Innovative Housing with Supports: Addendum 1
1. Does 100% of the population served by the proposed program model need to meet the provincial requirements?
Yes. All clients of Home For Good funded programs must meet one of the target population categories regardless of where the referral is coming from. This information will be confirmed in your quarterly client data report and compliance will be monitored by the agency’s Agency Review Officer.
2. Provide a definition of clinical supports.
Please see the attached list of examples of eligible support services and categories of activities.
Clinical supports includes ongoing supports and treatment of an illness or disease.
Clinical Supports refers to a range of supports directed at the treatment and management of a tenant’s physical and mental health, including primary health care, addictions treatment, withdrawal management and personal nursing care.
3. Will housing allowances be available to clients discharged from the proposed program? The concern expressed relates to how to move clients through a spectrum of need to housing without supports. How will clients be able to afford their unit without the rental support of the subsidy? Most clients will always be living in poverty and unable to afford market rent without assistance even if they no longer require related support services.
We are currently investigating options that would allow for continued rent assistance for clients who no longer require case management or daily living supports. Once the Home For Good funded programs are operational, there will be opportunities for funded agencies to meet and discuss challenges and solutions
4. What process would be required for an agency to refer existing tenants in their housing to this program?
If your agency has current clients or tenants who are unsupported or insufficiently supported and at-risk of homelessness, agencies may provide support to them via the Home For Good program funded through this RFP.
Agencies must ensure and maintain documentation of their housing being at-risk. For example: copies of eviction notices; records of deep cleaning or pest control issues; records of multiple and repeated hospital visits or 911 calls, etc.
Agencies who wish to support current clients will also need to ensure they formerly met one of the four eligibility criteria before they were housed (ie; prior to housing they had been homeless for 6 months or longer, are Indigenous and were formerly homeless, are Youth and were formerly homeless), and that they are currently at risk of homelessness (ie; they need support to stay housed, as evidenced by an N4 or other documentation).
Importantly, a household must receive both supports and a subsidy to be able to transfer to this program. A household cannot receive only the subsidy portion when they join the program.
Ideally, this funding is targeted to households who are transitioning from homelessness into housing for people who have been homeless for extended periods and have high support needs. In addition, the program will help to relieve some of the pressure on our homelessness system.
5. Clarification: just one paper copy of the RFP submission is required?
Yes, only one paper copy of all documents are required. Please ensure ALL documents are submitted. All applications must include a Part A. If your agency has recently completed/submitted a Part A in the last 12 months, that version can be used but must still be submitted.
6. Are women leaving abusive relationships eligible?
All individuals and families must fit one of the four target group criteria outlined in the RFP.
7. Is it okay to fund different components of the program from different sources of funding, i.e. LHIN funding for clinical supports?
Yes. It is encouraged to seek more than one funder for your program, particularly funds that target different program components or eligible expenses.
8. Are people leaving hospitals an eligible client group? Particularly those who have no address to be discharged to?
Individuals leaving provincial institutions such as hospitals are eligible for this program if they are exiting the institution into homelessness. Specific eligibility criteria for this target group are currently under development.
It’s important to note the supports that they can receive through the program must be eligible expenses, such as Personal Support Worker services or non-clinical medical supports. Please see Examples of Support Services and Categories of Activities posted with this Q and A. Clinical supports would not be covered and funding for such services would need to be sought elsewhere.
9. Are the subsidies paid directly to the agency or the landlord?
All approved funding will be paid to the agency that has entered into the agreement with the City of Toronto – Home For Good Program. If your proposal includes partnerships for different components of the program (i.e. one agency provides the housing and one agency provides the support) all funding will be paid to the signatory of the agreement and mutually agreeable arrangements will have to be made between the partner agencies. If your program proposes to work with private sector landlords, a head lease arrangement or similar may be required.
10. Can one agency apply for all 370 units, or will they be divided between many agencies?
There are no limits on the size of the program that you are proposing, however considerations will be made regarding the geographical spread of the program funding, as well as the capacity of the funded programs to meet a wide variety of needs. It is requested that agencies provide information as to how the program could be scaled down or up to accommodate any specific funding constraints or changes. Agencies should also clearly outline their plan/strategy to obtain units and provide letters of support if relying on another agency/organization to deliver a portion of their proposed program. If an agency is planning on obtaining private market units, the agency should articulate if they have experience doing this type of work or how they plan on obtaining the units.
11. How will Co-ordinated Access refer clients and how many clients do they see annually?
Current clients who are experiencing homelessness are assessed for referral by designated agencies (shelters, 24 hour drop-ins and street outreach), including location and unit preferences, and the type and intensity of supports required to help them to stay housed. Depending on the location, unit type, and level and type of support provided by the agency/housing providers, Co-ordinated Access will connect an appropriate client to the housing provider via their housing worker. The housing worker will then work with the housing provider and client to lease and occupy the unit.
The SSHA Co-ordinated Access team will start the referral process to a unit within 2-3 business days of receiving a client referral.
12. How many clients does Co-ordinated Access refer annually?
In 2017 Co-ordinated Access process referrals for more than 1000 clients to access housing allowances, Bridging Grant and/or Follow-up Supports.
13. How can the different levels of client need be addressed? Clients don’t generally “graduate” from complex needs to no supports, so how are we expected to support these tenants? What is the expectation of supports provided to clients with complex needs – how do we describe the program trajectory when it is more likely that clients will maintain a level of complex needs?
The Home for Good program recognizes that client needs may change and so should the supports that they receive, and it is understandable and expected that clients with complex needs may continue to require some level of supports throughout their tenancy.
The program model you propose must include the ability to assess and alter a client’s case plan based on need. Clients may gradually move toward requiring fewer supports with occasional episodes of higher need. This support may or may not come from your agency, and clients may be referred to community-based supports another agency if that service becomes more appropriate.
Ideally, if a tenant of the Home for Good program no longer required the supports offered, they will be discharged from the program, making those supports available to someone else transitioning from the homelessness system. Tenants should be encouraged to move into more appropriate housing, so long as the housing is sustainable, where they no longer require the support services of the agency, or the agency may transition their supports to another tenant.
14. Can agencies that have shelters and housing, refer clients from their own shelter to this housing program?
Yes, providing the clients you are moving from your shelter to your housing meet all the provincial requirements. Agencies will be expected to process the client through Co-ordinated Access even if they are referred from an alternate source. This is for reporting purposes.
15. What are examples of harm reduction programming?
Harm reduction programming options may include training for staff, peer programs, provision of supplies or safer use kits or referrals and resources for clients.
Please refer to the Toronto Public Health site that lists potential partner agencies that provide harm reduction kits and programming.