Category Archives: Thoughts

To Be, or not to Be, or what to Be,

……that is the question; the primary question [or questions] you must ask if you are located outside of a shelter rich environment such as Vancouver or Toronto.

In an environment with multiple shelters, individual shelters can be tasked to serve the needs of a single class of clients [i.e. a class composed of those waiting for a spot in a treatment center – such as Kinghaven – to become available].  Using a single shelter to meet the needs of a single class of clients avoids the problems that arise from the conflicts between the differing needs that different classes [groupings] of homeless have.

In a shelter rich environment, meeting the needs of the different classes within the homeless population requires determining the size of each class of homeless and assigning a shelter [or shelters] to meet the needs of each different class [classification] of homeless.

Outside of major population centers such as Vancouver, in locations where there is only a single shelter (Mission, Maple Ridge, Chilliwack, Abbotsford etc.) serving the conflicting needs of the different classes among the homeless is a challenge.

Indeed, it is highly probable the conflicts between the needs of the different classes of clients among the homeless will make it impossible to serve all the conflicting needs equally.

This reality makes it vital to consider the purpose, the raison d’etre, for the shelter and to set the priorities of the shelter in accordance with the raison d’etre of the shelter.

Having decided upon the purpose [or purposes] and priorities of the shelter one uses the purpose [purposes] and priorities to set the operating policies and procedures for the shelter, and to resolve the conflicts that arise from the differing needs of the various classes of homeless.

Setting shelter policy first will set the the purpose and priorities of the shelter without regard to whether the purpose and priorities thus set are good, bad, ugly, desired, helpful or suitable.

As an illustration of why it is vital to give careful consideration to the purpose and priorities of the shelter in order to set the policies and priorities and avoid unwanted negative consequences, consider the following example:

Suppose you decide the shelter beds must be full every night; thereby setting the primary purpose of the shelter as maximizing the number of homeless warehoused by the shelter.

Having set the shelter’s purpose as maximizing the number of homeless warehoused you are faced with two basic policy approaches to maximizing the probability that the shelter will be fully occupied every night.

The simplest approach – theoretically – is first come first served; where you open the shelter doors at a designated opening time and, starting with those at the head of the line, admit the number of homeless required to fill the beds.

For purposes of our example let’s set 6 PM as the time the shelter opens; have the shelter provide an evening meal for those in the shelter, but only for those in the shelter; have the shelter have beds that will accommodate 15 men and 5 woman [20 beds in total].

This approach maximizes the probability the shelter will be fully occupied every night, and that the number of people in line at opening will increase over time.

The two major consequences associated with this approach:

1)    no provision for continuity for people to be in the shelter every night; if you were in the shelter the prior night but are not among the first 15 men or 5 women in line –  you are SOL.

2)    The need to be among the first 15 men or 5 women in line will tend, over time, to have the line for a shelter bed that evening form at a time earlier and earlier before the shelter opens; the need to be among the first 15 men or 5 woman combined with the line for a shelter bed forming at an ever earlier time increases the probability of conflicts over position in the line and line etiquette; leading to an increasing probability of violence and the need to police the line;

The other principal approach is to open the shelter doors, admit those who were in the shelter the prior night first and then fill the empty beds, if there are any empty beds.

Of course this approach means that as long as a person shows up at the time the shelter opens every night you are housing them. It also reduces accessibility to the shelter as a bed (beds) only become available when someone in the shelter fails to be there at opening. Over time the beds in the shelter will become filled with those who are capable of, and good at, arriving at opening time. This will result in access to a shelter bed for anyone not already in the shelter becoming a more and more infrequent occurrence.

You can address the issue of access to shelter beds through turnover in the shelter by setting the number of nights someone can access a shelter bed and requiring that anyone who reaches the allowed number of nights must be absent from the shelter for 30 days before they can again access the shelter.

To ensure the shelter has no night where any bed is empty, you will want to set a high number of nights someone can access the shelter before they are required to wait 30 days before they can again access a bed in the shelter.

For purposes of our example let’s set a month, 30 days, as the number of nights a person gets before they are required to wait 30 days before being eligible to access a shelter bed.

What are the consequences of setting 30 nights as the number of nights before someone is required to wait 30 days to return?

Once the homeless are aware of and adjust to having 30 nights (as opposed to a lower number for nights such as……..5) there are likely to be no nights, or almost no nights, where all the shelter beds are not in use; no nights, or almost no nights, where there is a bed available in the shelter.

