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HomeMy WebLinkAbout2016-07-11 Council Workshop Agenda and Reports.pdfCity of Maple Ridge 1.ADOPTION OF THE AGENDAADOPTION OF THE AGENDAADOPTION OF THE AGENDAADOPTION OF THE AGENDA 2.MINUTESMINUTESMINUTESMINUTES 2.1 Minutes of the Council Workshop Meeting of July 4, 2016 2.2 Minutes of Meetings of Committees and Commissions of Council - Nil 2.3 Business Arising from Committee and Commission Minutes 3.PRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCIL 3.1 COUNCIL WORKSHOP AGENDACOUNCIL WORKSHOP AGENDACOUNCIL WORKSHOP AGENDACOUNCIL WORKSHOP AGENDA July 11July 11July 11July 11, 20, 20, 20, 2011116666 10101010:00:00:00:00 a.m.a.m.a.m.a.m. Blaney Room, 1Blaney Room, 1Blaney Room, 1Blaney Room, 1stststst Floor, Floor, Floor, Floor, CityCityCityCity HallHallHallHall The purpose of the Council Workshop is to review and discuss policies and other items of interest to Council. Although resolutions may be passed at this meeting, the intent is to make a consensus decision to send an item to Council for debate and vote or refer the item back to staff for more information or clarification. The meeting is live streamed and recorded by the City of Maple Ridge. REMINDERSREMINDERSREMINDERSREMINDERS July 11, 2016July 11, 2016July 11, 2016July 11, 2016 Closed Council Cancelled July 12, 2016July 12, 2016July 12, 2016July 12, 2016 Council Meeting 7:00 p.m. Council Workshop July 11, 2016 Page 2 of 4 4.MAYOR AND COUNCILLORS’ REPORTSMAYOR AND COUNCILLORS’ REPORTSMAYOR AND COUNCILLORS’ REPORTSMAYOR AND COUNCILLORS’ REPORTS 5.UNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESS 5.1 Social ServiceSocial ServiceSocial ServiceSocial Servicessss Research ProjectResearch ProjectResearch ProjectResearch Project Staff report dated July 11, 2016 providing an update on the Social Services review and seeking input from Council. Presentation by Scott Graham, Associate Executive Director, Manager of Research, Planning and Consulting, Social Planning and Research Council of British Columbia (SPARC BC). 5.2 Update on the Interim Modular Shelter and Permanent Purpose Built Shelter Update on the Interim Modular Shelter and Permanent Purpose Built Shelter Update on the Interim Modular Shelter and Permanent Purpose Built Shelter Update on the Interim Modular Shelter and Permanent Purpose Built Shelter ProcessProcessProcessProcess Staff report dated July 11, 2016 recommending that Council endorse the updated process outlined in the report dated July 11, 2016. 5.3 EMS Implementation EMS Implementation EMS Implementation EMS Implementation –––– Soil Deposit Bylaw ReviewSoil Deposit Bylaw ReviewSoil Deposit Bylaw ReviewSoil Deposit Bylaw Review Staff report dated July 11, 2016 recommending that the Soil Deposit Regulation Bylaw Review process outlined in the staff report entitled “Environmental Management Strategy Implementation – Maple Ridge Soil Deposit Regulation Bylaw (No. 5763 -1999) Review” dated July 11, 2016 be endorsed. 5.4 Remaining 2016 Community Grant BudgetRemaining 2016 Community Grant BudgetRemaining 2016 Community Grant BudgetRemaining 2016 Community Grant Budget Staff report dated July 11, 2016 recommending that an allocation of $10,000 for a Donor Recognition project from the 2016 Community Grants Budget be approved. 6.CORRESPONDENCECORRESPONDENCECORRESPONDENCECORRESPONDENCE The following correspondence has been received and requires a response. Staff is seeking direction from Council on each item. Options that Council may consider include: a) Acknowledge receipt of correspondence and advise that no further action will be taken. b) Direct staff to prepare a report and recommendation regarding the subject matter. c) Forward the correspondence to a regular Council meeting for further discussion. d) Other. Once direction is given the appropriate response will be sent. Council Workshop July 11, 2016 Page 3 of 4 6.1 Upcoming EventsUpcoming EventsUpcoming EventsUpcoming Events July 9, 2016 6:00 pm Block Party Dinner – Anderson Creek Neighbourhood Anderson Creek Drive July 28, 2016 9:00 am Business Walk – Chamber of Commerce and Economic Development Department Maple Meadows Business area 7.BRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCIL Links to member associations: •Union of British Columbia Municipalities (“UBCM”) Newsletter The Compass o http://www.ubcm.ca/EN/main/resources/past-issues-compass/2016- archive.html •Lower Mainland Local Government Association (“LMLGA”) o http://www.lmlga.ca/ •Federation of Canadian Municipalities (“FCM”) o https://www.fcm.ca/ 8.MATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENT 9.ADJOURNMENTADJOURNMENTADJOURNMENTADJOURNMENT Checked by: ___________ Date: _________________ Council Workshop July 11, 2016 Page 4 of 4 Rules for Holding a Closed MeetingRules for Holding a Closed MeetingRules for Holding a Closed MeetingRules for Holding a Closed Meeting A part of a council meeting may be closedmay be closedmay be closedmay be closed to the public if the subject matter being considered relates to one or more of the following: (a) personal information about an identifiable individual who holds or is being considered for a positionholds or is being considered for a positionholds or is being considered for a positionholds or is being considered for a position as an officer, employee or agent of the municipality or another position appointed by the municipality; (b) personal information about an identifiable individual who is being considered for a municipal award or being considered for a municipal award or being considered for a municipal award or being considered for a municipal award or honourhonourhonourhonour, or who has offered to provide a gift to the municipality on condition of anonymity; (c) labour relationslabour relationslabour relationslabour relations or employee negotiations; (d) the security of propertysecurity of propertysecurity of propertysecurity of property of the municipality; (e) the acquisition, dacquisition, dacquisition, dacquisition, disposition or expropriation of land or improvementsisposition or expropriation of land or improvementsisposition or expropriation of land or improvementsisposition or expropriation of land or improvements, if the council considers that disclosure might reasonably be expected to harm the interests of the municipality; (f) law enforcementlaw enforcementlaw enforcementlaw enforcement, if the council considers that disclosure might reasonably be expected to harm the conduct of an investigation under or enforcement of an enactment; (g) litigation or potential litigationlitigation or potential litigationlitigation or potential litigationlitigation or potential litigation affecting the municipality; (h) an administrative tribunal hearingadministrative tribunal hearingadministrative tribunal hearingadministrative tribunal hearing or potential administrative tribunal hearing affecting the municipality, other than a hearing to be conducted by the council or a delegate of council (i) the receiving of advice that is subject to solicitorsolicitorsolicitorsolicitor----client privilegeclient privilegeclient privilegeclient privilege, including communications necessary for that purpose; (j) informationinformationinformationinformation that is prohibited or information that if it were presented in a document would be prohibited from disclosure under section 21 of the Freedom of Information and Protection of Privacy Actunder section 21 of the Freedom of Information and Protection of Privacy Actunder section 21 of the Freedom of Information and Protection of Privacy Actunder section 21 of the Freedom of Information and Protection of Privacy Act; (k) negotiations and related discussions respecting the proposed provision of a municipal serviceproposed provision of a municipal serviceproposed provision of a municipal serviceproposed provision of a municipal service that are at their preliminary stages and that, in the view of the council, could reasonably be expected to harm the interests of the municipality if they were held in public; (l) discussions with municipal officers and employees respecting municipal objectives, measures and progress reports for the purposes of preparing an annual reportpreparing an annual reportpreparing an annual reportpreparing an annual report under section 98 [annual municipal report] (m) a matter that, under another enactmentanother enactmentanother enactmentanother enactment, is such that the public may be excluded from the meeting; (n) the consideration of whether a council meeting should be closed under a provision of this subsection of subsection (2) (o) the considerationconsiderationconsiderationconsideration of whether the authority under section 91authority under section 91authority under section 91authority under section 91 (other persons attending closed meetings) should be exercised in relation to a council meeting. (p) information relating to local government participation in provincial negotiations with First Nationslocal government participation in provincial negotiations with First Nationslocal government participation in provincial negotiations with First Nationslocal government participation in provincial negotiations with First Nations, where an agreement provides that the information is to be kept confidential. City of Maple Ridge COUNCIL WORKSHOPCOUNCIL WORKSHOPCOUNCIL WORKSHOPCOUNCIL WORKSHOP MINUTESMINUTESMINUTESMINUTES July 4, 2016 The Minutes of the City Council Workshop held on July 4, 2016 at 10:00 a.m. in the Blaney Room of City Hall, 11995 Haney Place, Maple Ridge, British Columbia for the purpose of transacting regular City business. PRESENT Elected Officials Appointed Staff Mayor N. Read E.C. Swabey, Chief Administrative Officer Councillor C. Bell K. Swift, General Manager of Community Development, Councillor K. Duncan Parks and Recreation Services Councillor B. Masse F. Quinn, General Manager Public Works and Development Councillor G Robson Services Councillor T. Shymkiw C. Marlo, Manager of Legislative Services Councillor C. Speirs Other Staff as Required C. Nolan, Manager of Accounting D. Denton, Property and Risk Manager W. McCormick, Director of Recreation and Community Services Note: These Minutes are posted on the City Web Site at www.mapleridge.ca 1.ADOPTION OF THE AGENDAADOPTION OF THE AGENDAADOPTION OF THE AGENDAADOPTION OF THE AGENDA The agenda was adopted with the addition of the following 5.7 Deputy Mayor Role 2.MINUTESMINUTESMINUTESMINUTES 2.1 Minutes of the Minutes of the Minutes of the Minutes of the June 20, 2016June 20, 2016June 20, 2016June 20, 2016 Council Workshop Meeting Council Workshop Meeting Council Workshop Meeting Council Workshop Meeting R/2016-293 It was moved and seconded That the minutes of the Council Workshop Meeting ofThat the minutes of the Council Workshop Meeting ofThat the minutes of the Council Workshop Meeting ofThat the minutes of the Council Workshop Meeting of June 20, 2016June 20, 2016June 20, 2016June 20, 2016 be be be be adopted as circulated.adopted as circulated.adopted as circulated.adopted as circulated. CARRIED 2.1 Council Workshop Minutes July 4, 2016 Page 2 of 7 2.2 Minutes of Meetings of Committees and Commissions of CouncilMinutes of Meetings of Committees and Commissions of CouncilMinutes of Meetings of Committees and Commissions of CouncilMinutes of Meetings of Committees and Commissions of Council R/2016-294 It was moved and seconded That That That That the minutes of meetings of the Advisory Design Panel of May 10, 2016, the minutes of meetings of the Advisory Design Panel of May 10, 2016, the minutes of meetings of the Advisory Design Panel of May 10, 2016, the minutes of meetings of the Advisory Design Panel of May 10, 2016, the Agricultural Advisory Committee of May 26, 2016, the Community the Agricultural Advisory Committee of May 26, 2016, the Community the Agricultural Advisory Committee of May 26, 2016, the Community the Agricultural Advisory Committee of May 26, 2016, the Community Heritage Commission of May 3, 2016 and the Public Art Steering Committee Heritage Commission of May 3, 2016 and the Public Art Steering Committee Heritage Commission of May 3, 2016 and the Public Art Steering Committee Heritage Commission of May 3, 2016 and the Public Art Steering Committee of Mof Mof Mof March 29, 2016 be received.arch 29, 2016 be received.arch 29, 2016 be received.arch 29, 2016 be received. CARRIED 2.3 Business Arising from Committee MinutesBusiness Arising from Committee MinutesBusiness Arising from Committee MinutesBusiness Arising from Committee Minutes – Nil 3.PRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCILPRESENTATIONS AT THE REQUEST OF COUNCIL – Nil 4 MAYOR’S AND COUNCILLORS’ REPORTSMAYOR’S AND COUNCILLORS’ REPORTSMAYOR’S AND COUNCILLORS’ REPORTSMAYOR’S AND COUNCILLORS’ REPORTS Councillor BellCouncillor BellCouncillor BellCouncillor Bell Councillor Bell attended a Ridge Meadows Youth Wellness Centre fundraising strategy meeting. She noted that she received comments from downtown stakeholders that notice of meeting for the temporary shelter was either late or not received. The General Manager of Community Development, Parks and Recreation Services advised on the expanded distribution area for the notice and times delivered. Councillor Bell also attended the Canada Day celebration held in Memorial Peace Park. Councillor DuncanCouncillor DuncanCouncillor DuncanCouncillor Duncan Councillor Duncan provided an overview of the Making Cities Livable Conference she attended. She gave an update on Public Art Committee submission for the Canada 150 Grant. Councillor SpeirsCouncillor SpeirsCouncillor SpeirsCouncillor Speirs Councillor Speirs attended a Tailgate Meeting at Hammond Stadium and the Canada Day celebrations in Memorial Peace Park. Councillor MasseCouncillor MasseCouncillor MasseCouncillor Masse Councillor Masse provided information on the sessions he attended at the Making Cities Livable Conference. Council Workshop Minutes July 4, 2016 Page 3 of 7 Councillor RobsonCouncillor RobsonCouncillor RobsonCouncillor Robson Councillor Robson attended the Canada Day celebrations held in Memorial Peace Park. He spoke to the difficulty in assisting individuals who are hoarders and indicated that he will be putting forward a notice of motion to address the matter. He suggested that the Haney Bypass be designated a truck route and that trucks not be permitted on the downtown section of Lougheed Highway. Deputy Mayor ShymkiwDeputy Mayor ShymkiwDeputy Mayor ShymkiwDeputy Mayor Shymkiw Deputy Mayor Shymkiw attended Chief Spence’s retirement, the Canada Day celebration held in Memorial Peace Park, and an Economic Development Committee meeting. He advised that he continues to meet with Tantalus Labs and with Thornhill residents and met with a Council focus group for the branding review. Mayor ReadMayor ReadMayor ReadMayor Read Mayor Read met with ISS students and met with citizens on Wednesday morning. She attended the Samuel Robertson Technical School graduation ceremony. She participated in the production of a video for Metro Vancouver highlighting Maple Ridge’s tree bylaw, has been working with citizens around the Marc Road development, attended the signing of a Memorandum of Understanding between Alisa's Wish and the RCMP and had dinner with Katzie First Nation Chief Susan Miller. Mayor Read attended a Metro Vancouver Board meeting and retirement parties for Russ Carmichael, Director of Engineering Operations and for Fire Chief Dane Spence. She had a dinner meeting the MP Dan Ruimy, attended National Aboriginal Day, a 102nd birthday party for a Maple Ridge resident, met with Grade 1 and 2 students from Eric Langton and had a meeting with a representative from ICBC. She also attended the Mayors’ Consultative Forum re: the IHIT funding formula. She participated in the Canada Day celebrations held in Memorial Peace Park. 5. UNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESSUNFINISHED AND NEW BUSINESS 5.1 Funding to Host Mayor’s Regional Summit on Funding to Host Mayor’s Regional Summit on Funding to Host Mayor’s Regional Summit on Funding to Host Mayor’s Regional Summit on HomelessnessHomelessnessHomelessnessHomelessness Staff report dated July 4, 2016 recommending that staff prepare and submit a Request for Proposal to obtain funding to host a Mayor’s Regional Summit on Homelessness. The General Manager Community Development, Parks and Recreation reviewed the report. Council Workshop Minutes July 4, 2016 Page 4 of 7 R/2016-295 It was moved and seconded That That That That staff prepare and submit an RFP to obtain funding to host a Mayor’s staff prepare and submit an RFP to obtain funding to host a Mayor’s staff prepare and submit an RFP to obtain funding to host a Mayor’s staff prepare and submit an RFP to obtain funding to host a Mayor’s Regional Summit on Homelessness.Regional Summit on Homelessness.Regional Summit on Homelessness.Regional Summit on Homelessness. CARRIED 5.2 Social Policy Advisory Committee Recommendations for Terms of ReferenceSocial Policy Advisory Committee Recommendations for Terms of ReferenceSocial Policy Advisory Committee Recommendations for Terms of ReferenceSocial Policy Advisory Committee Recommendations for Terms of Reference ---- Community Dialogue on HomelessnessCommunity Dialogue on HomelessnessCommunity Dialogue on HomelessnessCommunity Dialogue on Homelessness Staff report dated July 4, 2016 recommending that the Social Policy Advisory Committee’s Terms of Reference for a Community Dialogue on Homelessness be endorsed. R/2016-296 It was moved and seconded That the Social PolThat the Social PolThat the Social PolThat the Social Policy Advisory Committee’s Terms of Reference for a icy Advisory Committee’s Terms of Reference for a icy Advisory Committee’s Terms of Reference for a icy Advisory Committee’s Terms of Reference for a Community Dialogue on Homelessness be endorsed.Community Dialogue on Homelessness be endorsed.Community Dialogue on Homelessness be endorsed.Community Dialogue on Homelessness be endorsed. CARRIED 5.3 Impacts and Recommendations from the High Impact Stakeholders WorkshopImpacts and Recommendations from the High Impact Stakeholders WorkshopImpacts and Recommendations from the High Impact Stakeholders WorkshopImpacts and Recommendations from the High Impact Stakeholders Workshop Staff report dated July 4, 2016 recommending that a temporary position to support public safety in the downtown be created, that a central number for reporting non-emergency issues relating to the creation of the shelter be created, that on-line communications with businesses and residents in the downtown be enhanced and that the coordination of needle retrieval in the downtown be improved through the formation of a Needle Retrieval Committee. The General Manager Community Development, Parks and Recreation reviewed the report. The Chief Administration Officer advised that former Chief of Police, Dave Walsh has been hired to support public safety in the downtown. Council Workshop Minutes July 4, 2016 Page 5 of 7 R/2016-297 It was moved and seconded That staff be directed to:That staff be directed to:That staff be directed to:That staff be directed to: 1. 1. 1. 1. Create a temporary position to support public safety in the downtown; Create a temporary position to support public safety in the downtown; Create a temporary position to support public safety in the downtown; Create a temporary position to support public safety in the downtown; and,and,and,and, 2. 2. 2. 2. Establish a Establish a Establish a Establish a central number for reporting noncentral number for reporting noncentral number for reporting noncentral number for reporting non----emergency issues relating emergency issues relating emergency issues relating emergency issues relating to the operation of the temporary shelter; and,to the operation of the temporary shelter; and,to the operation of the temporary shelter; and,to the operation of the temporary shelter; and, 3. 3. 3. 3. Enhance onEnhance onEnhance onEnhance on----line communications to increase communication with line communications to increase communication with line communications to increase communication with line communications to increase communication with businesses and residents in the downtown; and,businesses and residents in the downtown; and,businesses and residents in the downtown; and,businesses and residents in the downtown; and, 4. 4. 4. 4. Improve coordination of needle rImprove coordination of needle rImprove coordination of needle rImprove coordination of needle retrieval in the downtown through the etrieval in the downtown through the etrieval in the downtown through the etrieval in the downtown through the formation of a Needle Retrieval Committee.formation of a Needle Retrieval Committee.formation of a Needle Retrieval Committee.formation of a Needle Retrieval Committee. CARRIED 5.4 Council Policy 6.20 Council Policy 6.20 Council Policy 6.20 Council Policy 6.20 ---- DDDDevelopment Information Meetings evelopment Information Meetings evelopment Information Meetings evelopment Information Meetings –––– Proposed Proposed Proposed Proposed RevisionsRevisionsRevisionsRevisions Staff report dated July 4, 2016 recommending that Council Policy 6.20 – Development Information Meetings dated January 26, 2010 be repealed and replaced with Council Policy 6.20 – Development Information Meetings dated July 4, 2016. R/2016-298 It was moved and seconded That Council Policy 6.20 That Council Policy 6.20 That Council Policy 6.20 That Council Policy 6.20 ---- Development Information Meetings, dated January Development Information Meetings, dated January Development Information Meetings, dated January Development Information Meetings, dated January 26, 2010 be repealed and replaced with the attached draft Council Policy 26, 2010 be repealed and replaced with the attached draft Council Policy 26, 2010 be repealed and replaced with the attached draft Council Policy 26, 2010 be repealed and replaced with the attached draft Council Policy 6.20 6.20 6.20 6.20 –––– Development Information Meetings, dated July 4, 2016.Development Information Meetings, dated July 4, 2016.Development Information Meetings, dated July 4, 2016.Development Information Meetings, dated July 4, 2016. R/2016-299 It was moved and seconded That That That That the notice period of at least 10 days in Policy 6.20, Section 6) be the notice period of at least 10 days in Policy 6.20, Section 6) be the notice period of at least 10 days in Policy 6.20, Section 6) be the notice period of at least 10 days in Policy 6.20, Section 6) be amended to 2 weeks.amended to 2 weeks.amended to 2 weeks.amended to 2 weeks. DEFEATED Mayor Read, Councillor Duncan, Councillor Masse, Councillor Robson, Deputy Mayor Shymkiw, Councillor Speirs - OPPOSED MAIN MOTION CARRIED 5.5 Sports Team Sponsorship PolicySports Team Sponsorship PolicySports Team Sponsorship PolicySports Team Sponsorship Policy Staff report dated July 4, 2016 providing options for the future sponsorship of sports teams by the City of Maple Ridge. The Manager of Accounting reviewed the report. Council Workshop Minutes July 4, 2016 Page 6 of 7 R/2016-300 It was moved and seconded That That That That the the the the report dated July 4, 2016 titled “Sports Team Sponsorship Policy” be report dated July 4, 2016 titled “Sports Team Sponsorship Policy” be report dated July 4, 2016 titled “Sports Team Sponsorship Policy” be report dated July 4, 2016 titled “Sports Team Sponsorship Policy” be received for information.received for information.received for information.received for information. CARRIED Note: Councillor Robson excused himself from discussion of Item 5.6 at 11:33 a.m. as his residence is in the vicinity of the cell tower. 5.6 PPPProposedroposedroposedroposed Telus Cell TowerTelus Cell TowerTelus Cell TowerTelus Cell Tower,,,, Webster’s CornerWebster’s CornerWebster’s CornerWebster’s Cornerssss Verbal update by the Property and Risk Manager Councillor Masse spoke to potential health impacts to children and advised that he would like a general agreement from Council to send a letter of non- concurrence to Industry Canada R/2016-301 It was moved and seconded That That That That staff be directed to prepare a report staff be directed to prepare a report staff be directed to prepare a report staff be directed to prepare a report on the on the on the on the cell phone tower approval cell phone tower approval cell phone tower approval cell phone tower approval processprocessprocessprocesseseseses and the implications of those processes, for the City to articulate a and the implications of those processes, for the City to articulate a and the implications of those processes, for the City to articulate a and the implications of those processes, for the City to articulate a position on cell towers.position on cell towers.position on cell towers.position on cell towers. CARRIED Note: Councillor Robson returned to the meeting at 11:47 a.m. 5.7 Deputy Mayor RoleDeputy Mayor RoleDeputy Mayor RoleDeputy Mayor Role Councillor Robson requested that the Deputy Mayor role be eliminated. R/2016-302 It was moved and seconded That That That That staff be directed to prepare an amendment to the council staff be directed to prepare an amendment to the council staff be directed to prepare an amendment to the council staff be directed to prepare an amendment to the council procedure procedure procedure procedure bylaw to revert from a Deputy Mayor role to an acting mayor rotation.bylaw to revert from a Deputy Mayor role to an acting mayor rotation.bylaw to revert from a Deputy Mayor role to an acting mayor rotation.bylaw to revert from a Deputy Mayor role to an acting mayor rotation. CARRIED Mayor Read, Councillor Duncan, Deputy Mayor Shymkiw - OPPOSED 6.CORRESPONDENCECORRESPONDENCECORRESPONDENCECORRESPONDENCE Council Workshop Minutes July 4, 2016 Page 7 of 7 6.1 Upcoming EventsUpcoming EventsUpcoming EventsUpcoming Events July 26, 2016 6:00 p.m. 2016 Public Budget Q&A – Council Chambers, City Hall Organizer: City of Maple Ridge 7.BRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCILBRIEFING ON OTHER ITEMS OF INTEREST/QUESTIONS FROM COUNCIL – Nil 8.MATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENTMATTERS DEEMED EXPEDIENT – Nil 9.ADJOURNMENTADJOURNMENTADJOURNMENTADJOURNMENT – 12:05 p.m. _______________________________ N. Read, Mayor Certified Correct ___________________________________ C. Marlo, Corporate Officer 1 City of Maple Ridge TO: Her Worship Mayor Nicole Read MEETING DATE: July 11, 2016 and Members of Council FILE NO: FROM: Chief Administrative Officer MEETING: Workshop SUBJECT: Social Services Research Project EXECUTIVE SUMMARY: As part of the Maple Ridge Resilience Initiative (MRRI), the City embarked on a process to review the delivery of social services in the community particularly within the context of mental health, substance use, homelessness and housing. A Request for Proposal was completed with the Social Planning and Research Council (SPARC) selected as the successful proponent. The project work was divided into five phases and Council was updated upon the completion of each phase. The project is in its final phase and the final draft report and technical appendices are attached for review. Staff is seeking Council’s input RECOMMENDATION: No resolution required. DISCUSSION: a)Background Context: Council endorsed the objectives outlined in the Request for Proposal for the delivery of a Social Services Delivery Project The Social Services Research Project was developed to: 1.Gain a clear understanding of the current service delivery and funding models in the areas of mental health, substance use, and housing supports for marginal populations. 2. Assess and analyze the effectiveness (strengths, gaps, and opportunities for improvement) of current delivery and funding models in meeting the community’s needs, and preparing to meet future/growing needs. 3. Develop recommendations designed to position Maple Ridge to advocate for improved service delivery, enhanced funding, increased resources and better coordination and service delivery models. 4. To design metrics, as well as an ongoing mechanism, to measure the effectiveness collective impact of service delivery and funding models at the local level. The Project: The project was divided into five phases with substantive work being completed in each phase. Throughout the project, the consultant engaged the Maple Ridge Pitt Meadows Katzie Community Network to participate in each phase of the project. The consultant presented to Council and the Community Network at the completion of each phase. 5.1 2 The Report:Project Inception Meeting, Detailed Work Plan, Contract Signing Project Outputs: Social Services Stakeholder Survey. Inventory of Maple Ridge Social Services (Housing, Mental Health, Problematic Substance Use and Addictions). Review of Evidence Based Practices. Consultation Workshops. Shared Performance Outcome Framework. Strategic Directions and Implementation Programs. There are fifteen strategic directions being recommended in the area of housing for vulnerable populations, mental health service enhancements, and enhanced programs to address problem substance use and addictions. The strategic directions are framed with information on related initiatives, implementation steps, potential partner organizations and the resources required to act on the direction. Phase 1: Project Inception Meeting, Detailed Work Plan, Contract Signing Council Presentation: October 5, 2015 Phase 2: Inventory of Service Delivery, Mapping and Online Stakeholder Survey Council Presentation: December 7, 2015 Phase 3: Development of Summary of Evidence-Based Practices and Inventory of Funding Sources Council Workshop: February 1, 2016 Phase 4: Key Stakeholder Workshops, Social Responsibility Matrices, Assessment and Development of Metrics Council Workshop: May 16, 2016 Phase 5: Development and Submission of Social Services Delivery Research Report and Technical Appendices Council Workshop: July 11, 2016 3 This is Council’s opportunity to provide feedback on the report and strategic directions. The consultant will be returning with the community impact matrices and the final report. Council will have an opportunity to endorse the Implementation Plan at that time. b)Desired Outcome: That the report be received for information and that the strategic directions and implementation program be considered for endorsement when the final report is presented to Council. c)Strategic Alignment: The report aligns with goals and objectives in the Housing Action Plan. d)Citizen/Customer Implications: Improved access to services in the area of mental health, substance use and housing is a benefit to all citizens, particularly the most vulnerable, and the community as a whole. CONCLUSIONS: The Social Services Research Project has engaged multi-stakeholders including people with lived experience. There are a number of strategic directions that can be acted upon locally with minimal resources. There are some areas that will need further exploration and greater resources to be acted upon. “Original signed by Shawn Matthewson” Prepared by: Shawn Matthewson, Social Policy Analyst “Original signed by Wendy McCormick” Reviewed by: Wendy McCormick, Director of Recreation “Original signed by Kelly Swift” Approved by: Kelly Swift, General Manager, Community Development Parks & Recreation Services “Original signed by Ted Swabey” Concurrence: E.C. Swabey Chief Administrative Officer :sm Attachment: Maple Ridge Social Services Delivery Research Project - Draft Summary Report July 2016 Maple Ridge Social Services Delivery Research Project - Draft Summary Report July 2016 - Appendixes A - E Maple Ridge Social Services Delivery Research Project DRAFT Summary Report July 2016 Table of Contents 1.0. Introduction ...........................................................................................................................1 2.0. Research Methods and Phases of Activity ................................................................................3 3.0. Summary of Research Findings ................................................................................................6 3.1. Social Service Stakeholders Survey Summary ............................................................................... 6 3.1.1. Respondent Background Summary ....................................................................................... 6 3.1.2. Housing Services Summary ................................................................................................... 6 3.1.3. Mental Health Services Summary ......................................................................................... 7 3.1.4. Substance Use Services Summary ......................................................................................... 7 3.1.5. Duplication in Services Summary .......................................................................................... 8 3.1.6. Rankings of Organization Assets and Issues Summary ......................................................... 8 3.2. Inventory of Maple Ridge Social Services Summary (Housing, Mental Health, Problematic Substance use and Addictions) ................................................................................. 9 3.2.1. Criteria for Inclusion .............................................................................................................. 9 3.3. Review of Evidence Based Practices Summary ........................................................................... 10 3.3.1. Housing Case Study #1 - Sunshine Coast Housing Project .................................................. 10 3.3.2. Housing Case Study #2 - Medicine Hat Plan to End Homelessness .................................... 11 3.3.3. Housing Case Study #3 - London Ontario: Homelessness Prevention System ................... 12 3.3.4. Mental Health Case Study #1 - Preventing Homelessness through Mental Health Discharge Planning: Best Practices and Community Partnerships in British Columbia ...... 13 3.3.5. Mental Health Case Study #2 - England’s Department for Communities and Local Government Preventing Homelessness Project ................................................................. 14 3.3.6. Substance Use Case Study #1: At Home / Chez Soi Project (Vancouver) ........................... 15 3.4. Consultation Workshops Summary ............................................................................................ 16 3.4.1. Housing ............................................................................................................................... 17 3.4.2. Mental Health Services ....................................................................................................... 18 3.4.3. Problem Substance Use and Addiction Services ................................................................. 18 4.0. Shared Performance Outcome Framework ............................................................................ 21 5.0. Concluding Strategic Directions and Recommended Implementation Programs ...................... 23 List of Tables Table 1. Summary of Consultation Workshops .......................................................................................... 16 Table 2. Priority Housing Issues Identified by Workshop Participants ....................................................... 17 Table 3. Priority Mental Health Issues Identified by Workshop Participants ............................................. 18 Table 4. Priority Problem Substance Use and Addictions Issues Identified by Workshop Participants .................................................................................................................................... 19 Table 5. Implementation Directions: Housing for Vulnerable Populations ................................................ 24 Table 6. Implementation Directions: Mental Health Service Enhancements ............................................ 27 Table 7. Implementation Directions: Enhanced Programs to Address Problem Substance Use and Addictions .............................................................................................................................. 30 List of Figures Figure 1. Phases in Social Service Delivery Research Project ....................................................................... 3 Page | 1 1.0. Introduction This report presents summary information gathered during the Maple Ridge Social Services Delivery Research Project. The information herein and the related technical appendices aim to equip the City of Maple Ridge (including council, staff, and committees) with knowledge and recommendations to support decision making with regard to issues related to housing for vulnerable populations, mental health, and problem substance use and addictions in Maple Ridge. As per the Request for Proposals, this study is intended to identify opportunities available to the City that will improve the delivery of all services and will identify funding models for services in the area. Within this context a number of specific goals guided this applied study: 1.Help the City gain a clear understanding of the current service delivery and funding models in the three (3) focus areas of mental health, substance use, and housing supports for marginal populations; 2.Assess and analyze the effectiveness of current delivery and funding models in meeting the community of Maple Ridges’ needs, and preparing to meet its future as well as present growing needs; 3.Develop recommendations designed to position Maple Ridge to advocate for: Changes that will improve the capacity and effectiveness of the current delivery system; Enhanced access to funding programs; Increased resources; and Services designed to address the needs of vulnerable populations, achieve improved access by streamlining the delivery system, and ensure ongoing effectiveness though efficient, innovative, and effective use of resources. 4.Design metrics, as well as an ongoing mechanism, to measure the effectiveness and collective impact of service delivery and funding models at the local level. This summary report presents a high level overview of the major findings from the study and is supported by six technical appendices that provide additional background on the issues identified during the research process. The six Technical Appendices referred to above have the following titles: 1.Technical Appendix A: Social Service Stakeholders Survey Summary; 2.Technical Appendix B: Backgrounder for Inventory of Maple Ridge Social Services; 3.Technical Appendix C: Review of Evidence Base Practices; 4.Technical Appendix D: Consultation Workshops Summary; 5.Technical Appendix E: Measuring and Monitoring Results Summary; and, 6.Technical Appendix F: Social Responsibility Matrices Summary. In addition to this summary report and the six Technical Appendices, a number of information Page | 2 summaries, maps, and funding inventories were developed in support for the engagement elements of the project. In the following section (Section 2), the research methodology and activities are summarized. Section 3 contains a summary of findings from the different lines of inquiry relevant to this study. Section 4 provides an outline of an initial shared performance measurement and outcome framework. Section 5 is a summary of conclusions from the range of project activities, while Section 6 provides a detailed implementation program outlining major recommendations and activities in each of the three focus areas (housing for vulnerable populations, mental health, and problematic substance use and addictions). Page | 3 2.0. Research Methods and Phases of Activity Qualitative and quantitative research and analysis methods were used to complete this project. These include: online survey and summary of results, service inventory, mapping, compilation of case study information on evidence-based practices, summary of funding sources, six community consultation workshops, development of evaluation measures, and development of social responsibility matrices. Detailed research method notes are provided in the technical appendices where applicable. The figure below summarizes the major project activities. Figure 1. Phases in Social Service Delivery Research Project Phase 1: Project Inception Meeting, Detailed Work Plan, Contract Signing Phase 2: Inventory of Service Delivery, Mapping and Online Stakeholder Survey Phase 3: Development of Summary of Evidence-Based Practices and Inventory of Funding Sources Phase 4: Key Stakeholder Workshops, Social Responsibility Matrices, Assessment and Development of Metrics Phase 5: Development and Submission of Social Services Delivery Research Report and Technical Appendices Page | 4 The following is a summary of activities in each of the project phases: Phase 1: Project Inception Meeting, Detailed Work Plan, Contract Signing 1.Developed a project work plan in conjunction with City staff; 2.Confirmed meeting schedule and presentation dates with the City staff; 3.Developed a Gantt chart to visualize project milestones; and, 4.Finalized the project contract. Phase 2: Inventory of Service Delivery, Mapping and Online Stakeholder Survey 1.Developed and administered an online stakeholder survey circulated to key stakeholders in Maple Ridge (including senior managers, Executive Directors, and other knowledgeable individuals identified through the service inventory and recommended by the project Steering Committee) (Appendix A); 2.Completed inventory of services providing support for housing of vulnerable populations, mental health and problem substance abuse and addictions issues (Appendix B); and, 3.Developed Service Delivery Maps summarizing socio-demographic information in the City of Maple Ridge (distributed separately). Phase 3: Development of Discussion Paper on Evidence-Based Practices and Inventory of Funding Sources 1.Developed a total of five case studies summarizing model approaches in addressing issues related to housing and homelessness (the Sunshine Coast Housing Project, the Medicine Hat Plan to End Homelessness, and the London, Ontario: Homelessness Prevention System) and mental health services (mental health discharge planning in British Columbia, Department for Communities and Local Government in London, United Kingdom) (Appendix C); and, 2.Compiled an inventory of funding sources intended to support potential future actions to address issues of housing for vulnerable populations, mental health and problem substance use and addictions (distributed separately). Phase 4: Consultation, Social Responsibility Matrices, and Assessment and Development of Metrics 1.In conjunction with the above research activities, SPARC BC conducted an extensive consultation process involving a range of stakeholders including City of Maple Ridge Council and community social service organizations (Appendix D); and, 2.Using elements identified throughout the research project, a social responsibility matrix was developed outlining the varying scope of responsibility for each of the three levels of government, as well as the community service sector (Appendix F). Page | 5 Phase 5: Development and Submission of the Social Services Delivery Research Report The purposes of the final report are to 1. To articulate a series of recommendations intended to inform the City of Maple Ridge in advocating for reform of policies and systems related to the current social service delivery and funding models; and, 2. Provide a clearer picture about:  How to enable more coordinated communication among the City, service providers, and their clientele;  Steps to enhance access for clients seeking mental health, substance use, and housing- related services; and,  A clear rationale for both the human rights and business case that is needed to enhance existing social service systems. Page | 6 3.0. Summary of Research Findings 3.1. Social Service Stakeholders Survey Summary A survey questionnaire was circulated to key stakeholders involved in developing solutions to issues associated with the three them areas (housing for vulnerable populations, mental health, and problem substance use and addictions). The sections below provide an overview of responses. For full details see Appendix A: Social Service Stakeholders Survey Summary. 3.1.1. Respondent Background Summary In total, 26 respondents took part in a 27-item survey. Each Likert-scale question received, at minimum, 18 responses. Among the respondents who took part in the survey, 16 (62%) represented non-profit service organizations or associations, 3 (12%) represented faith-based groups, and 7 (27%) represented various levels of government. Among full-time employees hired by each respondent’s organization, 12 (52.1%) reported having 25 or fewer full-time employees, 5 (21.7%) reported having between 26 and 50 full-time employees, and 6 (26%) reported their organization having 51 or more full-time employees. Among less than full-time employees hired by each respondent’s organizations, 18 (72%) of respondents reported having between 1 and 25 less than full-time employees, 6 (26%) of respondents reported having between 26 and 500 less than full time employees, and 1 (4%) respondent indicated their organization employs more than 500 less than full-time employees. 3.1.2. Housing Services Summary The majority of respondents (32%) selected male and female populations as being provided housing services by their organizations while children (0 to 12 years) (0%), youth (13 to 18 years (8.3%) and families (12.5%) were least likely to have housing services provided to them. No respondent indicated housing services were more than adequate in meeting the needs of any population group. The majority of respondents, for each population type, indicated such services were either inadequate, or they had no opinion/did not know. Approximately 10 (47.7%) respondents indicated that between 0% and 30% of their organization’s housing services are at risk of losing funding before 2017 while 2 (9.5%) respondents indicated that between 91% and 100% of such services are at risk of losing funding before 2017. The majority of respondents (26.3%) indicated that seniors (ages 65+) would be most adversely affected by the loss of housing services, while all populations was the second most selected category (21.1%). Respondents identified people who are homeless, families and seniors as needing more focused housing services including affordable rental housing for families, increased subsidized units for families and people with disabilities, low barrier and long-term supportive housing, and transitional housing for women with children fleeing abusive situations. For youth specifically, respondents indicated a need for better support for youth in care including emergency youth shelter that is situated in Maple Ridge, Page | 7 increased affordable market rentals for young adults, supportive housing for young adults and youth with mental health/substance use barriers, and supportive housing for youth with developmental and ‘hidden’ disabilities. Respondents also identified a need for more housing specific to seniors, outreach workers who can assist at-risk seniors which completing application forms, applying for subsidies, transportation options, and connection to mental health and social services and home support. 