INTEGRATING SERVICES AS A MEANS TO SUPPORT HOUSING

Service outcomes are greatly connected to determinants of health

• The development of the Ndinawe Youth Services and the Point Douglas Revitalization Initiative; North Stars Project contributed to supporting youth housing and better outcomes as they greatly connected to determinants of health

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Ndinawe YR 2000

• Shelter was seeing an increase:• Violence among youth, weapons

being brought in. • Non attendance at school (3-9

months) of absenteeism at school.• Few if any positive social activities

that developed skills in the youth lives

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Housing gives a message that affects mental health and social wellbeing

• Shelter was a fire hazard, would not get a renewed licence, unpleasant surroundings gleaning disrespect

• Design allowed for poor supervision, unsafe situations and gang violence to prevail.

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New Shelter Changed Things

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• The new design had a great impact on programming. Staff could spend more time with the kids building relationships rather than policing safety.

• Went from 3 floors- 2 floors, with 2,2,1 staffing configuration & 16 youth, it was a recipe for disaster.

• New building alone, the incidence of violence went down

Siloed Approach Problematic

• It was isolating for the service, with a limited number of staff having to advocate for services and or systems that have different information or plans that yours.

• This lead to greater confusion for the youth and families in the end

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Solution: Create our own integrated system with in our services

• Realized early on, if we wanted our youth to have recreational activities, be accepted into schools, develop independent living capacity,we would need to create this ourselves.

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Youth Resource Centre

• Was created to insure a multi systems accessible service to youth was available in the city.

• It included programming such as film, art, music, dance, drama, parenting, sports, medical clinic, cooking club, food bank, youth care worker training, at risk outreach and a transitional school

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Se-ries

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0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

20.5%

44.5%

48.9%

62.5%

88.5%

Family/IA

In Care/Protection

Had teen mom

No risk

Number of Risk Factors

Perc

ent F

ailin

g to

Gra

duat

e 79.8%76.7%

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Ndinawe Transitional School

• Prior to developing the school we did a survey of over 100 Ndinawe youth around school attachment/and relevance

• We investigated 8 different alternative and or off campus educational programs

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Ndinawe Transitional School

Programming needed to be:• Modular based, building on immediate

successes• Not play school-they wanted to attain

credits, graduate. • Have kind staff- all about relationships• Friendly environment- matters

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Outcomes from the development of the school and resource centre: Supported housing to have: effective

• Fewer AWOL from the Safe Home• Incidence of drugs and weapons in

Safe home down• More efficient case management

including tracking of youth, and integrated case planning

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Is the only solution- to create your own integrated system?

What about the other systems that you cannot create in your service

orServices that cannot grow in this way?

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If you can’t create it, bring what has been created already together.Needed a new integrated service delivery model that• addresses the need to increase service outcomes, & builds capacity in the community ,•Utilizes a poverty reduction/community revitalization strength based approach •Brings Government and community services together at a joint integration table

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Goal of the Point Douglas Revitalization Initiative

To create a shared vision and plan

for an integrated service delivery (ISD) model that better addresses local

needs, builds community capacity and improves outcomes for residents

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Why did we start in this area?

• Lord Selkirk Park and the larger Point Douglas area is one of the poorest area codes in Canada

• The PD community continues to experience declining outcomes in several sectors.

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Started with Community Engagement

• 4 community forums• Residents survey – more than 570 surveyed• Interviews with more than 55 Executive

Directors

Through this data collection, we asked what are

the:

Overall issues; Gaps in services; Issues in service

delivery; and the Solutions for working better

together

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Engagement data revealed service needs, some of which were: • Need for greater awareness of services/assets

available in the community - communication• Gaps in Services:

– Addictions services– Mental health services and Community counselling

(e.g., youth and men)– Affordable housing– Education supports (e.g., after school tutoring,

walking school bus, FAST program)• School readiness is a priority

Increased Need for

•Service Navigation of larger systems•Access hours and location of service •Need to identify and better use existing mechanisms (e.g., residents associations)

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Services Need to Work better Together

• Need for more formal mechanisms (e.g., agreements, protocols) – support good partnerships

• There is an identified gap in governments’ understanding of community service delivery and the communities’ understanding government processes

Development of a Community Leadership Council

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In the fall of 2011, the Community Leadership Council (CLC) was established – a joint Government and Community table tasked with oversight of the revitalization plans including the development of the integrated case management pilot.