In fact, once the 30 days availability is widely known the probability is that the shelter beds will be full and it will be necessary to turn away people upon opening the shelter.

You will have succeeded in minimizing [or eliminating] empty shelter beds.

Succeeded……if you evaluate the results and consequences solely on the basis of the purpose of the shelter being to maximizing the number of homeless warehoused by the shelter.

What are the consequences of having filling all the beds as your primary focus?

The operating policies that reduce the number of empty beds to (or close to) zero also result in a significant reduction in turnover and therefore the opportunity for someone not already in the shelter to access a bed. Should everyone from the night before return, a circumstance that becomes more frequent under policies of 100% occupancy, nobody not already in the shelter will get a bed.

The operating policies of 100% occupancy will also result in there being few, if any, nights were any shelter beds are available after the 6 PM shelter opening time.

What major consequences flow from setting the purpose of the shelter as being to have 100% of the beds occupied and the operating policies to achieve this purpose?

If you are going to have an emergency that would result in you needing a shelter bed you have to make sure it happens sufficiently before 6 PM for you to get to the shelter before opening time. Additionally you need to ensure your emergency occurs on a night were there will be some turnover among those staying at the shelter and that either you are the only new to the shelter client or there are a sufficient number of beds available for all newcomers to get a bed.

The police will also need to ensure that all incidents that currently lead to their calling the shelter to see if it has a bed available (i.e. a domestic dispute where the APD feels that having one of the parties spend the night at the is the best recourse) occur before 6 PM and on a day when a bed will be available so the APD’s quest can find accommodation at the shelter.

The Hospital will also need to be sure that anyone at the hospital who needs a bed at the shelter is treated in time to be at the shelter by 6 PM and that this occurs on a day when there will be sufficient turnover in people staying at the shelter so that sufficient beds are available for newcomers to the shelter to be accommodated. .

The shelter line and after hours emergency services will simply need to live with the fact that there are no beds available after 6 PM or, alternatively, also ensure those needing a bed are at the shelter by 6 PM and on a day there will be a bed available.

Those considering getting into treatment will need to be sure to time their thinking about/considering treatment on a timeline that ensures their arrival at the shelter by 6 PM on a night when a bed will be available. Statistically they will need to be prepared to return night after night at 6 PM until a bed becomes available to accommodate them. No longer will they be able to find a bed if it is not until after 6 PM that they are moved to come to the shelter and talk to (be encouraged by) shelter staff about signing up to talk to Outreach who will help them get find a treatment program.

And those who are headed to treatment when a bed becomes available for them, but need a safe place to stay and staff who will support/encourage them to hang in there (stay sober) until a treatment spot opens up for them? They had better be lucky enough in their timing to be able to access a bed.

Those in recovery houses who suffer a slip and need refuge for the 3 – 5 days they are required to be sober before being allowed to return to the recovery house – pretty much SOL and trying to stay sober and survive on the streets.

Need shelter and help to find a new home? Do you need some other form of assistance?  If you are not one of the lucky few for whom a bed is available – too bad.

A newbie? Good luck; you are going to need lots of luck going for you to get a bed in the shelter and gain access to shelter staff to talk with and explore options and services available before falling through the crack into long term homelessness.

Have mental health issues that make functioning difficult? Under these circumstances the best option to find help is to find the person responsible for setting the purpose of the shelter as being 100% full and kick their ass, repeatedly while screaming aspersions as to said person’s nature, ancestors and abilities. This will ensure the police take you to the hospital where you will have priority for a bed and help, circumventing the shelter’s sorry, SOL state.

Hopefully this limited examination of the consequences of setting the policy (and thus the purpose) of the shelter as being 100% occupied is sufficient to make clear why it is vital to set the purpose and priorities for a shelter before setting the policies and procedures.

Achieving 100% occupancy of the shelter is not progress, or necessarily progress-  depending upon whether you view a cannibal using a fork as progress.

To be (or not to be) a shelter for those suffering a true emergency (i.e. fire), or to be a shelter for those seeking to retake and rebuild their lives by undertaking the hard work to find housing or treatment for substance use or to begin the journey in search of mental health; or to be a flophouse to warehouse those who have no interest at this point in time in changing?

It is vital that you decide what it is you want to accomplish with the shelter, setting out what the shelter is to be or not to be and setting the operational policies and procedures based on the purpose of the shelter being defined in terms of what it is you want to accomplish with the shelter, what needs do you want the shelter to address and meet.