3.1.3. Mental Health Services Summary The majority of respondents (48%) selected people with disabilities and LGBTQ communities as being populations being provided mental health services by their organizations while children (0 to 12 years)(20%) and families (28%) were the least likely populations selected as having mental health services being provided to them. Approximately 5 (20%) respondents reported all populations being provided mental health services by their organization. Respondents were much more likely to rate mental health services as inadequate in meeting the needs of such populations living in Maple Ridge. Respondents identified children, youth, and seniors as populations currently underserved by mental health services. For children and youth, respondents indicated a need for more flexible and client- focused services, online therapy, 24 hour youth crisis response, and early identification of mental health challenges in younger children. For seniors (65+), respondents indicated the need for more geriatric mental health assessments, reduction in wait times, greater support an aging population, anti-stigma and cognitive skill building, wrap-around support for vulnerable populations focusing on relationship building, services focused upon co-occurring mental health disorders, vocational supports and occupational therapy. Approximately 9 (42.9%) respondents indicated that between 0% and 30% of their mental health services are at risk of losing funding before 2017, while 3 (14.3%) respondents reported 91% to 100% of their mental health services are at risk of losing funding before 2017. The populations most adversely affected would include male, female, and senior (65+), and youth (13-18 years) populations as indicated by 4 (21.1%) respondents. 3.1.4. Substance Use Services Summary The majority of respondents (32%) selected First Nations populations, people with disabilities (32%), and people who are homeless (28%) as being populations their organization provides substance use services to, while children (0 to 12 years) (12%), youth (13 to 18 years (16%) and families (16%) were least likely to receive substance use services by their organizations. Approximately 5 (20%) respondents reported all of the listed populations have substance use services provided to them by their organizations. Respondents were much more likely to rate the adequacy of substance use services by population group as either inadequate or had no opinion/did not know. Respondents identified treatment and detox as service areas requiring more attention including recovery programs, second stage housing, post-treatment relapse prevention, general detox and drug and alcohol treatment (both resident and non-resident) with a particular focus on youth programming, accessible methadone services, counselling and support groups, more outreach and trauma support, evidence and research-based harm reduction programs and strategies, early intervention and drug and Page | 8 alcohol awareness programs within schools, healthy lifestyle programming, parent/guardian education, and training for first responders and front line workers on the impact of substance abuse on brain function and how to support individuals with substance use challenges. Approximately 8 (33.4%) respondents indicated that between 0% and 30% of substance use services were at risk of losing funding before 2017, while 3 (12.5%) respondents indicated that between 91% and 100% of such services were at risk of losing funding before 2017. The majority of respondents (20%) indicated that all populations would be most adversely affected by the loss of substance use services. 3.1.5. Duplication in Services Summary Approximately 14 (56%) respondents indicated no duplication of mental health, substance use, or housing services in Maple Ridge while 5 (20%) respondents indicated Maple Ridge does have duplication of services in housing and homeless outreach. Administration and internal operations as well as limited coordination among organizations were seen as a reason for some of this overlap. 3.1.6. Rankings of Organization Assets and Issues Summary Regarding organization assets, respondents ranked strong service delivery model (M = 2.82) and talented and dedicated staff (M = 2.82) as the most important set of assets their organization currently has. Respondents ranked a strong governance model (M = 6.2), strong grant writing skills to secure funding (M = 6.56) and other assets (M = 9.0) as the least important set of assets their organization currently has. Regarding organization issues, respondents ranked not having enough funding to create services that meet the needs of clients (M = 1.94) and not having enough funding for administration and/or expenses (M = 2.81) as the most important service implementation issues their organization currently faces. Issues considered the least important include inadequate translation and interpretation support for clients (M = 10.73), lack of effective policies and procedures (M = 10.7), and lack of exemption from municipal property taxes (M = 10.18). A majority of respondents identified a lack of funding as both an implementation issue and as a root cause. Respondents noted that a lack of funding simply means that fewer front line staff can be hired and fewer clients can be served. Additionally, a few respondents noted that the public needs more awareness and understanding regarding social priorities with communities. Respondents described an environment of misinformation, resistance and fear when it comes to services focused around substance use, mental health and housing in Maple Ridge. In addition, transportation was identified as an issue for some populations – in terms of accessing services when required. To address these issues, the majority of respondents considered increased funding as a solution, educate policy makers about issues facing community organizations, consider sharing administrative costs between organizations, ask cities to waive property taxes for social service organizations, find longer term funders, and more funding specifically to substance use education, prevention and treatment within schools. Page | 9 3.2. Inventory of Maple Ridge Social Services Summary (Housing, Mental Health, Problematic Substance use and Addictions) The main objective of the Maple Ridge’s Social Services Delivery Research Project is to identify key trends, strengths and opportunities related to the service system regarding mental health, substance use, and housing in Maple Ridge in order to establish consistent, innovative and coordinated service delivery and improve accessibility of services. This document is organized according to the three theme areas: (1) Mental Health (79 services and 24 Subcategories); (2) Substance Use (38 programs in 18 Subcategories); and, (3) Housing (47 programs in 20 Subcategories). The next subsection provides an overview of the criteria for inclusion into the inventory. 3.2.1. Criteria for Inclusion The development of the Service Inventory was based on three existing sources: 1. City of Maple Ridge Parks and Leisure Services Community Directory: http://mrpmparksandleisure.ca/; 2. Red Book Online: http://redbookonline.bc211.ca/; and, 3. Referrals by City of Maple Ridge staff and Community Network members. Organization information was confirmed by requesting that service providers review their organizational information for accuracy and completeness. The criteria for inclusion into the Service Inventory include: 1. Services must be offered in Maple Ridge; 2. Services must be free or low cost; and, 3. Services must offer or be related to one or a combination of the following themes:  Housing  Mental Health; or,  Substance Use. The development of a draft Service Inventory identified 134 unique programs offered through 51 organizations. Of those 51 organizations, 35 (69%) are based in Maple Ridge and 16 (31%) organizations are based outside Maple Ridge. Of the 134 individual programs, 106 (79%) are located in Maple Ridge while 28 (21%) are located outside Maple Ridge. Once the draft service inventory was developed, validation was sought for the information compiled about existing resources including:  Program category (mental health, substance use, and/or housing);  Program name;  Service description; Page | 10 Target population (Families; Children 0 to 12 years; Youth 13 to 18 years; Youth 19 to 24 years; Seniors 65+ years; Women; Males, LGBTQ; First Nations; Immigrant/Refugee; People with disabilities, People who are homeless; All of these populations; and/or, Other); Host/Referring Organization Organization Name; Program (Yes/No) and Organization (Yes/No); Offered within Maple Ridge (Yes/No); Long Term (program has been running for 5 years or more) or Short Term (program has been running for less than 5 years); Secured funding for program up to 2017 (Yes/No); Unit number or P.O. Box, street address, city, province and postal code; and, Phone number, email and website To facilitate this process, Executive Directors and Senior Program Officers who offer programs that address housing, mental health, and substance abuse issues were contacted the second week of November of 2015 for their review for accuracy of an excel spreadsheet containing program information they oversee. A reminder email was sent a week later and a final reminder email was sent at the end of November of 2015. Approximately 18 programs out of 134 unique programs were reviewed and validated, constituting 13% of the total programs. These programs came from 10 organizations constituting 20% of the total number (N = 51) of organizations. 3.3. Review of Evidence Based Practices Summary A review of best practice examples related to housing and mental health was undertaken as part of this project. The six case studies illustrate local and worldwide initiatives that seek to address challenges related to the focus of this project. The sections below provide a basic summary of relevant information from the housing studies. For a complete description of each project please see Technical Appendix C: Review of Evidence Base Practices. 3.3.1. Housing Case Study #1 - Sunshine Coast Housing Project This case study provides an overview of the Sunshine Coast Housing Project, an affordable housing study intended to explore the need for affordable housing on British Columbia’s Sunshine Coast and to develop an affordable housing strategy for the area. The study included: a review of a range of data related to the housing situation on the Sunshine Coast; completion of key stakeholder interviews on housing issues; development and presentation of a housing profile (including examples of affordable housing initiatives and tools); a needs assessment to identify gaps in affordable housing on the Sunshine Coast; development of case studies highlighting the roles of local governments, as well as a review of governance options; outline of ‘pros’ and ‘cons’ of community land trust and housing trust funds; Page | 11 description of potential affordable housing sites; and a review of current local government policies and practices regarding affordable housing. Some lessons learned through the process included: 1. It takes time to build support in the community and education and community outreach is critical to securing local buy in for solutions; 2. It is important to ensure that key individuals and institutions in the are informed and engaged in the process; and, 3. Recognize the key role that a social planning council can play in relationship building, communication among stakeholders, and advocacy to the larger community by bringing a perspective that emphasizes the need for long-term solutions involving coordination and collaboration among a range of community interests. The project also identified a number of challenges including: 1. It is difficult for smaller communities to amass significant funds to be able to create affordable housing; 2. There was a lack of municipally owned land close to amenities and served by public transportation that could be used for affordable housing; 3. Requirements specific to rural areas may make it costly to build affordable housing; and, 4. The approval process is slow due to demands related to housing and commercial development projects. 3.3.2. Housing Case Study #2 - Medicine Hat Plan to End Homelessness The overall goal of the Medicine Hat Plan to End Homelessness is to ensure that no-one in the community would have to live in an emergency shelter or “sleep rough” for more than 10 days before they had access to stable housing and associated supports. Implementation of the plan is coordinated by Medicine Hat Community Housing Society (MHCHS) which utilizes a systems approach based on a ‘housing first’ philosophy. The approach is based on a number of key strategies including: 1. System-wide planning with an emphasis on long-term chronic and episodically homeless; 2. Housing and supports including maximizing the use of affordable housing stock and increasing the capacity for the development of permanent affordable housing; 3. Systems integration and prevention (e.g., access to income assistance, partnership with the education sector to address homelessness risk among young people, improved discharge planning by medical services, exploring better integration between family violence and homeless serving systems, and support for the development of a poverty reduction strategy); 4. Acquiring and maintaining data and research on the homeless-serving system; and, Page | 12 5.Development of leadership and sustainability including increased public awareness and engagement in ending homelessness in Medicine Hat, developing and advancing policy priorities to support the Plan to end Homelessness, and providing leadership to end homelessness in Alberta and Canada. Since 2009, Medicine Hat has seen a 45% reduction in shelter usage. In addition, 42% of participants who entered a housing first program were employed. Alberta’s first ever Point in Time Homeless Count was conducted in Medicine Hat on October 16, 2014. On that night, 64 people were counted, five of whom were on the street and 59 of whom were in an emergency shelter or short-term supportive housing. 3.3.3. Housing Case Study #3 - London Ontario: Homelessness Prevention System Ontario’s Housing Services Act introduced in 2011 required all Municipal Service Managers to develop a council-approved 10-year plan to address housing and homelessness. In response to this Act, the City of London developed two separate plans based on a ‘housing first’ approach: the London Community Housing Strategy (2010), and the Community Plan on Homelessness (2010). The City’s approach focused on assisting individuals and families by seeking the right housing, at the right time, in the right place with the right level of approach. These plans were developed through extensive consultation, including a community roundtable, a youth focus group and reviews on emerging directions. In 2012, the City also engaged in a comprehensive approach to revising its Official Plan, called “ReThink London”, a significant focus of which was upon homelessness strategies and policies. Finally, in 2013, the City introduced the Homeless Prevention System: a 3-year implementation plan outlining a coordinated and outcome oriented approach to reducing and preventing homelessness in London. This implementation plan was developed through a series of community forums, and included monthly community advisory group meetings. London’s Homeless Prevention System contains four areas of focus, including: 1.Securing housing – This is addressed through the Neighbourhood Housing Support Centre (NHSC). The NHSC functions as both a physical and virtual hub for homeless individuals, along with those at risk of becoming homeless 2.Providing housing with supports – This is also addressed through the NHSC. A key component of the centre’s success is collaboration between NHSC, community service providers, the City of London, and other stakeholders. The close collaboration between stakeholders has helped support the development of a preventative system based on working groups, accountability agreements, common assessment and performance measurement tools, an integrated information system, case management and service practices, communication protocols and collaborative governance. 3.Housing stability – The Housing Stability Fund is the main component of this focus area. The overall goal of the fund is to offer financial assistance to low income Londoners who may be at risk of homelessness by helping them obtain and retain housing by offering grants and loans to Page | 13 low income residents to assist in paying rent, emergency energy assistance, and moving assistance. 4.Reduced pressure on emergency shelter use – This is addressed by developing strategies to divert individuals from entering shelters in the first place. Diversion is addressed through: short- term case management; conflict mediation; connection to services outside homeless service sector; provision of financial, utility and or rental assistance and increasing availability of different types of housing options. The Centre has also articulated a fifth area of focus, Strategy, Competency and Capacity, intended to strengthen community ties and achieve the actions of the Implementation Plan. In 2017, the City of London plans to undertake an evaluation of the implementation of the plan to date. No new statistics on the homeless population are currently available. 3.3.4. Mental Health Case Study #1 - Preventing Homelessness through Mental Health Discharge Planning: Best Practices and Community Partnerships in British Columbia This case study is based on a research project aimed at identifying effective policies, practices and resource requirements intended to prevent homelessness among residents and patients discharged from mental health facilities. The research project gathered interview data from four mental health facilities representing a mix or rural and urban communities: St. Mary’s Hospital Psychiatric In-Patient Unit (Sunshine Coast); Kootenay Boundary Regional Hospital (Psychiatric In-Patient Unit and Tertiary Residential Care) (Trail and area); Lions Gate Hospital Acute Psychiatric In-Patient Unit (Vancouver North Shore); and Burnaby Centre for Mental Health and Addictions (available province-wide). The study identified a number of best practices associated with effective discharge planning including: 1.Access to appropriate housing resources; 2.Access to community support services; 3.Partnerships and ‘buy-in’ among health care providers, community services, and peer support; 4.Information sharing agreements between hospitals and community services; 5.Early identification of discharge needs; 6.Clearly established ‘home’ for discharge planning within the hospital unit; 7.Discharge planning has a long-term focus on housing and services; and, 8.Discharge planning is culturally sensitive. Barriers to successful discharge planning include: 1.Lack of long term planning and support networks; 2.Community services and peer networks are not involved in discharge planning; 3.Rural locations lack appropriate resources for mental health patients; Page | 14 4.There is a significant gap in housing for those with concurrent disorders; 5.Individuals with behavioural problems are difficult to house; 6.BC has significant gaps in affordable housing across the spectrum; 7.The overall cost of housing in BC and low income assistance rates aggravate the situation; 8.Funding cuts by senior levels of government mean that community services are lacking in rural location and overburdened in urban areas; and, 9.There is no formal mechanism for involving community service organizations in discharge planning even though the play a critical role in supporting clients living in the community. 3.3.5. Mental Health Case Study #2 - England’s Department for Communities and Local Government Preventing Homelessness Project In 2008 the Mayor of London, England committed to ending ‘rough sleeping’ in the Greater London area by the end of 2012. This case study summarizes the role of the government of England’s Department for Communities and Local Government in supporting achievement of this goal. One initiative described is the No-Second Night Out initiative that was intended to ensure that no individual who spent one night on the street would spend a second night on the street. Components of the initiative included: 1.Assisting people off the streets; 2.Helping people to access health care; 3.Supporting people to find work; 4.Reducing bureaucratic burdens; 5.Increasing local control over investment in services; and, 6.Devolving responsibility for tackling homelessness. Another initiative described is “Making Every Contact Count: A Joint Approach to Preventing Homelessness” which relies on collaboration and cooperation among various stakeholders services populations at-risk for homelessness. Strategies employed include: 1.Addressing issues arising from troubled childhoods and adolescence; 2.Improving health; 3.Reducing involvement in crime; 4.Improving access to financial advice, skills and employment services; and, 5.Initiating innovative social funding mechanisms for homelessness. Although these initiatives were seen as successful, the number of “rough sleepers” counted within London between 2001 and 2014 continued to rise. Despite this accomplishments included: Page | 15 1. Establishment of a national Rough Sleeper Reporting Line and Website; 2. Completion of a report containing recommendations on how hospital admission and discharge can be improved for people who are homeless; and, 3. Funding of Homeless Link, a partnership of five local authorities focused on improving outcomes for homeless people with co-occurring mental health and substance use challenges. 3.3.6. Substance Use Case Study #1: At Home / Chez Soi Project (Vancouver) This case study summarizes At Home / Chez Soi, a housing research initiative that included consideration of multidisciplinary approaches to addressing homelessness for Canadians with mental health issues. The research took place in five Canadian cities (Moncton, Montreal, Toronto, Winnipeg, and Vancouver). This included comparison of various housing interventions modeled on the needs of participants. The models assessed included: 1. Housing First (HF) – based on a philosophy of consumer choice this model features immediate access to housing and support services, no mandatory psychiatric treatment or sobriety, and weekly tenant/case worker meetings; 2. Intensive Case Management (ICM) – based on a case management team which brokers specialized services to community agencies and included centralized assignment and weekly case conferences, worker accompaniment to appointments, and a client/staff ratio of 16:1; 3. Housing First with Assertive Community Treatment Groups (HF with ACT) – Based on a transdisciplinary team (psychiatrist, nurse, occupational therapist, substance abuse specialist, and peer specialist) that includes daily team meetings, involvement by program staff in hospital admissions and discharges, and a client/staff ratio of 9:1; 4. Congregate Housing and Supports (CONG) – Self-contained units in a single building with common areas and meals provided along with onsite support staff (psychiatrist, social worker, nurse, pharmacy, activity planning) and a client staff ration of 12:1 ; and, 5. Treatment as Usual (TAU) – No housing and supports provided although some participants may receive housing and support through other programs and agencies. This case study summarizes the results of the Vancouver At Home (VAH) study which included 497 adult participants (19 and older) living with mental health issues and lacking stable housing. In the Vancouver component participants were randomly assigned to one of three possible study groups (HF with ACT, CONG, and TAU). Research results documented that: 1. Housing First interventions cost $28,862 per person per year on average for high needs participants and $15,952 per person per year for moderate need participants1; and, 1 Costs included front line staff salaries, supervisors, program expenses (travel, rent, utilities), and rent supplement provided by MHCC grant. Page | 16 2. Costs for high needs participants were on average $24,190 less per person than the costs of all other related services (e.g., psychiatric hospitals, hospitals, emergency shelters, etc.) while the costs for moderate needs participants increased by $2,667. Researchers articulated the following lessons: 1. There is a need to clearly establish roles for researchers and service providers; 2. The hiring of a Site Coordinator was essential in facilitating equality among team members and in building relationships, trust and transparency; 3. Small committees to address front-line problems in a prompt manner were more important than reliance on higher level meetings; and, 4. The short and long term success of the Vancouver project was based on building consensus among a variety of stakeholders around a common vision for the project and in drawing together the right partners representing both disenfranchised groups and organizations committed to inclusivity and parity of participation. 3.4. Consultation Workshops Summary In order to supplement and enhance the information already collected, a series of consultation workshops were held February to early May, 2016. The workshops involved a wide range of participants including City of Maple Ridge Council members, community service providers and stakeholders, and a variety of people with lived experience of issues of homelessness, mental health and problematic substance use and addictions. An estimated 115 individuals took part in these sessions (see Table 1). Table 1. Summary of Consultation Workshops Workshop Date Estimated Attendance 1. Maple Ridge Community Network (Session 1) February 1, 2016 30 2. Maple Ridge City Council February 1, 2016 7 3. Youth Advisory Council March 8, 2016 20 4. Alouette Home Start Residents (Workshop) March 22, 2016 16 5. Alouette Home Start Residents (Poster) March 29, 2016 15 6. Maple Ridge Community Network (Session 2) April 25, 2016 25 7. Maple Ridge Local Action Team Youth Representatives May 3, 2016 7 TOTAL 120 Page | 17 The workshop format was varied to take into account the specific needs of the participants. For some sessions, presentations and small groups discussions were used to gather information and identify priority issues. In other sessions, a community meal was followed by a discussion and brainstorm session. In some cases, posters were used to gather comments and responses to questions about priority issues. This method was used to ensure confidentiality for those sharing parts of their lived experience. Another method was to ask participants to work in small groups to identify priority issues, short-term actions (i.e., within two years), and potential partners. This was utilized in workshops involving community service providers, The tables below provide a brief summary of the top priorities identified by workshop participants in each of the three topic areas (housing, mental health, problem substance abuse and addictions). Further details of the methods utilized in each workshop and the complete workshop notes are included in Appendix D: Consultation Workshops Summary Report. 3.4.1. Housing Table 2 provides an outline of priority issues identified by workshop participants. Issues identified include continued support for the implementation of the Maple Ridge Housing Action Plan, improved coordination and integration of services, improved access to services, outreach to landlords and property owners, as well as improved support people in transition in the community. Table 2. Priority Housing Issues Identified by Workshop Participants MR Community Network (1) MR City Council MR City Youth Advisory Council Alouette Heights Supportive Housing MR Community Network (2) MR LAT Youth Representatives Improve access to affordable housing Support rent subsidies Continue to implement the Housing Action Plan Integration of mental health services with housing Centralize housing resources Address cost of rental housing for youth Address transport- ation issues Work to decrease waiting times for social housing Improve access to affordable housing Supportive housing provides stability and community Supportive housing as a found- ation for other life changes Improve care and housing for those leaving residential treatment Work with landlords and property managers to ensure housing options Safe house for youth Improve life-skills support for youth living on their own Page | 18 3.4.2. Mental Health Services Workshop participants articulated a range of priority issues related to mental health services (Table 3). These included the need to develop effective strategies to support those with co-occurring disorders, improved outreach in the form of an Assertive Community Treatment (ACT) team, improved outreach for youth in transition out of foster care. Participants also identified issues such as the need for a regional approach to services, improved coordination and communication among service provider as well as improved referral and service-delivery. Public education was also identified as a priority issue as was improved education for medical personal and front line workers about the needs of youth and the resources available to support them. Table 3. Priority Mental Health Issues Identified by Workshop Participants MR Community Network (1) MR City Council MR City Youth Advisory Council Alouette Heights Supportive Housing MR Community Network (2) MR LAT Youth Representatives  Co- occurring Disorders  Outreach (ACT Team)  Outreach (Youth in transition out of foster care  Outreach (Youth in transition out of foster care)  Regional approach to mental health and addictions  Improve referral process  Improve service delivery model in three areas  Address shame and stigma associated with mental health issues  Improve staff training to ensure youth feel welcomed  Address confident- iality issues  Address “NIMBY” syndrome  Improve access and awareness to local services  Develop a mental health working group  Education for medical professional s about referrals  Increase the number of no or low barrier programs  Educate adults who work with youth 3.4.3. Problem Substance Use and Addiction Services With regard to problem substance use and addiction services participants identified a range of priority issues (Table 4). Highest priority issues included improved access to services including detox, improved outreach to youth and to children 6-12, the need for a dedicated “sobering” centre, improved second stage treatment options, and increased outreach to those with both mental health and addictions issues. Other frequently mentioned issues included the need for improve coordination of services, a regional approach to addictions, and public education to address the stigma associated with problem substance use and addiction. Page | 19 Table 4. Priority Problem Substance Use and Addictions Issues Identified by Workshop Participants MR Community Network (1) MR City Council MR City Youth Advisory Council Alouette Heights Supportive Housing MR Community Network (2) MR LAT Youth Representatives Improve access to detox facilities for all (especially youth) Establish Sobering Centre Outreach (Youth) Children and youth (0-12) with emphasis on 6-12 Regional approach to mental health and addictions Address barriers for youth (13- 17) in accessing addictions services Address shame and stigma associated with addictions issues Ensure support in all life areas Work to improve youth trust in services that address problem substance abuse and addictions Improve 2nd stage treatment options Ensure “sober living” options Ensure follow-up support to address issues of integration Increase outreach to vulnerable populations with both mental health and addictions issues Explore co- location of mental health and addictions services Improve public education in all three areas (housing, mental health, and addictions) Improve coordination services Across the six workshops and the three topic areas a number of common themes emerged. These include: 1.Support for the City of Maple Ridge Housing Action Plan including a strong desire to be involved in the implementation of the plan as a means of facilitating the development of affordable housing in general and housing for vulnerable populations in particular; 2.A strong desire to move past the silos that can constrict effective action on issues of housing for vulnerable populations, mental health, and problem substance use and addictions by developing strategies for more effective coordination of services and programs addressing these issues (e.g., consideration of regional approaches to service delivery, and more communications, coordination and integration of services across the three areas, etc.); 3.A need for ongoing public education to ensure that community residents are informed about community initiatives and to address issues of shame and stigma; Page | 20 4.A need to pay attention to issues of access by addressing the barriers that prevent community members for accessing needed services. Issues related to youth include affordable housing, transportation, trust, and education for front line workers on how to speak with youth and what services are available for them; and, 5.A need to improve outreach to families with children 6-12 and other vulnerable populations. Page | 21 4.0. Shared Performance Outcome Framework In addition to the consultation workshops, two additional facilitated workshops were held to gather feedback on the means by which progress and results can be monitored, evaluated and reported on with regard to the three focus areas of housing for vulnerable populations, mental health, and problem substance use and addictions. Participants in the workshops included members of the Community Network and representatives of the City of Maple Ridge. Appendix E: Measuring and Monitoring Results Summary Report provides full details of discussions and recommendations articulated during this process. Participants worked to refine a list of anticipated outcomes from service program. The discussion touches on a number of issues including: 1. Quality of Life; 2. Proactive Approaches; 3. Community Driven Approaches; 4. Mobility; 5. Engagement of Senior Citizens; 6. Integration; 7. Information Sharing; and, 8. Using the Right Language. Participants identified a number of potential measures and assessed the measures in terms of meaningfulness and practicality. These potential measures included: 1. Number of clients served: mental health, substance use, and in need of housing – 12 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 8 of 12 participants indicated sourcing responses were practical. 2. Number (%) of clients cycling services: mental health, and substance use – 10 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 10 of 12 participants indicated sourcing responses were practical. 3. Number (%) of clients transitioning to: supportive housing, and return to work – 9 of 11 participants thought this was ‘very’ or ‘somewhat’ meaningful while 9 of 9 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 4. Number (%) of clients connecting within the community: libraries, recreation, other – 12 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 10 of 11 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. Page | 22 5. Prevalence and description of shared physical space accessible in the community – 9 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 11 of 11 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 6. Average ratings of citizen awareness of: aspects of homelessness, faced trauma, the stigma of mental health, etc. – 12 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 8 of 12 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 7. Average ratings among parents of: access to services, continuity in care, and barriers faced by children and youth – 9 of 11 participants thought this was ‘very’ or ‘somewhat’ meaningful while 8 of 11 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 8. Average client ratings of the: suitability of services, means to advocate on their own needs, and ability to adapt to circumstances – 10 of 12 participants thought this was ‘very’ or ‘somewhat’ meaningful while 11 of 12 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 9. Average client ratings of: safety, sense of belonging, access to social and recreational experiences, access to food, ability to work – 10 of 10 participants thought this was ‘very’ or ‘somewhat’ meaningful while 10 of 10 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. 10. Periodic Evaluation (with GVRSC, Fraser Health and/or Housing BC) of: capacity, addressing cultural differences, state of collaboration, etc. – 7 of 10 participants thought this was ‘very’ or ‘somewhat’ meaningful while 3 of 10 participants indicated sourcing responses were ‘very’ or ‘somewhat’ practical. Two suggestions were made at the end of the session with regard to the implementation performance measures. First, ensure that when service providers are asked to submit data substantial time and effort is not required to complete the information. For example, surveys should ask only a few questions and mainly focus on fixed response options (e.g., scale, check-boxes, etc.) rather than open ended questions. Second, use the first one or two years to refine tools and to agree on information sources. Wait until the second or third year to establish baselines and analysis. Page | 23 5.0. Concluding Strategic Directions and Recommended Implementation Programs This section provides the our logical conclusions based on what the research indicated. In the tables below, we provide implementation directions for housing for vulnerable populations (Table 5), implementation directions for mental health service enhancements (Table 6), and implementation directions for enhanced programs to address problem substance use and addictions (Table 7) in Maple Ridge. Each table of recommendations includes: (1) concluding strategic directions; (2) related city bodies or initiatives within Maple Ridge; (3) implementation steps to work towards their associated strategic direction; (4) potential partner organizations; and (5) the level of resources required to work towards each strategic direction. * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 24 Table 5. Implementation Directions: Housing for Vulnerable Populations Concluding Strategic Direction Related City Bodies or Initiatives Implementation Steps Potential Partner Organizations* Resources Required** 1. Continue to focus on collaborative approaches to implementing the Housing Action Plan  Mayor and Council  Housing Action Plan  Social Planning Advisory Committee  Resilience Initiative 1.1 Liaison with the Community Network on the ongoing implementation of The Housing Action Plan  Community Network Low 1.2 Public engagement and communication to build awareness and support to address housing issues  Community Network Low to Medium 1.3 Host a regional summit focused on the development of collaborative solutions to issues of affordable housing and homelessness  Metro Vancouver  Homelessness Partnering Strategy Medium 1.4 Identify strategies to support difficult to find housing (e.g., sober living, second stage housing, affordable housing, etc.)  Fraser Health  BC Housing High 2. Explore the development of a centralized approach to the provision of housing services in Maple Ridge  Housing Action Plan  Social Planning Advisory Committee  Resilience Initiative 2.1 Work with the Community Network to identify lead organizations and governance structures for ensuring ongoing coordination of housing services in Maple Ridge  Community Network Low to Medium 2.2 Work to improve the homelessness count to provide a complete picture of homelessness in Maple Ridge  Metro Vancouver Low 2.3 Examine best practice models from around the world to address housing and homelessness  Housing Service Providers Low 2.4 Work with responsible Ministries and Agencies to improve access to and adequacy of rental subsidies for those who are at risk of losing their homes or who are homeless and seeking accommodation  Community Network  BC Housing Low * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 25 2.5 Work with responsible Ministries and Agencies to support the development of effective programs to provide job training and experience for people who are homeless  Work BC  Ministry of SDSI Medium 2.6 Work with responsible Ministries and Agencies to support the purchase of buildings to provide shelter and support for vulnerable people in Maple Ridge  BC Housing High 3. Improve the integration of mental health services within existing housing programs  Housing Action Plan  Official Community Plan (Section 3.2) 3.1 Develop a mental health working group/committee with membership from housing, community services, Mental Health and Substance Use Services  MR Local Action Team  Community Network  Fraser Health Medium 3.2 Improve access to mental health services for people living in subsidized housing complexes  Fraser Health  BC Housing Low to Medium 4. Enhance outreach capacity among agencies to support people in need of housing  Community Grants Policy  Social Planning Advisory Committee  Resilience Initiative 4.1 Support the establishment of programs and services that build on existing community strengths  Housing Service Providers Low 4.2 Enhance coordination and support in three inter- related areas (education, employment, and housing)  Community Network Medium 4.3 Improve services for members of the LGBTQ community in need of housing and mental health support  Community Network Medium 4.4 Develop strategies to ensure that youth are able to find safe, affordable housing in Maple Ridge  Community Network  MR Local Action Team Medium to High 5. Strengthen the focus on the development of second stage housing options  Mayor and Council  Housing Action Plan  Official Community Plan (Section 3.2) 5.1 Support the development of a Needs Assessment and Feasibility Study for Second Stage housing in Maple Ridge  BC Housing  Non-Profit Housing Service Providers Low 5.2 Support the implementation of second stage housing projects in Maple Ridge  BC Housing  Non-Profit Housing Service Providers Medium * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 26 6. Develop collaborations with landlords and property management companies (e.g., develop a “Friendly Landlord Network”)  Housing Action Plan 6.1 Compile contact information for landlords and property management companies that offer rentals in Maple Ridge  Community Network Low 6.2 Initiate a public consultation and engagement process with landlords and property management companies aimed at identifying priority issues and recommendations  Community Network Low to Medium 6.3 Support the establishment of an ongoing Landlord Network as a forum for education and problem solving  Community Network Low to Medium * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 27 Table 6. Implementation Directions: Mental Health Service Enhancements Concluding Strategic Direction Related City Body or Initiatives Implementation Steps Potential Partner Organizations* Resources Required** 7. Explore the feasibility of developing and operating a youth safe program (or Safe House) that youth at risk can access when in need  Social Planning Advisory Committee  Youth Advisory Committee 7.1 Identify lead community organization in partnership with local stakeholders  MCFD Low 7.2 Complete needs assessment and feasibility assessment studies and implementation strategy  MCFD Medium 7.3 Develop and implement safe house program  MCFD High 8. Develop strategies for providing mental health services at same space as addictions or improve referral process  Social Planning Advisory Committee 8.1 Initiate a Needs Assessment and Feasibility Study to examine issues related to co-location of services  Community Network - Substance Misuse and Prevention  MR Local Action Team  Fraser Health Medium 8.2 Develop a regional approach to addictions and mental health service needs  Community Network - Substance Misuse and Prevention  MR Local Action Team  Fraser Health High 9. Design and implement an innovative public education campaign around  Mayor and Council  Social Planning Advisory Committee 9.1 Initiate a discussion with the Community Network about how to improve ongoing public education, engagement and consultation with regard to housing and mental health  Community Network - Substance Misuse and Prevention  MR Local Action Team  Fraser Health Low * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 28 the issues of homelessness and mental health, with strategic partnerships with media and community leaders  Resilience Initiative 9.2 Implement ongoing public education strategies addressing issues of homelessness and mental health  Community Network - Substance Misuse and Prevention  MR Local Action Team  Fraser Health Medium 10. Improve wrap around support for youth who are transitioning out of the foster care system  Social Planning Advisory Committee  Youth Planning Table 10.1 Support the development or an effective wraparound model targeted at youth transitioning out of the foster care system  Fraser Health  MCFD  BC Housing Medium 11. Invest in enhanced programming and support networks for people affected by mental health and substance use issues (i.e., people with co-occurring disorders)  Social Planning Advisory Committee 11.1 Research best practice models addressing the needs of people with co-occurring disorders  Fraser Health Low 11.2 Work with Community Network to convene a presentation and discussion session aimed at developing understanding and collaborative solutions  Community Network  Community Network - Substance Misuse and Prevention Low 12. Support the development of strategies to improve access by youth to services addressing mental  Mayor and Council  Social Planning Advisory Committee  Youth Planning 12.1 Support the development of a network promoting community collaboration to address youth issues  Community Network  MR Youth Planning Table  MR Local Action Team Medium 12.2 Ensure that adults who work with youth are educated on how to work with youth (including listening and support skills, knowledge about services, etc.) to ensure that youth feel welcomed and included in support * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 29 health issues and problem substance use and addiction Table services 12.3 Support the implementation of an advocate position that can help youth navigate the various services available to them including support for those transitioning from foster care into