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FASD and Homelessness A Reality Check. The absence of housing is the absence of everything Presented By Tina Antrobus Adults with FASD: Swimming Upstream Conference Vancouver, BC. Why is housing important? “ The balancing act ”. FETAL ALCOHOL SPECTRUM DISORDER. FASD Pyramid of Need. FAMILY.

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FASD and HomelessnessA Reality Check

The absence of housing is the absence of everything

Presented By Tina Antrobus

Adults with FASD: Swimming Upstream Conference Vancouver, BC

Tina Antrobus, FASD Connections 2004


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Why is housing important?

“The balancing act”

Tina Antrobus, FASD Connections 2004


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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

Tina Antrobus, FASD Connections 2004


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Why do adults with FASD become homeless?

Because four walls and a roof are not enough. Ever.

Tina Antrobus, FASD Connections 2004


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Question:

What is the primary goal of independent living?

Answer:

Successful management of the activities of daily living

Tina Antrobus, FASD Connections 2004


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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

Tina Antrobus, FASD Connections 2004


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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%

Tina Antrobus, FASD Connections 2004


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FASD and Homelessness

80% are unable to live independently*

(Regardless of IQ)

Why?

* Streissguth et.al. (1996)

Tina Antrobus, FASD Connections 2004


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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.

Tina Antrobus, FASD Connections 2004


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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

Tina Antrobus, FASD Connections 2004


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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

Tina Antrobus, FASD Connections 2004


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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.

Tina Antrobus, FASD Connections 2004


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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.

Tina Antrobus, FASD Connections 2004


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“Supportive Housing” with permanent shelter, and are such heavy users of services that it would be more cost effective to provide them with decent stable housing.*

for adults with FASD

Tina Antrobus, FASD Connections 2004


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The 7 S’s of Supportive Housing with permanent shelter, and are such heavy users of services that it would be more cost effective to provide them with decent stable housing.* Jan Lutke, 2004

SELECTION

STRUCTURE

SUPPORT

STABILITY

SAFETY

SECURITY

SUPERVISION

Tina Antrobus, FASD Connections 2004


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“Supportive” Housing for FASD with permanent shelter, and are such heavy users of services that it would be more cost effective to provide them with decent stable housing.*

  • 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

Tina Antrobus, FASD Connections 2004


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Reality Check with permanent shelter, and are such heavy users of services that it would be more cost effective to provide them with decent stable housing.*

The absence of housing is the absence of everything!

Tina Antrobus, FASD Connections 2004


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