Given purpose, priorities and needs I see the shelter having to meet, I would argue that having policies and priorities that result in an empty bed every night will serve those varying needs whereas a focus on ensuring all the beds are full will in fact defeat or deny the ability of the shelter to meet the purpose, priorities and needs of the city and its people.

Understand that I am not saying one should not seek to maximize the utilization of shelter beds, but that that operating policies should first seek to ensure the needs of the community are met and then make adjustments to your operating policies to maximize shelter bed usage only to the point where continuing to focus on bed usage will have negative consequences on the shelters ability to meet the communities needs.

Serving the purpose and priorities the community needs served is more important than having 100% bed usage and failing badly in meeting the community needs.

This is particularly true when the focus on 100% bed usage has the shelter performing more in the nature of a flophouse/semi-crack shack than as a shelter seeking to address the varied needs of the community to the best of its ability.

 

Postscript: The example used in examining why it is vital to set shelter operating policies in line with and to support the purpose(s) and priorities of the shelter does not mean that one cannot seek to increase the rate of occupancy of shelter beds. What the example reveals is that if you want to maintain the ability of the shelter to meet the needs of the community it is necessary to be cognizant of the reality that maintaining the shelter’s ability to serve the community’s needs will require acceptance of less than 100% bed usage and that any actions taken to increase bed usage require thoughtfulness, care and patience to ensure the shelter continues to serve the purposes, priorities and needs of the community.

The number of nights was adjusted from 10 to 5 to accommodate the introduction of Case Management and the reality that in the beginning Case Management had often required the use of more than 50% of the shelter beds. In order to ensure the shelter’s ability to meet the needs of the community the number of nights one received before needing to wait 30 days to return to the shelter was reduced from 10 to 5 to provide for adequate availability.

Over time the ‘rush’ on the new Case Management services had peaked and steadied at a lower level of demand for Case Management services. This lower level of demand resulted in a decrease in bed utilization.

In light of the history of, and experience with, the shelter the first step in increasing bed usage in the shelter should have been to raise the number of nights someone could stay at the shelter without working with Case Management from 5 to back to 10 nights to see the effect this change had upon bed utilization and the ability of the shelter to serve the needs of the community.

Should it prove necessary careful adjustment of the nights up (or down) from 10 could/would be made in the future to maximize bed usage and to continue to serve the needs of the community. 

The Saga Motors on -The Door Drops II.

I got home on Saturday and as I was putting things [keys etc] in their proper place so I could find them Sunday [provided the Universe didn’t translocate them overnight] I found my cell phone was not in its holster. Panic time as I sped out to the car to see if I dropped the phone in the car; no cell phone and I rushed back inside, with visions of having dropped my cell phone somewhere in the Real Canadian Superstore.

I invoked the 5 minute rule [timeout if I have not found what I am looking for within 5 minutes] picked up L. E. Modesitt’s new book Antiagon Fire, read and relaxed. Going to get some water I spotted the cell phone lying in plain sight on the floor by the door. Better yet it had not been stepped on in my rush to check the car.

Aaaahhhhhhhhh.

INTERMISSION

Sundays are a day of respite, of reflection and recharging spent at home doing…..whatever I am moved to do. For some reason this Sunday I felt the need [was nagged by the need?] to take the binder with WIP [Words in Progress] and a MP3 player and go get a coffee, listen to music and get some of the words on the four items currently in progress out of my head onto paper. Plus give some thought to items for The James Commentary.

Getting dressed, rounding up my WIP binder and music I head out to the car to search out coffee, listen to music and write. The 5 year old across the street tells me my car door has been open all night. In the panic of looking for my cell phone I failed to take my time and make sure the door was shut. Sigh, I leave the car unlocked all night and in the morning………it is still there to haunt me.

Getting into the car I employ the Breckenridge Emergency Ingress/Egress Method to close the driver’s door, make sure to fasten the seatbelt [having to use the rope to close the door has changed my rhythm and I have started to drive off without the seatbelt on several times], insert and turn the key and get a rude click-click-click. With the clicking the first thought is the need to replace the starter – AARRGGHH!!.

I lean back to take a deep breath and see the dome light is looking a little pale and decide that if I am lucky the door was open enough to have the dome light on all night and all I need is a boost.

As I get out of the car I decide to go with a positive attitude and tell myself it was lucky I decided to go out or I would have found myself scrambling on Monday to get the car running in time to make it to work.