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The North Stars Project

Overwhelmingly the responses supported the notion of a fully integrated community-based service delivery model: Piloted at RB Russell High School

An integrated case management working group was formed to develop the pilot whose

membership included

Mount Carmel Clinic, North Point Douglas Women’s Centre, WSD, RB Russell high school, Aboriginal Health and Wellness, Centre for Aboriginal Human Resource

Development, Winnipeg Police, University of Winnipeg, IKWE, FSL, MB Housing,

Entrepreneurship, Training and Trade, Probations, MB Education, AFM, Aboriginal

Council, Onashowewin, Southern Authority, Mental Health,

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North Stars Project

• The Client Group Chosen was RB Russell High School due to the general levels of risk of the student population.

• It was determined there would be 2 Tiers or levels of service to support integration

• The people who sat at the designing table made a commitment to be the first ones at the integrated case management table

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Tier I • Would provide

services to the 500 students in the school that would support the equalling of the playing field

Tier II• Would provide an

integrated table that supports 30 students at a time to receive rapid response service supports

North Stars Project

Tier I Supports Include:Mental Health

• 2 Canadian Mental Health Association programs, to be rolled out in April 28th and/or as student need presents

• Winnipeg School Division has committed 4 student councilors to oversee and support the development of Student Profiles and IEP’s for students under 21,

• North Point Douglas Women’s Centre will run a red road to healing program in the school

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Part Time Jobs

• CAHRD has agreed to provide part time jobs for students, particularly those who are hard to place due to past criminal involvement etc

• Odd Jobs for youth has agreed to locate a program office in the school as it would be an easy access point for the student population.

• ETT will support the subsidizing of adult student in their continued efforts to train towards employment

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Private Sector and Recreation Support

• A relationship between the school and the north west company has been fostered

• Boys and Girls club is committed to providing alternative recreation programming to the student population

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Justice involved students•Onashowewin provides has agreed to provide their full program complement of programs to youth engaged in justice issues at the Teir II level and have agreed to sit at the integrated service delivery table

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Programming for Absent Students

–The Pilot has redeveloped an attendance protocol between the school division, the WPS, the Truancy Officers, EIA and CFS that outlines a clear course of action to take when supporting student attendance

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Tutoring and Mentorship

– To support better educational outcomes the University of Winnipeg is implementing a joint mentorship and tutoring program at the school

– Onashowewin has agreed to second 5 social work students to act in a mentorship/ case navigation capacity to students in Teir II

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Parenting Supports

4 different types of parenting programs are being implemented

by community agencies such as Ab Health and Wellness, CEDA,

NPDWC

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Health and Housing

– Both Mount Carmel Clinic and Aboriginal Health and Wellness are committing to providing a family doctor for every student in the pilot.

– MB housing staff are committing to supporting students involved in Teir II experiencing housing emergencies by making them a high priority on the MB housing list.

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Child and Family Services and Wpg Police

•The Southern Authority has committed two staff persons to be seconded from the authorities and attached to the case management of the Pilot.. • WPS committed one half time police officer to

supporting case navigation of the pilot. This includes sitting at the joint case management table once a week, supporting the connections of outside service systems , assisting the school councilors in follow up with the joint case plans for all students at Tier II so that response times are efficient and services effective.

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Tier II

• Sign up is voluntary, families that want Tier II level supports must sign consent

• This allows them to have their case sit at an integrated service table where they agree to share their information to the multiple systems in order that they receive joint support from a joint plan

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Example of Jonny and Sally

• Jonny –NA, attendance, probationary order,

• Sally- Addictions, Mental Health, CfS, Attendance.

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•Results will be interestingBut predictable, if you support otherareas in a youths life, housing, violence, addictions etc,,, all areas will have better outcomes.•All of this was done with out any new money!

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Chicken or the egg?

• Maslow's hierarchy of needs works 2 ways

• People need good housing in order to build capacity and support in other areas of their life

• People need support in other areas of thier life in order to fully benefit from safe, healthy and supportive housing

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