Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

Buccieri, Kristy

doi:10.3390/socsci5020015

Cited by 4 publications

(3 citation statements)

References 34 publications

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“…There are several national bodies that inform and advocate for coordinated systems approaches, such as the Canadian Observatory on Homelessness and the Canadian Alliance to End Homelessness. However, the organization of Canada’s political system into federal, provincial/territorial, and municipal governments makes it challenging to align factors such as mandates, budgets and information sharing (Buccieri, 2016). For instance, since health care is managed at the provincial and territorial level in Canada, there are 13 independent ministries that oversee service planning and provision based on geographic location.…”

Section: Canadian Contextmentioning

confidence: 99%

Hospital discharge planning for Canadians experiencing homelessness

Buccieri

Oudshoorn

Frederick

et al. 2018

HCS

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Purpose People experiencing homelessness are high-users of hospital care in Canada. To better understand the scope of the issue, and how these patients are discharged from hospital, a national survey of key stakeholders was conducted in 2017. The paper aims to discuss this issue. Design/methodology/approach The Canadian Observatory on Homelessness distributed an online survey to their network of members through e-mail and social media. A sample of 660 stakeholders completed the mixed-methods survey, including those in health care, non-profit, government, law enforcement and academia. Findings Results indicate that hospitals and homelessness sector agencies often struggle to coordinate care. The result is that these patients are usually discharged to the streets or shelters and not into housing or housing with supports. The health care and homelessness sectors in Canada are currently structured in a way that hinders collaborative transfers of patient care. The three primary and inter-related gaps raised by survey participants were: communication, privacy and systems pressures. Research limitations/implications The findings are limited to those who voluntarily completed the survey and may indicate self-selection bias. Results are limited to professional stakeholders and do not reflect patient views. Practical implications Identifying systems gaps from the perspective of those who work within health care and homelessness sectors is important for supporting system reforms. Originality/value This survey was the first to collect nationwide stakeholder data on homelessness and hospital discharge in Canada. The findings help inform policy recommendations for more effective systems alignment within Canada and internationally.

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Section: Canadian Contextmentioning

confidence: 99%

Hospital discharge planning for Canadians experiencing homelessness

Buccieri

Oudshoorn

Frederick

et al. 2018

HCS

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“…with the introduction of Local Health Integration Networks (LHINS) and to the current policy focus on Ontario Health Teams (OHTs). Ontario's efforts in this area have been recorded in literature and IHSC efforts arising within the context of these reforms do exist (Buccieri, 2016;Embuldeniya et al, 2018Embuldeniya et al, , 2021J. Evans, Daub, et al, 2016;Grudniewicz et al, 2018; M. I.…”

Section: Chapter 1: Introductionmentioning

confidence: 99%

Collective Case Study on Integrated Health and Social Care Within a Canadian Context: Alberta, Ontario and Nova Scotia

Cheng

2024

Preprint

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Introduction: Canada’s population is rapidly aging and is putting a strain on Canada’s fragmented welfare system. Integrated health and social care (IHSC) produces positive health and system outcomes. This phenomenon is not fully understood in a Canadian context. A multiple case study of IHSC in Alberta, Ontario and Nova Scotia was undertaken to answer the research questions: What are the factors that support successful services integration among different healthcare and social services organizations serving older adults within a Canadian context? The three cases studied were: geriatric assessment program collaboratory in Alberta; Healthy at Home day program in Ontario, and the Middleton Day Program in Nova Scotia. Theory and Methodology: A collective case study strategy was undertaken and was anchored on a version of the Cheng & Catallo (2020) conceptual framework. This framework identified critical integration factors including leadership, team-based care, communications, information sharing, dedicated resources, inter-organizational culture, performance measurement, accountability agreements and structures, and shared vision and goals. Also, external influencing factors were identified including patient characteristics, geographic setting, government policies and priorities, funding models and governance authorities. Primary data was used and based on key informant interviews of representatives from organizations that comprised each case and focus groups. Within-case analysis and cross-case analysis was undertaken to determine common themes within each case and across the three cases. Results and Discussion: The cross-case analysis revealed that the three cases shared common integration and external influence factors. Many of the integration factors noted in the conceptual framework were present, except for performance measurement and accountability structures and agreements. Role clarity and champions were two new factors that were identified. In addition, the three cases revealed that the external factors in the conceptual framework were present along with three new factors, close sense of community, communities with an aging population and integrating within the not-for-profit sector. Conclusions and Implications: The collective case study revealed that context was important in influencing integration in the three cases. It showed that there are policymaking and practice opportunities for government and service administrators that can improve IHSC for older adults and research opportunities for researchers.

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“…Buccieri contributes to this collection on reinventing healthy communities by providing a case study on planning for social housing and health care in Ontario, Canada [17]. Homelessness is a multi-dimensional social problem that requires a coordinated systems approach.…”

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confidence: 99%

Healthy Communities: What Have We Learned and Where do We Go from Here?

Marx¹

2016

Social Sciences

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Systems theory [1,2] suggests that healthy communities promote healthy individual development. That is, healthy systems take care of their component parts, and they do this, in part, by conducting positive exchanges with external systems. However, the thinking on what characterizes a "healthy" community continues to change over time. Social exchange theory [3] emphasizes the norms of reciprocity and the underlying relationships of trust that develop in healthy communities. Other authors stress the need for various forms of capital, not only economic and political, but also social, environmental, cultural, and spiritual [4,5].Contemporary theory underlying the trend towards "New Urbanism" [6] has its roots in the writings of Jane Jacobs [7]. Jacobs, a U.S. citizen, challenged the prevailing notions of urban planning in the United States, claiming that urban renewal of the 1940s and 1950s had hurt the health of cities due to single use zoning that located residents, parks, business, government services, etc. in separate sections of the city. This tended to leave these areas unused for extended periods of each day, thus isolating various groups and uses. She further insisted that high rise towers and open plazas created wind swept areas with little appeal to pedestrians, who preferred denser neighborhoods with short blocks and buildings of moderate height.Consequently, contemporary views of "livable communities" maintain that density and diversity are good for the health of cities. Healthy communities are more pedestrian-friendly and less automobile-centric. Mixed-use zoning keeps a flow of people through streets, neighborhoods, and districts, which is good for business, safety, and tourism. Locally-sourced food is more sustainable for the environment and healthier for individuals [7][8][9].But how does this all relate to the current and future provision of social services? And how should social institutions collaborate with those of the economic and political sectors to maximize individual and societal well-being? Those involved with the settlement house movement of the late 1800s and early 1900s in Great Britain and the United States certainly understood the impact of the environment on individual functioning and worked with both government and business leaders to better organize communities and services to meet the needs of residents. Deinstitutionalization and the movement toward community-based social services in the U.S. in the 1960s, 1970s, and 1980s recognized the potential positive influence of healthy communities on individual functioning [10,11].This special collection, therefore, aims to focus on the contextual factors that characterize "healthy communities" and that impact individual development and well being around the world. Researchers from various fields including psychiatry, public health, sociology, political science, community planning, economics, kinesiology, and social work present their theoretical, empirical, or practice-based studies on critical issues involving healthy communities.To begi...

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Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

Cited by 4 publications

References 34 publications

Hospital discharge planning for Canadians experiencing homelessness

Hospital discharge planning for Canadians experiencing homelessness

Collective Case Study on Integrated Health and Social Care Within a Canadian Context: Alberta, Ontario and Nova Scotia

Healthy Communities: What Have We Learned and Where do We Go from Here?

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