living? Answer: Successful management of the activities of daily living Antrobus & Lutke www.faseout.ca 2008

  6. FASD and Homelessness Nutrition Laundry Family Banking Food Safety Problem Solving Dress Manage Money Grocery Shopping Medication House Keeping Cook Meals Pay Bills Emotions Activities of Daily Living Employment Home Repair/ Maintenance Medical Care Purchases Interpersonal Relationships Transportation Access Services Leisure Recreation Hygiene Birth Control Appointments Antrobus & Lutke www.faseout.ca 2008

  7. FASD and Activities of Daily Living • 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% Antrobus & Lutke www.faseout.ca 2008

  8. FASD and Homelessness 80% are unable to live independently* (Regardless of IQ) Why? * Streissguth et.al. (1996) Antrobus & Lutke www.faseout.ca 2008

  9. 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 don’t have a place to live . . . The rest doesn’t matter. Antrobus & Lutke www.faseout.ca 2008

  10. Absence of Housing =Inability to Function. Period. FETAL ALCOHOL SPECTRUM DISORDER SOCIAL RELATIONS FAMILY LEISURE SCHOOL ACTIVITES OF DAILY LIVING TRANSPORT A & D MEDS MENTAL HEALTH FINANCES EDUCATION HEALTH / NUTRITION WORK PARENTING DIVERSION Antrobus & Lutke www.faseout.ca 2008

  11. 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

  12. Options for the Homeless Emergency Shelter $31- $85/day Detox Centre $80 - $185/day Provincial Jail $155 - $250/day Psychiatric Hospital $200 - $600/day* 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 ????? “Denial by Design”FASD and Homelessness VS * Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001. Antrobus & Lutke www.faseout.ca 2008

  13. 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.* “Denial by Design”FASD and Homelessness * Homelessness – Causes & Effects Volume 3: The Costs of Homelessness in British Columbia, February 2001. Antrobus & Lutke www.faseout.ca 2008

  14. “Supportive Housing” for adults with FASD Antrobus & Lutke www.faseout.ca 2008

  15. The 7 S’s of Supportive HousingJan Lutke, 2004 SELECTION STRUCTURE SUPPORT STABILITY SAFETY SECURITY SUPERVISION Antrobus & Lutke www.faseout.ca 2008

  16. “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 Eviction Policy * Specifically for non-parenting adults with FASD Antrobus & Lutke www.faseout.ca 2008

  17. Reality Check The absence of housing is the absence of everything! Antrobus & Lutke www.faseout.ca 2008

  18. Thank you! Antrobus & Lutke www.faseout.ca 2008

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