independent living * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 30 Table 7. Implementation Directions: Enhanced Programs to Address Problem Substance Use and Addictions Concluding Strategic Direction Related City Body or Initiatives Implementation Steps Potential Partner Organizations* Resources Required** 13. Enhance support for the work of the Substance Misuse and Prevention Committee (sub- committee of the Community Network)  Social Planning Advisory Committee  Youth Planning Table 13.1 Provide resources to develop a strategic plan and funding strategy to provide sustainable support for the Substance Misuse and Prevention Committee  Community Network Medium 13.2 Implement strategies to provide a continuum of services to support people who struggle with problematic substance use and addictions issues that addresses emergency and short-term services (detox, sobering centre, youth detox) medium term (addiction treatment specialized treatment, outpatient services) and long-term services (second stage treatment)  Community Network  Fraser Health  Ministry of Children and Family Development High 14. Improve access to detox facilities with an emphasis on facilities geared to youth who wish to address problem substance use and addiction issues  Social Planning Advisory Committee  Youth Planning Table 14.1 Develop strategies to remove barriers that prevent youth (13-17) from accessing addictions services  Community Network  MR Local Action Team  Fraser Health Low to Medium 14.2 Work with youth representatives to implement ongoing evaluation and feedback on the accessibility and effectiveness of services addressing problem substance us and addictions  Community Network  MR Local Action Team  Fraser Health  Low * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 31 15. Develop enhanced after care drug and alcohol rehabilitation for people once they leave residential treatment, with a focus on integrated case management and wrap around approaches that involve multi- agency collaboration  Social Planning Advisory Committee  Youth Planning Table 15.1 Support the development of collaboration and planning between community service organizations, mental health service providers as well as problem substance use and addictions services  City of Maple Ridge  Community Network  MR Local Action Team  Fraser Health Low 15.2 Support the development of consistent performance measures in order to improve evaluation and measurement of services  Community Network  MR Local Action Team  Fraser Health Low to Medium 16. Explore the development of an Assertive Community Treatment (ACT) team in Maple Ridge based on the success of models implemented in other BC Communities  Social Planning Advisory Committee 16.1 Gather information on ACT teams in Surrey, Abbotsford and other communities  Community Network  Fraser Health  MCFD Low 16.2 Invite knowledgeable speakers to address the Community Network  Community Network  Fraser Health Low 16.3 Work with Fraser Health and Ministry of Children and Family Development to ensure the development of a Maple Ridge ACT Team  Community Network  Fraser Health  MCFD High * City of MR = City of Maple Ridge; Community Network = Maple Ridge, Pitt Meadows, Katzie Community Network; Community Network - Substance Misuse and Prevention = Maple Ridge, Pitt Meadows, Katzie Community Network Substance Misuse and Prevention Subcommittee; MR Local Action Team = Maple Ridge Local Action Team (Child and Youth Mental Health and Substance Use Collaborative (CYMHSU)); MSDSI = Ministry of Social Development and Social Innovation; MCFD = Ministry of Family Development ** Low – Builds on initiatives currently underway and can be implemented with minimal reallocation of existing resources; Medium – May involve increased funding and the development of partnerships with community organizations, funders, senior levels of government, etc.; High – May involve substantial support from outside sources such as senior levels or government as well as the development of complex partnerships and agreements Page | 32 17. Explore the feasibility of developing and operating a “Sobering House”  Social Planning Advisory Committee 17.1 Support the completion of a Needs Assessment and Feasibility Study for a sobering centre in Maple Ridge  Fraser Health  RCMP Low to Medium 18. Improve access to services for people with mental health and substance use challenges, as well as economic constraints, by removing transit barriers and hours of service barriers  Social Planning Advisory Committee  Active Transportation Advisory Committee  Youth Planning Table 18.1 Initiate a discussion with the Community Network, Youth Planning Table and people living in poverty focused on identify strategies to address the barriers that prevent access to services for people facing challenges relating to transportation and income  Community Network  MR Local Action Team Low 19. Engage senior levels of government in developing stronger regional approaches to addressing mental health and issues related to problem substance use and addictions  Mayor and Council  Social Planning Advisory Committee  Youth Planning Table 19.1 Initiate a discussion with Community Network, Youth Planning Table Local Action Team and other organizations focused on identifying strategies to support the development of regional approaches to address mental health issues as well as issues related to problem substance use and addictions  Community Network  MR Youth Planning Table  MR Local Action Team  Other regional municipalities Low to Medium Maple Ridge Social Services Delivery Research Report DRAFT Technical Appendix A:Social Service Stakeholders Survey Summary July 2016 Table of Contents 1.0.Introductory Questions ...........................................................................................................1 1.1.Respondent Consent to Complete the Survey ..............................................................................1 1.2.Organization Types .......................................................................................................................1 1.3.Number of Full-Time Employees...................................................................................................2 1.4.Number of Less than Full-Time Employees...................................................................................3 2.0.Populations Served by Mental Health, Substance Use and Housing Services .............................4 2.1.Populations Served by Mental Health Services ............................................................................4 2.2.Populations Served by Substance Use Services ............................................................................5 2.3.Populations Served by Housing Services ......................................................................................6 3.0.Mental Health Services ...........................................................................................................7 3.1.Adequacy of Mental Health Services in Meeting the Needs of Diverse Populations Living in Maple Ridge ...................................................................................................................7 3.2.Types of Mental Health Services Requiring the Most Attention in Maple Ridge .........................8 3.3.Proportion of Delivered Mental Health Services At Risk of Losing Funding Before 2017 ............9 3.4.Population Groups Most Adversely Affected by a Loss of Mental Health Services Funding ......10 4.0.Substance Use Services .........................................................................................................11 4.1.The Adequacy of Substance Use Services in Meeting the Needs of Diverse Populations Living in Maple Ridge .................................................................................................................11 4.2.Types of Substance Use Services Requiring the Most Attention in Maple Ridge .......................12 4.3.Proportion of Delivered Substance Use Services At Risk of Losing Funding Before 2017 ..........13 4.4.Population Groups Most Adversely Affected by a Loss of Substance Use Services Funding .....14 5.0.Housing Services ...................................................................................................................15 5.1.Adequacy of Housing Services in Meeting the Needs of Diverse Populations Living in Maple Ridge ................................................................................................................................15 5.2.Types of Housing Services Requiring the Most Attention in Maple Ridge .................................16 5.3.Proportion of Delivered Housing Services At Risk of Losing Funding Before 2017 ....................17 5.4.Population Groups Most Adversely Affected By Loss of Housing Services Funding ...................18 6.0.Challenges in Service Implementation and Delivery ...............................................................19 6.1.Duplication of Programs or Services in Maple Ridge ..................................................................19 6.2.Description in Duplication in Services .........................................................................................19 6.3.Most and Least Important Services Implementation Assets ......................................................20 6.4.Most and Least Important Service Implementation Issues ........................................................21 6.5.Description of Other Service Implementation Issues Respondent’s Organizations Currently Face ............................................................................................................................22 6.6.Root Causes of Most Important Issues Identified by Respondents ............................................22 6.7.What Needs to be Done to Address Identified Issues ................................................................23 6.8.Emerging Mental Health, Substance Use and Housing Service Needs of Diverse Populations Needing Priority Attention ......................................................................................23 List of Tables Table 1.Respondent Ranking of Relative Importance of Service Implementation Assets.......................20 Table 2.Respondent Ranking of Relative Importance of Service Implementation Issues .......................21 List of Figures Figure 1.Respondents Reporting of the Number of Full-Time Employees ................................................2 Figure 2.Respondents Reporting of the Number of Less Than Full-Time Employees................................3 Figure 3.Respondents Reporting Types of Population Groups Served By Mental Health Services ...........4 Figure 4.Respondents Reporting Types of Population Groups Served By Substance Use Services ..........5 Figure 5.Respondents Reporting Types of Population Groups Served By Housing Services .....................6 Figure 6.Respondents Rating of the Adequacy of Mental Health Services By Population Group .............7 Figure 7.Respondents Reporting the Proportion of Mental Health Services At Risk of Losing Funding Before 2017....................................................................................................................9 Figure 8:Respondents Reporting the Population Groups Most Adversely Affected by Loss of Mental Health Funding Before 2017 .....................................................................................10 Figure 9.Respondents Rating of Adequacy of Substance Use Services By Population Group .................11 Figure 10.Respondents Reporting the Proportion of Substance Use Services At Risk of Losing Funding Before 2017 .................................................................................................................13 Figure 11.Respondents Rating of Population Groups Most Adversely Affected By Loss of Substance Use Funding Before 2017 ........................................................................................14 Figure 12.Respondents Rating of Adequacy of Housing Services By Population Group ..........................15 Figure 13.Respondents Reporting of the Proportion of Housing Services At Risk of Losing Funding Before 2017 ................................................................................................................17 Figure 14.Respondents Rating of Population Groups Most Adversely Affected By Loss of Housing Services Funding Before 2017 ..................................................................................................18 Figure 15.Respondents Reporting Duplication of Programs or Services in Maple Ridge .........................19 Page |1 1.0.Introductory Questions 1.1.Respondent Consent to Complete the Survey Survey Question #1 Total Number of Responses Will you consent and complete this survey?n = 26 When asked whether they will consent to completing the survey, all 26 (100%) respondents selected yes. 1.2.Organization Types Survey Question #2 Total Number of Responses What is the name of your organization?n = 26 When asked to provide the name of their organization, a total of 26 (100%) respondents provided the name of their organization,representing a variety of NPOs, associations, faith groups and various levels of government (municipal, provincial, federal) from the Maple Ridge area, including the following: 62% of respondents (n = 16) represent non-profit service organizations, or associations: 2 representatives from Maple Ridge/ Pitt Meadows Community Services; 2 representatives from Maple Ridge Pitt Meadows Katzie Community Network; PLEA Community Services Society of BC; Ridge Meadows Seniors Society; Westcoast Family Centres Society –Ridge Meadows; InnerVisions Recovery Society (Drug Addiction Treatment Centre); Asante Center (Provides services related to FASD, ASD and other complex developmental needs); RainCity Housing; Canadian Mental Health Association, Vancouver-Fraser Branch; MPA Society –Vancouver Mental Health and Society Services; The Family Education and Support Centre; Ridge Meadows Child Development Centre (Society); Allouette Addictions Services; and, Allouette Home Start Society. 12% of respondents (n = 3) represent faith-based groups: Petals (Ministry of Maple Ridge Baptist Church); Teen Mother Choices (Cornerstone Neighbourhood Church); and, The Salvation Army Caring Place. 27 % of respondents (n = 7) represent various levels of government: RCMP; Page |2 Child and Youth Mental Health Programs, Ministry of Children and Family Development; Maple Ridge Office of the Ministry of Social Development and Social Innovation; 3 representatives from Fraser Health; and, Social Planning Department, City of Maple Ridge. 1.3.Number of Full-Time Employees Survey Question #3 Total Number of Respondents How many full-time employees does your organization have?n =23 When asked how many full-time employees the respondent’s organization employs,a total of 23 responses were provided. A total of 12 respondents (52.1%) reported their organization having 25 or fewer full-time employees, with 9 (39.1%)respondents having between 1 and 10 full-time employees. Another 5 (21.7%) respondents reported their organization having between 26 and 50 full-time employees, while 6 (26%)respondents reported their organization having 51 or more full-time employees.Figure 1 provides a breakdown of respondent’s selections for Question 3. Figure 1.Respondents Reporting of the Number of Full-Time Employees 39.1% 1-10 Employees 13.0% 11-25 Employees 21.7% 26-50 Employees 4.3% 51-100 Employees 17.4% 101-500 Employees 4.3% 500+ Employees Page |3 1.4.Number of Less than Full-Time Employees Survey Question #4 Total Number of Responses How many less than full-time employees does your organization have?n = 25 When asked how many less than full-time employees the respondent’s organization employs,25 responses were provided. Approximately 18 (72%)respondents indicated their organization employs between 1 and 25 less than full-time employees with 14 (56%) having between 1 and 10 less than full- time employees.A total of 6 (24%)respondents reported their organizations employ between 26 and 500 less than full time employees and 1 (4%) respondent indicated their organization employs more than 500 less than full-time employees.Figure 1 provides a breakdown of respondent’s selections for Question 4. Figure 2.Respondents Reporting of the Number of Less Than Full-Time Employees 56.0% 1-10 Employees 16.0% 11-25 Employees8.0% 26-50 Employees 8.0% 51-100 Employees 8.0% 101-500 Employees 4.0% 500+ Employees Page |4 2.0.Populations Served by Mental Health,Substance Use and Housing Services 2.1.Populations Served by Mental Health Services Survey Question #5 Total Number of Responses Which populations are served by the mental health services your organization provides? Please check all that apply.n = 25 When asked which populations are served by the mental health services their organization provides,a total of 25 responses were provided, of which 12 (48%)respondents indicated that mental health services were provided to LGBTQ individuals and to people with disabilities.Another 11 (44%) respondents indicated their organization provides mental health services to men, women, and to First Nation populations. A total of 10 (40%) respondents indicated such services were provided to seniors (65+)while 9 (36%)respondents indicated these services are provided to youth (ages 19-24)and immigrants/refugees.Only five (20%) respondents indicated that all populations listed are provided mental health services by their organization.Figure 3 provides a breakdown of respondent’s selections for Question 5. Figure 3.Respondents Reporting Types of Population Groups Served By Mental Health Services 0 2 4 6 8 10 12 14 0% 10% 20% 30% 40% 50% 60%Reponse Count (#)Response %Response Count Response percent Page |5 2.2.Populations Served by Substance Use Services Survey Question #6 Total Number of Responses Which populations are served by the substance use services your organization provides? Please check all that apply.n = 25 When asked which populations are served by the substance use services their organization provides, a total of 25 responses were provided.Both people with disabilities and First Nation populations had 8 (32%) respondents who indicated that their organization provided substance use services to them . Likewise,7 (28%)respondents identified people who are homeless as served by their organization’s substance use services.Figure 4 provides a breakdown of respondent’s selections for Question 6. Figure 4.Respondents Reporting Types of Population Groups Served By Substance Use Services 0 2 4 6 8 10 12 14 0% 10% 20% 30% 40% 50% 60%Response Count (#)Response %Response Count Response Percent Page |6 2.3.Populations Served by Housing Services Survey Question #7 Total Number of Responses Which populations are served by the housing services your organization provides? Please check all that apply.n = 24 When asked which populations are served by the housing services their organization provides,a total of 24 responses were provided.Both men and women had 10 (41.7%) respondents who indicated that their organization provided housing services to them. A total of 9 (37.5%) respondents indicated that their organization provided such services to First Nations, while people who are homeless, people with disabilities, and seniors (65+)each had 8 (33.3%) respondents who indicated they provide such services to them. Populations least served by housing services provided by Maple Ridge organizations include children ages 0-12 with no respondents (0%)selecting this population, while 2 (8.3%) respondents selected youth (13 to 18). The low availability of housing for these populations are most likely attributed to the fact that children under the age of 18 do not generally receive independent housing outside of a family or guardianship. However,families as a population unit were also less likely to be served by housing services with 3 (12.5%)respondents selecting this population group.Figure 5 provides a breakdown of respondent’s answers for Question 7. Figure 5.Respondents Reporting Types of Population Groups Served By Housing Services 0 2 4 6 8 10 12 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%Response Count (#)Response %Response Count Response Percent Page |7 3.0.Mental Health Services 3.1.Adequacy of Mental Health Services in Meeting the Needs of Diverse Populations Living in Maple Ridge Survey Question #8 Total Number of Responses Please rate the adequacy of mental health services in meeting the needs of the following populations living in Maple Ridge.n = 24 -26 When asked to rate the adequacy of mental health services in meeting the needs of diverse populations living in Maple Ridge,between 24 and 26 responses were provided.Overall, for each population group, respondents were much more likely to rate mental health services as inadequate in meeting the needs of such populations living in Maple Ridge. Only 1 (4%) respondent selected more than adequate for any of the populations (people who are homeless was seen as provided more than adequate services). Between 4% and 19% of respondents selected adequate for all populations. Between 42% and 80% of respondents selected inadequate with 20 (80%) respondents indicating that mental health services serving the needs of youth (19 to 24 years)as the most inadequate.Figure 6 provides a breakdown of the overall adequacy of mental health services received by each population group. Figure 6.Respondents Rating of the Adequacy of Mental Health Services By Population Group 1 5 4 3 2 2 4 2 1 1 3 16 12 17 20 15 17 15 10 13 10 14 18 1 5 9 5 3 8 4 8 13 10 14 7 5 3 0 5 10 15 20 25 30 Response CountMore than adequate Adequate Inadequate No opinion / I don't know Page |8 3.2.Types of Mental Health Services R equiring the Most Attention in Maple Ridge Survey Question #9 Total Number of Responses Given your responses to the above, what types of mental health services for the populations you selected requires the most attention in Maple Ridge? n = 24 -25 When asked what types of mental health services require the most attention in Maple Ridge, between 24 and 25 responses were provided.A number of respondents identified population groups most in need of mental health services, including:seniors (65+), people who are homeless, First Nations, children and youth, women, families, people with disabilities and immigrants/refugees. Respondents were most likely to identify children and youth, and seniors as populations currently underserved by mental health services. Other respondents also identified types of mental health services requiring attention, specific to children and youth. Notably, respondents identified mental health outreach support for this population; including more flexible, client focused services, such as support crafted to youth and emerging adults through late night appointments, online therapists, or 24 hour youth crisis response. Respondents also identified direct intervention in supporting children and youth seeking assistance as an area requiring focus; along with more access to child psychiatry in general –including more inpatient beds, and residential resources. Likewise, respondents noted that more consideration needs t o be made to the early identification of mental health challenges in younger children –including such challenges as anxiety and attachment disorders, and self-regulation. It was also identified that parents and families need greater access to education and tools to support young children with mental health issues. Additional respondents identified a couple mental health services specific to seniors (65+), including more geriatric mental health assessments (diagnosing dementia spectrum diseases); and services to help support an aging population.Respondents listed a need for other mental health services, unspecific to any sub-population, along with an overall reduction in wait times for mental health services and assessment. Other mental health services for which there is a need in Maple Ridge, include: More (clinical) counselling support, including treatment and intervention services for mental health disorders and challenges; Anti-stigma and cognitive skill building; Services specializing in eating disorders, trauma, abuse (physical and sexual); Intense wrap-around support for vulnerable populations focusing on relationship building; Depression diagnosis and treatment; Services focused upon co-occurring mental health disorders; Vocational supports and occupational therapy; Reduction in wait times for mental health services and assessment;and, Education of front line workers (city employees, RCMP, hospital staff) on mental health. Page |9 3.3.Proportion of Delivered Mental Health Services At Risk of Losing Funding Before 2017 Survey Question #10 Total Number of Responses What proportion of the mental health services you deliver are at risk of losing funding before 2017?n = 21 When asked what proportion of the mental health services delivered by the respondent’s organization is at risk of losing funding before 2017,21 responses were provided. Approximately 9 (42.9%) respondents were unsure of what proportion of mental health services are at risk of losing funding before 2017. Approximately 6 (28.6%) respondents indicated that between 0% and 10% is at risk of losing funding while 3 (14.3%) respondents indicated between 91% and 100% of mental health services were at risk of losing funding before 2017.Figure 7 provides a breakdown of respondent’s selections for Question 10. Figure 7.Respondents Reporting the Proportion of Mental Health Services At Risk of Losing Funding Before 2017 28.6% 0% to 10% of Funding 4.8% 11% to 20% of Funding 9.5% 21% to 30% of Funding 14.3% 91% to 100% of Funding 42.9% Do Not Know Page |10 3.4.Population Groups Most Adversely Affected by a Loss of Mental Health Services Funding Survey Question #11 Total Number of Responses Which population groups would be most adversely affected?n = 19 When asked which population groups would be most adversely affected,19 responses were provided. Approximately 6 (31.6%)respondents were unsure of which specific population groups would be most adversely affected, while women, males, seniors (ages 65+)and youth ages 13-18 years each had 4 (21.1%) respondents indicate these populations would be adversely affected. Figure 8 provides a breakdown of respondent’s selections for Question 11. Figure 8:Respondents Reporting the Population Groups Most Adversely Affected by Loss of Mental Health Funding Before 2017 0 1 2 3 4 5 6 7 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%Response Count (#)Response %Response Count Response Percent Page |11 4.0.Substance Use Services 4.1.The Adequacy of Substance Use Services in Meeting the Needs of Diverse Populations Living in Maple Ridge Survey Question #12 Total Number of Responses Please rate the adequacy of substance use services in meeting the needs of the following populations living in Maple Ridge.n =24 -25 When asked to rate the adequacy of substance use services in meeting the needs of diverse populations living in Maple Ridge, between 24 and 25 responses were provided.Respondents were much more likely to rate the adequacy of substance use services by population group as either inadequate or had no opinion/did not know.For males and people who are homeless, only 1 (4%) respondent selected more than adequate in meeting their needs.Between 4% and 19% of respondents selected adequate for all populations. Between 36% and 50% of respondents selected inadequate for each population including 12 (50%) respondents indicating that substance use services serving the needs of youth (13 to 18 years) as the most inadequate.Figure 9 provides a breakdown of respondent’s selections for Question 12. Figure 9.Respondents Rating of Adequacy of Substance Use Services By Population Group 1 1 4 5 4 5 2 3 3 3 3 2 3 2 12 11 9 9 8 12 11 6 10 10 10 8 1 9 9 11 10 14 9 10 15 11 12 10 13 5 0 5 10 15 20 25 30 Response CountMore than adequate Adequate Inadequate No opinion / I don't know Page |12 4.2.Types of Substance Use Services Requiring the Most Attention in Maple Ridge Survey Question #13 Total Number of Responses Given your responses to the above, what types of substance use services for the populations you selected requires the most attention in Maple Ridge? n =22 When asked what types of substance use services require the most attention in Maple Ridge, a total of 22 responses were provided. Respondents identified youth (19-24), families, First Nations, refugees, people who are homeless, and children (0-12) as population groups most in need of substance use services, Respondents pinpointed a number of substance use services requiring attention in Maple Ridge. Approximately 3 (14%) respondents stated that more substance use services (of all types) are needed, overall. Another 3 (14%)respondents stated that more work focused around substance use needs to be undertaken collaboratively among and between organizations in order to better leverage expertise and resources while also improving the coordination of such services within the community (e.g., between the hospital and outpatient and treatment facilities). Other respondents identified the need for services and therapists focused on concurrent/ co-occurring mental health and substance use challenges. Additionally,respondents identified treatment and detox as service areas requiring more attention. More specifically, respondents saw a need for more recovery programs, including second stage housing and post-treatment relapse prevention; in addition to general detox and drug and alcohol treatment (both resident and non-resident) with a particular focus on youth programming in this area.There was also a note by respondents about a lack of accessible methadone services, which can at times be difficult for people who are homeless to access. Respondents also identified counselling and support groups as a service area requiring focus and attention. Respondents identified substance use counselling services in general, and more specifically those geared to youth as a service delivery area in which there can be long wait times. In addition, one respondent saw a need for more outreach and trauma support. Respondents stated there was a need for program design to be evidence and research-based with a particular focus on harm reduction.In addition, respondents identified a need for more early intervention and drug and alcohol awareness programs within schools, including healthy lifestyle programming. There was also an identified need for education for parents/guardians, first responders and front line workers on the impact of substance abuse on brain function and how to support individuals with substance use challenges. Page |13 4.3.Proportion of Delivered Substance Use Services At Risk of Losing Funding Before 2017 Survey Question #14 Total Number of Responses What proportion of the substance use services you deliver are at risk of losing funding before 2017?n = 24 When asked what proportion of the substance use services delivered by the respondent’s organization is at risk of losing funding before 2017,24 responses were provided. Approximately 13 (54.2%) respondents did not know the proportion of substance use services delivered by their organization that was at risk of losing funding before 2017.Approximately 7 (29.2%) respondents indicated that between 0%and 10% of such services were at risk of losing funding before 2017 while 3 (12.5%)respondents indicated that between 91% and 100% of such services were at risk of losing funding before 2017.Figure 10 provides a breakdown of respondent’s selections for Question 14. Figure 10.Respondents Reporting the Proportion of Substance Use Services At Risk of Losing Funding Before 2017 29.2% 0% to 10% of Funding 4.2% 21% to 30% of Funding 12.5% 91% to 100% of Funding 54.2% Do Not Know Page |14 4.4.Population Groups Most Adversely Affected by a Loss of Substance Use Services Funding Survey Question #15 Total Number of Responses Which population groups would be most adversely affected?n = 20 When asked which population groups would be most adversely affected,20 responses were provided. Approximately 8 (40%)respondents indicated they did not know,while 4 (20%) respondents indicated that all populations would be adversely impacted.Figure 11 provides a breakdown of respondent’s selections for Question 15. Figure 11.Respondents Rating of Population Groups Most Adversely Affected By Loss of Substance Use Funding Before 2017 0 1 2 3 4 5 6 7 8 9 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%Response CountResponse %Response Count Response Percent Page |15 5.0.Housing Services 5.1.Adequacy of Housing Services in Meeting the N eeds of Diverse Populations Living in Maple Ridge Survey Question #16 Total Number of Responses Please rate the adequacy of housing services in meeting the needs of the following populations living in Maple Ridge.n = 24 -25 When asked to rate the adequacy of substance use services in meeting the needs of diverse populations living in Maple Ridge, between 24 and 25 responses were provided. No respondent indicated housing services were more than adequate in meeting the needs of any population group. The majority of respondents, for each population type, indicated such services were either inadequate, or they had no opinion/did not know.For immigrants/refugees and First Nations populations, no respondent selected adequate. Between 38% and 63% of respondents indicated that housing services were inadequate for all populations with 15 (63%) respondents indicating that such services for immigrants/refugees being the most inadequate in meeting their needs.Figure 12 provides a breakdown of respondent’s selections for Question 16. Figure 12.Respondents Rating of Adequacy of Housing Services By Population Group 1 4 1 1 1 2 1 2 1 12 12 11 14 12 10 9 13 15 9 9 3 12 9 12 9 11 12 15 10 7 13 14 4 0 5 10 15 20 25 30 Adequate Inadequate No opinion / I don't knowResponse Count Page |16 5.2.Types of Housing Services Requiring the Most Attention in Maple Ridge Survey Question #17 Total Number of Responses Given your responses to the above, what types of housing services for the populations you selected requires the most attention in Maple Ridge? n = 22 When asked what types of housing services require the most attention in Maple Ridge, a total of 22 responses were provided.Respondents were fairly unanimous in stating that numerous housing types are needed for virtually all population groups in Maple Ridge,but most significantly people who are homeless, families and seniors. More specifically, respondents identified a need for the following types of housing stock: Supportive housing; Affordable rental housing for families; Increased subsidized units for families, and people with disabilities; Low barrier housing; Long term supportive housing; Purpose built rental housing; Housing for women with children fleeing abusive situations; Long term affordable housing;and, Transitional housing. The absolute need for such affordable housing of all types, was brought home by a respondent who noted that “There was a time where a supplemental application completed by a Social Worker confirming their homeless status would have resulted in placement in a BC Subsidized unit.I have not seen this result in years.”Overall, respondents identified that the existing services available are satisfactory but that the volume of need is greater than services available. A number of respondents identified a need for supportive housing types for youth. One respondent identified a need to better support youth in care. Youth specific housing types described by respondents included the following: Emergency youth shelter (situated in Maple Ridge); Youth transitional housing; Increased affordable market rentals for young adults; Supportive housing for young adults and youth with mental health/ substance use barriers;and, Supportive housing for youth with developmental disabilities and ‘invisible disabilities’1. Respondents also identified a need for more housing specific to seniors; in addition to a need for a seniors outreach worker who could assist at-risk seniors which completing application forms, applying for subsidies, transportation options, and connection to mental health and social se rvices and home support. 1 Was noted by a respondent that CLBC criteria for support is an IQ under 70; those with low adaptive scores but an IQ over 70 still may not be able to live independently –however there are no supportive housing options available to them. Page |17 5.3.Proportion of Delivered Housing Services at Risk of Losing Funding Before 2017 Survey Question #18 Total Number of Responses What proportion of the housing services you deliver are at risk of losing funding before 2017?n = 21 When asked what proportion of the substance use services delivered by the respondent’s organization is at risk of losing funding before 2017,21 responses were provided. Approximately 9 (42.9%) respondents said that they did not know while another 9 (42.9%) respondents indicated that between 0% and 10% of their organization’s housing services are at risk of losing funding before 2017.Approximately 2 (9.5%) respondents indicated that between 91% and 100% of such services are at risk of losing funding before 2017.Figure 13 provides a breakdown of respondent’s selections for Question 18. Figure 13.Respondents Reporting of the Proportion of Housing Services At Risk of Losing Funding Before 2017 42.9% 0% to 10% of Funding4.8% 21% to 30% of Funding 9.5% 91% to 100% of Funding 42.9% Do Not Know Page |18 5.4.Population Groups Most Adversely Affected By Loss of Housing Services Funding Survey Question #19 Total Number of Responses Which population groups would be most adversely affected?n = 19 When asked which population groups would be most adversely affected,19 responses were provided. Approximately 6 (31.6%) respondents indicated they did not know while 5 (26.3%)respondents indicated that seniors (ages 65+)would be most adversely affected by loss of housing services.No respondent indicated that children (0 to 12) LBBTQ populations would be adversely affected. Figure 14 provides a breakdown of respondent’s selections for Question 19. Figure 14.Respondents Rating of Population Groups Most Adversely Affected By Loss of Housing Services Funding Before 2017 0 1 2 3 4 5 6 7 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%Response CountResponse PercentResponse Count Response Percent Page |19 6.0.Challenges in Service Implementation and Delivery 6.1.Duplication of Programs or Services in Maple Ridge Survey Question #20 Total Number of Responses Given your review of social services (previous questions), do you see any duplication of programs or services in Maple Ridge?n = 25 When asked whether they see any duplication of programs or services in Maple Ridge, 25 responses were provided,with 14 (56%) respondents indicating there are no duplication of programs or services (mental health, substance use, housing services) in Maple Ridge. Approximately 5 (20%)respondents indicated Maple Ridge does have duplication of services or programs while 6 (24%)respondents were not sure.Figure 15 provides a breakdown of respondent’s selections for Question 20. Figure 15.Respondents Reporting Duplication of Programs or Services in Maple Ridge 6.2.Description in Duplication in Services Survey Question #21 Total Number of Responses If yes, please describe the duplication in services or programs.n =7 When asked to describe the duplication in services or programs (among those respondents who selected yes for question #20), 7 respondents provided a description of such duplication and where it exists. provide a description where such duplication exists.A few respondents noted that although there may be some duplication in services –particularly in housing and homeless outreach; that the duplication in and of itself is not necessarily a bad thing. This theme was reiterated by a few respondents who gave 20.0% Yes 56.0% No 24.0% Not Sure Page |20 different takes on the duplication including organizations having different approaches which may overlap with others. However, there appears to be insufficient services available overall, leaving those living in Maple Ridge in need. Another respondent considered the duplication in terms of different organizations providing services to the same families where,in this case, overlap occurs to ensure families are provided adequate support. Another theme described by respondents is the duplication existing within and amongst organizations in terms of administration and internal operations. One respondent thought it important to consider ways to lower the administrative workload of agency staff in order to increase the impact programs and services could have on the community, by perhaps either reducing the number of agencies or perhaps by looking for greater collaboration amongst service providers. Another respondent thought that any lack of coordination in services stems from the inability to share information across provincial ministries. This individual thought that all points of contact that individuals make with the provincial system (schools, daycares, etc .) should connect people with the services or supports they require. 6.3.Most and Least Important Services Implementation Assets Survey Question #22 Total Number of Responses Please rank the service implementation assets your organization currently has from the most important (1) to the least important (7) by choosing from the drop down menu of each issue. Please note: The list will reorder as you select the rankings for each item. n =18 When asked to rank the service implementation assets your organization currently has from the most important (1) to the least important (7), 18 respondents provided their selections.Overall, respondents ranked strong service delivery model (M = 2.82) and talented and dedicated staff (M = 2.82) as the most important set of assets their organization currently has. Respondents ranked a strong governance model (M = 6.2), strong grant writing skills to secure funding (M = 6.56) and other assets (M = 9.0) as the least important set of assets their organization currently has.Table 1 provides a breakdown of respondent’s selections for Question 22. Table 1.Respondent Ranking of Relative Importance of Service Implementation Assets Rank Service Implementation Assets Rank Average Response Count 1.Strong service delivery model 2.82 17 2.Talented and dedicated staff 2.82 17 3.Location accessible to clients 3.94 17 4.Strong support from partner organizations 4.88 17 5.Adequate funding for administration and or operations 5.38 16 6.Strong support from government 5.67 15 7.Low turn-over in human resources responsible for service delivery 5.69 16 8.Strong governance model 6.20 15 9.Strong grant writing skills to secure funding 6.56 16 10.Other 9.00 5 Page |21 6.4.Most and Least Important Service Implementation I ssues Survey Question #23 Total Number of Responses Please rank the service implementation issues your organization currently faces from the most important (1) to the least important (7) by choosing from the drop down menu of each issue. Please note: The list will reorder as you select the rankings for each item. n = 20 When asked to rank the service implementation issues their organization currently has from the most important (1) to the least important (7), 20 respondents provided their selections.Overall, respondents ranked not having enough funding to create services that meet the needs of clients (M = 1.94) and not having enough funding for administration and/or expenses (M = 2.81) as the most important service implementation issues their organization currently faces.Clearly, access to funding of all types appears to be the most important issue facing most service organizations in Maple Ridge. Issues considered the least important include inadequate translation and interpretation support for clients (M = 10.73),lack of effective policies and procedures (M = 10.7), and lack of exemption from municipal property taxes (M = 10.18).Table 2 provides a breakdown of respondent’s selections for Question 23. Table 2.Respondent Ranking of Relative Importance of Service Implementation Issues Ranking Service Implementation Issues Rating Average Response Count 1.Not having enough funding to create services that meet needs of clients 1.94 18 2.Not having enough funding for administration and/or expenses 2.81 16 3.Lack of financial support for core work 3.47 17 4.Lack of support from government 4.0 14 5.Transportation challenges faced by clients who are trying to access services 4.27 11 6.Lack of advocacy work as a collective 7.09 11 7.Lack of support from partner organizations 8.0 10 8.Burdensome and time consuming evaluation and reporting requirements 8.36 11 9.Regular turnover in human resources responsible for service delivery 9.70 10 10.Other 9.75 8 11.Lack of information about what other organizations are doing 9.82 11 12.Negotiating collective agreement 9.91 11 13.Lack of exemption from municipal property taxes 10.18 11 14.Lack of effective policies and procedures 10.7 10 15.Inadequate translation and interpretation support for clients 10.73 11 Page |22 6.5.Description of Other Service Implementation I ssues Respondent’s Organizations Currently Face Survey Question #24 Total Number of Responses If you selected 'other' as a service implementation issue your organization currently faces, please describe the issue below.n = 5 When asked to describe other service implementation issues, 5 respondents provided a description of such other issues. Among these responses, the service implementation issues faced by organizations in Maple Ridge include the following: Lack of affordable housing; Community misinformation and resistance (regarding mental health, substance use and housing services); Lack of communication between relevant provincial ministries; and, Balancing provincial needs with local needs. 