The Universe’s reply to this positive attitude was for an insect I didn’t see, to bite/sting me; a bite/sting that burned with a distracting level of pain for over an hour.

Among the ‘protection when the Universe is toying with me’ or ‘out of sync with the flow’ crisis intervention accouterments in the car is jumper cables. Which was handy as the friend I called for a boost didn’t have jumper cables. The cables were hooked up, the jump she was given and – voila – car starts with no hesitation.

Being short on gas I decided to drive by my friend Tom’s place to borrow his battery charger, since it does a much better job of Battery recovery, and to [wisely] borrow his floor jack as well since I need to change out the small spare tire, a tire that is clearly marked “Temporary Use Only”.

Returning home I gather and lay out the items I will need – the two extra Thunderbird tires sitting on my porch, tire iron, pliers, screwdriver and Tom’s floor jack.

As I am about to start the 5 year old from across the street comes out to ‘help’ me. Fortunately his family was going to see a movie. Unfortunately they didn’t leave until he had ‘helped’ with 3 of the 4 tires.

Yes, I could have chased him away or screamed at him when he once again got to close to the car when it was jacked up. But he needs to know how to change a tire and perhaps will benefit from hearing about gravity, heavy objects jacked up and the propensity heavy objects like cars have for falling. Besides, raising a child is a community responsibility.

Four tires because I needed to put the two Thunderbird tires on the back, using a back tire to replace the spare. I know, that is only three but the passenger side front tire had noticeably more wear than the rear tire I had replaced with a Thunderbird tire. With the driver side front tire delaminating as I was starting onto the Mission Bridge I am feeling cautious.

Cautious to the point of removing the front tire and replacing it with the rear tire, even though the rear tire had a slow leak. Why tempt fate over the possible need to change the front tire if the leak worsens? Especially the way things are going with me and the car.

Lifting Tom’s heavy floor jack into and out of the trunk may have been a chore, but the advantages of using a floor jack to change all four tires made the effort a wise decision.

Fortune also favoured me in having put the extension cord, when last it was used [to power the battery charger to charge the battery the last time a car problem had resulted in a dead battery] in one of the two rational places to put an extension. This fortunate turn of fate, putting the extension cord away in a rational location, at least made powering up the battery charger straight forward.

Of course as I sit here putting the finishing touches on this latest instalment in the ongoing saga of me and The Cougar I can feel in my muscles and joints that I am going to pay a price for changing those four tires tomorrow and probably for an additional day or two. Did I mention I had to reach into the back seat of the Cougar and pull out the folding stool because I needed a rest break (or two)?

Oh to be five again – but only if I get to keep lessons learned and wisdom gained.

This brings the tale of the Cougar up to Now.

Leaving me without a great deal more to say except – HELP, I need to find a replacement before something not easily repaired grounds the Cougar – and me – or before they come to take me away Ha-ha, Ho-ho, Hee-hee-haa-haa to the funny farm where life is beautiful all the time…….

Pond Scum

Yin – Yang; Balance; The Good – The Ugly.

The Good.

The attention of the media to the City of Abbotsford’s use of chicken sh*t as a biological weapon against the homeless in Abbotsford got the chicken sh*t mostly cleaned up and it accomplished the more important task of preventing the use of chicken sh*t from becoming the city’s policy for dealing with the homeless and homeless camps.

The Ugly.

Media coverage of this issue resulted in several of the homeless appearing on television as part of the media coverage.

One such person was approached after his appearance on television by someone who stated there was an elderly gentleman who had won multi-millions of dollars on a lotto ticket several years ago. This wealthy gentleman had a policy of using his lotto wealth to awarded $500,000 to people down on their luck and needing help such as this homeless individual.

Just think what he could do with $500,000. Previous recipients have flourished after receiving their $500,000, what would he do with his $500,000?

The people who had approached him had visions of sugar plums dancing in his head along with dreams of what he was going to do with the $500,000 and the changes this would make in his life. He could own his own home.

And all that was needed for him to receive this $500,000 was a $1,000 to them so they could make sure the gentleman who awards $500,000 was aware of this homeless person so he would be awarded $500,000.

Fortunately greed meant there was a need to come up with $1,000 which led to this situation being shared and recognized as a scam. Given the speed with which this spread throughout the homeless community any others who were or scheduled to be targets will be warned.

