Thursday, January 3, 2019

Homeless, addicted and mentally ill - Changes Needed!

But for a brief period living in Montreal and then Toronto I’ve lived the majority of my life in Oshawa, Ontario which is in Durham Region. Like much of Canada there is a huge homeless problem in the region. The problem has gotten so huge that it’s, in my opinion, negatively affecting some of Durham’s health resources as well.
 
Let me address the homeless issue first. Durham needs more shelters. There is only one men’s shelter (Cornerstone) and one women’s shelter (Muslim Welfare Home) in the region. Cornerstone has a two week stay and one cannot re-access the services for 45 days – it used to be 21 days. I don’t have the exact numbers for the Muslim Welfare Home but believe them to be similar. Those who stay at the shelter are supposed to be looking for housing and there are workers on-hand to aid in the search. It’s extremely hard for someone to find housing in just two weeks especially if they have some of the barriers that many homeless people face (i.e. – mental health; addictions; are on OW or ODSP so have very little money for rent). Add to that the fact that shelters (in Durham and elsewhere) are requiring people to show ID to prove they are from the region where the shelter is. Having worked with the homeless population I’m quite aware of the fact that they are quite transient and often lose their ID on a regular basis. This inane rule came about as a result of an influx of refugees welcomed into Canada (by the Federal government), with no thought about where the money would come from to house them. But I digress. There is one youth shelter for men/women/other 24-years-old and under as well as four shelters for women fleeing violence (these are not open to women who are “just” homeless). The shelters are full on a regular basis leaving many without a place to sleep. Hence tent cities have been springing up around the region, most notably in Oshawa.
 
Due to lack of resources to help the growing homeless population they are seeking shelter wherever they can, and who could blame them. Thus they are taking up beds designed to help those suffering from addictions and/or mental health issues. Durham has one withdrawal centre, Pinewood, for those seeking help coming off of drugs/alcohol. Pinewood is considered a hospital emergency room service so does not have the right to turn someone away if a bed is available (and the person meets the criteria to access a bed). As a result people who have no interest in getting sober or don’t even have an addiction are seeking and receiving beds at Pinewood thus taking up space needed by those legitimately needing the bed because they want to recover from their addiction. Durham Region also has three mental health crisis houses, run by Durham Mental Health Services (DMHS), that offer short-term stays for people in a mental health crisis (e.g. – people needing a break from the stress of their daily lives; people wanting extra support to prevent self-harm; etc.). These beds are now being taken more and more by people who are homeless thus preventing some from getting the mental health support they need and flooding our hospitals causing wait times at the ER to go up.
 
The solution is simple. We need more shelters for the homeless, including a family one. This will take the pressure off of Pinewood and DMHS and allow them to focus on what they were set up to do. The current homeless shelters need to increase the time one is allowed to access them to at-least 30 days and return to the 21 day re-access period. Even these measures won’t be sufficient but they are a start. In the meantime it would be great if Durham set up some sort of street outreach program. There is a great one in York Region where a van goes out into the community from 1:30 PM to 9:00 PM seven days a week. It travels to different parts of the region on different days and times. People are able to call the van and set up appointments for things they need. The van has ready-made food for homeless people and also has a selection of clothes (including underwear, shoes/boots), blankets and sleeping bags. It has dog and cat food for people with pets. The van also offers food to people who have a place to stay but need the extra help to feed themselves and often their family. It offers a needle exchange program too.
 
The government should also take away the emergency room status of Pinewood so it does not have to take people who are not serious about their recovery or have no addiction issue at all. People should not be able to access the withdrawal centre several times a month, which is what, happens, preventing someone who is serious about recovery from getting help. By allowing someone ongoing access we are just enabling them in their addiction which doesn’t help them in the least.
 
Another solution to the homeless problem would be a guaranteed income. Sure someone people would take advantage of such a program but they are already taking advantage of the current programs. A guaranteed income would cut down on hospital visits and cut down on crime. If implemented correctly it would save a ton of money too. Currently people on OW or ODSP are barely scraping by. They are always in a state of emergency. With a guaranteed income these people would have some breathing room as their essential needs would be taken care of and they concentrate on going to school and/or looking for work. In the long run it is the best for society and the economy.
 
Just a few ideas I thought I’d share.
Dave the Dude