6.6.Root Causes of Most Important Issues Identified by Respondents Survey Question #25 Total Number of Responses For the issue you identified as most important, what are the root causes of this issue from your perspective?n =18 When asked to describe the root causes of the issue identified as the most important,18 respondents provided a description of such root causes.A majority of respondents identified a lack of funding as both an implementation issue (see question 23) and as a root cause. There were a number of perspectives regarding the impact that a lack of sustainable funding has on organizations and the community, and what can be done. Respondents noted that a lack of funding simply means that fewer front line staff can be hired, and fewer clients can be served. Additionally, several respondents noted that funders often don’t want to pay for the administrative portion of service agencies operations which include:(1)regulatory obligations for work-safe, collective agreements, staff wellness; (2) infrastructure costs including IT, repairs, replacement costs, accessibility improvements; and, (3) other costs including governance, human resources, promotion, social media, risk and management. A number of respondents identified provincial funding formulas both at the Ministry of Health (for Health Authorities)and within the Ministry of Children and Family Development, as both restrictive and limited. One respondent noted that funding from such ministries remains static including: (1)no costs of living increases have been factored in;(2)no mechanism to redistribute funding as communities grow and populations change over time;and, (3)no funding increases to administrative or operations budgets since 2009. One respondent noted that the provincial government apparently negotiated a collective agreement in 2012, which remained unfunded and agencies were asked to find the money in operations. In addition, a few respondents said provincial ministries may want to consider ways of integrating funding models, or simply finding ways to connect within and amongst ministries and agencies more effectively to be more responsive changing needs within communities. Respondents noted that funding seemed to be short on all sides within provincial ministries and within the community as a whole. A few respondents identified Page |23 conditions of poverty within the community as a cause of many of the issues –as people do not have sufficient income on which to live. Additionally, a few respondents noted that the public in general, needs more information to facilitate better awareness and understanding regarding social priorities with communities. Respondents described an environment of misinformation, resistance and fear when it comes to services focused around substance use, mental health and housing in Maple Ridge. In addition, transportation was identified as an issue for some populations –in terms of accessing services when required. 6.7.What Needs to be Done to Address Identified Issues Survey Question #26 Total Number of Responses What needs to be done to address this issue from your perspective?n =19 When asked what needs to be done to address these issues,19 respondents provided a description of what they believe is needed.As a majority of respondents identified lack of funding as a major issue,the majority of respondents also considered increased funding as a solution. Respondents considered a few different ways to address this lack of funding both within the government and in the community: Educate policy makers about issues facing community organizations; including the necessity of administrative costs; Provincial government should look into distribution of necessary funds on a population- based formula and should honour negotiated contracts with service level staff; Consider sharing administrative costs between organizations; Ask cities to waive property taxes for social service organizations (much like churches); Creative models of support and housing that reduce costs and overhead; Find longer term funders;and, More funding specifically to substance use education, prevention and treatment within schools. A few respondents were candid about solutions to funding shortages describing their organizations having already taken many steps to address the issue with various levels of government and that unless funding levels are addressed, service levels will continue to be reduced within communities. Others offered potential policy solutions at the provincial level, including implementing a guaranteed minimum income program across the province and a review of service integration in order to adopt a social policy framework to align related ministries. 6.8.Emerging Mental Health, Substance Use and Housing Service Needs of Diverse Populations Needing Priority Attention Survey Question #27 Total Number of Responses What emerging mental health, substance use, and housing service needs of diverse populations do you think need priority attention?n = 20 Homelessness A number of respondents identified homelessness as a growing issue in Maple Ridge. Respondents listed a number of different housing service needs related to homelessness, including: Page |24 Housing first –and then prevention and education; Emergency shelter for youth; Low barrier shelters; Emergency housing for youth who are not within foster care system; refunding of Iron Horse; Permanent shelter for people who are homeless; Overall homelessness strategy for the city, province and country; Housing subsidies, affordable housing and supported housing;and, Decide upon acceptable housing model for the chronically homeless. Affordable Housing Another theme reiterated by respondents, was the overall need for more affordable housing options in Maple Ridge. The lack of affordable housing options seemingly impacts all population groups. Respondents identified a few specific housing priorities in the community, including: Affordable and accessible seniors housing; Enhanced supported housing; Publicly funded assisted living units;and, Low-rent market housing and a continuum of housing. Community-Based Support for Substance Use Services Overall, respondents identified a need for more resources within the community to support individuals with substance use challenges. More specifically, respondents identified the following related needs: Harm reduction services; Opioid substitution access (methadone); Early identification / assessment; Wrap around services for the individual and family; providing direct intervention and preventative measures; Trauma-based practice across community service providers, RCMP, Health, MCFD and schools; More counsellors and resources to refer individuals; More treatment beds, detox, and second stage housing; Follow up support;and, Outreach. Youth-Focused Mental Health Services Respondents identified a significant need within the community for more youth-focused mental health services. While there is need within the community for more mental health services, overall, respondents seemed to indicate that such services are particularly thin on the ground for youth. Respondents gave a few examples of the need for such services, including the following: Community support for children and youth presenting with moderate to severe anxiety; Collaborative programs and supports for youth resorting to suicidal behaviour; Page |25 Youth treatment and detox centres;and, Improved access to mental health counselling. Concurrent Disorders A few respondents identified the need for more support and resources for individuals with concurrent disorders (presenting with both mental health and substance use challenges). There are apparently few clinicians or community organizations able to support individuals with these challenges. Maple Ridge Social Services D Delivery Research Report DRAFT Technical Appendix B:Backgrounder for Inventory of Maple Ridge Social Services (Housing,Mental Health, Problematic Substance use and Addictions) July 2016 Table of Contents 1.0.Introduction ...............................................................................................................................1 1.1.About The Service Mapping Project .............................................................................................1 1.2.Criteria for Inclusion......................................................................................................................1 2.0.Services Provided .......................................................................................................................3 3.0.Organizations and Programs by Categories ..................................................................................5 3.1.Mental Health Organizations and Programs.................................................................................5 4.0.Mental Health, Substance Use, and Housing Services Inventory ...................................................7 4.1.Mental Health Services Inventory by Subcategories ....................................................................7 4.2.Substance Use Services Inventory by Subcategories ....................................................................8 4.3.Housing Services Inventory by Subcategories ..............................................................................9 List of Tables Table 1.Host/Referring Organization and Number of Services Provided ....................................................3 Table 2.Inventory Categories and Subcategories ........................................................................................5 Table 3.Mental Health Services Provided by Subcategories .......................................................................7 Table 4.Substance Use Services Provided by Subcategories .......................................................................8 Table 5.Housing Services Provided by Subcategories..................................................................................9 Page |1 1.0.Introduction 1.1.About The Service Mapping Project The main objective of the Maple Ridge’s Social Services Delivery Research Project is to identify key trends, strengths and opportunities related to the service system regarding mental health,substance use, and housing in Maple Ridge in order to establish consistent, innovative and coordinated service delivery and improve accessibility of services. This document is organized according to the three theme areas:(1)Mental Health (79 services and 24 Subcategories); (2)Substance Use (38 programs in 18 Subcategories); and, (3)Housing (47 programs in 20 Subcategories).The next subsection provides an overview of the criteria for inclusion into the inventory. 1.2.Criteria for Inclusion The development of the Service Inventory was based on three existing sources: City of Maple Ridge Parks and Leisure Services Community Directory: http://mrpmparksandleisure.ca/; Red Book Online:http://redbookonline.bc211.ca/; and, Referrals by City of Maple Ridge staff and Community Network members. Organization information was confirmed by requesting that service providers review their organizational information for accuracy and completeness.The criteria for inclusion into the Service Inventory include: Services must be offered in Maple Ridge; Services must be free or low cost; and, Services must offer or be related to one or a combination of the following themes: o Mental Health; o Substance Use; or, o Housing. The development of a draft Service Inventory identified 134 unique programs offered through 51 organizations. Of those 51 organizations, 35 (69%) are based in Maple Ridge and 16 (31%) organizations are based outside Maple Ridge. Of the 134 individual programs, 106 (79%) are located in Maple Ridge while 28 (21%) are located outside Maple Ridge. Once the draft service inventory was developed, validation was sought for the information compiled about existing resources including: Program category (mental health, substance use, and/or housing); Program name; Service description; Target population (Families; Children 0 to 12 years; Youth 13 to 18 years; Youth 19 to 24 years;Seniors 65+ years; Women; Males, LGBTQ; First Nations; Immigrant/Refugee; Page |2 People with disabilities, People who are homeless; All of these populations;and/or, Other); Host/Referring Organization Organization Name; Program (Yes/No) and Organization (Yes/No); Offered within Maple Ridge (Yes/No); Long Term (program has been running for 5 years or more) or Short Term (program has been running for less than 5 years); Secured funding for program up to 2017 (Yes/No); Unit number or P.O. Box, street address, city, province and postal code; and, Phone number, email and website To facilitate this process,Executive Directors and Senior Program Officers who offer programs that address housing, mental health, and substance abuse issues were contacted the second week of November of 2015 for their review for accuracy of an excel spreadsheet containing program information they oversee.A reminder email was sent a week later and a final reminder email was sent at the end of November of 2015. Approximately 18 programs out of 134 unique programs programs were reviewed and validated, constituting 13% of the total programs.These programs came from 10 organizations constituting 20% of the total number (N = 51) of organizations. Page |3 2.0.Services Provided A total of 51 organizations were identified as delivering programs and services within the three main categories identified (mental health, substance use, and housing services). Table 1 provides an overview of these organizations and the number of programs in the service categories that each organization offers. Table 1.Host/Referring Organization and Number of Services Provided Organization Name # of Services Provided 1.Act 2 Child and Family Services 4 2.Al-Anon Family Groups -BC-Yukon Area 81 1 3.Alcohol & Drug Information and Referral Service 1 4.Alcohol-Drug Education Service 1 5.Alcoholics Anonymous 1 6.Alouette Addictions Services 1 7.Alouette Home Start Society 5 8.Arcus Community Resources 1 9.Asante Centre 1 10.BC Housing 4 11.bc211 1 12.British Columbia Schizophrenia Society 1 13.Canadian Mental Health Association -Simon Fraser Branch 1 14.City of Maple Ridge (Parks and Leisure Services) / Fraser Health Authority (Mental Health and Substance Use) 1 15.Cocaine Anonymous -BC Area 1 16.Cornerstone Neighbourhood Church 1 17.Crisis Intervention and Suicide Prevention Centre of BC 1 18.Cythera Transition House Society 4 19.Family Education and Support Centre 7 20.Fraser Health 10 21.Fraser River All Nations Aboriginal Society 1 22.Friends in Need Food Bank 1 23.Haney Pioneer Village Cooperative 1 24.Immigrant Services Society of BC 2 25.Innervisions Recovery Society of BC 3 26.LifeRing Alcohol and Drug Peer Support Groups 1 27.Maple Ridge Mental Health Centre 9 28.Maple Ridge Pitt Meadows Community Services 14 29.Maple Ridge, Pitt Meadows, Katzie Community Network 2 30.Ministry of Children and Family Development 7 Page |4 31.MPA Society 3 32.Narcotics Anonymous -Vancouver Area 1 33.Native Courtworker and Counselling Association of British Columbia 1 34.One Way Club Society 1 35.Pathfinder Youth Centre Society -Maple Ridge Office 1 36.PLEA Community Services Society of BC 8 37.RainCity Housing 1 38.Ridge Meadows Association for Community Living 3 39.Ridge Meadows Child Development Society 2 40.Ridge Meadows Hospice Society 1 41.Ridge Meadows Hospital 4 42.Ridge Meadows Mental Health Self Support Centre 1 43.Ridge Meadows Seniors Centre 1 44.Salvation Army -BC Division 4 45.Salvation Army Caring Place 5 46.SUCCESS 1 47.Surrey Memorial Hospital 3 48.Tenant Resource Advisory Centre 1 49.The F.O.R.C.E. Society for Kids' Mental Health 1 50.West Coast Family Centres Society (Ridge Meadows)1 51.WJ Stelmaschuk and Associates Ltd (WJS Canada)1 TOTAL 134 Page |5 3.0.Organizations and Programs by Categories Three categories and 62 subcategories were identified as part of the development of the inventory. The three main categories include:(1)Mental Health (24 subcategories); (2)Substance Use (18 subcategories); and, (3)Housing (20 subcategories). Table 1 provides an overview of categories and subcategories. 3.1.Mental Health Organizations and Programs Mental health programs (24 subcategories); (2) Substance Use (18 subcategories); and, (3) Housing (20 subcategories). Table 2 provides an overview of categories and subcategories. Table 2.Inventory Categories and Subcategories Category Subcategory Mental Health Programs (24 Subcategories) 1.Assessment Services 2.Case Management 3.Counselling Services 4.Day Treatment 5.Drop In Services 6.Education 7.Employment Services 8.Family Support Services 9.Hospice 10.Housing 11.Information and Referral Services 12.In-Patient Services 13.Mentorship 14.Outreach Services 15.Psychosocial Rehabilitation Services 16.Public Health Nurse 17.Recreation Therapy 18.Sexual Health 19.Short Stay Housing 20.Short Term Assessment 21.Support Group 22.Support Services 23.Transition Housing 24.Wraparound Services Page |6 Substance Use Services (18 Subcategories) 1.Addictions Counselling 2.Advocacy Services 3.Capacity Development 4.Concurrent Disorders 5.Detox Management 6.Education 7.Employment Services 8.Family Support Services 9.FASD 10.Information and Referral 11.Outpatient Treatment 12.Outreach Services 13.Peer Support 14.Prevention 15.Residential Treatment 16.Support Services 17.Supported Recovery 18.Transitional Housing Housing Programs (20 Subcategories) 1.Advocacy 2.Affordable Housing 3.Assisted Living 4.Capacity Development 5.Community Living Services 6.Emergency Shelter 7.Food Programs 8.Health Services 9.Home Support 10.Housing Registry 11.Information and Referral 12.Language 13.Legal Services 14.Outreach -Homelessness 15.Prevention -Homelessness 16.Rent subsidy 17.Resettlement Assistance 18.Support -Homelessness 19.Supportive Housing 20.Transitional Housing Page |7 4.0.Mental Health, Substance Use, and Housing Services Inventory 4.1.Mental Health Services Inventory by Subcategories Table 3 provides a breakdown of mental health services and subcategories. The total includes programs that may have been identified in duplicate categories. Table 3.Mental Health Services Provided by Subcategories Category Subcategory Program Type # of Programs Mental Health Services Assessment (5) Assessment 3 Case Management 1 Short Term Assessment 1 Counselling Services (10)Counselling 10 In-Patient Services (7)Day Treatment 1 In-Patient 4 Psychosocial Rehabilitation 2 Support Services (23) Drop In 3 Employment 1 Family Support 6 Mentorship 1 Peer Support Group 6 Recreation Therapy 1 Support Services 2 Sexual Health 2 Wraparound Services 1 Education (7)Education 7 Information and Referral (11)Information and Referral 11 Outreach (6)Outreach 5 Public Health Nurse 1 Housing (8) Hospice 1 Housing 1 Short Stay Housing 1 Transition Housing 5 Programs 77 Organizations 25 Page |8 4.2.Substance Use Services Inventory by Subcategories Table 4 provides a breakdown of substance use services and subcategories. The total includes programs that may have been identified in duplicate categories. Table 4.Substance Use Services Provided by Subcategories Category Subcategory Program Type # of Programs Substance Use Services Treatment (11) Addictions Counselling 2 Concurrent Disorders 1 Detox Management 1 Outpatient Treatment 2 Peer Support 5 Information and Referral (4)Information and Referral 4 Residential Treatment (5)Residential Treatment 4 Transitional Housing 1 Support (6) Employment 1 Family Support 1 FASD Support 2 Support 1 Supported Recovery 1 Other (5) Advocacy 1 Capacity Development 1 Education 1 Outreach 1 Prevention 1 Programs 31 Organizations 18 Page |9 4.3.Housing Services Inventory by Subcategories Table 5 provides a breakdown of housing services and subcategories. The total includes programs that may have been identified in duplicate categories. Table 5.Housing Services Provided by Subcategories Category Subcategory Program Type # of Programs Housing Services Community Support (14) Advocacy 3 Capacity Development 2 Food Programs 2 Housing Registry 1 Health Services 1 Home Support 1 Information and Referral 2 Language Instruction 1 Homelessness (8) Outreach -Homelessness 3 Prevention -Homelessness 1 Support -Homelessness 4 Housing (21) Affordable Housing 1 Assisted Living 1 Community Living Services 4 Emergency Shelter 4 Rent Subsidy 3 Resettlement Assistance 1 Supportive Housing 6 Transitional Housing 1 Programs 43 Organizations 25 Maple Ridge Social Services Delivery Research Report DRAFT Technical Appendix C:Review of Evidence- based Practices July 2016 Table of Contents 1.0.Introduction ...........................................................................................................................1 2.0.Housing Case Study #1 -Sunshine Coast Housing Project..........................................................2 2.1.Summary of Challenges .......................................................................................................2 2.2.Overview of Approach .........................................................................................................2 2.3.Implementation Characteristics ...........................................................................................3 2.4.Evidence of Success and Lessons Learned .............................................................................4 2.5.Additional Resources ...........................................................................................................5 3.0.Housing Case Study #2 -Medicine Hat Plan to End Homelessness .............................................7 3.1.Community Profile ..............................................................................................................7 3.2.Organization Profile and Purpose.........................................................................................7 3.3.Summary of Challenges .......................................................................................................8 3.4.Overview of Approach .........................................................................................................9 3.5.Implementation Characteristics .........................................................................................10 3.6.Project Budget and Costs ...................................................................................................11 3.7.Evidence of Success and Lessons Learned ...........................................................................12 3.8.Additional Resources .........................................................................................................13 4.0.Housing Case Study #3 –London, Ontario: Homelessness Prevention System .........................14 4.1.Case Summary ..................................................................................................................14 4.2.Social Housing Stock in London, Ontario ............................................................................14 4.3.Summary of Challenges .....................................................................................................15 4.4.Overview of Approach .......................................................................................................15 4.5.Implementation Characteristics .........................................................................................17 4.6.Project Budget and Costs ...................................................................................................18 4.7.Evidence of Success and Lessons Learned ...........................................................................18 4.8.Additional Resources .........................................................................................................18 5.0.Mental Health Case Study #1 -Preventing Homelessness through Mental Health Discharge Planning: Best Practices and Community Partnerships in British Columbia .............20 5.1.Case Summary ..................................................................................................................20 5.2.Summary of Challenges and Lessons Learned .....................................................................20 5.3.Overview of Approach .......................................................................................................21 5.4.Implementation Characteristics .........................................................................................22 5.5.Additional Resources .........................................................................................................23 6.0.Mental Health Case Study #2 -England’s Department for Communities and Local Government Preventing Homelessness Project .....................................................................24 6.1.Case Summary ..................................................................................................................24 6.2.Summary of Challenges .....................................................................................................25 6.3.Overview of Approach .......................................................................................................25 6.4.Implementation Characteristics .........................................................................................26 6.5.Project Budget and Costs ...................................................................................................27 6.6.Evidence of Success and Lessons Learned ...........................................................................27 6.7.Additional Resources .........................................................................................................29 7.0.Substance Use Case Study #1 –Vancouver at Home / Chez Soi Project (Vancouver)................30 7.1.Summary of Challenges .....................................................................................................32 7.2.Overview of Approach .......................................................................................................32 7.3.Implementation Characteristics .........................................................................................32 7.4.Project Budget and Costs ...................................................................................................33 7.5.Evidence of Success and Lessons Learned ...........................................................................33 7.6.Additional Resources .........................................................................................................34 List of Tables Table 1.Provincially and Federally-Funded Initiatives ..............................................................................12 Table 2.Affordable Housing Types in London, Ontario .............................................................................14 Table 3.Year 1: London, Ontario Activities ...............................................................................................17 Table 4.Year 2: London, Ontario Activities ...............................................................................................17 Table 5.Characteristics of the Treatment Groups for the Vancouver At Home Study .............................30 Table 6.Participants Demographics by Treatment Group for the Vancouver At Home Study .................31 List of Figures Figure 1.Number of Rough Sleepers Counted in London .........................................................................28 Page |1 1.0.Introduction To inform the City of Maple Ridge as to the best practices in research and innovative initiatives and approaches to achieve coordination and streamlining between services, the following sections provide an overview of six case studies in the areas of housing, mental health and substance use. Documents were collected, analyzed,and summarized and resulted in the development of six case studies each containing the following components for review: 1.Background Description of the Municipality Location, population, economic and social service delivery profile, and other relevant demographics. 2.Intervention Summary Summary of the case study which briefly discusses identified challenges made by the municipality and how challenges were identified. Case studies will have identified challenges that align, to the greatest extent possible, to the three (3) priority areas of Maple Ridge; 3.Intervention Approach Discussion of the methodological approach or nature of intervention, who is involved and the process (e.g., contracting and committee formation process); 4.Implementation Characteristics Discussion of the intervention procedures, who is carrying out the procedures (i.e., roles of local government and committees), who are the participants, and who is providing oversight and maintenance; 5.Project Budget and Costs; Description of funding partners and budget for phases of work, and costs of intervention phases/steps; 6.Evidence of Success and Lessons Learned; Discussion of key findings, success, and lessons learned related to participant outcomes, best practices in social service delivery and implic ations of intervention on policies; 7.Additional Resources A reference list of peer-reviewed, scholarly articles supporting the findings of best practices identified, lessons learned, and other evidence of success. Page |2 2.0.Housing Case Study #1 -Sunshine Coast Housing Project The Sunshine Coast is a rural region in Southwestern British Columbia with a population over 28,000. Many residents live in unincorporated areas within the Sunshine Coast Regional District (SCRD). Others live within municipalities such as the District of Sechelt or the Town of Gibsons. A smaller group lives within the Sechelt Indian Government District.The population age trends older with six out of ten residents being over the age of 45 while the median household income is comparable to other coastal communities. Since 2001, housing costs have increased by 130% on the Sunshine Coast with about half of all renters paying nearly one-third of their income toward housing and one-third being in core housing need.Core housing need is defined as a household that would have to spend 30% or more of its total before-tax income to pay the median rent of alternative local housing that is acceptable and a household that falls below at least one of the adequacy, affordability or suitability, standards defined by the Canada Mortgage and Housing Corporation.1 2.1.Summary of Challenges Given the ongoing concerns that were reported on the Sunshine Coast, an Affordable Housing Study was conducted with the purpose of assessing the extent and nature of the region’s need for affordable housing and to provide a resource and affordable housing strategy for the Regional Affordable Housing Strategy project and community members. The project had contributions from several volunteer committees and agencies including the Housing Committee of the Sunshine Coast Social Planning Council and a Technical Advisory Committee. 2.2.Overview of Approach This study consisted of: 1.An analysis of demographic, economic, housing and income data to understand current trends in the housing situation on the Sunshine Coast; 2.Key stakeholder interviews on local housing issues; 3.A presentation of the housing profile information and discussion of examples of affordable housing initiatives and local government tools in support of affordable housing made with the Housing Committee; 4.A needs assessment using available information and feedback gathered to identify the gaps in affordable housing on the Sunshine Coast; 1 Canada Mortgage and Housing Corporation definition of ‘core housing need’: http://cmhc.beyond2020.com/HiCODefinitions_EN.html#_Core_Housing_Need_Status Page |3 5.Documentation of case studies of affordable housing created elsewhere along with a description of various roles of local governments in facilitating affordable housing; and, 6.A review of governance options, utility of community land trust and housing trust funds, potential sites for affordable housing on the Sunshine Coast and existing local government policies and practices for affordable housing. 2.3.Implementation Characteristics Leadership and coordination for the region in the area of attainable and affordable housing came through a Housing Committee and was formalized through a Memorandum of Understanding (MOU) signed by the Sunshine Coast Regional District, the Town of Gibsons, and the District of Sechelt. A Terms of Reference guided the Housing Committee’s work which included: 1.Developing a forum for monitoring, advocacy and information exchange regarding affordable housing needs on the Sunshine Coast; 2.Identifying a diversity of attainable type of housing possible with the aim of supporting demographically balanced communities; 3.Facilitating partnerships and education regarding attainable housing on the Sunshine Coast; 4.Educating Sunshine Coast communities on types of housing possible and needed on the Sunshine Coast; 5.Developing a set of recommendations to the parties of the MOU on housing matters; 6.Advising local governments regarding decisions to be made on affordable housing; 7.Promoting collaboration between local governments, non-profit sector and for profit sector in pursuing funding for affordable housing; 8.Providing a continued forum for the analysis of housing need and responses; 9.Supporting the region’s non-profit sector through advocacy and information-sharing; and, 10.Continuing to monitor the need for a housing authority. The Housing Committee included two non-profit housing provider representatives, a representative from the Social Planning Council, a representative from the fi nancial services sector, two representatives from the development and building sector, a representative from the real estate sector, a staff representative for each of the MOU signatories, and an elected official from each of the MOU signatories. The Housing Committee engaged in the following activities: 1.Monitored housing market and income trends; 2.Explored and acted on opportunities for senior government funding; Page |4 3.Worked with local stakeholders (developers, builders, non-profit housing societies) to facilitate their affordable projects; and, 4.Advised local government on housing related issues. In 2009, Sechelt, Gibsons and the SCRD worked together with the City Spaces consulting firm to investigate the feasibility of establishing a Housing Corporation for the on-going development of affordable housing. To help understand local perceptions of affordable housing needs and priorities, the consultants interviewed thirty (30)community stakeholders from throughout the Sunshine Coast using a list compiled by the Technical Advisory Group, with assistance from the project coordinator. Interviewees were asked eight questions prepared in a guide. Twelve interviews (12)were conducted in person with the remaining participants being interviewed by telephone. These results were compiled into a report which incorporated the findings of a housing profile and stakeholder interviews to identify priority affordable housing needs. The report also identified directions and options to create housing for population groups that are experiencing affordability issues, examples of affordable housing initiatives developed elsewhere and a review of potential local government roles. Upon completion of the needs assessment and affordable housing options for the Sunshine Coast, the Housing Committee commissioned additional work that included an examination of governance options for moving forward, an investigation of the potential utility of land trusts and housing trust funds as models that could be implemented on the Coast, the preparation of an inventory of potential sites for affordable housing on the Coast, and a review of existing local government affordable housing policies and initiatives. 2.4.Evidence of Success and Lessons Learned Throughout the process, the Social Planning Council learned several important lessons including: 1.Take time to build support in the community; 2.Identify key individuals and institutions and ensure they are informed about what is happening and engaged as the process develops; 3.Recognize the key role that a social planning council can play in relationship building, communication among stakeholders, and advocacy to the larger community by bringing a perspective that emphasizes the need for long-term solutions involving coordination and collaboration among a range of community interests; 4.Municipal staff members are key stakeholders who should be involved early in the process and kept updated as the project develops; 5.The ability of smaller communities to accumulate significant funds to create affordable housing can prevent a challenge with regard to partnership building; Page |5 6.Several interviewees identified a challenge due to the lack of municipally owned land close to amenities and served by public transportation that could be used for affordable housing; 7.Requirements in rural areas for services such as a septic system can make it costly to build affordable housing;and, 8.The approval process may be slow due to other pressures associated with growth. Additional challenges identified through the project included funding and financing, the high costs of land, rent, and construction to educating local governments on the need for affordable housing and the public regarding on the benefits. Some potential barriers to addressing these needs include: 1.Lack of capital; 2.Funding required to cover operating costs; 3.Potential neighbourhood resistance to increased density and non-market rental housing; 4.Challenges in creating partnerships and making them work; 5.Long development process; 6.High construction costs, including development cost charges; and, 7.Low wages hindering affordability. The report cites evidence of success with a Community Land Trust which is a housing model most prominent in the U.S. and includes a democratically controlled non-profit or charitable organization that owns real estate in order to provide benefits to its local community and to make land and housing available to residents who cannot otherwise afford them. 2.5.Additional Resources 1.Campbell, L. (2009). Sunshine Coast Affordable Housing Study -Update 2009: Final Report. Eberle Planning and Research. Retrieved from:http://www.scrd.ca/Affordable-Housing 2.Eberle Planning and Research (2006). Sunshine Coast Affordable Housing Study: Final Report.Eberle Planning and Research, Jim Woodward and Associates and Deborah Kraus Consulting. Retrieved From:http://www.scrd.ca/Affordable-Housing 3.One Coast (July, 2012). Together in Nature, Culture and Community. Retrieved from: http://www.onecoast.ca/files/File/2012-JUL-07%20OneCoast%20CurrentSitHousing~.pdf 4.SPARC BC News (2007). Focus on Momentum: Addressing Affordable Housing Issues on the Sunshine Coast. Retrieved from:http://www.sparc.bc.ca 5.Thomson, M. (2014). Housing on the Sunshine Coast: Trends, Needs and Direction.M. Thompson Consulting. Retrieved from:http://www.scrd.ca/Affordable-Housing Page |6 6.Thomson, M. (n.d.) Homelessness and Risk on the Sunshine Coast: A Needs and Strengths Assessment.Sunshine Coast Community Services Society and Human Resources and Skills Development Canada.Retrieved from http://www.scrd.ca/Affordable-Housing 7.Wagler, J. (November, 2010) Forum highlights Coast Housing Problems. Coast Reporter: Voice of the Sunshine Coast.Retrieved from:http://www.coastreporter.net/news/local- news/forum-highlights-coast-housing-problems-1.1183114 8.Wake, T. (2007). Review of Best Practices in Affordable Housing. Sm art Growth B.C. Retrieved from: http://www.smartgrowth.bc.ca/Portals/0/Downloads/SGBC_Affordable_Housing_Report_ 2007.pdf Page |7 3.0.Housing Case Study #2 -Medicine Hat Plan to End Homelessness 3.1.Community Profile Medicine Hat is a small city of approximately 61,000 people located in Southeast Alberta,295 km southeast of Calgary. The Medicine Hat census agglomeration area had a population of 72,807, which includes Redcliff and Cypress Counties. Demographically, more than 89% of residents identified English as their first language in the 2006 census. According to the municipal census in 2011, 7.2% of the population within the census agglomeration area identified as foreign-born; 3,030 individuals belonged to a visible minority group, and 4.6% of the population identified as Aboriginal. As a community, Medicine Hat is said to pride itself as one of the more economical places to live in Canada. Uniquely for the province, the city owns its gas utility and power generation plant, providing low-cost power to the 24,729 dwellings within the city (2006 census).Medicine Hat enjoys a relatively mixed economy with workers employed in oil and gas, construction, agriculture, manufacturing,and retail sectors, along with employment via the Canadian Forces Base Suffield, located 50 km northwest of the city. CFB Suffield has one of the largest military training areas in the western world with 2,690 km2 incorporating military training, defence research, agricultural use and oilfield reserves. In May 2011, there were 36,845 people employed and 2,805 unemployed in the Medicine Hat area, with an unemployment rate of 7.1%. The median employment income in Medicine Hat was $49,992; the median after tax income of families was $70,291; the median for couple families was $75,866, and for lone-parent families it was $42,884. Approximately 20.7% of the adult population had not completed a high school or any post-secondary certificates, diplomas or degrees. The Province of Alberta has jurisdiction over key policies and programs related to poverty reduction. The previous Progressive Conservative Government increased the Assured Income for severely handicapped by $400/month, along with capacity to earn more income without claw -backs in 2012. In April of the same year, the PC government committed to a 10 year Plan to Reduce Poverty; alo ng with renewed focus upon the province’s 5 year plan to end Child Poverty. In addition, the newly elected NDP (2015) government in Alberta has introduced the Alberta Child Benefit (ACB) to support families earning less than $41,220 per year with a maximum benefit of $1,100 for families with one child and up to $2,750 for families with four or more children; along with an enhanced Alberta Family Employment Tax Credit (AFETC) to support working families with children, with a maximum annual credit of $754 for families with one child, and up to $1,987 for families with four children or more. 3.2.Organization Profile and Purpose The Medicine Hat Community Housing Society (MHCHS) is the management body which oversees all social housing programs within the City of Medicine Hat, for those in need of affordable housing options. It operates as a Community Based Organization, and has been charged with leading and implementing the local Plan to End Homelessness, through a number of different initiatives. As a Page |8 charitable organization a portion of MHCHS’ budget is composed of community donations. MHCHS provides housing and support services to nearly 1,000 low income households in Medicine Hat; in addition to over 602 individuals and their 283 children out of homelessness. In 2009 the municipality of Medicine Hat committed to ending homelessness using the housing first approach, through discussions contributing to the release of Starting at Home in Medicine Hat: Our 5 Year Plan to End Homelessness (2010-2015); and more recently culminating in the At Home in Medicine Hat: Our Plan to End Homelessness (2014 update). This approach prioritizes moving people experiencing homelessness as quickly as possible into appropriate housing with supports rather than first dealing with issues contributing to homelessness such as mental illness or addictions. This plan was consistent with the seven principles established in the provincial Plan for Alberta: Ending Homelessness in 10 Years2. The MHCHS has lead the implementation of the plan locally, serving a dual role within the community of both managing federal Homelessness Partnering Strategy (HPS) and provincial Human Services Outreach Support Services Initiative (OSSI) funds, while operating and subsidizing affordable rental housing options for low income families, seniors, and people with special needs. 3.3.Summary of Challenges According to the 2011 National Household Survey (NHS) about 13% of people in Medicine Hat are living in poverty; above that of the Alberta rate of 10.7%. Notably, however, not all people living in conditions of poverty are at risk of homelessness. A recent study for the Calgary Homeless Foundation found that there are several risk factors at within societal structures, and at the level of individual, which are present for those at risk of being homeless, and homeless populations, including: 1.An imbalance in income and housing costs; 2.Chronic health issues, particularly mental health, disabilities and physical health; 3.Addictions; 4.Experiences of abuse and trauma; and, 5.Interaction with public systems (particularly correctional and child intervention services). The study also identified protective factors, which guard against risk for homelessness, including healthy social relationships, education, access to affordable housing and adequate income. Building on the work by the Calgary Homeless Foundation, MHCHS identified a set of emerging trends in Medicine Hat in 2014, based on a review of Statistics Canada data (across Census period between 1991 and 2006), analysis of the 2011 National Household Survey, and CMHC reports on housing market fundamentals. 2 1 Everyone has access to safe, affordable, accessible, permanent housing. 2 Addressing root causes of homelessness is essential to ending homelessness. 3 Preventing and ending homelessness is a shared responsibility of all orders of government, the community, the corporate sector, service providers, and citizens. 4 Programs and services are evidence-informed in their planning, and demonstrate measurable outcomes. 5 Current essential services and supports are maintained during the transition to permanent housing. 6 Goals and initiatives are program participant-centered and community driven. 7 Funding is long-term, predictable, and aligned with a community plan to end homelessness. Page |9 Trends identified include the following: 1.Declining vacancy rates, and rising rents, due to strong labour market opportunities drawing more people into the Medicine Hat area. The limited rental stock saw more pressure as a result of the flood in Southern Alberta in 2013, and due to the fact that few new rental units have been added in the last several years; 2.In 2011, one out of every five households in Medicine Hat was paying more than 30% of their income on shelter costs for a total of 6,560 households; and, 3.For every person who becomes homeless, there are up to two others who are at risk of homelessness due to persistent housing affordability challenges. MHCHS estimated in 2014 that there were 1700-1800 individuals at imminent risk of homelessness, a group identified as the target of prevention measures to mitigate against such risk. In addition, MHCHS estimated in 2014 the number of unique shelter users within the system to be approximately 850 annually; with 35% of these chronically homeless and another 40% episodically homeless. 3.4.Overview of Approach Medicine Hat’s plan to end homelessness (2010-2015) had the overall goal of ending homelessness, so that no-one in the community would have to live in an emergency shelter or ‘sleep rough’ for more than 10 days before they had access to stable housing and associated supports. Associated milestones included: 1.Housing 290 homeless people by March 2015, of which 240 would be chronically or episodically homeless; 2.Ensuring that no more than 10% of those served by housing first programs return to homelessness by 2015; 3.Eliminating 50% of 2013 emergency shelter beds by 2015 (a 30 bed reduction); 4.Reducing the average length of stay in emergency shelters to 10 days by March 2015;and, 5.Decreasing the flow into homelessness from jails and hospitals. The MHCHS used a systems planning approach towards ending homelessness and a reorientation towards a ‘housing first’ philosophy. This approach required all key players to follow the same vision. Embedded within the plan were several strategies and associated goals: 1.Incorporating a System-Wide Planning Focusing on long-term chronic and episodically homeless that meet the needs of youth, women, families, seniors and Aboriginal people while enhancing access across the system. 