Too many see the most vulnerable, such as the homeless, of our fellow citizens as a problem to be ignored; or as disposable trash, or as prey.

People constantly moan about the state of society carrying on as if their actions have nothing to do with the society we have.

Society is built by the behaviour and choices of each and every citizen. All the fancy, self-satisfied words and labels people employ about themselves are meaningless given the vast difference between their words and their actions.

“The True Measure of Any Society can be found in how it treats its most vulnerable members” – Ghandi

We have the society we have chosen to build, the society we deserve.

U, ME & ASS

“Assumption is the mother of the screw-up” Angelo Donghia

Homelessness, addiction, mental healthcare and poverty are a complex, convoluted entanglement of interrelated issues. Like an onion there are multiple layers that need to be peeled away to get to the core.

The dominant barrier to making headway against homelessness, addiction, mental healthcare and poverty is the fact that the majority of people confuse their assumptions with knowledge, fact and reality.

Alfred Adler was a physician, psychotherapist, and the founder of Individual psychology and is often considered one of the most important figures in psychology history who stated:

“The human mind shows an urge to capture into fixed forms through unreal assumptions, that is, fictions, that which is chaotic, always in flux, and incomprehensible.”    

“that which is chaotic, always in flux, and incomprehensible”  is an accurate reflection of the reality one faces in tackling the muddle that is homelessness, addiction, mental healthcare and poverty.

People assume there is a solution when there isn’t; we can address the individual issues and challenges but there is no ‘solution’.

People assume the existence of one (or a few) ‘one size fits all’ approaches when the reality is that, while there are shared needs, each individuals journey to wellness is unique and your support system has to be flexible enough to deliver support reflecting an individual’s needs.

People assume that all that is needed is to go to treatment when the evidence is overwhelming that on its own our current system of treatment fails those who go to treatment. There is an interview available online where the interviewer is shocked when Dr. Gabor Mate speaks of 5% sober at the end of their first year as being excellent results – using our current approach.

People assume the current method is the approach we should be using. Our current system of treatment gets people sober and somewhat stable. The key to an individual’s success is what occurs after they leave treatment. The vast bulk of what an individual needs to do to achieve wellness remains to be done after they leave treatment and will require years of work. We know what community based supports and programs a person requires to achieve wellness; best practices elsewhere provide examples and guides as to how to dramatically increase a person’s probability of achieving wellness.

People assume dealing with addiction, mental health, poverty or those homeless is easy. I once had a chain smoker stand there puffing through cigarette after cigarette while explaining that all an addict needed to do was quit, never seeing the absurdity of the situation. Did you know that more people are addicted to nicotine after their first use than are addicted to heroin after first use?

People assume that people can be forced or motivated to find wellness. You can lock people up and deny them access to drugs [although drug smuggling and use in prison demonstrate the futility of trying to deal with medical issues outside of the medical system] but unless you plan to lock them up permanently…….. “please daddy, please dear if you loved me…” does not provide the will needed to slog along the path to wellness. The level of motivation needed to keep moving forward; even on the days the headwinds are pushing you backwards can only come from within, deep within, the individual.

“You can’t make assumptions when you’re dealing with health issues.”

Assumptions have mired us in the insanity of doing the same behaviour over and over as though somehow the results will be different next time.

The abundance of quotes available addressing the consequences of assumptions demonstrates the truth of Christopher Meloni’s observation “Too often, people find it easier to make assumptions and stick with what they believe……. it makes their job easier. The good people constantly search for something different.”

If we want to stop letting homelessness, addiction, mental healthcare and poverty ‘drive the bus’ and to take control of the bus we need to set aside assumptions [and what we want to be true] and focus on the realities.          

“If we worked on the assumption that what is accepted as true really is true, then there would be little hope for advance”              Orville Wright

Assume: to make an ass out of U and ME.

 

*****************************************

An Assumption Example from The James Commentary:

Stardate:        91041.31

Sol III Date:    13/06/08/22.02

On the matter of assumptions I offer for your consideration:

Thrifty:        practicing economy or economical management; frugal: a thrifty shopper

Thrift Store:   a retail store that sells secondhand goods at reduced prices.

We assume that shopping at thrift stores is frugal; after all they are thrift stores, how can a Thrift Store not be a frugal place to shop”

Caveat emptor: let the buyer beware:

Sometimes Thrift Stores are not very thrifty places to shop.

“The least questioned assumptions are often the most questionable.” 

Paul Broca