INTEGRATING SERVICES AS A
MEANS TO SUPPORT HOUSING
Service outcomes are greatly
connected to determinants of
health
• The development of the Ndinawe
Youth Services and the Point Douglas
Revitalization Initiative; North Stars
Project contributed to supporting youth
housing and better outcomes as they
greatly connected to determinants of
health
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Ndinawe YR 2000
• Shelter was seeing an increase:
• Violence among youth, weapons
being brought in.
• Non attendance at school (3-9
months) of absenteeism at school.
• Few if any positive social activities
that developed skills in the youth
lives
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Housing gives a message
that affects mental health
and social wellbeing
• Shelter was a fire hazard, would not
get a renewed licence, unpleasant
surroundings gleaning disrespect
• Design allowed for poor supervision,
unsafe situations and gang violence
to prevail.
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New Shelter Changed
Things
•The new design had a great impact on
programming. Staff could spend more time
with the kids building relationships rather
than policing safety.
•Went from 3 floors- 2 floors, with 2,2,1
staffing configuration & 16 youth, it was a
recipe for disaster.
•New building alone, the incidence of violence
went down
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Siloed Approach
Problematic
• It was isolating for the service, with a
limited number of staff having to
advocate for services and or systems
that have different information or
plans that yours.
• This lead to greater confusion for the
youth and families in the end
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Solution: Create our own
integrated system with in
our services
• Realized early on, if we wanted our
youth to have recreational activities,
be accepted into schools, develop
independent living capacity,we
would need to create this ourselves.
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Youth Resource Centre
• Was created to insure a multi
systems accessible service to youth
was available in the city.
• It included programming such as
film, art, music, dance, drama,
parenting, sports, medical clinic,
cooking club, food bank, youth care
worker training, at risk outreach and
a transitional school
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100%
88.5%
Percent Failing to Graduate
90%
Family/IA
76.7%79.8%
80%
70%
62.5%
In Care/Protection
60%
48.9%
50%
44.5%
Had teen mom
40%
30%
20.5%
20%
No risk
10%
0%
0
1
2
Number of Risk Factors
3
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Ndinawe Transitional
School
• Prior to developing the school we did
a survey of over 100 Ndinawe youth
around school attachment/and
relevance
• We investigated 8 different
alternative and or off campus
educational programs
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Ndinawe Transitional
School
Programming needed to be:
• Modular based, building on immediate
successes
• Not play school-they wanted to attain
credits, graduate.
• Have kind staff- all about relationships
• Friendly environment- matters
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development of the school
and resource centre:
Supported housing to have:
• Fewer AWOLeffective
from the Safe Home
• Incidence of drugs and weapons in
Safe home down
• More efficient case management
including tracking of youth, and
integrated case planning
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Goal of the Point Douglas
Revitalization Initiative
To create a shared vision and plan
for an integrated service delivery (ISD) model that better addresses local
needs, builds community capacity and improves outcomes for residents
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Why did we start in this
area?
• Lord Selkirk Park and the larger Point
Douglas area is one of the poorest area
codes in Canada
• The PD community continues to experience
declining outcomes in several sectors.
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Started with Community
Engagement
• 4 community forums
• Residents survey – more than 570 surveyed
• Interviews with more than 55 Executive
Directors
Through this data collection, we asked what are
the:
Overall issues; Gaps in services; Issues in service
delivery; and the Solutions for working better
together
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Engagement data revealed service
needs, some of which were:
• Need for greater awareness of services/assets
available in the community - communication
• Gaps in Services:
– Addictions services
– Mental health services and Community counselling
(e.g., youth and men)
– Affordable housing
– Education supports (e.g., after school tutoring,
walking school bus, FAST program)
• School readiness is a priority
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Increased Need for
•Service Navigation of larger systems
•Access hours and location of service
•Need to identify and better use
existing mechanisms (e.g., residents
associations)
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Services Need to Work
better Together
• Need for more formal mechanisms (e.g.,
agreements, protocols) – support good
partnerships
• There is an identified gap in governments’
understanding of community service delivery
and the communities’ understanding
government processes
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Development of a
Community Leadership
Council
In the fall of 2011, the Community
Leadership Council (CLC) was
established – a joint Government and
Community table tasked with oversight
of the revitalization plans including the
development of the integrated case
management pilot.