2.Maximizing Housing and Supports Maximizing use of affordable housing stock Page |10 Increasing capacity for the development of permanent supportive housing; and, Enhancing Permanent Supportive Housing capacity, among other goals. 3.Systems Integration and Prevention Enhancing access to appropriate levels of income assistance; Working with the education system to reduce homelessness risk among young people; Enhancing the system’s ability to end discharging (of medical patients) into homelessness; Exploring integration options between the family violence and homeless serving systems;and, Supporting the development of a poverty reduction strategy,among other goals; 4.Data and Research Acquisition and Maintenance Acquiring and maintaining data and research on the homeless-serving system. 5.Leadership and Sustainability Increasing public awareness and engagement in ending homelessness in Medicine Hat; Developing and advancing policy priorities to support the plan to End Homelessness; and, Providing leadership to end homelessness in Alberta and Canada, among other goals. 3.5.Implementation Characteristics MHCHS used several key elements of systems planning in the implementation of housing first programming. As the backbone organization, MHCHS lead the implementation of the plan and related systems planning activities.Roles played by MHCHS included planning lead,system planner, information system manager, funder, evaluator, innovator, community facilitator, researcher and knowledge leader and advocate. MHCHS has also worked to establish a transparent community engagement process, to help identify gaps and priorities for planning and investment by working with the Community Council on Homelessness (CCH), made up of 22 community stakeholders. More recently, CCH has shifted its role to a systems planning function by being an active participant in the priority setting process for community investments. After the launch of the Plan to End Homelessness in 2010, a range of housing first services were introduced, including the following: 1.Intensive Case Management -provides program participants with high intensity wrap around supports and rent assistance to move individuals to independent living or permanent housing with supports (this program houses approximately 120 program participants annually); Page |11 2.Rapid Housing -these programs provide targeted and time-limited financial assistance and supportive services to individuals and families experiencing homelessness with the goal of quickly exiting the shelter system and obtaining (and retaining) rental housing (these programs house 35 program participants per year); 3.Outreach services focused on youth; 4.Financial administrator program; 5.Graduate Rent Assistance Initiative: preventative support; and, 6.MHCHS Housing stability program (preventative support). MHCHS and funded agencies (including but not limited to Canadian Mental Health Association, Medicine Hat Women’s Shelter, and Medicine Hat Family Service) have agreed upon standards, policies and protocols in place to guide program and system functioning,which MHCHS monitors on an ongoing basis in alignment with provincial and federal requirements. Performance measurement expectations have been articulated through common system and program benchmarks which align with the community plan and funder requirements. A coordinated intake (triage) and housing assessment process has been established together with a Service Prioritization Decision Assistance Tool (SPDAT) to ensure consistent intake and program referrals in order to meet needs. Plans to implement a Homeless Management Information System (HMIS) to align data collection, reporting, coordinated intake, assessment, referrals and service coordination are currently underway. MHCHS has also developed a technical assistance and capacity building program for Homeless-Serving agencies, with a focus on building housing first case management capacity, supporting HMIS uptake and introducing system planning at the level of programs and agencies. MHCHS and CCH are working to build a comprehensive research strategy intended to embed evidence in decision making on an ongoing basis. Lastly,MHCHS has worked to further integrate the Homeless Serving System within public services (justice, child intervention, health) through development of protocols on shared priorities.Case managers are encouraged to collaborate with partners to further program participant outcomes. 3.6.Project Budget and Costs Overall, the Alberta Secretariat for Action on Homelessness estimates that it costs $6.65 billion to manage homelessness for 11,000 people in direct and indirect costs (if no new plans are implemented). This equates to $134,000 per individual. In comparison, the Secretariat estimates it would cost $3.3 2 billion to end homelessness for 11,000 people, including $34,000 to house and support each individual. Homelessness initiatives in Medicine Hat are funded through the MCHCS Homeless and Housing Development Department through outcomes-based grants provided by federal and provincial governments, as well as donors. MHCHS has a yearly operating budget of $370,000 and allocates $2.6 million in annual grant money to the community ($2.3M Provincial & $319K Federal). The Graduate Rental Assistance Initiative (GRAI) provides financial supports to participants that have Page |12 graduated from the Housing First and Rapid Re-Housing Programs. As of January 31, 2014, 73 individuals have been helped by GRAI with 45 individuals currently in the program. As of 2013, interim housing was introduced to ensure that participants of housing first programs are not returning to shelters. As of January 31st, 2014, 9 individuals were on the waitlist for Housing First and 15 individuals were on the waitlist for Rapid Re-housing. Since 2009, 742 formerly homeless individuals have been housed. Community partners working in concert with MHCHS receive a mixture of federal and provincial funding (see Table 1). Table 1.Provincially and Federally-Funded Initiatives Provincially Funded Federally Funded Canadian Mental Health Association Canadian Mental Health Association Medicine Hat Women’s Shelter Society McMan MHCHS Outreach Department MHCHS Outreach Department Medicine Hat Family Service Miywasin Society of Aboriginal Services McMan Youth Family and Community Services MHCHS reports that additional funding is required to help end homelessness in Medicine Hat, including the following: 1.A one-time capital investment of $7.5M to create 50 units of Permanent Supportive Housing shared between government and community at a 70/30 split; on an ongoing basis, operating these units will cost approximately $1.7M; and, 2.An additional investment of $1.3M annually until the end of 2016 fiscal to double our Intensive Case Management and increase Rapid Rehousing capacity by 50%. This would total $3.4M from 2014-2016 fiscal. Evidence of Success and Lessons Learned3.7. Since 2012, MHCHS has provided rental support (through the Graduate Rental Assistance Initiative) to 105 individuals who have successfully completed either Housing First or Rapid Re-Housing Program. Via Housing Assessment and Triage, 36 individuals were diverted from shelters in 2014 -2015. Since April 2009, 175 landlords and property management companies have provided homes to 602 formerly homeless adults and their 283 children. 73% of housing first participants successfully completed the program; 63% live in market housing and 28% live in subsidized housing. On October 16th, 2014 MHCHS along with partners conducted a Point in Time Homeless Count (first time ever in Alberta). On that night, 64 people were counted, 5 of whom were on the street and 59 of whom were in an emergency shelter or short-term supportive housing. Since 2009, Medicine Hat has seen a 45% reduction in shelter usage; and 42 % of service participants who entere d a housing first program were employed. Page |13 3.8.Additional Resources 1.Medicine Hat Community Council on Homelessness (2015). At Home in Medicine Hat:Our Plan to End Homelessness Five Year Progress Report.Retrieved from: http://production.mhchs.ca/static/main-site/files/housing-development/Year-5-Progress- Report.pdf 2.Medicine Hat Community Housing Society Housing First Steering Committee (2009). Starting at Home in Medicine Hat: Our 5 Year Plan to End Homelessness (2010-2015). Retrieved from: http://www.mhchs.ca/LinkClick.aspx?fileticket=OdOftycFCm0%3D&tabid=693 . 3.Medicine Hat Community Housing Society (2014).At Home in Medicine Hat: January 2014 Update. Retrieved from: http://homelesshub.ca/sites/default/files/At%20Home%20In%20Medicine%20Hat.%20Our %20Plan%20to%20End%20Homelessness.pdf 4.Tutty, L., Bradshaw, C., Worthington,C., MacLaurin, B., Waegemakers-Schiff, J.,Hewson, J.,… &McLeod, H. (2009) Risks and Assets for Homelessness Prevention: A Literature Review for the Calgary Homeless Foundation.Retrieved from: http://calgaryhomeless.com/wp-content/uploads/2014/06/HART-Report.pdf 5.Tutty, L., Bradshaw, C., Worthington, C., MacLaurin, B., Waegemakers,Lee, C.R., & A. Briggs (2013).Moving From Charity to Investment: Reducing the Cost of Poverty in Medicine Hat Alberta.Vibrant Communities Calgary.Retrieved from:http://www.city.medicine- hat.ab.ca/modules/showdocument.aspx?documentid=9204 6.Turner, Alina (2015).Ending Homelessness in Medicine Hat: A Case Study in Innovative Social Change.Medicine Hat Community Housing Society. Page |14 4.0.Housing Case Study #3 –London,Ontario: Homelessness Prevention System 4.1.Case Summary The city of London is located in Southwestern Ontario, approximately halfway between Toronto and Detroit, Michigan. The city is the county seat of Middlesex County. The population of London (2011 Canadian Household Survey) is 366,151. The average age of Londoners is 38.2 years, and approximately 13.7 % of the population is of retirement age. London’s economy is largely based on medical research, insurance (London Life Insurance), manufacturing and information technology. The University of Western Ontario plays a large role in the economy, particularly in life science and bio-technology fields. The poverty rate in the London Metropolitan Area (CMA) in 2010 was 12.3%, compared to 8.8% in Ontario overall. 17% of London families live below the Low Income Cut-Off (LICO), with 46% of single parents, 20% of children and one in two immigrants living below the poverty line. In 2013 the unemployment rate in London was 9.2%, and approximately 11,000 households received Ontario Works Assistance in 2011. London has a shortage of affordable renting housing in relation to need. In 2013, there were a total of 8,085 units of social housing; 5,939 of which offered rent-geared-to-income. Affordable housing types are listed in the chart below. 4.2.Social Housing Stock in London,Ontario Table 2.Affordable Housing Types in London, Ontario Type Ownership # of groups # of projects # of units Public Housing London Middlesex Housing Corporation 1 31 3,282 Private Non-Profit Owned by Sponsor Organizations 27 37 1,815 Co-op Non-Profit Owned by Sponsor Organizations 20 27 1,357 Rent Supplement Program Private Market 25 484 There are three emergency shelters operated by non-profits in London including Mission Services of London, the Salvation Army Centre of Hope and the Unity Project. There are also three violence-against- women focused services including Women’s Community House, Zhaawanong Shelter and Women’s Rural Resource in Strathoy, Ontario. There are two main outcomes guiding the overall purpose of the City of London’s efforts regarding homelessness. Firstly, the City wants to see individuals and families experiencing homeless, obtain and retain housing. Secondly, they want to see individuals and families at risk of homelessness, remain Page |15 housed. The overall focus is upon housing stability, with other sectors (i.e.,health, education,and justice) sharing responsibility for homelessness prevention. London employs a “Housing First” approach, whereby homeless individuals and families are first found housing;after which other issues (e.g.,mental health, substance use,etc.) are addressed through supports. 4.3.Summary of Challenges Through a large-scale community engagement process, the City of London identified a set of strengths and limitations existing within the current (2013) housing and homeless prevention system. Overall, the City described the previous system as fragmented because service provision was dependent upon point of intake. As individuals and communities entered the service system at different po ints, programming response tended to be uneven and inefficient. The City also identified gaps in the shelter system, including the following: 1.Lack of centralized intake; 2.Individuals moving from shelter to shelter without a consistent support approach; 3.Limited diversion to support individuals and families from entering shelter; 4.Limited support and warm transfer to more appropriate services upon discharge; 5.No integrated information management system; 6.Limited rapid housing options are available once someone is in shelter; 7.Limited support options are available, once housed;and, 8.Lack of a homeless prevention system has allowed shelters to be the first response to a situation. 4.4.Overview of Approach In 2011 the introduction of Ontario’s Housing Services Act, required all Municipal Service Managers to develop a council approved 10-year plan to address housing and homelessness3. In response to this Act, the City of London developed two separate plans, based on a ‘housing first’ approach: the London Community Housing Strategy (2010), and the Community Plan on Homelessness (2010). The City’s approach focused upon assisting individuals and families by seeking the right housing, at the right time, in the right place with the right level of approach. These plans were developed through extensive consultation, including a community roundtable, a youth focus group and reviews on emerging 3 Such plans needed to include the following considerations: Plan is focused on achieving positive outcomes for individuals and families and includes a goal of ending homelessness; Addresses the housing needs of individuals and families in order to help address other challenges they face; Has a role for non-profit corporations and non-profit housing cooperatives; Has a role for the private market in meeting housing needs; Provides for partnerships among governments and others in the community; Treats individuals and families with respect and dignity; Is coordinated with other community services; Is relevant to local circumstances; Allows for a range of housing options to meet a broad range of needs; Ensures appropriate accountability for public funding; Supports economic prosperity; and Is delivered in a manner that promotes environmental sustainability and energy conservation. Page |16 directions. In 2012, the City also engaged in a comprehensive approach to revising its Official Plan, called “ReThink London”, a significant focus of which was upon homelessness strategies and policies. Finally, in 2013, the City introduced the Homeless Prevention System: a 3-year implementation plan outlining a coordinated and outcome oriented approach to reducing and preventing homelessness in London. This implementation plan was developed through a series of community forums, and included monthly community advisory group meetings. London’s Homeless Prevention System contains four areas of focus, including: 1.Securing housing; 2.Providing housing with supports; 3.Housing stability; and, 4.Reduced pressure on emergency shelter use. The first two areas are addressed through the Neighbourhood Housing Support Centre (NHSC). NHSC functions as both a physical and virtual hub for homeless individuals, along with those at risk of becoming homeless. NHSC proactively connects those in need with appropriate services.The functionality of the Centre is dependent upon collaboration between the NHCS, community service providers the City of London and other stakeholders. Such co-operation between stakeholders and partners is tantamount to the integration of a preventative system, to be achieved through working groups, accountability agreements, common assessment and performance measurement tools, an integrated information system, case management and service practices, communication protocols and collaborative governance. NHSC operates a centralized emergency shelter intake services to help find immediate housing when required, and to find transfer to shelters. The third area of focus,housing stability, is addressed through implementation of the Housing Stability Fund. This fund offers grants and loans to low income residents to assist with needs such as rental assistance,emergency energy assistance,and moving assistance. The overall goal of the fund is to offer financial assistance to low income Londoners who may be at risk of homelessness by helping them obtain and retain housing. The fourth area of focus,reduced pressure on emergency shelter use,is addressed developing strategies to divert individuals from entering shelters in the first place. Diversion is addressed through short-term case management,conflict mediation,connection to services outside homeless service sector,provision of financial, utility and or rental assistance,and increasing availability of different types of housing options. The Centre has also articulated a fifth area of focus, Strategy, Competency and Capacity, intended to strengthen community ties and achieve the actions of the Implementation Plan. Page |17 4.5.Implementation Characteristics The City of London undertook implementation of the Homelessness Prevention System, through a phased approach based on continuous monitoring and evaluation. An implementation team was formed in early 2013, responsible for reviewing and advising on draft materials and plans developed by internal and external working groups. Working groups consisted of the following: Neighbourhood Centres, Furniture Bank, Shelter Operations, Community Plans and Information Systems. Throughout the phased approach, the implementation team and stakeholders planned to enhance capacity through training, case management and ongoing program monitoring. Additionally, throughout the implementation, the team planned to continuously work with other funders to align strategies and leverage opportunities. The first phase of work (2010) was focused on building the foundation for the system, and included the forums and community review mentioned previously, framework development,and council review. The secondary transition phase (2014-20106), included the bulk of implementation of the strategic plan and action projects in collaboration with stakeholders and the community. In this phase, types of implementation activities have been identified by year (see Table 3 and Table 4). Table 3.Year 1:London, Ontario Activities YEAR 1 Securing Housing Introduction of Neighbourhood Housing Support Centres Initiate ‘Jail to Home’ through collaborative work with courts, police and services Initiate ‘Hospital to Home’ through collaboration with hospital and community agencies Enhance the rent bank (Last month’s rent program) Establish a moving service Establish a “new” furniture bank Housing With Supports Introduce an integrated homeless information and cast management system Shelter Diversion Focus on reducing pressures on emergency shelter use Explore shelter specialization Table 4.Year 2:London, Ontario Activities YEAR 2 Securing Housing Strengthen outreach efforts to focus on housing First with street involved individuals Housing With Supports Strengthen crisis response Housing Stability Link the emergency utility program and rent bank program to Neighbourhood Housing Support Centres Introduce peer support and mentoring programs Introduce collaborative leisure and recreation programs Shelter Diversion Establish a coordinated intake for individuals and families Explore shelter specialization Page |18 In the third ‘focus’phase (2017-2020) the implementation team plans to identify areas to leverage, to build further capacity, and to implement training. Additionally in this phase, the City of London plans to identify sustainability components, and new opportunities and challenges through implementation of a consultation and engagement process to renew the plan. In the fourth “Anchoring Housing Stability” phase (2020-24) the City plans undertake an evaluation of progress made, to gain a more thorough understanding of the system at work. 4.6.Project Budget and Costs Housing with support for individuals and families experiencing homelessness is supported by various levels of government through several programs and initiatives: 1.Provincial funding: Consolidated Homelessness Prevention Initiative (CHPI)for Consolidated Municipal Service Managers (CMSM). 2.Federal Funding: Homelessness Partnering Strategy. 3.Municipal Funding: The Heat and Warmth Program; and, Mayors Anti-Poverty Action Group. In 2006 the City of London in partnership with the Salvation Army, established the Centre of Hope Housing Services, consolidating the Energy Emergency Fund and Rent Bank programs through a single agreement.In addition, the Salvation Army works with private sector services and funders including London Hydro and Union Gas, in delivering a continuum of supports from homelessness prevention to home security. The City of London serves as the Community Entity for the federal Homelessness Partnering Strategy, funds which are allocated by the city under contract with the Federal government and in accordance with local priorities established through the Community Plan on Homelessness. 4.7.Evidence of Success and Lessons Learned In 2017, the City of London plans to undertake an evaluation of the implementation of the plan to date. No new statistics on the homeless population are currently available. 4.8.Additional Resources 1.City of London, ON (2014).Business Plan:Homelessness Prevention.Retrieved from: https://www.london.ca/city-hall/budget-business/business planning/Documents/2014/48%20Homelessness-Prevention-2014.pdf Page |19 2.City of London, ON (2013).Homeless Prevention and Housing Plan, 2010 –2024.Retrieved from https://www.london.ca/residents/Housing/Housing- Management/Documents/HomelessPreventionandHousingPlan.pdf 3.City of London, ON (2013 DRAFT) A Homeless Prevention System for London Ontario (A Three Year Implementation Plan).Retrieved from: http://homelesshub.ca/sites/default/files/London%27s%20Homeless%20Prevention%20Sy stem%20Draft.pdf Page |20 5.0.Mental Health Case Study #1 -Preventing Homelessness through Mental Health Discharge Planning: Best Practices and Community Partnerships in British Columbia 5.1.Case Summary Previous studies of the health of the homeless population in communities in BC have identified a definitive relationship between homelessness, mental illness, and substance use disorders (Krauz, 2009). In addition, research has shown that a key component in preventing homelessness is integration of community service organizations within the process of discharge planning, so that patients can be better transitioned back into the community (Patterson et al, 2008). The purpose of this study was to identify policies, practices, and resource requirements for discharging residents and patients from mental health facilities in BC that prevent homelessness by working in partnership with community service providers. 5.2.Summary of Challenges and Lessons Learned This study identified characteristics of a successful discharge, including: a patient who shows clear positive change over the course of treatment; has a long term treatment plan; and has a strong support network. Researchers found that successful discharge planning is contingent on a number of identified best practices, including: 1.Appropriate housing resources; 2.Appropriate community support services; 3.Partnerships across health care providers, community service agencies and peers; 4.Information sharing agreements between hospitals and community service agencies; 5.Early identification of discharge needs; 6.Clearly established ‘home’ for discharge planning within the hospital unit; 7.Discharge planning is adapted to patient needs; 8.All partners ‘buy-in’ to the discharge process; 9.Discharge planning has long term focus for housing and services;and, 10.Discharge planning is culturally sensitive. The research also identified barriers to successful discharge planning, specific to British Columbia, including the following service gaps/ factors: 1.Clients who show no improvement, avoid long term planning and have no support network are more likely to have poor long term housing outcomes; Page |21 2.There’s no formal involvement of community services agencies and peer support networks in discharge planning; 3.Rural locations tend to lack appropriate resources for mental health patients; 4.Clients with concurrent disorders are challenging to discharge because of the significant gap in housing available to appropriately support them; 5.Individuals with behavioural problems are difficult to house; 6.There’s a significant gap in appropriate affordable housing option across the spectrum in BC; 7.The overall cost of housing and the low amounts provided to individuals on income assistance aggravate the situation; 8.Community services are lacking in rural locations, and overburdened in urban areas; and in many cases lack capacity in dealing with the volume of clients accessing resources due in part to cuts in federal and provincial funding;and, 9.There’s no formal mechanism for involving community service organizations in the discharge process despite the fact that they play a significant role in the extended support networks of clients. 5.3.Overview of Approach Research was undertaken using a community-based qualitative approach. A research advisory committee guided the research4. Research was composed of several phases including a review of relevant literature on discharge planning from Canada, the US, Europe,and Australia. The purpose of the literature review was to identify best practices in discharge planning to prevent homelessness, a s well as barriers to success. In addition, four mental health care facilities in BC were selected for a review of case studies, from a mix of rural and urban communities. These facilities included the following: 1.St. Mary’s Hospital: Psychiatric In-Patient (Sunshine Coast); 2.Kootenay Boundary Regional Hospital: Psychiatric In-Patient Unit and Tertiary Residential Care (Trail and area); 3.Lions Gate Hospital: Acute Psychiatric In-patient Unit (North Shore of Vancouver); and, 4.Burnaby Centre for Mental Health and Addictions: Provincial facility for individuals with both substance use and mental health issues (BC-wide; focus of case study on Vancouver). Six interviews were conducted in each case study:three with health care workers (i.e., unit staff including social workers, psychiatrists, patient care coordinators, and staff from community mental health units); and three with community service organizations (i.e.,housing providers, community 4 Dave MacIntyre (MPA Society); Dave Brown (Lookout Society); Sue Flagel (CMHA Kootenays); Elizabeth Stanger (VCH); Michael Goldberg (Community Researcher) and Judy Graves (Homeless Advocate). Page |22 service workers and staff from organizations who work with the homeless). In addition, discharge and readmission statistics were requested from Vancouver Coastal Health for Lion’s Gate and St. Mary’s Hospitals. Follow-up vignettes describing individuals with concurrent disorders were also sent to health care staff to identify how someone who is difficult to find housing for, would move from the hospital back into the community. A cross-case analysis was conducted to find similarities and differences in effective discharge planning practices; relationships between residential mental health care facilities and other community service organizations in discharging clients; local conditions (including housing costs) affecting succes s; availability of local support services (mental-health and broader community services) and analysis of where case study agencies stand in relation to best practices identified in literature review. 5.4.Implementation Characteristics This section provides a few statistics on each of the case study communities, including the facility size, population, average monthly rent, proportion of households in core housing need (2006), and the total homeless counted (2014) summary of each of the case study communities,and their related facilities. 1.Vancouver, Burnaby Centre for Mental Health and Addiction 100 bed provincial facility for individuals with both substance use issues and mental illness Population: 603,502 Average monthly rent: $1089 Proportion of households in core housing need (2006): 20.6 % (City of Vancouver) Total homeless counted (2014): 1798 2.North Shore, Vancouver, Lion’s Gate Hospital Psychiatric Inpatient Unit 26 bed Acute Psychiatric Inpatient Unit Population: 175,302 Average monthly rent: $1,126-$1558 Proportion of households in core housing need (2006): 17 % (Metro Vancouver) Total homeless counted (2014): 119 3.Sunshine Coast, St Mary’s Psychiatric Inpatient Unit 6-bed Psychiatric Inpatient Unit Population: 28,618 Average monthly rent: $986 Proportion of households in core housing need (2006): 16.5% Shelter nights open (2013-14): 126; number of stays:758 4.Trail, Kootenay-Boundary Regional Hospital Acute Psychiatric Inpatient Unit 12-bed acute psychiatric inpatient unit Population: 7,681 Average monthly rent: $646 Page |23 Proportion of households in core housing need (2006): 12.2% Individuals who accessed extreme weather shelter (2014): 25 5.5.Additional Resources 1.Krauz, Michael. 2011.British Columbia Health of the Homeless Survey Report.Vancouver: University of British Columbia. Available at:http://pacificaidsnetwork.org/wp- content/uploads/2012/07/BC-Health-of-the-Homeless-Survey-FINAL1.pdf 2.Patterson, Michael et al. 2008. Housing and Support for Adults with Severe Addictions and/ or Mental Illness in BC. Centre for Applied Research in Mental Health and Addiction. Burnaby: Simon Fraser University. Available at: http://www.carmha.ca/publications/documents/Housing-SAMI-BC-FINAL-PD.pdf 3.Thomson, M. (2014).Preventing Homelessness through Mental Health Discharge Planning: Best Practices and Community Partnerships in British Columbia (PowerPoint). Available At: 4.http://www.caeh.ca/wp-content/uploads/2014/11/LP2_ThomsonM.pdf 5.Thomson, M. (2014).Preventing Homelessness through Mental Health Discharge Planning Volume 1: Overview and Cross Case Analysis. Available At: http://www.homelesshub.ca/sites/default/files/Vol1_%2520OverviewAndCrossCase.pd f 6.Thomson, M. (2014).Preventing Homelessness through Mental Health Discharge Planning Volume 2: Case Studies. Available at: http://www.homelesshub.ca/sites/default/files/Vol2_CaseStudies.pdf 7.Thomson, M. (2014).Preventing Homelessness through Mental Health Discharge Planning Volume 3: Literature Review. Available at: http://www.homelesshub.ca/sites/default/files/Vol3_LiteratureReview.pdf Page |24 6.0.Mental Health Case Study #2 -England’s Department for Communities and Local Government Preventing Homelessness Project 6.1.Case Summary The City of London,England is the most populous city in the United Kingdom, with a population of 8,173,941 (2011 census). Situated on the River Thames, the ancient core has a 1.12 square mile radius; yet since the 19th century the term London has also referred to the metropolis around the core forming the Greater London area. London is governed by a Mayor and the London Assembly. Greater London covers an area of 1,579 square kilometers. In 2014 London was said to have the largest number of billionaires in the world, with 72 residing within the city; it is consistently ranked as one of the most expensive cities in the world. The Department for Communities and Local Government’s mandate includes: building regulations, community cohesion, decentralization, fire services, housing, local government,planning, race equality the Thames Gateway and urban regeneration.The Department recently began a process of review to determine the costs of homelessness on various levels of government in the UK. Overall, the Department estimated annual costs per person experiencing homelessness to government to be in the range of £24,000 -£30,000 annually.English local authorities’ expenditure on homelessness (2010-11) was approximately £345m. In 2008, the Mayor of London committed to ending ‘rough sleeping’ in the Greater London area by the end of 2012.The Mayor’s office was given new responsibilities to this end, and £34m of Government investment from the Department of Communities and Local Government. The London Delivery Board, composed of representatives from NHS London, the probation service, the Metropolitan Police, local authorities and the homelessness sector lead the work, and defined such an end to rough sleeping: “By the end of 2012, no one will live on the streets of London, and no individual arriving on the streets will sleep out for a second night’. The Department for Communities and Local Government expanded this initiative across the country in 2012, with the publication of “Vision to end rough sleeping: No Second Night Out nation-wide”, which includes the following commitments: 1.Helping people off the streets; 2.Helping people to access healthcare; 3.Helping people into work; 4.Reducing bureaucratic burdens; 5.Increasing local control over investment in services; and, 6.Devolving responsibility for tackling homelessness. On the prevention front, HM Government initiated “Make Every Contact Count: A Joint Approach to Preventing Homelessness” in August 2012, spearheaded by the Department of Communities and Local Page |25 Governments. Such an approach relies upon collaboration and co-operation among departments, agencies, and organizations servicing populations at-risk of homelessness. In particular, this approach makes the following commitments: 1.Tackling troubled childhoods and adolescence; 2.Improving health; 3.Reducing involvement in crime; 4.Improving access to financial advice, skills and employment services; and, 5.Pioneering innovative social funding mechanisms for homelessness. 6.2.Summary of Challenges In CHAIN’s (Combined Homelessness and Information Network)Street to Home Annual Report No Second Night Out, rough sleep is defined as “people seen by outreach or building based teams in the year –rough sleeping or contacted either on the streets or in services.”In 2010, 3,975 people were seen rough sleeping in London, up from 3,673 the year previous. The borough with the highest number of rough sleepers was Westminster, with 1905 counted in 2010. The Department for Communities and Local Government estimates that in London, 52% of rough sleepers have alcohol abuse issues, 32% have drug addiction issues, and 39% have mental health challenges. Many have had extensive contact with the state: 37%had previously been in prison, 12%in care and 3%in the UK Armed Forces. Government homelessness statistics show that, in percentage terms, the immediate homelessness triggers for families and vulnerable single people housed by local authorities have remained fairly consistent in over the years. In 2011/12, the main cause was eviction by parents, relatives or friends at 34%. In 19% of cases, households were unable to find alternative accommodation when their tenancy ended. 6.3.Overview of Approach England’s homelessness policies were updated in 2011-12 through the release of two sets of policy commitments by HM Government, outlined in “Vision to End Rough Sleeping: No Second Night Out”; and “Making Every Contact Count”. Combined, these two policy documents outline the Government’s vision in both supporting people who are homeless, and also, preventing vulnerable populations from becoming homeless. Through No Second Night Out, the Government planned to create a new Homeless Transition Fund to support the delivery of services for people sleeping rough by working with voluntary sector partners to identify and disseminate good practices in helping people off the streets. Included within this commitment was support for local authorities to reconnect migrant rough sleepers with their home countries, and a 24 hour help line and website so that members of the public (including emergency services and homeless people themselves) can report and refer rough sleepers throug h dispatch of Page |26 outreach worker. Through No Second Night Out, the Government committed to helping people who are homeless both access health care, and find work. On the healthcare front, the Department committed to finding ways to ensure that health care services are more inclusive of the needs of people who are homeless, including highlighting the role that specialists have in the diagnosing and treating individuals with co- occurring mental health and substance use challenges, and ensuring medical professionals discharging patients who are homeless know who to approach for help finding appropriate housing needs. The Department committed to offering early access to the Work Programme for homeless people who are claiming Jobseeker’s Allowance, in addition to prioritizing access to further education and skills services for the most disadvantaged (including people who are homeless). Through Making Every Contact Count,the Government has committed to tackling troubled childhoods and adolescence through helping schools, and other local partners to support vulnerable young people at risk of homelessness, and through funding youth homelessness charities to promote use of the youth accommodation pathway. The Government intended to produce an evidence -based document of local approaches used in preventing youth homelessness. The Department also committed to working to support 300 schools in a three year exclusion trial to improve the education of students permanently excluded. The Department also committed to reducing involvement in crime through a number of different measures, including: commissioning a national homeless charity (Crisis) to develop guidance for prison and probation practitioners on ways to improve offender access to private rented sector accommodations; through highlighting homeless prevention measures to new Police and Crime Commissioners; and by helping prisoners from becoming homeless on release from custody by keeping prisoner’s housing in payment for those serving sentences of six months or less. The Department also committed to helping to improve skills, employment and management of rent payments through demonstration projects focused on managing budget and manage rent payments; piloting of community learning trusts; and exploring a payment by results approach for those some distance from labour market. 6.4.Implementation Characteristics Within these two policy documents, the Government identified a few implementation-type commitments which will help support broader outcomes-based commitments (such as improving access to health care and helping to get homeless populations off the street). The Governmen t committed to increasing local control over investment in homeless services through helping communities identify where investment in homelessness prevention can best be made and working together with local governments to develop proposals for the use of community-based budgets for homeless adults with complex needs. The Government also committed to reducing bureaucratic burdens on community organizations, in part, through discontinuing the practice of requiring local authorities and agencies to submit ongoing data returns regarding services provided; and through the establishment of a red tape taskforce finding ways Page |27 to reduce the impact of bureaucracy on charities, social enterprises and voluntary organizations. The Government also set up a Ministerial Working Group to bring together eight departments with responsibility for the issues that affect homeless people, and has made prevention, and stable accommodation a central element of cross-government strategies, including the following: 1.The new Mental Health Strategy which focuses on promoting good mental health and early intervention; 2.The Drugs Strategy which sets out an ambition for anyone dependent on drugs or alcohol to achieve recovery;and, 3.The offender sentencing and rehabilitation green paper which focuses on more effective sentencing and rehabilitation to break the cycle of crime and re-offending. The Government also committed to devolving responsibility for tackling homelessness: the London Mayor has been given new responsibilities to help end rough sleeping in the capital by the end of 2012. The Government also launched the world’s first homelessness Social Impact Bond, designed to attract social investment into service agencies supporting the homeless population by rewarding providers who can find appropriate housing (with supports) for homeless individuals. 6.5.Project Budget and Costs 1.£400m made available to local authorities and voluntary sector through Preventing Homelessness Grant (over 4 years); 2.£20m to Homeless Link for a new Homelessness Transition Fund to support roll out of No Second Night Out and delivery of accommodation services; 3.£10m to Crisis (2010-2013) to fund voluntary sector in improving access to private rental accommodations for single people who are homeless; 4.£37.5m between 2012-13 and 2014-15 through Homeless Change Programme to help people move directly into rental housing; 5.£34m given to London Mayor, along with new responsibilities to help end rough sleeping in capital by 2012;and, 6.£5m Social Impact Bond in partnership with the Mayor of London to help deliver sustained long term outcomes for London’s most frequent rough sleepers. 6.6.Evidence of Success and Lessons Learned The Department reported improving access to private rental market for single homeless people (via £10 million fund) through creation of 1370 tenancies in the first year, and 76% of which were sustained for at least six months. Overall goal was to create 8000 tenancies by 2014. Other successes described by the Department, included: 1.Announcement of a national rough sleeper reporting line, and website (2012) enabling concerned members of the public to report the details of rough sleepers, information referred to the appropriate authorities for action; Page |28 2.Published report by Government regarding on how hospital admission and discharge can be improved for homeless people;and, 3.Working with five local authorities in funding ‘Homeless Link’to explore improving outcomes for homeless people with co-occurring mental health and substance use challenges. Despite efforts made by the City of London in concert with the Department of Communities and Local Governments, the number of rough sleepers counted between 2011 and 2014 continued to rise annually within London. This was reported by Combined Homelessness and Information Network’s (CHAIN) annual reports which include a count of rough sleepers within London, numbers for which are illustrated in Figure 1. Figure 1.Number of Rough Sleepers Counted in London 3017 3472 3673 3975 5678 6437 6508 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014# of rough sleepers Page |29 6.7.Additional Resources 1.CHAIN Street to Home Annual Report 2010-11, and 2013-14. 2.Department for Communities and Local Government (2008). Statutory Homelessness in England: the experiences of families and 16-17 year olds. 3.Department for Communities and Local Government (2011). Vision to End Rough Sleeping: No Second Night out Nationwide. 4.Department for Communities and Local Government (2011). Laying the Foundations: A Housing Strategy for England. 5.Department for Communities and Local Government (2012). Making Every Contact Count: A Joint Approach to Preventing Homelessness. London, England. 6.Department for Communities and Local Government (2012). The Costs of Homelessness: A Summary. 7.Department for Communities and Local Government (2012). Allocation of Accommodation: Guidance for Local Housing Authorities in England. 8.Fitzpatrick, S., Bramley, B. & Johnsen, S. (2013). Pathways into Multiple Exclusion Homelessness in Seven UK Cities.Urban Studies. http://usj.sagepub.com/content/early/2012/07/27/0042098012452329 Page |30 7.0.Substance Use Case Study #1 –Vancouver at Home / Chez Soi Project (Vancouver) The At Home/Chez Soi project was a housing research initiative addressing homelessness for Canadians with mental health issues that took place in five Canadian cities including Moncton, Montréal, Toronto, Vancouver, and Winnipeg (Goering et al., 2014; Macnaughton, Nelson, Piat, Curwood, & Egalité, 2010). The purpose of the multi-year intervention was to identify promising practices, costs, participant benefits,and environmental contexts related to Housing First (HF) services, an intervention model that provides immediate and permanent housing and wrap-around supports to Canadians who are homeless and have mental health issues (Goering et al., 2014; Macnaughton et al, 2010). The $110 million,federally-funded and random controlled trial was an initiative meant to generate knowledge about effective approaches to address homelessness among Canadians experiencing mental health issues (Goering et al., 2014; Macnaughton et al, 2010; Zabkiewicz, Patte rson, Somers, & Frankish, 2012) and to assess the effectiveness of different housing interventions that were modeled on the needs of participants (Zabkiewicz et al., 2012). Intervention characteristics are provided in Table 5. Table 5.Characteristics of the Treatment Groups for the Vancouver At Home Study Treatment Groups Characteristics Housing First (HF) Immediate access to independent housing and support services; Psychiatric treatment or period of sobriety to obtain housing is not mandatory; Weekly tenant/case worker meeting; and, Philosophy of consumer choice. Intensive Case Management (ICM) Case manager team provides supportive care who broker specialized services to agencies existing in the community; Client/staff ratio of 16:1; Workers accompany clients to appointments; and, Centralized assignment and weekly case conferences. HF & Assertive Community Treatment Groups (ACT) Trans-disciplinary team, including psychiatrist, nurse, occupational therapist, substance abuse specialist, and peer specialist; Client/staff ratio of 9:1; Program staff are closely involved in hospital admissions and discharges; and, Daily team meetings to review caseload. Congregate Housing & Supports (CONG) Self-contained units in a single building with common areas and meals provided; Client/staff ratio of approx.12:1; and, Onsite support staff, including psychiatrist, social worker, nurse, peer support, pharmacy and activity planning. Treatment as Usual (TAU) No housing or supports provided;and, Some participants received housing and support through other programs and agencies. * Adapted from Zabkiewicz et al., 2012, p. 2 Page |31 The Vancouver At Home study included 497 participants aged 19 years or older living with mental health issues and lacked stable housing (Currie, Moniruzzaman, Patterson, & Somers, 2014; Zabkiewicz et al., 2012). Participants were recruited from an array of institutional settings (including emergency homeless shelters, hospitals, drop-in centres,and outreach organizations)to evaluate the effects of the HF model (Currie et al., 2014; Zabkiewicz et al., 2012). Table 6 provides a summary of the participants for each treatment group. Table 6.Participants Demographics by Treatment Group for the Vancouver At Home Study Moderate Needs (n = 200)High Needs (n =297) Treatment Group HF & ICM n = 100 HF & ACT n = 90 TAU n = 100 CONG n = 107 TAU n = 100 Gender Male 29%Male 74% Female 71%Female 26% Ethnicity White 55%White 57% Aboriginal 16%Aboriginal 15% All Other 29%All Other 28% Functional impairment Severe Disability 5%Severe Disability 34% Moderate Disability 20%Moderate Disability 66% Little Disability 75%Little Disability 0% Mental Health Major Depression 52%Major Depression 32% Mania or Hypomania 15%Mania or Hypomania 23% PTSD 33%PTSD 21% Panic Disorder 23%Panic Disorder 20% Mood disorder w/ psychotic features 14%Mood disorder w/ psychotic features 19% Psychotic Disorder 26%Psychotic Disorder 71% Alcohol Dependence 25%Alcohol Dependence 24% Substance Dependence 53%Substance Dependence 62% * Source: Zabkiewicz et al., 2012. Page |32 7.1.Summary of Challenges Between September, 2008 and January, 2009, a multi-disciplinary team of community service providers and researchers in Vancouver developed a study methodology and proposal responding to the Mental Health Commission of Canada’s (MCHH) Request for Applications (RFA) for a research demonstration project on mental health and homelessness (Patterson, Schmidt, & Zabkiewicz, 2010). Challenges during the convening, developing, and planning phases for the Vancouver site initiative were identified through semi-structured interviews and developed into a report (Patterson et al., 2010; Schmidt & Patterson, 2011). Initially, the fragmented nature of the social service sector and research organizations working in silos posed a challenge and led to a sense of disorganization and poor leadership, while power dynamics between community organizations and university researchers led to tension (Nelson, Macnaughton, Curwood, Egalité, Piat, & Goering, 2011). Timeframe constraints posed a large challenge which limited opportunities for fully engaging stakeholders and people with lived experience, restricting creativity in the proposal development phase, and transparency in the decision-making process (Patterson et al., 2010). Stakeholders found the RFA both vague and rigid which led to a less-developed project vision and clarity around team roles (Patterson et al., 2010). Challenges also included maintaining consistent staffing levels, participants who were difficult to engage or had personal challenges that led to evictions and were difficult to rehouse, as well as meeting participants’ housing preferences (Patterson, 2012; Schmidt & Patterson, 2011). 7.2.Overview of Approach Researcher and service provider stakeholders representing non-profit housing and services sector, municipal and provincial government, the health authority, police and corrections agencies, and local universities in Vancouver took part in an information session on the five -site project in the Summer of 2008, a project coordinator was put in place in August of 2008,with the first local consortium being held the following month (Nelson et al., 2011; Patterson et al., 2010). 7.3.Implementation Characteristics Research participants were randomly assigned to one of three possible study groups including ACT with HF independent housing;congregate (CONG) housing in the Bosman hotel with ACT-like onsite supports, or TAU. Participants in the HF+ACT group received supports from the multidisciplinary RainCity Housing ACT team, which included a peer support worker and other professionals. Collectively the team managed the emergent needs of the 90 HF+ACT participants. The local organizations selected to provide services within Vancouver at Home were chosen through a competitive “request for proposals” process. Applications were reviewed by a panel of senior individuals drawn from homelessness research, management of services, and community granting agencies. Assessment was made on the basis of organizational experience, implementation plan, and budget. Service providers received specific training in the principles and delivery of HF, and the HF programs underwent fidelity assessments by external review teams at two points during the study. Fidelity Page |33 assessments were intended to ensure that the principles and procedures of the HF model were being appropriately upheld and carried out by Vancouver at Home service providers. Services were based on the model defined by Pathways to Housing [15-17], including expertise that anticipated the needs of local clients (e.g., addiction severity), and configured to support participants in both scattered and congregate housing settings. Participants randomized to HF were transitioned to a case manager within two days of study entry. The Coast Mental Health Foundation ran the intensive case management team while services were delivered by case managers with assigned caseloads of participants. 7.4.Project Budget and Costs Results from the Vancouver project revealed that the HF intervention cost $28,282 per person per year on average for high needs participants and $15,952 per person per year for moderate need participants (Currie et al., 2014). Costs included front-line staff salaries, supervisors, program expenses (travel, rent, utilities), and rent supplement provided by the MHCC grant (Currie et al., 2014). T he costs of HF services provided to high needs participants throughout the duration of the project resulted in an average reduction of $24,190 per person in the costs of all other related services (e.g., visits to psychiatric hospitals, medical units of general hospitals, hospitalizations, overnight stays in emergency shelters, etc.) while an overall increase of $2,667 for moderate need participants was found (Currie et al., 2014).This translated to a savings of $8.55 for every $10 invested for high needs participants and a $1.67 increase in spending for every $10 invested for moderate need participants. 7.5.Evidence of Success and Lessons Learned Much of the initial struggles and tension the Vancouver team faced were reduced once roles were clearly established for researchers and service providers, a Site Coordinator had been hired to facilitate equality among team members and move the project forward, and with time, relationships and trust could develop and team member commitments and transparency had improved (Nelson et al., 2011). Stakeholders learned that small committees to address front-line problems in a prompt manner to be of high importance rather than relying on higher-level meetings (Patterson, 2012) and that a Research Coordinator and Field Research Manager supported the development of research protocols and the planning that was required to recruit participants (Patterson et al., 2010). The major themes that were crucial to the short-and long-term success of the project at the Vancouver site include building relationships and trust between stakeholders at all levels in order to build consensus around a common vision for the project and drawing in the right partners who represent both disenfranchised groups and organizations committed to inclusivity and parity of participation (Nelson et al., 2011). Page |34 7.6.Additional Resources 1.Currie, L. B., Moniruzzaman, A., Patterson, M. L., & Somers, J. M. (2014). At Home/Chez Soi Project:Vancouver Site Final Report.Calgary, AB: Mental Health Commission of Canada. Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/At%20Ho me%20Report%20Vancouver%20ENG.pdf 2.Fleury, M. J., Grenier, G., Vallée, C., Hurtubise, R., & Lévesque, P. A. (2014). The role of advocacy coalitions in a project implementation process: The example of the planning phase of the At Home/Chez Soi project dealing with homelessness in Montreal.Evaluation and Program Planning, 45, 42-49. 3.Goering, P. N., Streiner, D. L., Adair, C., Aubry, T., Barker, J., Distasio, J., ... & Zabkiewicz, D. M. (2011).The At Home/Chez Soi trial protocol: A pragmatic, multi-site, randomised controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities.BMJ Open, 1(2), e000323. DOI:10.1136/bmjopen-2011-000323. 4.Goering, P., Veldhuizen, S., Watson, A., Adair, C., Kopp, B., Latimer, E., … & Aubry, T. (2014). National At Home/Chez Soi Final Report.Calgary, AB: Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/mhcc_at _home_report_national_cross-site_eng_2.pdf 5.Macnaughton, E. L., Goering, P. N., & Nelson, G. B. (2012). Exploring the value of mixed methods within the At Home/Chez Soi Housing First project: A strategy to evaluate the implementation of a complex population health intervention for people with mental illness who have been homeless.Canadian Journal of Public Health/Revue Canadienne de Sante'e Publique, S57-S62. 6.Macnaughton, E., Nelson, G., Piat, M., Curwood, S. E., & Egalité, N. (2010). Conception of the Mental Health Commission of Canada’s At Home/Chez Soi Project: Cross-Site Report. Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ at_Home_Qualitative_Report_Conception_Cross_Site_ENG.pdf 7.Nelson, G., Rae, J., Townley, G., Goering, P., Macnaughton, E., Piat, M., & Tsemberis, S. (2012).Implementation and Fidelity Evaluation of the Mental Health Commission of Canada’s At Home/Chez Soi Project: Cross-Site Report.Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ At_Home_Qualitative_Report_Implementation_Fidelity_Cross_Site_ENG.pdf Page |35 8.Nelson, G., Macnaughton, E., Caplan, R., Macleod, T., Townley, G., Piat, M., ... & Goering, P. (2013).Follow-up Implementation and Fidelity Evaluation of the Mental Health Commission of Canada’s At Home/Chez Soi Project: Cross-Site Report.Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ At_Home_Qualitative_Report_Follow- up_Implementation_Fidelity_Evaluation_Cross_Site_ENG.pdf 9.Nelson, G., Macnaughton, E., Curwood, S. E., Egalité, N., Piat, M., & Goering, P. (2011). Planning and Proposal Development for the Mental Health Commissions of Canada’s At Home/Chez Soi Project: Cross-Site Report.Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ At_Home_Qualitative_Report_Planning_Proposal_Development_Cross_Site_ENG.pdf 10.Patterson, M. (2012). The At Home/Chez Soi project: Year two project implementation at the Vancouver,BC site.Vancouver: Faculty of Health Sciences,Simon Fraser University. Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ At_Home_Qualitative_Report_Vancouver_Year_Two_Project_Implementation_ENG.pdf 11.Patterson, M., Moniruzzaman, A., Palepu, A., Zabkiewicz, D., Frankish, C. J., Krausz, M., & Somers, J. M.(2013). Housing First improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia.Social Psychiatry and Psychiatric Epidemiology, 48(8), 1245- 1259. DOI 10.1007/s00127-013-0719-6. 12.Patterson, M. L., Moniruzzaman, A., & Somers, J. M. (2014). Community participation and belonging among formerly homeless adults with mental illness after 12 months of Housing First in Vancouver, British Columbia: a randomized controlled trial.Community Mental Health Journal, 50(5), 604-611. DOI 10.1007/s10597-013-9672-9. 13.Patterson, M. L., Rezansoff, S., Currie, L., & Somers, J. M. (2013). Trajectories of recovery among homeless adults with mental illness who participated in a randomised controlled trial of Housing First: A longitudinal, narrative analysis.BMJ Open, 3(9), e003442. 14.Patterson, M., Schmidt, D., & Zabkiewicz, D. (2010). The At Home/Chez Soi Project: A review of the proposal development and planning phase in Vancouver, BC.Vancouver: Faculty of Health. 15.Sciences, Simon Fraser University and the Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ Page |36 At_Home_Qualitative_Report_Vancouver_Review_Proposal_Development_Planning_Phas e_ENG.pdf 16.Russolillo, A. L. (2013). Emergency department utilization among formerly homeless adults with mental disorders after 1-year of housing first: a randomized controlled trial (Doctoral dissertation,Health Sciences: Faculty of Health Sciences). 17.Schmidt, D., & Patterson, M. L. (2011). The At Home/Chez Soi Project: Implementation at the Vancouver, BC Site.Vancouver: Faculty of Health Sciences, Simon Fraser University and the Mental Health Commission of Canada.Retrieved from: http://www.mentalhealthcommission.ca/English/system/files/private/document/Housing_ At_Home_Qualitative_Report_Vancouver_Implementation_ENG.pdf 18.Somers, J. M., Patterson, M. L., Moniruzzaman, A., Currie, L., Rezansoff, S. N., Palepu, A., & Fryer, K.(2013). Vancouver At Home: Pragmatic randomized trials investigating Housing First for homeless and mentally ill adults.Trials, 14(1), 365. Retrieved from: http://www.biomedcentral.com/content/pdf/1745-6215-14-365.pdf 19.Somers, J. M., Rezansoff, S. N., Moniruzzaman, A., Palepu, A., & Patterson, M. (2013). Housing first reduces re-offending among formerly homeless adults with mental disorders: Results of a randomized controlled trial.PloS one, 8(9), e72946. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762899/pdf/pone.0072946.pdf 20.Zabkiewicz, D., Patterson, M., Somers, J., & Frankish, J. (2012). The Vancouver at Home Study: Overview and methods of a housing first trial among individuals who are homeless and living with mental illness.Journal of Clinical Trials, 2(4), 123. DOI:10.4172/2167- 0870.1000123. Retrieved from: http://www.habitation.gouv.qc.ca/fileadmin/internet/centredoc/CC/NS23364.pdf Maple Ridge Social Services D Delivery Research Report DRAFT Technical Appendix D:Consultation Workshops Summary Report July 2016 Table of Contents 1.Introduction ...............................................................................................................................1 2.Maple Ridge Community Network (February 1, 2016)..................................................................2 2.1.Workshop Summary ........................................................................................................2 2.2.How Information Was Gathered ......................................................................................2 2.3.Issues Most Frequently Mentioned Priorities Identified in Each Focus Area .......................2 2.3.1.Mental Health Priority Areas ........................................................................................2 2.3.2.Substance Use Priority Areas ........................................................................................3 2.3.3.Housing Priority Areas...................................................................................................4 2.4.Priority Areas and Recommendations Identified ...............................................................5 2.4.1.Identified Recommendations for Mental Health Priority Areas ...................................5 2.4.2.Identified Recommendations for Substance Use Priority Areas ...................................6 2.4.3.Identified Recommendations for Housing Priority Areas .............................................7 3.0.Maple Ridge City Council (February 1, 2016)................................................................................8 3.1.Workshop Summary ........................................................................................................8 3.2.How Information Was Gathered ......................................................................................8 3.3.Issues Most Frequently Mentioned in Each Priority Area ..................................................8 3.3.1.Mental Health Priority Areas ........................................................................................8 3.3.2.Substance Use Priority Areas ........................................................................................9 3.3.3.Housing Priority Areas...................................................................................................9 3.4.Priority Areas and Recommendations Identified .............................................................10 3.4.1.Identified Recommendations for Mental Health Priority Areas .................................10 3.4.2.Identified Recommendations for Substance Use Priority Areas .................................11 3.4.3.Identified Recommendations for Housing Priority Areas ...........................................11 4.0.Maple Ridge City Youth Advisory Council (March 8, 2016)..........................................................12 4.1.Workshop Summary ......................................................................................................12 4.2.How Information Was Gathered ....................................................................................12 4.3.Issues Most Frequently Mentioned for Each Priority Area ...............................................12 4.3.1.Mental Health Priority Areas ......................................................................................12 4.3.2.Substance Use Priority Areas ......................................................................................13 4.3.3.Housing Priority Areas.................................................................................................13 4.4.Priority Actions and Recommendations Identified ..........................................................14 4.4.1.Identified Recommendations for Mental Health Priority Areas .................................14 4.4.2.Identified Substance Use Recommendations .............................................................15 4.4.3.Identified Housing Service Recommendations ...........................................................15 5.0.Alouette Heights Supportive Housing (Alouette Home Start Society) (March 22, 20 16)...............16 5.1.Workshop Summary ......................................................................................................16 5.2.How Information Was Gathered ....................................................................................16 5.3.Issues Most Frequently Mentioned in Each Priority Area ................................................16 5.3.1.Mental Health Priority Areas ......................................................................................16 5.3.2.Substance Use Priority Areas ......................................................................................17 5.3.3.Housing Priority Areas.................................................................................................18 5.4.Identified Recommendations for the Three Priority Areas...............................................18 5.4.1.Identified Mental Health Service Recommendations .................................................18 5.4.2.Identified Substance Use Service Recommendations .................................................19 5.4.3.Identified Housing Service Recommendations ...........................................................19 6.0.Maple Ridge Community Network, Session 2 (April 25, 2016)....................................................20 6.1.Workshop Summary ......................................................................................................20 6.2.How Information Was Gathered ....................................................................................20 6.3.Most Frequently Mentioned Priorities Identified for Each Focus Area .............................20 6.3.1.Mental Health Priority Areas ......................................................................................20 6.3.2.Substance Use Priority Areas ......................................................................................21 6.4.Identified Recommendations for the Three Priority Areas ...............................................22 6.4.1.Identified Mental Health Service Recommendations .................................................22 6.4.2.Identified Substance Use Service Recommendations.................................................23 6.4.3.Identified Housing Service Recommendations ...........................................................23 6.4.4.Identified Potential Partners .......................................................................................24 7.0.Maple Ridge Local Action Team Youth Representatives (May 3, 2016).......................................27 7.1.Workshop Summary ......................................................................................................27 7.2.Process for Gathering Information .................................................................................27 7.3.Most Frequently Mentioned Priorities Identified for Each Focus Area .............................27 7.3.1.Mental Health Priority Areas ......................................................................................27 7.4.Identified Recommendations for All Focus Areas (Local Action Team Workshop).............29 List of Tables Table 1.Consultation Workshops ...............................................................................................................1 Table 2.Frequently Mentioned Mental Health Priority Areas (Community Network Workshop, Session 1)......................................................................................................................................2 Table 3.Frequently Mentioned Substance Use Priority Areas (Community Network Workshop, Session 1)......................................................................................................................................3 Table 4.Frequently Mentioned Housing Priority Areas (Community Network Workshop, Session 1)......................................................................................................................................4 Table 5.Recommendations for Mental Health Priority Areas (Community Network Workshop, Session 1).......................................................................................Error!Bookmark not defined. Table 6.Recommendations for Substance Use Priority Areas (Community Network Workshop, Session 1).....................................................................................................................................6 Table 7.Recommendations for Housing Priority Areas (Community Network Workshop, Session One)..............................................................................................................................................7 Table 8.Frequently Mentioned Mental Health Priority Areas (Maple Ridge City Council Workshop)....................................................................................................................................8 Table 9.Frequently Mentioned Substance Use Priority Areas (Maple Ridge City Council Workshop)....................................................................................................................................9 Table 10.Frequently Mentioned Housing Priority Areas (Maple Ridge City Council Workshop)................9 Table 11.Recommendations for Mental Health Priority Areas (Maple Ridge City Council Workshop)..................................................................................................................................10 Table 12.Recommendations for Substance Use Priority Areas (Maple Ridge City Council Workshop)..................................................................................................................................11 Table 13.Recommendations for Housing Priority Areas (Maple Ridge City Council Workshop)..............11 Table 14.Frequently Mentioned Mental Health Priority Areas (Youth Advisory Council Informal Session).......................................................................................................................................13 Table 15.Frequently Mentioned Substance Use Priority Areas (Youth Advisory Council Informal Session).......................................................................................................................................13 Table 16.Frequently Mentioned Housing Priority Areas (Youth Advisory Council Informa Session)........13 Table 17.Recommendations for Mental Health Priority Areas (Youth Advisory Council Informal Session).......................................................................................................................................14 Table 18.Recommendations for Substance Use Priority Areas (Youth Advisory Council Informal Session).......................................................................................................................................15 Table 19.Recommendations for Housing Priority Areas (Youth Advisory Council Informal Session).......15 Table 20.Frequently Mentioned Mental Health Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................17 Table 21.Frequently Mentioned Substance Use Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................17 Table 22.Frequently Mentioned Housing Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................18 Table 23.Recommendations for Mental Health Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................18 Table 24.Recommendations for Substance Use Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................19 Table 25.Recommendations for Housing Priority Areas (Alouette Home Start Residents Workshop and Poster Session)...................................................................................................19 Table 26.Frequently Mentioned Mental Health Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................20 Table 27.Frequently Mentioned Substance Use Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................21 Table 28.Frequently Mentioned Housing Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................21 Table 29.Recommendations for Mental Health Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................22 Table 30.Recommendations for Substance Use Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................23 Table 31.Recommendations for Housing Priority Areas (Community Network Workshop, Session 2)....................................................................................................................................23 Table 32.Frequently Mentioned Priorities Across All Three Focus Areas (Local Action Team Workshop)..................................................................................................................................27 Table 33.Recommendations for All Focus Areas (Local Action Team Workshop).....................................29 Page |1 1.Introduction In order to supplement and enhance the material already collected, a series of consultation workshops were held between February and early May of 2016.An estimated 115 individuals took part in these sessions and represented the City of Maple Ridge, community service organizations, and a variety of people with lived experiences of issues related to homelessness, mental health, and problemat ic substance use and addictions (see Table 1). Table 1.Consultation Workshops Workshop Methods Used Date Estimated Attendance 1 Maple Ridge Community Network (Session 1) Presentation Brainstorm Priority Identification February 1, 2016 25 2 Maple Ridge City Council Presentation Brainstorm Priority Identification February 1, 2016 12 3 Youth Advisory Council Consultation Stations Brainstorm Priority Identification March 8, 2016 20 4 Alouette Home Start Residents (Workshop) Brainstorm Priority Identification March 22,2016 16 Alouette Home Start Residents (Poster) Consultation Stations Priority Identification March 22 –29, 2016 15 5 Maple Ridge Community Network (Session 2) Presentation Discussion Tables Priority identification April 25,2016 20 6 Maple Ridge Local Action Team Youth Representatives Brainstorm Priority Identification May 3, 2016 7 TOTAL 115 The workshop format was varied to take into account the specific n eeds of the participants. For some workshops, presentations and small group discussions were used to gather information and identify priority issues, short-term actions (i.e., within two years), and/or potential partners. Some workshops included a community meal followed by a discussion and brainstorm session and in some cases, posters were used to gather comments and responses to questions about priority issues. These methods were used to ensure confidentiality for those sharing parts of their lived experiences. The following sections also provide a detailed summary of issues discussed and priorities identified at each workshop. Brackets (e.g. 1X, 2X, etc.) are used to indicate the number of participants who identified each issue as a priority issue. Page |2 2.Maple Ridge Community Network (February 1, 2016) 2.1.Workshop Summary This workshop was intended to enlist the help of the Community Network in identifying priority issues to be explored during the subsequent workshops.Approximately 30 participants attended this session. Below is a summary of priorities identified. 2.2.How Information Was Gathered The agenda for this session included a presentation summarizing information gathered to date followed by a discussion and brainstorm session with the full group to identify potential priority areas. Participants then used dots to identify areas they considered to be most important. 2.3.Issues Most Frequently Mentioned Priorities Identified in Each Focus Area 2.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included outreach and advocacy, co-occurring disorders,and maintaining wellness.Participants most often discussed outreach and advocacy for mental health issues among: (1) families experiencing multiple barriers and issues; (2)youth (19 –24 years) transitioning out of care; (3)people with disabilities (e.g., those with brain injuries); and,(4) those transitioning out of corrections facilities.As part of this outreach, participants discussed the need to advocate and support these individuals needing access to resources.The second most mentioned theme included the need for addressing people with both mental health issues and substance a buse issues and who are simultaneously living in poverty.The third most often discussed priority area included then eed for maintaining wellness through community support such as recreation, coaching support,and ‘point of contact’services. A breakdown of the mental health priority areas are provided in Table 2 along with the frequency with which those priority areas were discussed. Table 2.Frequently Mentioned Mental Health Priority Areas (Community Network Workshop,Session 1) Top 3 Mental Health Priority Areas Frequency Outreach and Advocacy 35 Co-Occurring Disorders 15 Maintaining Wellness 7 Other Mental Health Priority Areas Frequency Upstream Work 6 Accessibility 2 Page |3 2.3.2.Substance Use Priority Areas The top three mental health priority areas discussed included access to detox facilities, the need to establish a sobering centre, and, more generally,treatment strategies and programs.Participants most often discussed the need for greater access to detox facilities for those who wish to address substance use and addiction issues. The second most mentioned priority area involved the establishment of a sobering centre that provides a safe place for intoxicated individuals to stay overnight but does not include hospitals or jails. The third most mentioned priority area included a broader discussion of the range of treatment options needed in Maple Ridge including 2nd stage treatment facilities to support those who have completed detox and who need support in their transition back into the community as well as new facilities that support parents and children so that the decision between sobriety and children does not remain a barrier to receiving treatment. Other priority areas included outreach for youth who are at risk or in need of support to address substance use issues and establishing a Substance Use Advisory Committee.Additionally,delivering harm reduction strategies to communities were discussed including education for first responders, service providers, and community centres.Community education was a priority area discussed, including the need to explore the development of new models of education and prevention relevant to those at risk and support such strategies within a harm reduction model that is intended to reduce the negative consequences associated with substance use. A breakdown of the substance use priority areas are provided in Table 3 below along with the frequency with which those priority areas were discussed. Table 3.Frequently Mentioned Substance Use Priority Areas (Community Network Workshop, Session 1) Top 3 Substance Use Priority Areas Frequency Access to Detox Facilities 18 Establish Sobering Centre 15 Treatment 8 Other Substance Use Priority Areas Frequency Outreach 7 Substance Use Advisory Committee 7 Harm Reduction 5 Community Education 2 Page |4 2.3.3.Housing Priority Areas The top three housing priority areas discussed included affordable housing, prevention, and an updated Housing Action Plan.Participants most often discussed affordable housing and the need for maintaining a range of housing options for Maple Ridge residents as a preventative measure including those options that address the increasing cost of housing. A Housing Action Plan that is updated and revitalized to identify goals and strategies for addressing many of the housing issues was the second most discussed priority area. The third most often discussed priority were maintaining and updating housing subsidies for those who are at risk of losing their homes or who are homeless and seeking accommodation. Other priority areas that were less mentioned but important to note included the need to maintain and update rent subsidies for those at risk of losing their homes, or who are homeless, and seeking accommodations.Community education was also discussed with regard to landlord and tenant education and access to support, general public awareness of who homeless people, where they are homeless, and where they are from, as well as report outlining success stories and progress. Participants discussed the need to develop and/or sustain programs including the establishment of new shelters and sustaining the Community Connections Program. During the discussion, it was noted that incentives were a priority for building low-cost rental housing and that there is a need for prevention strategies to address the needs of youth, ensure there is support for at-risk populations and address issues of transportation and mobility issues among youth to ensure access to support. A breakdown of the housing priority areas are provided in Table 4 below along with the frequency with which those priority areas were discussed. Table 4.Frequently Mentioned Housing Priority Areas (Community Network Workshop,Session 1) Top 3 Housing Priority Areas Frequency Affordable Housing 12 Prevention 12 Housing Action Plan 10 Other Housing Priority Areas Frequency Rent Subsidies 9 Community Education 7 Develop and/or Sustain Programs 3 Incentives 2 Support for At-Risk Populations 3 Transportation and Mobility Barriers Among Youth 2 Page |5 2.4.Priority Areas and Recommendations Identified 2.4.1.Identified Recommendations for Mental Health Priority Areas Table 5 provides the recommendations that have been identified for mental health priority areas which were discussed. Mental Health Priority Areas Recommendations Outreach and Advocacy Establish an Assertive Case Management Team modeled on existing initiatives in Abbotsford and Surrey. Ensure support for those who have been in the foster care system and who are entering adulthood. Support agencies to work together to address common issues. Provide outreach to families experiencing multiple barriers and issues. Address issues related to people with brain Injury including education for service providers. Address issues related to people coming out of corrections. Support for individuals needing to access resources. Co-Occurring Disorders Address the needs of people with both mental health issues and substance use issues, especially those living in poverty. Maintaining Wellness Community support for those who have utilized services and who need to maintain progress (includes recreation, coaching support, welcoming community, educating “points of contact” about community services available). Upstream Work Address issues such as employment and housing which have long-term impacts on mental health. Accessibility Improve support for youth needing to access services. Ensure access to services outside normal business hours (e.g., the 4pm to 6pm time period between the end of the school day and the supper hour). Page |6 2.4.2.Identified Recommendations for Substance Use Priority Areas Table 6 provides the recommendations that have been identified for substance use priority areas which were discussed. Table 5.Recommendations for Substance Use Priority Areas (Community Network Workshop, Session 1) Substance Use Priority Areas Recommendations Access to Detox Facilities Facilities for those who wish to address substance use and addiction issues with an emphasis on facilities geared towards youth who wish to address substance use and addiction issues. Establish Sobering Centre Safe location (besides hospital or jail) for overnight stays by intoxicated individuals. Treatment Ensure a full range of treatment options. Support the development of new facilities that will be accessible to parents and children so that there is no longer and need to choose between children and sobriety. 2nd stage treatment facilities to support those who have completed detox and who need support to return to the community. Outreach Outreach for youth who are at risk or in need of support to address substance use issues. Substance Use Advisory Committee Improve support for youth needing to access services. Ensure ongoing support for this subcommittee of the Community Network. Harm Reduction Ensure that Narcan Kits and education are available through the community including first responders, service providers, and community centres. Support strategies based on harm reduction models intended to reduce the negative consequences associated with substance use. Community Education Explore the development of new models of education and prevention relevant to those at risk. Page |7 2.4.3.Identified Recommendations for Housing Priority Areas Table 7 provides the recommendations that have been identified for housing priority areas observed which were discussed. Table 6.Recommendations for Housing Priority Areas (Community Network Workshop, Session One) Housing Priority Areas Recommendations Affordable Housing Maintain a range of housing options for Maple Ridge residents including those that address the increasing cost of housing. Prevention Address recent closure of the Youth Safe House. Address needs of youth (18-24 years). Provide programs that connect youth to life support. Provide programs that support youth to establish sustainable income. Housing Action Plan Update and revitalize the existing Housing Action Plan which identifies goals and strategies for addressing many of the housing issues mentioned. Rent Subsidies Maintain and update housing subsidies for those who are at risk of losing their homes or who are homeless and seeking accommodation. Review the current 12 month time limit for those who have received subsidies. Community Education Education for landlord and tenants. Ensure landlords have access to information and support. Education for general public about where people who are homeless are from. A yearly report outlining success stories and progress. Develop and/or Sustain Programs Develop shelter based on the model of the 3030 Gordon Avenue Project (Coquitlam). Ensure the sustainability of the Community Connections Program. Incentives Review current zoning laws to ensure incentives for building low-cost rental housing. Support for At-Risk Populations Ensure support for people who are in housing but who are at risk. Transportation and Mobility Barriers Among Youth Address issues of transportation and mobility for youth to ensure access to recreation, support, and services. Page |8 3.0.Maple Ridge City Council (February 1, 2016) 3.1.Workshop Summary This workshop was intended to work with the Mayor and City Council to identify gaps in social services in Maple Ridge within three priority areas (mental health, substance use, and housing). 3.2.How Information Was Gathered The agenda for this session included a presentation summarizing information gathered to date followed by a discussion and brainstorm session with the full group to identify potential priorities. 3.3.Issues Most Frequently Mentioned in Each Priority Area 3.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included at risk populations and mental health service needs,mental health service delivery model,and coordination and collaboration among agencies. At risk populations include young people and the need for greater disability assessments, seniors living in isolation, and LGBTQ services related to mental health and addictions. Coordination and collaboration was a priority area that included the need for work with senior levels of government to access funding, inter-agency partnerships, and improving coordinated services. The service delivery model was discussed in regards to strengthening the focus on outcomes and not just outputs and re -thinking the service delivery model in the three focus areas.Another priority area included mental health resources and stigma including increasing the number of psychiatric beds and developing programs that de- stigmatize mental health services. A breakdown of the mental health priority areas are provided in Table 8 below along with the frequency with which those priority areas were discussed in the workshop. Table 7.Frequently Mentioned Mental Health Priority Areas (Maple Ridge City Council Workshop) Top 3 Mental Health Priority Areas Frequency At Risk Populations and Mental Health Service Needs 7 Service Delivery Model 7 Coordination and Collaboration 6 Other Mental Health Priority Areas Frequency Mental Health Resources and Stigma 3 Page |9 3.3.2.Substance Use Priority Areas The top three substance use priority areas discussed included service delivery model, at risk populations and mental health resources,and barriers to accessing services.Participants most often discussed the need for a service delivery model that has a regional approach to addiction service needs, to re-think the three focus areas including more harm reduction approaches, addressing performance measures and using terminology and language that expresses more accurately the types of services delivered in the community.The second most mentioned priority area was concerned with substance use services focused on children and youth, with emphasis on residential care services for youth.The third most mentioned priority area included addressing barriers to accessing substance use services and simplifying how people with drug addictions can access help. A breakdown of the substance use priority areas are provided in Table 9 below along with the frequency with which those priority areas were discussed in the workshop. Table 8.Frequently Mentioned Substance Use Priority Areas (Maple Ridge City Council Workshop) Top 3 Substance Use Priority Areas Frequency Service Delivery Model 10 At Risk Populations and Mental Health Resources 7 Barriers to Accessing Services 7 3.3.3.Housing Priority Areas The top three housing priority areas discussed included program delivery,programming for target populations,and issues with the homeless count.Participants most often discussed program delivery with regards to integrating mental health services within housing services as well as centralizing housing resources within one organization.The second most discussed priority area included at target populations including families and the need for more three bedroom housing for families, more units for low-income seniors, and improved housing services for members of the LGBTQ community.The third area discussed included the homeless count which was seen as flawed by a participant. A breakdown of the housing priority areas are provided in Table 10 below along with the frequency with which those priority areas were discussed in the workshop. Table 9.Frequently Mentioned Housing Priority Areas (Maple Ridge City Council Workshop) Top 3 Housing Priority Areas Frequency Program Delivery 12 Programming for Target Populations 3 Homeless Count 1 Page |10 3.4.Priority Areas and Recommendations Identified 3.4.1.Identified Recommendations for Mental Health Priority Areas Table 11 provides the recommendations that have been identified for mental health priority areas which were discussed in the workshop. Table 10.Recommendations for Mental Health Priority Areas (Maple Ridge City Council Workshop) Mental Health Priority Areas Recommendations At Risk Populations and Mental Health Resources Address issues of social isolation among low income seniors. The specific mental health and addictions service needs of LGBTQ people are not well known and should be better understood. Develop strategies to address the lack of disability assessments for young children Support for youth who are transitioning out of the foster care system . Improve support for youth needing to access services. Service Delivery Model The service delivery model in the three focus areas needs to be re -thought. Strengthen the focus on achieving outcomes not only outputs. Develop a regional approach to mental health service needs. Coordination and Collaboration Support efforts to coordinate services, improve information sharing, and to develop a coordinated approach to funding. Address the issue of organizations not sharing information with one another. Address issues in the referral process for people seeking assistance with mental health challenges. Address the competitive nature of grant applications and service contacting by finding new ways to encourage groups to work together. Develop strategies to improve communication with senior levels of government about the need for community support services. Mental Health Resources and Stigma Develop programs that de-stigmatize mental health services. Increase the number of psychiatric care beds. Page |11 3.4.2.Identified Recommendations for Substance Use Priority Areas Table 12 provides the recommendations that have been identified for substance use priority areas which were discussed in the workshop. Table 11.Recommendations for Substance Use Priority Areas (Maple Ridge City Council Workshop) Substance Use Priority Areas Recommendations Service Delivery Model Develop a regional approach to addictions and mental health service needs. The service delivery model in the three focus areas needs to be re -thought. Develop consistent performance measures in order to improve evaluation and measurement of services Develop a stronger focus on harm reduction approaches to addressing addictions. Develop strategies to monitor and improve the quality of private sector addictions services. At Risk Populations and Mental Health Resources Mental health and addiction prevention programs need more focus on children and youth (0-12) with an emphasis on ages 6-12. Increase the number of residential care services for youth with addictions. Barriers to Accessing Services Remove barriers that youth (13-17 in particular) face when trying to access addictions services. Develop strategies to improve access to methadone treatment. Simplify how people with drug addictions access help by developing strategies to streamline access to addiction support services. 