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Overwhelmingly the responses
supported the notion of a fully
integrated community-based
service delivery model: Piloted
at RB Russell High School
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An integrated case management working group
was formed to develop the pilot whose
membership included
Mount Carmel Clinic, North Point Douglas
Women’s Centre, WSD, RB Russell high
school, Aboriginal Health and Wellness,
Centre for Aboriginal Human Resource
Development, Winnipeg Police, University of
Winnipeg, IKWE, FSL, MB Housing,
Entrepreneurship, Training and Trade,
Probations, MB Education, AFM, Aboriginal
Council, Onashowewin, Southern Authority,
Mental Health,
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North Stars Project
• The Client Group Chosen was RB Russell
High School due to the general levels of risk
of the student population.
• It was determined there would be 2 Tiers or
levels of service to support integration
• The people who sat at the designing table
made a commitment to be the first ones at
the integrated case management table
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North Stars Project
Tier I
• Would provide
services to the
500 students in
the school that
would support
the equalling of
the playing field
Tier II
• Would provide an
integrated table that
supports 30
students at a time to
receive rapid
response service
supports
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Tier I Supports
Include:Mental Health
• 2 Canadian Mental Health Association programs, to
be rolled out in April 28th and/or as student need
presents
• Winnipeg School Division has committed 4 student
councilors to oversee and support the development
of Student Profiles and IEP’s for students under 21,
• North Point Douglas Women’s Centre will run a red
road to healing program in the school
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Part Time Jobs
• CAHRD has agreed to provide part time jobs for
students, particularly those who are hard to
place due to past criminal involvement etc
• Odd Jobs for youth has agreed to locate a
program office in the school as it would be an
easy access point for the student population.
• ETT will support the subsidizing of adult
student in their continued efforts to train
towards employment
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Private Sector and
Recreation Support
• A relationship between the school and the north
west company has been fostered
• Boys and Girls club is committed to providing
alternative recreation programming to the
student population
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Justice involved students
•Onashowewin provides has agreed to
provide their full program complement of
programs to youth engaged in justice issues
at the Teir II level and have agreed to sit at the
integrated service delivery table
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Programming for Absent
Students
–The Pilot has redeveloped an
attendance protocol between the
school division, the WPS, the
Truancy Officers, EIA and CFS that
outlines a clear course of action to
take when supporting student
attendance
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Tutoring and Mentorship
– To support better educational outcomes the
University of Winnipeg is implementing a
joint mentorship and tutoring program at the
school
– Onashowewin has agreed to second 5 social
work students to act in a mentorship/ case
navigation capacity to students in Teir II
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Parenting Supports
4 different types of parenting
programs are being implemented
by community agencies such as Ab
Health and Wellness, CEDA,
NPDWC
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Health and Housing
– Both Mount Carmel Clinic and Aboriginal Health and
Wellness are committing to providing a family doctor
for every student in the pilot.
– MB housing staff are committing to supporting
students involved in Teir II experiencing housing
emergencies by making them a high priority on the
MB housing list.
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Child and Family Services and
Wpg Police
• The Southern Authority has committed two staff
persons to be seconded from the authorities and attached
to the case management of the Pilot..
• WPS committed one half time police officer to
supporting case navigation of the pilot. This
includes sitting at the joint case management
table once a week, supporting the connections
of outside service systems , assisting the
school councilors in follow up with the joint
case plans for all students at Tier II so that
response times are efficient and services
effective.
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Tier II
• Sign up is voluntary, families that
want Tier II level supports must sign
consent
• This allows them to have their case
sit at an integrated service table
where they agree to share their
information to the multiple systems
in order that they receive joint
support from a joint plan
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Example of Jonny and
Sally
• Jonny –NA, attendance, probationary
order,
• Sally- Addictions, Mental Health, CfS,
Attendance.
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•Results will be interesting
But predictable, if you support
otherareas in a youths life, housing,
violence, addictions etc,,, all areas will
have better outcomes.
•All of this was done with out any new
money!
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Chicken or the egg?
• Maslow's hierarchy of needs works 2
ways
• People need good housing in order to
build capacity and support in other
areas of their life
• People need support in other areas of
thier life in order to fully benefit from
safe, healthy and supportive housing
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