3.4.3.Identified Recommendations for Housing Priority Areas Table 13 provides the recommendations that have been identified for housing priority areas which were discussed in the workshop. Table 12.Recommendations for Housing Priority Areas (Maple Ridge City Council Workshop) Housing Priority Areas Recommendations Program Delivery Improve the integration of mental health services within housing. Develop a centralized approach to the provision of housing services Programming for Target Populations Develop more specialized housing for specific populations (e.g., three bedroom rental housing, housing units for low-income seniors). Improve services for members of the LGBTQ community in need of housing and mental health support. Homeless Count Work to improve the homeless count to ensure that it provides a complete picture of homelessness in Maple Ridge. Page |12 4.0.Maple Ridge City Youth Advisory Council (March 8, 2016) 4.1.Workshop Summary This workshop was held on Tuesday, March 8 of 2016 at the Greg Moore Youth Centre following the regular monthly meeting of the Youth Advisory Council.Approximately 20 participants took part in this activity. 4.2.How Information Was Gathered This was an informal session that utilized posters and written feedback techniques to gather information from participants about issues that were important to them. Following refreshments and a meal, participants were invited to circulate through three participation areas related to the topic areas of Housing, Mental Health, and Addiction Services and Substance Use. Under each area, participants were asked to prioritize key barriers that prevented access to services, to provide impres sions in the form of Graffiti on the subject area, and to identify key actions. Posters included the following questions: 1.Housing: What does home mean to me? 2.Mental Health: What makes me happy and healthy? 3.Substance Use: What’s my addiction and substance use story? 4.What prevents you/others from finding a home? 5.What prevents you/others from finding support around mental health issues? 6.What prevents you/others from finding help for addiction and substance use issues? 7.Who needs to do what? What needs to happen and who needs to do it? 4.3.Issues Most Frequently Mentioned for Each Priority Area 4.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included shame and stigma,such as confidentiality concerns or having a perception of personal problems being invalid or trivial, as well as awareness about how local services can help including availability of information about such services. Another top priority area discussed included location of services/transportation. A breakdown of the mental health priority areas are provided in Table 14 below along with the frequency with which those priority areas were discussed as part of the informal session. Page |13 Table 13.Frequently Mentioned Mental Health Priority Areas (Youth Advisory Council Informal Session) Top 3 Mental Health Priority Areas Frequency Shame and Stigma 26 Confidentiality 8 Location of Services/Transportation 4 4.3.2.Substance Use Priority Areas The top three substance use priority areas discussed included personal attitudes such as not thinking it will work or unwilling to make changes, as well as shame and stigma,and compounding issues (e.g., money, housing, etc.).Another priority area discussed included location of services/transportation. A breakdown of the substance use priority areas are provided in Table 15 below along with the frequency with which those priority areas were discussed as part of the informal session. Table 14.Frequently Mentioned Substance Use Priority Areas (Youth Advisory Council Informal Session) Top 3 Substance Use Priority Areas Frequency Personal Attitudes 12 Shame and Stigma 10 Compounding Issues (e.g., money, housing, etc.)9 Other Substance Use Priority Areas Frequency Location of Services/Transportation 4 4.3.3.Housing Priority Areas The top three housing priority areas discussed included rental costs (including damage deposit costs and finding a roommate to share in the costs),proximity to transportation,and waiting lists.Another priority area discussed included landlord willingness to rent. A breakdown of the housing priority areas are provided in Table 16 below along with the frequency with which those priority areas were discussed as part of the informal session. Table 15.Frequently Mentioned Housing Priority Areas (Youth Advisory Council Informa Session) Top 3 Housing Priority Areas Frequency Rental Costs 21 Proximity to Transportation 9 Waiting Lists 6 Other Housing Priority Areas Frequency Landlord Willingness to Rent 4 Page |14 4.4.Priority Actions and Recommendations Identified 4.4.1.Identified Recommendations for Mental Health Priority Areas Table 17 provides the recommendations that have been identified for mental health priority areas which were discussed as part of the informal session. Table 16.Recommendations for Mental Health Priority Areas (Youth Advisory Council Informal Session) Mental Health Priority Areas Recommendations 1.Shame and Stigma Develop innovative youth-friendly strategies to inform youth about available services. Develop strategies to promote community understanding and to address the stigma associated with seeking help for mental health issues. Provide training for front line staff to ensure that youth feel welcomed and included in support services. 2.Awareness About How Local Services Can Help Develop strategies to ensure that counseling services are available to youth when needed. Develop strategies to support transition to independent living for youth turning 19. Improve participation in decision making by people with mental health issues so that their voices are heard. Provide training for front line staff to ensure that youth feel welcomed and included in support services. Develop innovative youth-friendly strategies to inform youth about available services. Develop strategies to reduce stress for those in high school. 3.Location of Services/ Transportation Develop strategies to improve access to mental health specialists and to low-cost mental health services (psychiatrists, therapists). Develop strategies to ensure that those who wish access to mental health services can access services when and where they need it. Page |15 4.4.2.Identified Substance Use Recommendations Table 18 provides the recommendations that have been identified for substance use priority areas were discussed as part of the informal session. Table 17.Recommendations for Substance Use Priority Areas (Youth Advisory Council Informal Session) Substance Use Priority Areas Recommendations 1.Personal Attitudes Provide training for front line staff to ensure that those with substance use issues feel welcomed and included in support services. 2.Shame and Stigma Develop strategies to promote community understanding and to address the stigma associated with seeking help for substance use issues. 3.Compounding Issues (e.g., money, housing, etc.) Develop strategies to provide more support for people who struggle with substance use issues and other compounding issues. 4.4.3.Identified Housing Service Recommendations Table 19 provides the recommendations that have been identified for housing priority areas were discussed as part of the informal session. Table 18.Recommendations for Housing Priority Areas (Youth Advisory Council Informal Session) Housing Priority Areas Recommendations Rental Costs Develop strategies to ensure that youth are able to find safe, affordable housing in Maple Ridge. Page |16 5.0.Alouette Heights Supportive Housing (Alouette Home Start Society) (March 22, 2016) 5.1.Workshop Summary This workshop involved residents of Alouette Heights Supportive Housing, a 45 unit housing complex opened in 2012 and operated by the Alouette Home Start Society. Residents are individuals who have lived or have a connection to Maple Ridge or Pitt Meadows and who are in need of affordable housing and support services.Approximately 28 residents took part in one of two components to the workshop. 5.2.How Information Was Gathered This workshop had two components. First, a group dinner and discussion was held with 13 residents of the Alouette Heights Supportive Housing complex. The first component of the workship included a conversation and brainstorm session focused on key questions regarding our three priority areas (housing, mental health, and problematic substance use and addictions) including: 1.What is working? 2.What are the gaps? 3.What should be the priority actions? 4.How do we measure success? In addition, participants were asked to offer feedback to questions posed on posters located around the common area. The posters were left up for a week to allow for participation by those residents who were not able to take part in the discussion session. An estimated 15 additional participants took part in this activity. Posters included the following questions: 1.Housing: What does home mean to me? 2.What prevents you/others from finding a home? 3.What prevents you/others from finding support around mental health issues? 4.Mental Health: What makes me happy and healthy? 5.Substance Use: What’s my addiction and substance use story? 6.What prevents you/others from finding help for addiction and substance use issues? 7.Who needs to do what? What needs to happen and who needs to do it? 5.3.Issues Most Frequently Mentioned in Each Priority Area 5.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included shame and stigma, location of services/transportation,and being unaware if services can help.Shame and stigma was related to not Page |17 wanting others to know that they have a mental health issue and feeling invalid and seeing their problems as unimportant. Other priority areas discussed included pets and the need to address distinct categories of mental health issues (Nimby Syndrome, recent Quality Inn issue, etc.). A breakdown of the mental health priority areas are provided in Table 20 below along with the frequency with which those priority areas were discussed. Table 19.Frequently Mentioned Mental Health Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Top 3 Mental Health Priority Areas Frequency Shame and Stigma (Poster)9 Location of Services/Transportation (Poster)7 Unaware if Services Can Help (Poster)5 Other Mental Health Priority Areas Frequency Pets (Poster)3 Address Distinct Categories of Mental Health Issues (Workshop)1 5.3.2.Substance Use Priority Areas The top three substance use priority areas discussed included compounding issues (e.g., money, housing, etc.), shame and stigma such as a fear of being teased or harassed,and being unsure if services can help. Other priority areas discussed included information about local services,being unwilling to make changes,and the need for expanded treatment options and supports such as second stage treatment options for those who are not on income assistance (e.g., those who have a regular job and home but must take a leave from work and maintain monthly rent payments while in treatment). There is also a need to ensure availability of housing with a “sober living” philosophy to support those in recovery. A breakdown of the substance use priority areas are provided in Table 21 below along with the frequency with which those priority areas were discussed. Table 20.Frequently Mentioned Substance Use Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Top 3 Substance Use Priority Areas Frequency Compounding Issues (e.g., money, housing,etc.)(Poster)10 Shame and Stigma (Poster)7 Unsure if Services Can Help (Poster)5 Other Substance Use Priority Areas Frequency Information About Local Services (Poster)2 Unwilling to Make Changes (Poster)2 Expanded Treatment Options and Support (Workshop)2 Page |18 5.3.3.Housing Priority Areas The top three housing priority areas discussed included landlords won’t rent out to the person, affordability and damage deposits,and availability, income assistance, and waitlists.Other priority areas discussed included supportive housing and safety, policies and amenities (e.g., pets, laundry, personal space),and supportive housing provides community, inclusion and trust.A breakdown of the housing priority areas are provided in Table 22 below along with the frequency with which those priority areas were discussed. Table 21.Frequently Mentioned Housing Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Top 3 Housing Priority Areas Frequency Landlords Won’t Rent Out To the Person (Workshop)31 Affordability and Damage Deposits (Workshop)20 Availability, Income Assistance, and Waitlists (Workshop)14 Other Housing Priority Areas Frequency Supportive Housing and Safety (Poster and Workshop)8 Policies and Amenities (e.g., pets, laundry, personal space)(Workshop)7 Supportive Housing Provides Community, Inclusion and Trust (Poster)5 Finding a Suitable Roommate (Workshop)4 Supportive Housing Provides Foundation Important Life Changes (Poster)1 Transportation as a Barrier (Poster)1 Landlord and Tenant Education (Poster)1 5.4.Identified Recommendations for the Three Priority Areas 5.4.1.Identified Mental Health Service Recommendations Table 23 provides mental health service recommendations that have been identified as part of the workshop and poster sessions. Table 22.Recommendations for Mental Health Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Mental Health Recommendations Workshop Support the development of effective programs to provide job training and experience for people who are homeless. Utilize outreach programs to support the development of a voice for those who are homeless in Maple Ridge. Poster Session Restore bus pass subsidies for people with disabilities. Ensure that services are accessible for people with pets. Ensure that mental health services are comprehensive and adequate to meet the needs of Maple Ridge residents. Page |19 5.4.2.Identified Substance Use Service Recommendations Table 24 provides substance use recommendations that have been identified as part of the workshop and poster sessions. Table 23.Recommendations for Substance Use Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Substance Use Recommendations Workshop Continue to support the development of programs that treat addiction as a medical issue. Poster Session Ensure access to treatment is available for all those who need it. Expand services to ensure that once people have completed treatment they are able to address issues such as housing, income, and social needs. 5.4.3.Identified Housing Service Recommendations Table 25 provides the housing recommendations that have been identified as part of the workshop and poster sessions. Table 24.Recommendations for Housing Priority Areas (Alouette Home Start Residents Workshop and Poster Session) Housing Recommendations Workshop Purchase buildings to provide shelter and support for vulnerable people in Maple Ridge. Examine best practise models from around the world to address homelessness (e.g., Netherlands). Work to address the stigma and misconceptions that some in the community have around supported housing. Support the development of political will to address housing issues in Maple Ridge. Work to provide support in three inter-related areas (education, employment, and housing). Poster Session Support the development of affordable housing in the community. Advocate for the restoration of funding for federal cooperative housing programs. Provide incentives to ensure that private developers contribute to the development of social housing. Ensure access for pets in affordable housing. Ensure that housing providers are accountable to the residents they serve. Page |20 6.0.Maple Ridge Community Network , Session 2 (April 25, 2016) 6.1.Workshop Summary A second workshop was held with social service stakeholders in order to give participants and opportunity to review the Working List of Priorities for action in the three priority areas (mental health, substance use, and housing). The workshop included a summary presentation about the project steps to date and information about the Working List of Priorities that have been selected by Mayor and Council and leaders in the social service sector. In addition, participants took part in small and large group work to discuss, and revise where needed, the Working List of Priorities and identify specific short term that can help with the implementation of the selected priorities. 6.2.How Information Was Gathered Small groups were formed around the selected short term priorities. The small groups were asked to address two questions: (1) What specific short terms actions (within 2 years) should happen in the selected priority area?; and,(2) What types of partnerships are needed for these actions to be successful? 6.3.Most Frequently Mentioned Priorities Identified for Each Focus Area 6.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included coordination and collaboration,education and resources,and increased supports and programs for specific populations. A breakdown of the mental health priority areas are provided in Table 26 along with the frequency with which those priority areas were discussed. Table 25.Frequently Mentioned Mental Health Priority Areas (Community Network Workshop,Session 2) Top 3 Mental Health Priority Areas Frequency Coordination and Collaboration 13 Education and Resources 4 Increase Supports and Programs for Specific Populations 4 Page |21 6.3.2.Substance Use Priority Areas The top three substance use priority areas discussed included coordination and collaboration,access to safe programs/location of programs,and being community education. A breakdown of substance use priority areas are provided in Table 27 along with the frequency with which those priority areas were discussed. Table 26.Frequently Mentioned Substance Use Priority Areas (Community Network Workshop,Session 2) Top 3 Substance Use Priority Areas Frequency Coordination and Collaboration 12 Access to Safe Programs/Location of Programs 11 Community Education 11 6.3.3.Housing Priority Areas The top three housing priority areas discussed included improved housing transition services,access to safe programs/location of programs,and coordination and collaboration.Another priority area discussed included education and resources. A breakdown of housing priority areas are provided in Table 28 along with the frequency with which those priority areas were discussed. Table 27.Frequently Mentioned Housing Priority Areas (Community Network Workshop,Session 2) Top 3 Housing Priority Areas Frequency Improved Housing Transition Services 13 Access to Safe Programs/Location of Programs 11 Coordination and Collaboration 10 Other Housing Priority Areas Frequency Education and Resources 3 Page |22 6.4.Identified Recommendations for the Three Priority Areas 6.4.1.Identified Mental Health Service Recommendations Table 29 provides mental health service recommendations that have been identified as part of the workshop. Table 28.Recommendations for Mental Health Priority Areas (Community Network Workshop,Session 2) Priority Areas Recommendations Coordination and Collaboration Develop a Mental Health working group/committee with membership from Housing, Community, MHSU, organizations Build linkages between the Resiliency Initiative and the CYMHSU Collaborative; the Middle Childhood Matters Standing Committee; and, the Provincial MCFD and Fraser Health/Ministry of Health Planning. Establish a network of service providers who can support youth with life skills, personal development, continuing education and continuing employment goals. Work with services in community that will assist in reuniting families and working towards providing family support. Establish an Outreach and Support position providing: entry to other more specialized supports; advocacy; interpretation; and facilitation of coordination between multiple service providers. Education and Resources Increased education in schools (and other places?) around mental health, and around what services are available and how to access them. Improved education on FASD, Autism, and other disabilities. Increased opportunities and understanding of Emerging Adults Needs/Resources. Focus more on upstream approaches and health promotion (e.g., how do we create more compassionate communities?). Increase Supports and Programs for Specific Populations Improve support for emerging adults transitioning out of care. Improve services and supports for individuals with P.T.S.D. Determine if individuals have disabilities that can be addressed and may qualify for Community Living Services or have medical needs which have not been indefinite (e.g., chronic pain issues). Establish an Aboriginal Hub where Aboriginal people and services can come together smoothly. Page |23 6.4.2.Identified Substance Use Service Recommendations Table 30 provides substance use service recommendations that have been identified as part of the workshop. Table 29.Recommendations for Substance Use Priority Areas (Community Network Workshop,Session 2) Priority Areas Recommendations Coordination and Collaboration Provide mental health services at same space as addictions. Improve the mental health service referral process. Look to work with SD 42 to support MCFD/CYMH (e.g., FRIENDS Program) on prevention efforts. Access to Safe Programs/Location of Programs Increase outreach services for vulnerable populations with substance use and mental health issues. Develop a “Sobering Centre” (i.e., a safe location for overnight stays by individuals who are intoxicated). Community Education Provide public education for substance use issues. Increase education and prevention activities for youth and families. 6.4.3.Identified Housing Service Recommendations Table 31 provides housing service recommendations that have been identified as part of the workshop. Table 30.Recommendations for Housing Priority Areas (Community Network Workshop,Session 2) Priority Areas Recommendations Improved Housing Transition Services Improved care and housing for people once they leave residential treatment Work to create a Landlord Network in Maple Ridge Coordination and Collaboration Build on existing housing options in Maple Ridge –working with landlords and property management Provide support to existing Aboriginal Housing Societies to expand their services into the Maple Ridge area (i.e., Kekinow Native Housing Society and similar organizations). Access to Safe Programs/Location of Programs Improve Access to Safe Programs/Location of Programs Develop safe program/location for youth at risk (safe house) Improve access to community services for all needs of those living in subsidized, supportive housing. Establish an emergency shelter for youth 13-18. Education and Resources Provide education and information about Housing First for the community. Provide City Staff with resources to implement the Housing Action Plan. Increase market rental housing in the community. Page |24 6.4.4.Identified Potential Partners The following list of actions below provides a list of potential partners recommended from the workshop participants: 1.Develop a “Sobering Centre” (i.e., a safe location for overnight stays by individuals who are intoxicated). Potential Partners include: City of Maple Ridge: by-laws, engineering, social development; City of Maple Ridge: Inventory of available houses; City of Maple Ridge: Community education and consultation; and, Community: Identify lead agency. 2.Develop strategies to support difficult to find housing (e.g., sober living (long term drug and alcohol free housing), second stage housing, etc.). Potential Partners include: City of Maple Ridge: Investigate financial sources for difficult to find housing options (estimated budget $10 Million); City of Maple Ridge: Advocate bringing appropriate agencies into the community; City of Maple Ridge: Advocate for the development of Second Stage Housing; City of Maple Ridge: Rent/lease houses to non-profits for nominal amount to enable additional housing options; Community organizations: Identify non-profit to run “sober living”; Community organizations: Develop cost-recovery models based on client contributions for rent, etc.; and, Community organizations: Improve care and housing for people once they leave residential treatment. 3.Support the development of a wraparound model of service delivery for individuals and families including a wide range of partners. In addition, agencies are encouraged to support client centred approaches. 4.Enhance support for the ongoing work of the Substance Misuse and Prevention Committee by ensuring that this subcommittee of the Community Network is resources to implement needed community supports. Develop a Mental Health working group/committee with membership from Housing, Community, MHSU, organizations 5.Develop a Safe House (including emergency housing and programs) to address the needs of Youth at Risk. Actions include: Define how other communities are funding “Safe houses” without government funding?–private community funding: Page |25 What is the model? How does it work?; Research existing safe houses and funding?; Think outside the “government funding” box; Environmental scan around existing youth safe houses in the region; and, Encourage partnerships in order to access a full range of services. 6.Work to create a Landlord Network in Maple Ridge to engage in activities that include: A contact list of landlords in the community; Connected to the Friendly Landlord network1; Presentation by housing organizations (e.g., Tenant Resource and Advisory Centre (TRAC)); Provide a forum for ongoing discussion and education to address fears and concerns; Develop incentives to support rentals to high risk/vulnerable populations (not only financial); and, Encourage ongoing community education about housing issues (including tenant education, housing readiness). Potential partners include: Ministry of Social Development and Social Innovation; Employment programs (e.g., Triangle Community Resources, Work BC, etc.); Housing Planning Table; and, BC Housing, MLAs,MPs, City of Maple Ridge. 7.Develop strategies to increase outreach services for vulnerable populations addressing issues related to mental health and problem substance use. Potential actions include: Improve access to transit-bus passes; Identify and address barriers to access; Utilize strategies to meet people where they meet and gather; Streamline access to services so that people are not discouraged by “criteria”; Use H.F. as a model to reduce barriers; Encourage drop-in programs and after hours services; Potential partners include: 1 Source:http://auntleahs.org/support-us/be-a-landlord/friendly-landlord-network/ Page |26 Service Providers; School District #42 (Registered Nurses in the Schools); and, RCMP Programs. 8.Develop strategies to improve existing housing options. Potential actions include: Integrated case management approach; Reduce barriers for landlords/clients; Encourage landlord appreciation; Develop a process to provide rental supplements; and, Develop strategies to encourage subsidized housing. Potential partners include: Outreach for medical services; and, Fraser health (e.g.,Home health care, Mobile clinics, etc.). 9.Examine alternative strategies to improve coordination between Mental Health services and services addressing problem substance use and addictions (e.g., co - location of services, improved referral process). Potential actions include: Develop a shared vision for working collaboratively together; and, Develop ongoing communications in order to identify and address services gaps and to develop ongoing evaluation of the engagement. Potential partners include: Front line staff; Executive directors and managers; and, Families and decision makers. 10.Ensure ongoing public education on all three issues (homelessness, mental health, and problem substance use and addictions. Potential actions include: Work with the media; Develop understanding of the issues, personal and human interest stories, etc.; Support professionals to communicate clearly in jargon-free language; Gather community feedback on an ongoing basis to support the development of future strategies and actions; and Support the development of platforms that are welcome to difference voices (e.g., land lords) including forums, surveys, websites, etc. Possible partners include: Internet resources; and, People with lived experience. Page |27 7.0.Maple Ridge Local Action Team Youth Representatives (May 3, 2016) 7.1.Workshop Summary The Ridge Meadow Local Action Team is a part of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative, a provincial initiative funded by Doctors of BC and the BC Provincial Government. The Local Action Team works to develop a network of mental health and substance -use service providers, stakeholders, and youth and families from the local community to support actions aimed at addressing systemic barriers in the community. Youth members of the Maple Ridge Local Action Team met for a discussion on May 3, 2016. Five youth and two adults (the LAT coordinator and an Executive Director of a Maple Ridge non-profit) participated in the discussion. 7.2.Process for Gathering Information A group dinner was held followed by a conversation and brainstorm session focused on key questions regarding the three priority areas (housing, mental health, and problematic substance use and addictions) including: 1.What is working? 2.What are the gaps? 3.What should be the priority actions? 4.How do we measure success? 7.3.Most Frequently Mentioned Priorities Identified for Each Focus Area 7.3.1.Mental Health Priority Areas The top three mental health priority areas discussed included education for those working with youth, access to and navigation of services,and build capacity and coordinate services.Another priority area discussed included indicators and measures.A breakdown of housing priority areas are provided in Table 32 along with the frequency with which those priority areas were discussed. Table 31.Frequently Mentioned Priorities Across All Three Focus Areas (Local Action Team Workshop) Top 3 Priorities Frequency Education for those Working with Youth 6 Access to and Navigation of Services 6 Build Capacity and Coordinate Services 4 Other Top Priority Frequency Indicators and Measures 2 Page |28 The following are high level points discussed during the workshop related to mental health services: 1.Some doctors are making appropriate referrals for youth but there is a need to ensure this level of awareness is spread more widely among medical personnel. 2.There is a need for low or no barrier youth programs with no waitlists are effective in addressing the needs of youth (e.g., Go Figure Youth-led Support Group) 3.There is a need for more education for adults who work with youth in a variety of settings to improve communication skills, knowledge about relevant services, understanding about youth needs and culture, etc. 4.School counsellors were seen as importance sources of information and referral 5.Participants noted that Ridge Meadows Hospital (RMH) Psychiatric Unit does not offer a youth friendly environment. It was stated that many youth perceive that staff members are not trained to address youth issues and concerns. Surrey Hospital is seen as a more youth-friendly environment, but there is a long waitlist and a need for referral from RMH. 6.Many programs and services require that there be a psychiatric assessment prior to referral. 7.Youth noted that as they make their way through the service and support system they are frequently asked to start from square one repeating 8.Many support services (e.g., counselling, etc.) stop at 19 years of age under the Child and Youth Mental Health Plan. This can create interruption in support processes. The following are high level points discussed during the workshop related to substance use services: 1.Youth who wish to access services and support are often asked to repeat their stories over and over again as they make contact with new service providers. The following are high level points discussed during the workshop related to housing services: 1.There is a need for life-skills education (e.g., budgeting, cooking, etc.) for youth who taking part in the Agreements with Young Adults program or who are living alone. Page |29 7.4.Identified Recommendations for All Focus Areas (Local Action Team Workshop) Table 33 provides the recommendations that have been identified as part of the Local Action Team workshop. Table 32.Recommendations for All Focus Areas (Local Action Team Workshop) Recommendations Ensure that adults who work with youth are educated on how to work with youth (including listening and support skills, knowledge about services, etc.). Improve access to psychiatric support. Implement an advocate position that can help youth navigate the various services available to them. Include support for those transitioning from foster care into independent living. Develop strategies to improve the capacity of the RMH Psychiatric Unit to address youth issues. Develop strategies to ensure that community based services are working in coordination with clinical services. Develop strategies to ensure continuity of care for youth turning 19 so they are not faced with a sudden loss of all support services. Provide expanded support for no/low barrier programs and services Maple Ridge Social Services Delivery Research Report DRAFT Technical Appendix E:Measuring and Monitoring Results Summary Report July 2016 Table of Contents 1.0.Introduction ...............................................................................................................................1 2.0.Framing of Contributions and Desired Results .............................................................................2 2.1.Programs and Services..................................................................................................................2 2.2.Knowing the Performance Measures ...........................................................................................3 2.3.Mapping the Desired Results........................................................................................................4 2.4.Focusing on “What Needs to be Measured”................................................................................6 3.0.Advancing Potential Performance Measures ...............................................................................8 4.0.Look Forward ...........................................................................................................................18 List of Tables Table 1.Perspective of the Community Members in Need .......................................................................6 Table 2.Perspective of Community Service Facilities ................................................................................7 Table 3.Perspective of Community Service Providers ...............................................................................7 Table 4.Perspective of Community Collaborations ...................................................................................7 Table 5.Number of Clients Served: Mental health, Substance Use, and In Need of Housing...................8 Table 6.Number and Percentage of Clients Cycling Services: Mental Health and Substance Use ...........9 Table 7.Number and Percentage of Clients Transitioning to Supportive Housing and Returning to Work .......................................................................................................................................10 Table 8.Number and Percentage of Clients Connecting Within the Community including Libraries,Recreation, and Other Services...................................................................................11 Table 9.Prevalence and Description of Shared Physical Space Accessible in the Community ................12 Table 10. Average Ratings of Citizen Awareness of Elements of Homelessness, Faced Trauma, Mental Health Stigma, and Other Aspects .................................................................................13 Table 11. Average Ratings Among Parents Related to Access to Services, Continuity in Care, and Barriers Faced by Children and Youth ........................................................................................14 Table 12. Average Client ratings of the Suitability of Services, Means to Advocate on Their Own Needs, and Ability to Adapt to Circumstances ...........................................................................15 Table 13. Average Client Ratings of Safety, Sense of Belonging, Access to Social and Recreational Experiences, Access to Food, and Ability to Work......................................................................16 Table 14. Periodic Evaluation (with GVRSC, Fraser Health and/or Housing BC) of Capacity, Addressing Cultural Differences, State of Collaboration and Other Aspects .............................17 Page |1 1.0.Introduction The following proceedings is based on two facilitated workshops that contribute to the broader Maple Ridge Service Delivery Research Project by providing facilitated feedback on the means by which progress as well as results can be monitored, evaluated and reported on relative to the three focus areas of housing for vulnerable populations, mental health, and problem substance use and addictions. Participants in the workshops included members of the Community Network and representatives of the City of Maple Ridge. This proceedings provides a summary of the framing of current contributions and desired results as they relate to the three focus areas, a review of known performance measures followed by specifically identifying what needs to be measured, polling results and discussion points on the meaningfulness and practicality for potential performance measures, and a brief synopsis on a discussion dealing with next steps. Page |2 2.0.Framing of Contributions and Desired Results This section presents the highlights of discussions on the current state of efforts to address the three focus areas, the desired results of these efforts, and potential performance measures. It begins by identifying a subset of the programs and services currently being provided, then moving to the existing performance measures in place, and finally, shifts to a mapping of the desired results. 2.1.Programs and Services This is an initial, and only partial, listing of the types of programs and services that are available in the region1. The early dialogue with the workshop participants was on providing enough context for what followed in terms of describing the results that are desired.The programs and services currently being provided include: Housing Alouette Heights: Outreach, youth services, and transition in a supportive housing environment; Salvation Army: Shelter, outreach, nurse practitioner support, and meals; Rain City: Temporary shelter; and, Corrections Housing: Outreach. Mental Health Club House:Support for securing employment, making connections in the community, and gaining life skills for clients with mental health issues; Blue Door;Support group for youth with mental health issues; Local Action Team; Youth wellness centre; and, Child and Youth Mental Health Program: Outreach to youth, families, and groups. Problem Substance Use and Addictions Key Worker –outreach, monthly family support group, and caregiver support for individuals that support youth that have prenatal substance exposure; Alouette Addictions –outreach, problematic substance use, and harm reduction supports; Genesis Program –transitional housing for people struggling with addictions; Asante Centre: Support services for people with Fetal Alcohol Spectrum Disorder and Autism Spectrum Disorder; and, 1 See Appendix B: Backgrounder for Inventory of Maple Ridge Social Services for additional information on service providers in Maple Ridge. Page |3 Corrections Housing: Outreach. 2.2.Knowing the Performance Measures This following list of measures was prepared on the basis of conducted research and then presented to participants to confirm that they were aware of this information being available in the region. During the first workshop, the participants built on this part of the session in terms of discussing the results that are desired. The existing performance measures as presented to participants include: Number of homeless people (and percentage sheltered) in Maple Ridge and Pitt Meadows2 Number (percentage) of homeless reporting:3 Addictions, medical conditions, mental illness, and disabilities; Being sheltered and unsheltered (by gender, age, Aboriginal,etc.); Turned away from shelters, safe houses, and transition houses; Barriers to housing (sheltered and unsheltered); Sources of income (sheltered and unsheltered); Incidences of one of more health conditions; Length of time being homeless; and, Use of services by type. Prevalence of mental illness in the adult population: mild, moderate, and severe Number of:4 Adults in need of withdrawal management and/or treatment services for substance abuse; Mental health and substance use services available to individuals (including Maple Ridge); Mental health rehabilitation programs (youth, adult); and, Client transitions from MHSU tertiary facilities to more independent settings. Repeat usage of shelters5 2 2011 Figures, Maple Ridge housing Action Plan, Situation Report, January 2014 3 2014 results of the 2014 homeless Count in the Metro Vancouver Region, Greater Vancouver Regional Steering Committee on Homelessness 4 BC Fraser Health Authority statistics and publications 5 BC Housing review (study) Page |4 2.3.Mapping the Desired Results Participants were asked to describe, in their own words, the differences that the current programs and services they are aware of are making in terms of: the lives of those in the community in need, the availability of community facilities, the nature of along with the means of providing community services, and the state of collaboration that is taking place. From there, the approach moved to addressing the question of “if these types of results were to be achieved, then what would be hoped for over the longer term?” The product of this dialogue is presented in Figure 1, in summary format. In the discussions that followed in the second session, those taking part raised points on how the statements of desired results can be further refined, and added to. Quality of Life:In describing an improved quality of life, this should include employment and other economic considerations, as well as more broadly a definition that reflects the current “social determinants of health”. Proactive Approaches:To achieve the longer term results, there should be proactive approaches taken toward helping those in need and also assisting them in understanding along with navigating what services and supports are available. Community Driven:Relating to awareness and networking, it is important to take a grass roots approach in the community, and to focus on communication using as many traditional and non-traditional networks as possible. Mobility:Transportation was mentioned as an important factor for developing connectedness and the ability to access services and supports. Engagement of Seniors:In describing increased access to services and supports for children and youth, attention should also be paid to seniors. Integration:When discussing expanded outreach on the supports that are available to people, when and where needed, this should follow more of an “integrated wraparound” approach that builds on the “value” and capabilities of many service providers. Information Sharing:It was mentioned that a key factor of success is to establish the necessary, shared protocols for sharing information on clients. Using the Right Language:An important point of discussion was on ensuring that all documents and performance measures use proper, respectful language, for example refraining from the term “homeless people” and instead referring to “people who are homeless”. Page |5 Figure 1.Differences in the Effects Current Programs and Services Have on the Community Page |6 2.4.Focusing on “What Needs to be Measured” To help further structure the dialogue on possible, new measures of performance, participants looked at all of the draft statements of desired results, and began circling those that would better lend to measurement based on their strategic priority, broader applicability to community program and service providers, and suitability including the availability of data. In the process, key terms were also highlighted for the purposes of refining their meaning. Below is the summary of this part of the session, separated into different perspectives. Table 1.Perspective of the Community Members in Need What differences are these programs and services making in the lives of those in the community who are in need? Resilience Adapting and responding to circumstances, to survive. This desired result includes the increased resilience of those in the community. Need to consider both resilience among those in need along with their quality of life within the community(s). Capacity Greater capacity within communities is a desired result. Skills and connections in the community(s) to serve more, enable choices for those receiving services and being housed, and to take preventative approaches. Access Access to health and harm reduction services along with supports including housing and other spaces. Associated with this result is fewer barriers to access to services, access to space, reduced cost of services, and sharing of information along with other supports . Increased access to stable and affordable housing is linked to this desired result. If achieved, there should be an accompanying decrease in people who are homelessness. Increased access to health care, mental health supports, and harm reduction services is part of this result. Collaboration Working together to provide action that is meaningful and includes facilities. Increased community respect is an associated aim. Awareness & Voice Extent of understanding and awareness in the community(s). This desired result includes both listening to, and understanding, the voices of the vulnerable and those with lived experiences. More empowerment and recognition along with increased community respect accompanies this result. Page |7 Table 2.Perspective of Community Service Facilities What differences are these programs and services making in the lives of those in the community who are in need? Responses Remove the barriers to access to services (e.g., physical location). Expand hours of operation. Increase community activities for people to enjoy and get involved. Table 3.Perspective of Community Service Providers What differences are these programs and services makingin the range in, and ways in which, community services are provided? Responses Greater recognition to cultural difference around mental health, housing, trauma, etc. Increased awareness of the trauma by refugees and Canadian-born. Greater outreach to populations. Reduction of the stigma on homelessness and mental health substance use issues. Table 4.Perspective of Community Collaborations What differences are these programs and services making in the state of collaboration, within and outside of the community? Responses Greater, meaningful collaboration within and across the community, across sectors, and with the Province (need a better model for collaboration, breaking down the silos for funding). Parents are better able to understand and access support for children and youth. Vulnerable populations (and those with lived experiences) can better advocate and voice (being heard in a meaningful way) their needs. Broader public understanding of the many aspects of homelessness (e.g., seniors). Page |8 3.0.Advancing Potential Performance Measures Following the first session, descriptions of potential performance measures were prepared, and brought into the second session, using polling software. Each participant was given a remote keypad to conduct the rating of the potential performance measures on two scales, meaningfulness and practicality. Each person selected their response, with the consolidated results be presented in “real time”, enabling further sharing of views and opinions which in some cases led to a re-polling. The following are the results for the assessed meaningfulness and practicality for each possible performance measure as well as supporting comments to the responses. Table 5.Number of Clients Served: Mental health, Substance Use, and In Need of Housing Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: In addition to tracking the number of clients served, this measure could report on the percentage of those clients served who are dealing with mental health, substance use, or in need of housing. The term “served” needs to be defined, which could include those clients receiving support. This measure is not directly linked to the desired results, and is more of an “output” metric. In reporting on this measure, it will be important to account for seasonal variations. 5 7 0 12 3 5 4 12 Page |9 Table 6.Number and Percentage of Clients Cycling Services: Mental Health and Substance Use Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: This measure can inform decisions on efficacy and value from the service provider perspective. Agencies might be able to report on their individual clients who are repeatedly accessing or drawing upon programs and supports, but this data would then need to be aggregated to report on some grouping of mental health services as well as separately some grouping of services dealing with substance use and addictions. It will be important to define “service”, and the term “cycling”; for example is this someone who accesses a service and then leaves, only to return six months later, a year later, etc. 12 2 6 4 12 2 7 3 Page |10 Table 7.Number and Percentage of Clients Transitioning to Supportive Housing and Returning to Work Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: Service agencies are already tracking clients in terms of their labour force attachment at three, six, and twelve months. The term “transition” would need to be further defined as to what it means in this context. There are five categories for return to work that are being used by service providers, and which could be provided through the Community Network. In regards to housing,there is “coming in and out” tracking in place,however it will be critical to also state the variety of influencing factors on this measure. A process to help identify these influencing factors could include descriptions of the reasons people are coming in and leaving. 11 2 3 6 2 7 0 9 Page |11 Table 8.Number and Percentage of Clients Connecting Within the Community including Libraries, Recreation, and Other Services Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: The term “connecting” would need to be defined. Some examples may include being aware of, understanding, and then participating in what a community offers. The term “other” in the performance measure should be expanded to include faith based agencies and safe harbours. This measure should also include descriptions to gain a sense of the community connectedness and prevalence of welcoming environments and means of access (e.g. transit, money, etc.). 12 7 5 0 9 1 11 1 Page |12 Table 9.Prevalence and Description of Shared Physical Space Accessible in the Community Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: It should be noted that what is being measured could take the form of a facility which co- locates several community services, akin to a “hub” model. In addition to reporting on the number of such shared spaces, and describing them, it would be important to include any examples of the realized benefits, such as efficiencies in how people are referred to or provided with services. 12 11 0 3 8 1 6 5 Page |13 Table 10.Average Ratings of Citizen Awareness of Elements of Homelessness, Faced Trauma, Mental Health Stigma, and Other Aspects Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: There are many different forms of trauma and stigma. This performance measure would need to further identify and define the various traumas and stigmas. It is important to include the “why” of these considerations such as, “why are people homeless?” The Community of Wood Buffalo would serve well as a case study for this particular measure. To increase the accuracy of measuring awareness, it would be helpful to identify the different levels of engagement as well as use branching questions to further identify the level along with the different forms of awareness. In addition this measure would need to separate data and analysis based on the demographics of the respondents. 12 6 3 12 0 9 2 4 Page |14 Table 11.Average Ratings Among Parents Related to Access to Services, Continuity in Care, and Barriers Faced by Children and Youth Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: This type of surveying already exists with early childhood development. It would be helpful to describe potential barriers and/or use examples within the measure of what might be some potential barriers parents may have faced. The term “continuity of care” would need to be further defined for clarity . Multiple methods of administering a survey would need to be followed: o In-person/intercept o Mail o Electronic 1 11 11 2 2 3 7 7 Page |15 Table 12.Average Client ratings of the Suitability of Services, Means to Advocate on Their Own Needs, and Ability to Adapt to Circumstances Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: Further work with this survey is required, with the expectation being that the actual questionnaire would only have three to four questions. It is important to consider “client readiness”in some way; and, for those facing fundamental health “issues” including seniors, the circumstances shown in this measure may be too difficult to record. 12 12 9 2 1 6 1 5 Page |16 Table 13.Average Client Ratings of Safety, Sense of Belonging, Access to Social and Recreational Experiences, Access to Food, and Ability to Work Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: The measure seems to be too broad in its questioning, whereas focusing more on particular aspects of quality of life would enhance its practicality. Putting this measure into practice is a point for further consultation with the municipalities of Maple Ridge and Pitt Meadows Questions for this measure will need to be framed very carefully, and the survey condensed to only a few questions with easy response options (e.g.,“Yes”, “No” or a five-point scale system). There will need to be an efficient and effective means of aggregating the responses for this measure as it includes a variety of topics. 10 10 0 0 4 6 2 8 Page |17 Table 14.Periodic Evaluation (with GVRSC, Fraser Health and/or Housing BC) of Capacity, Addressing Cultural Differences, State of Collaboration and Other Aspects Meaningful Data Responses Count This measure is very meaningful to those relying on it This measure is somewhat meaningful for those relying on it This measure is less meaningful to those relying on it Total Practicality of Data Sourcing Responses Count This measure is very practical in sourcing the data and reporting This measure is somewhat practical in sourcing data and reporting This measure is less practical to report on Total Supporting Comments: A detailed evaluation framework including questions will be imperative for this measure. A “gap analysis” could be conducted in some ways between the expressed needs of citizens (community) and available services to identify where needs are being met as well as where improvements could be made. 10 10 4 2 3 3 1 7 Page |18 4.0.Look Forward The second session concluded with a discussion on what needs to be considered in moving forward with the refinement and the early implementation of the performance measures. Two suggestions were raised as key factors going forward; the potential for service provider and agency engagement, and timelines for targets and benchmarking. Through the Community Network, there is the opportunity for service providers and agencies to be engaged in submitting needed data, as long as the means by which this is done are as efficient as possible and do not require substantial time or effort. For example, where measures are reliant on a survey, the actual questionnaire should have as few a number of questions as possible, and ideally use fixed response options (e.g., a scale, check-boxes, etc.), versus all open ended. Secondly, in regards to timelines, for the first one to two years, it’s a matter of creating the tools like a survey(s), and agreeing to the methods of sourcing, consolidation, interpreting and then reporting on the measure data. Following in the second to third year, baselines can be established and discussions initiated on how to begin analyzing any trends along with possibly comparing results across jurisdictions or relative to other benchmarks. 1 City of Maple Ridge TO: Her Worship Mayor Nicole Read MEETING DATE: July 11, 2016 and Members of Council FILE NO: FROM: Chief Administrative Officer MEETING: Workshop SUBJECT: Update on the Interim Modular Shelter and Permanent Purpose Built Shelter Process EXECUTIVE SUMMARY: The City of Maple Ridge has been working to address ongoing issues related to homelessness that have impacted the community for several years. Part of the approach has been to engage BC Housing to identify short and long term strategies that will increase access to shelter, housing and support services. On March 29, 2016, the Province cancelled the impending purchase of the Quality Inn which would have provided approximately 60 units of supportive housing with clinical supports. Concurrently, BC Housing announced the offer to provide approximately $15M in capital and operating funding for a permanent purpose built shelter and housing facility in the City of Maple Ridge. On May 2, 2016 Council received a report outlining the process for the construction of a permanent built shelter and housing facility. The following resolution was endorsed: That staff be directed to work with BC Housing to develop a detailed process regarding the construction of a permanent purpose built shelter and housing facility in the City of Maple Ridge. Meanwhile, Council has received correspondence from BC Housing dated May 26, 2016 identifying a three-pronged proposal that includes [1] an extension to the temporary shelter, [2] the construction of an interim modular shelter facility that would bridge a period of approximately three years, and [3] the construction of a purpose built shelter and supportive housing development. On June 20, 2016 Workshop, the following resolutions were endorsed: That Council endorse the extension of the lease of the temporary shelter located at 22339 Lougheed Highway and assign the lease to BC Housing on the condition that BC Housing receives the permission of the City of Maple Ridge for an extension of the lease; That staff be directed to work with BC Housing to select a site for an interim modular shelter, using BC Housing’s site selection criteria of size, servicing and location, and Policy 4-33 in the Official Community Plan; AND, That the process identified in the report dated June 20, 2016, entitled Interim Modular Shelter Land Use Criteria and Process be endorsed. 5.2 2 The purpose of this report is to provide Council with an update on the process for the establishment of both an interim modular shelter and the permanent purpose built shelter and housing facility and to provide detailed information on the community consultation process as requested in the May 2, 2016 resolution. It should be noted that the preliminary phases of the process will occur concurrently with related activities that Council has endorsed including the extension of the operation of the temporary shelter, the establishment of a Neighbourhood Advisory Committee (NAC) for the Temporary Shelter and the proposed Speaker’s Series and Community Dialogue. The first phase of the process is partially completed as a result of Council’s endorsement of the site location criteria and the review of proposed sites. On July 4, 2016, Council also endorsed the Terms of Reference for a sub-committee of the Social Policy Advisory Committee (SPAC) whose role will be to develop a platform for community dialogue on homelessness. This sub-committee will contemporaneously provide opportunities for community engagement on the broad topic of homelessness. Council also endorsed recommendations to address and minimize impacts on the neighbourhood in the area of the temporary shelter located at 22239 Lougheed Highway. As such, a Neighbourhood Advisory Committee has been established to support the neighbourhood around the temporary shelter throughout the nine month extension of the operation. A number of key community partners including BC Housing, Fraser Health, RCMP, Fire and the City are members of this committee and will likely extend their mandate to the NAC for the interim modular and permanent purpose built shelter and housing facility. The establishment of a permanent NAC will take place once a site is chosen. The members of this committee will be an integral part of the ongoing consultation and future operation of the interim modular and permanent purpose built shelters. Their input will provide an opportunity to address potential challenges along the process. The process to achieve an interim modular shelter and permanent purpose built shelter will take approximately three years. Embedded in the process are significant opportunities to engage with community stakeholders. The engagement process and communications plan have been designed to be both flexible and responsive ensuring meaningful input and clarity around information and decision making. RECOMMENDATION: That Council endorse the updated process outlined in the report dated July 11, 2016. DISCUSSION: a)Background Context: The process to achieve an interim modular shelter and permanent purpose built shelter will take approximately three years. The original recommendation noted in a report brought to Council on June 20, 2016 was for BC Housing to apply for a Temporary Use Permit (TUP) for the interim modular shelter. The property that staff recommends as an interim site will proceed with a full rezoning process. As such, the detailed process outlined in Appendix A has been adjusted to reflect this change. The first phase of the process is partially completed as staff has been directed to review proposed sites using the endorsed criteria. Once the site is acquired there will be a number of steps related to land use approvals and re-zoning for both the interim modular and permanent 3 purpose built shelters. Appendix A provides a detailed diagram of the approval process and re- zoning application including the public consultation processes. Diagram 1: The above diagram provides a framework for the proposed four phases of the process to achieve an interim modular shelter and permanent purpose built shelter. Foundational to each phase within the process is significant community engagement, communication to the community as a whole and regular Council updates. Additional detail regarding community engagement and communications is provided on the first phase of the process below. 1.Community Engagement: Community Meeting Host a meeting to provide the public with information on the project. BC Housing, City of Maple Ridge and community partners to host the meeting. Speakers Series and Community Dialogue – SPAC Sub-Committee Select the Sub-Committee members. Conduct a Speakers’ Series and Community Dialogue - 5 topic areas. Activate a social media platform to provide information to the community and encourage dialogue around the chosen topics. Neighbourhood Advisory Committee Monthly meetings are in process for the NAC for the Temporary Shelter. July 18, 2016 first meeting of the NAC for the Temporary Shelter. Approval of the composition of the NAC for the Interim Modular and Purpose Built Shelter and creation of the NAC will be established in Phase I. Activation of the NAC. Public Hearings: Development Information Meeting. Public Hearings. Refer to Appendix A for additional information. 4 2.Communications: Develop a press release after the site is acquired and the sign is placed on the property. Provide notification of public hearings related to the development process. Create press releases regarding the Speakers Series and Community Dialogue. Provide press releases before each presentation within the Speakers Series. Social media platform to provide information around the Speakers Series. Press releases after each report to Council. 3.Council Updates: The first report on the result of the site acquisition will be available to Council on July 25 in a closed meeting. A report regarding the SPAC Sub-Committee will be provided to Council on August 29, 2016 at workshop. A report to update Council on the first phase of the process will be provided on August 29, 2016 at workshop. Subsequent updates would take place monthly coinciding with different phases of the process. If the development application and re-zoning are approved, staff will provide Council with a detailed process for Phase II. This report would be scheduled for October. As noted above, if the applications are approved, a report detailing the next phases of the project would come forward for Council’s endorsement. b)Desired Outcome: That the interim modular shelter and permanent purpose built shelter process be endorsed by Council and that the next steps outlined in the process move forward. c)Strategic Alignment: There is strategic alignment with the Housing Action Plan, particularly with Goal 3 of the Housing Action Plan (HAP) which is To increase the opportunity for low income residents and those with unique needs to access appropriate housing and supports. d)Citizen/Customer Implications: Access to shelter, housing and supports benefits those individuals living in homelessness and those at risk of homelessness. The entire community benefits when individuals who are vulnerable receive the supports and services that they require. e)Interdepartmental Implications: There will be implications for community services, planning, communications, buildings, permits and bylaws, fire, police and finance. f)Business Plan/Financial Implications: The current business plan does not include this work. The Speaker’s Series is funded through SPAC’s budget. 5 CONCLUSIONS: The process to achieve an interim modular shelter and permanent purpose built shelter will take approximately three years. The engagement process and communications plan have been designed to be both flexible and responsive ensuring meaningful input and clarity around information and decision making. The objective to provide additional shelter, housing and supports for individuals who are homeless or at risk of homelessness will significantly impact citizens who are vulnerable and the community as a whole. “Original signed by Shawn Matthewson” Prepared by: Shawn Matthewson, Social Policy Analyst “Original signed by Chuck Goddard” Approved by: Chuck Goddard, Manager of Development and Environmental Services “Original signed by Kelly Swift” Approved by: Kelly Swift, General Manager, Community Development, Parks & Recreation Services “Original signed by Ted Swabey” Concurrence: E.C. Swabey Chief Administrative Officer :sm Attachment – Appendix A Draft Early & Ongoing Consultation Social Policy Advisory Sub- Committee Neighbourhood Advisory Committee Demolition Permit Building Permit Preliminary Review Site Prep Work to Begin Apply for Tree Cutting Permit, Sediment Erosion Control Following Sign Installation: Following Public Hearing: Estimated Timeframe Approvals Land Use Approvals Phase Application Submitted Sign placed on the property First Reading 2. Development Information Meeting Second Reading 2. Public Hearing Third Reading Final Reading 1. OCP Amendment, Rezoning, DVP, DP & Subdivision 2 Weeks Advisory Design Panel 3.Review Technical Studies MOTI Approval Watercourse Development Permit Securities & Agreements Building Permit Application Purpose Built Permanent Structure Temporary Modular Structure Priority Review Occupancy 2. Consultation 3. Technical Reports: Geotechnical, Environmental, Traffic, Stormwater Mgmt, Aborist, Erosion & Sediment Control Building Permit Issued Site Aquisition, Building & Site Design 1. Complete application including supporting reports 6 - 8 Weeks 2 Weeks 1 Week 8 Weeks 8 - 10 Weeks Total: 27 - 30 Weeks Consultant Reports to be submitted as available Commencing August 2016 Completion March 2017 Preliminary Draft Building Plans to be submitted early in process Concurrent Processes Page 1 of 6 City of Maple Ridge TO: Her Worship Mayor Nicole Read MEETING DATE: July 11, 2016 and Members of Council FILE NO: FROM: Chief Administrative Officer MEETING: Workshop SUBJECT: Environmental Management Strategy Implementation – Maple Ridge Soil Deposit Regulation Bylaw (No. 5763 -1999) Review EXECUTIVE SUMMARY: At the November 24, 2015 Council Meeting, Council directed staff to initiate a review of the Maple Ridge Soil Deposit Regulation Bylaw No. 5763-1999 (the Bylaw). Council’s direction follows the endorsement of the short term high priority action items identified in the report entitled “Environmental Management Strategy (EMS) Implementation Report – Short Term High Priority Implementation Recommendations” and referral of the EMS report to the Environmental Advisory Committee. The purpose of this report is two-fold: 1.to provide Council with an update of the concerns related to soil deposit projects that have been raised to date by residents and staff; and, 2.to outline the proposed public consultation program to engage Maple Ridge residents and stakeholders on updating and enhancing soil deposit practices in Maple Ridge and on subsequent amendments to the Soil Deposit Regulation Bylaw. The City’s current Bylaw identifies how the depositing of soil and fill is to occur in Maple Ridge. It also provides protection for residents, infrastructure and agricultural lands through the requirements for professional studies and reports, through securities, and through enforcement direction (including fines). Over the past 5 years, residents and staff have identified areas of the Bylaw that need to be reviewed and updated. RECOMMENDATION: That the Soil Deposit Regulation Bylaw Review process outlined in the staff report entitled “Environmental Management Strategy Implementation – Maple Ridge Soil Deposit Regulation Bylaw (No. 5763 -1999) Review” dated July 11, 2016 be endorsed. BACKGROUND: Soil deposit activities have been regulated in the municipality since 1991. The original Maple Ridge Soil Deposit Regulation Bylaw (No. 4569-1991) was replaced with the current Maple Ridge Soil Deposit Regulation Bylaw (No. 5763-1999) in 1999. The review and revision of the Soil Deposit Regulation Bylaw was one of the recommended actions in the Environmental Management Strategy and the review and revision of the Bylaw was identified in the 2016 Planning Department Business Plan. 5.3 Page 2 of 6 Enabling Legislation The Community Charter (Section 8(3)) provides Council with the authority to regulate or prohibit the deposit of soil on any land within the municipality. For lands that are located within the Agricultural Land Reserve, the authority to regulate or prohibit soil deposit activities are also provided through the Agricultural Land Commission Act (Section 25(3)). Issues: An increase in soil deposit activity (permitted and unpermitted) in recent years is due to the increase in development and building projects occurring all across the Lower Mainland. These projects are occurring on greenfield areas as municipalities expand as well as on brownfield areas as urban areas are revitalized and repurposed. Receiving sites for this material are primarily the agricultural areas of lower mainland municipalities, including Maple Ridge. An Agricultural Land Commission Officer commented that material deposited in Maple Ridge has come from as far away as North Vancouver. As a result of the volume of development activity, an industry has formed around the removal and deposit of soil. Contractors and land owners at the soil deposit locations are able to charge for the deposit of soils. It has been reported that deposit rates ranged from $50 to $150 per truck load depending on the type of material being deposited. Therefore, sites that would not normally require soil for ongoing maintenance or management are now receiving soil. This activity is commonly referred to as “fill-farming”. The Planning Department has undertaken an initial assessment of Maple Ridge’s Soil Deposit Regulation Bylaw (5763 -1999) and existing soil deposit permit process to identify opportunities for amending the bylaw. 1.Permit Approval Process and Public Notification Residents have informed staff on various occasions that a public notification should be required for soil deposit projects so that residents have the opportunity to comment on the projects prior to a decision on approval. Residents have suggested that notification could be made by requiring the posting of a sign on the property during the permit application review period. Further consultation will explore opportunities for public notification. 2.Impacts to Properties Site Contamination The concern over the deposition of contaminated soils is the direct health impact to residents and animals directly from the soil as well as nearby wells and watercourses that may be receiving areas for runoff from the contaminated materials. The subsequent costs for residents to remove the contaminated material are substantial and property values can be significantly impacted. As an example, three truck loads of contaminated material that our Operations Staff had removed from one of the City’s roads (the result of an illegal roadside dump) cost the City $5,795.00 to dispose the material at an approved contaminated waste receiving facility. This cost does not include the cost for professional oversight from the contaminated sites professionals, nor staff time and equipment. Page 3 of 6 Invasive Species Invasive species such as Japanese knotweed (Fallopia japonica), Himalayan blackberry (Rubus discolor), morning glory (Convolvulus arvensis), and scotch broom (Cytisus scoparius) have been spread to various properties through permitted and unpermitted soil deposit activities. These species spread quickly and are difficult and costly to remove once established. The presence and spread of these species can impact sensitive natural areas as they displace diverse native vegetation communities, agricultural potential of farm properties as they displace crops and grazing areas, and in the case of Knotweed, have the potential to impact municipal and private infrastructure and building structures. Knotweed has been recognized by the provincial government as a noxious weed requiring residents to manage the species on their properties to prevent its spread. Avoidance of contamination for any invasive species in the first place is considered the best management practice and requires additional diligence and effort to ensure that source materials, tools, vehicles and machinery are free from contamination. Drainage Impacts (wells, septic, and surface water) Residents and staff have expressed concern over the potential impacts of soil deposition on the hydrology of adjacent properties, natural features (watercourses), as well as larger neighbourhood areas. Soil deposition results in altered soil regimes that change the capacity of the soils to retain, hold, or drain surface and ground water. Soil deposit activities also elevate landscapes changing surface water flow patterns. Soil deposition has the potential to negatively impact septic fields, groundwater aquifers and wells, nearby watercourses and wetlands, and floodplain drainage capacity and patterns. Considerable resources in terms of staff time have been allocated to addressing these concerns. Residents have expressed concern over importation of clay on properties and the potential impacts to local hydrology (runoff and groundwater) and subsequently on adjacent septic systems, wells and to farm animal safety (settling of land, hoof rot, etc.). Aesthetics Property owners in the vicinity of soil deposit sites have complained about the impact to local aesthetics based on the significant changes to grades and the wide scale removal of vegetation on soil deposit sites. With the adoption of the City’s Tree Management Bylaw in January (2016), there is some protection against wide scale clearing of properties as well as, along property boundaries. For neighbouring properties, residents have been concerned with significant grade changes that have a visual impact on their properties and have expressed concern over resale value of their property as a result. Agricultural Potential Farm use is dependent on many landscape factors including grades, angle of exposure, groundwater and surface water and soil stratigraphy. Soil Deposit Permit applications are often to amend one or more of these conditions either to improve access or to improve growing potential. Although soil deposition is able to assist in improving site conditions it can also be detrimental to the growing potential of agricultural lands. Site grading and compaction from machine use can disrupt site drainage, topsoil can be lost as it is mixed in with other structural soil material or buried, contaminants in the soils such as heavy metals or Hydrocarbons can be deposited on site unknowingly as can biological contaminants in the form of noxious or invasive plant species. Without the necessary assessments for proposed soil deposit sites (and source locations) and Page 4 of 6 without ongoing monitoring, the agricultural potential for soil deposit sites can be significantly impacted. Rural residents have expressed concern over the potential for “fill-farming” in the rural agricultural lands. They are concerned that filling is occurring in order to gain revenue from the soil deposition at the expense of the agricultural potential of the lands. Residents have commented that Soil Deposit Permit applications that are proposed for farm improvements should only be approved for those parcels of agricultural land that have a history of farming and for property owners who have owned and farmed the land for a period of time. Residents have also commented that property owners should be required to submit a farm plan as part of their application and that the owners should be required to prove farm use following the completion of soil deposit projects that are justified as farm improvements. 3.Road Conditions and Safety Residents have expressed concern over truck volumes, road safety, and damage to roads and road shoulders with truck traffic on rural residential roads. Most sites that are proposed for soil deposition are large acreages that are situated in rural areas and are often zoned as Agricultural. Residents have complained of damage they have observed to road shoulders such as rutting as well as the tracking of mud and other debris onto the road surfaces. Residents have noted at times that traffic is not managed at high use sites and poses a potential danger to both vehicle traffic and pedestrians. 4.Enforcement When Staff receive concerned calls from residents they attend the sites in question and inspect the properties for Bylaw and permit compliance. In many instances Staff were unable to address the concerns through enforcement as the existing Soil Deposit Regulation Bylaw does not require studies or land surveys for all sites and provides limited prescriptions for filling. The Bylaw requires land surveys and Professional Engineering reports for fill sites where soil deposit depths are 1 metre or greater, on slopes greater than 30%, or on properties within a floodplain. Many soil deposit projects propose final grades that result in less than 1 metre in elevation gain, however, the overall disturbance across the properties are extensive and can significantly impact drainage or slopes. In many circumstances, staff has had limited information to assess site changes and permit compliance. The Bylaw requires $1,000.00 refundable security for every hectare of land disturbed. Several of the permitted sites where more than 10,000 m3 of soil material (approximately 1,450 trucks worth of material) was deposited required a refundable security in the amount of $1,000 to $3,000. The value of this security, considering the revenue generated from the soil deposit operations, provides little incentive to remain within permitting requirements. Page 5 of 6 Soil Deposit Bylaw Review Process The following process is intended to provide residents and other stakeholders with an opportunity to express their concerns and values and to provide comments and recommendations on a new bylaw. It is important that staff work with all stakeholders to ensure that the Bylaw reflects Council’s and the Community’s goals and objectives for the protection of residents, agricultural land and practices, private property, and municipal infrastructure. Staff are proposing a 4 step Review Process as follows. Table 1. Soil Deposit Regulation Bylaw Review Process Step I – Council Endorse Review Process  Council to endorse the Soil Deposit Regulation Bylaw review and consultation process July 11, 2016 Step II – Open House with Questionnaire  Consultation with residents, neighbourhood groups, professional engineers, contractors, development consultants, environmental stewardship groups, and environmental and agricultural professionals.  Consultation update to Council and Draft Soil Deposit Bylaw submitted to Council September through November 2016 Step III –Open House with Questionnaire  Proposed Draft Soil Deposit Bylaw to be provided to residents and circulated to local professional engineers, contractors, development consultants, environmental stewardship groups, and environmental and agricultural professionals.  Consultation update to Council December 2016 through February 2017 Step IV - Council Consideration of Bylaws for 1st, 2nd, and 3rd reading and final Adoption  Formal referrals to Agencies (Agricultural Land Commission, Ministry of Agriculture, Metro Vancouver)  Amended Soil Deposit Regulation Bylaw  Amended Soil Deposit Fee Bylaw 1st Quarter 2017 It is proposed that various notification methods be used to assist in the consultation awareness initiative including use of newspaper ads, written invitations, email lists, social media, front counter handouts, and information posted on the municipal website in order to engage the community and facilitate ongoing dialogue throughout the planning process. The intent is to increase the effectiveness and efficiency of public engagement that will help strengthen the relationship between the municipality and the community. Inter-Departmental Implications and Legal Review Staff from Parks, Bylaws, Building, Engineering, Operations and others will continue to be included in the consultation process. Any proposed Bylaw amendments and subsequent revisions will require review by the City Solicitor prior to presentation of the Bylaw to Council for 1st, 2nd, and 3rd Readings. Page 6 of 6 Inter-Governmental Implications Agricultural Land Commission The Agricultural Land Commission will be consulted to ensure that the amended Bylaw is in alignment with the Agricultural Land Commission Act and Regulations. In addition, Section 46 of the Agricultural Land Commission Act notes that Local Governments cannot enact a Bylaw that is inconsistent with the Agricultural Land Commission Act. A formal referral will be sent to the Agricultural Land Commission as a component of the Step IV – Council Consideration of Bylaws. Ministry of Agriculture The Ministry of Agriculture will be consulted to ensure that the amended Bylaw supports viable farm practices and protects agricultural lands. Metro Vancouver Metro Vancouver will be consulted as part of an ongoing collaborative effort to protect farm land and in managing soils and the disposal of fill throughout the Lower Mainland. CONCLUSION: The Maple Ridge Soil Deposit Regulation Bylaw needs to be reviewed and updated. This report outlines some of the issues that need to be addressed as part of that review. Specifically this report recommends a thorough process in undertaking the review including consultation with residents, neighbourhood groups, professional engineers, contractors, development consultants, environmental stewardship groups, and environmental and agricultural professionals. Following this consultation, an update will be provided to Council in the form of a proposed Bylaw and the Bylaw would be presented for First, Second, and Third Readings. “Original signed by Mike Pym” _______________________________________________ Prepared by: Mike Pym, M.R.M, MCIP, RPP Environmental Technician “Original signed by Chuck Goddard” for _______________________________________________ Approved by: Christine Carter, M.PL, MCIP, RPP Director of Planning “Original signed by Frank Quinn” _______________________________________________ Approved by: Frank Quinn, MBA, P. Eng GM: Public Works & Development Services “Original signed by E.C. Swabey” _______________________________________________ Approved by: E.C. Swabey Chief Administrative Officer 1 of 3 CityCityCityCity of Maple Ridgeof Maple Ridgeof Maple Ridgeof Maple Ridge TO:TO:TO:TO: Her Worship Mayor Nicole Read MEETINGMEETINGMEETINGMEETING DATE:DATE:DATE:DATE: 11-July-2016 and Members of Council FILE NO:FILE NO:FILE NO:FILE NO: FROM:FROM:FROM:FROM: Chief Administrative Officer MEETING:MEETING:MEETING:MEETING: Workshop SUBJECTSUBJECTSUBJECTSUBJECT: Remaining 2016 Community Grant Budget EXECUTIVE SUMMARY:EXECUTIVE SUMMARY:EXECUTIVE SUMMARY:EXECUTIVE SUMMARY: At the June 28, 2016 Council meeting, staff was directed to provide a report outlining options for the allocation of funds remaining in the 2016 Community Grants budget. The request followed a discussion regarding funding for the Maple Ridge Community Foundation’s Donor Recognition project. The Foundation has reached out to the Public Art Steering Committee to consider options for an integrated public artwork in the Town Centre to recognize community builders, and the work of the Foundation and service clubs in Maple Ridge. The Donor Recognition project is eligible, as a one-time item, for support under Council’s Community Grant policy. While the installation will take place in 2017, staff suggests allocating $10,000 of the unallocated 2016 Community Grant budget to the project to create some certainty about the available budget for the Donor Recognition project. This would leave $1,400 available to support any further requests that Council may receive this year. Staff has submitted an application for funding under the Canada 150 program to support the project. Should that application be successful, funding from the Public Art Program and the Community Grants Program would be combined with the Canada 150 funding to complete the installation in 2017. RECOMMENDATION(S):RECOMMENDATION(S):RECOMMENDATION(S):RECOMMENDATION(S): That an allocation of $10,000 for a Donor Recognition project from the 2016 Community Grants That an allocation of $10,000 for a Donor Recognition project from the 2016 Community Grants That an allocation of $10,000 for a Donor Recognition project from the 2016 Community Grants That an allocation of $10,000 for a Donor Recognition project from the 2016 Community Grants Budget be approved.Budget be approved.Budget be approved.Budget be approved. DISCUSSION: DISCUSSION: DISCUSSION: DISCUSSION: At the June 28, 2016 Council meeting, Council passed a resolution directing staff to provide a report outlining options on the allocation of funds remaining in the Community Grants budget. This report responds to that direction. The available budget for Community Grants for 2016 was $44,400. On June 28, Council approved an allocation of $33,000 to various community groups, leaving $11,400 available to support future requests. 5.4 2 of 3 Policy No. 5.56 “Community Grants” identifies the following as eligible requests for funding under the program: • requests to fund one-time items or events, or • requests for bridge funding while an organization works to secure long-term stable funding, or • requests that will allow a community group to leverage additional funding from other agencies, or • organizations denied a permissive tax exemption will be eligible to apply for a community grant or • requests for services that are not duplicated in the private sector Council discussed allocating a portion of the remaining budget envelope to the Maple Ridge Community Foundation’s (The Foundation) Donor Recognition project. This project is eligible, as a one-time item, for support under Council’s Community Grant policy. The Foundation was established in 1976 and has been helping community groups for 40 years. For the past 25 years, they have been celebrating the significant contributions of individuals through the Citizen of the Year event. The Foundation is interested in exploring opportunities for a legacy project to recognize community builders and the work of the Foundation and service clubs in Maple Ridge. They have reached out to the Public Art Steering Committee to consider options for an integrated public artwork in the Town Centre with the spirit and intention of recognizing those community builders. Staff has submitted an application for funding under the Canada 150 program to support the project. Should that application be successful, funding from the Public Art Program and the Community Grants Program would be combined with the Canada 150 funding to complete the installation in 2017. The City has previously supported the Maple Ridge Community Foundation by contributing a total of $75,000 to the Foundation’s endowment fund between 2003 and 2008. a)a)a)a) Desired ODesired ODesired ODesired Outcome(s):utcome(s):utcome(s):utcome(s): To support the installation of a community recognition project commemorating the efforts of individuals, service clubs, and the Foundation in building the community. b)b)b)b) Business Plan/Financial Implications:Business Plan/Financial Implications:Business Plan/Financial Implications:Business Plan/Financial Implications: A contribution of $10,000 to the Foundation’s Donor Recognition project from the Community Grants budget could be accommodated within the remaining 2016 budget envelope, leaving $1,400 available to support any further requests that Council may receive this year c)c)c)c) Alternatives:Alternatives:Alternatives:Alternatives: As the Donor Recognition project is unlikely to proceed until 2017, Council could opt to consider funding for the project as part of the 2017 Community Grants allocation discussion. There is no way to predict the volume of requests that will be received for 2017, and as there is funding available from the 2016 budget envelope, committing funding to the project now would help to create some certainty around the available budget for the Donor Recognition project. CONCLUSIONS:CONCLUSIONS:CONCLUSIONS:CONCLUSIONS: The Community Grants budget for 2016 is $44,400. On June 28, Council approved an allocation of $33,000, leaving $11,400 available to support future requests. At the same meeting, in response to a discussion regarding funding for the Maple Ridge Community Foundation’s Donor Recognition project, staff was directed to bring back a report outlining options for allocating the remaining 2016 budget. 3 of 3 While the installation would take place in 2017, staff suggests allocating $10,000 of the unallocated 2016 Community Grant budget to the project to create some certainty about the available budget for the Donor Recognition project. This would leave $1,400 available to support any further requests that Council may receive this year. Staff has submitted an application for funding under the Canada 150 program to support the project. Should that application be successful, funding from the Public Art Program and the Community Grants Program would be combined with the Canada 150 funding to complete the installation in 2017. “Original signed by Catherine Nolan” _______________________________________________ Prepared by: Catherine Nolan, CPA, CGA Manager of Accounting “Original signed by Kelly Swift”“ ______________________________________________ Approved by: Kelly Swift GM, Community Development, Park & Recreation “”Original signed by Ceri Marlo for Paul Gill”Original signed by Dane Spence” _____________________________________________ Approved by: Paul Gill, CPA, CGA GM, Corporate and Financial Services “Original signed by E. C. Swabey”“Original signed by Jim Rule” _______________________________________________ Concurrence: E.C. SwabeyE.C. SwabeyE.C. SwabeyE.C. Swabey Chief Administrative OfficeChief Administrative OfficeChief Administrative OfficeChief Administrative Officerrrr