PLAN TO END HOMELESSNESS

VISION

Homelessness is ended. Permanently. This means that everyone has a safe, stable, and sustainable place to live and that, wherever possible, new cases of homelessness are prevented. Recognizing that no model will eliminate the risk of homelessness, should homelessness occur, systems are in place to ensure that it is rare, brief, and non-recurrent.

RECOMMENDED ACTIONS

1.     A rapid end to rough sleeping and other forms of high-risk homelessness

2.     A systematic approach to homelessness data and intervention monitoring

3.     Sufficient accessible social and affordable housing and welfare entitlements

4.     Citizen-centric coordinated service delivery

5.     Public policy reform and statutory rights and protection changes

6.     Public perception and awareness

7.     Other holistic and system-wide reforms

2023 Homelessness Action Plan (PTEH)

 

Proposed Action Item

Lead AgencyShort Term Priorities Long-term Priorities
1. A rapid end to rough sleeping and other forms of high-risk homelessness   
1.1 Develop a rapid rehousing framework and approach for adoption that is the default model for all people who are roofless, houseless, housing insecure, and/or have inadequate housing.   
1.2 Everyone experiencing or at risk of becoming roofless, houseless, housing insecure, and/or have inadequate housing shall benefit from rapid rehousing and be assisted to find a settled home as quickly as possible.   
1.3 Statutorily adopt rapid rehousing as the default model for people who are experiencing or at risk of becoming roofless, houseless, housing insecure, and/or having inadequate housing and place a legal duty on public entities to provide suitable long-term housing.   

1.4 For anyone who is legally homeless or at risk of becoming homeless, public entities (or agencies operating on their behalf) work with a person to complete a Personal Housing Plan.

This plan is to provide the person with somewhere safe to live for at least the next 6 months.

The Personal Housing Plan is a core component of the Rapid-rehousing framework.

   
1.5 Establish a time limit for people staying in inadequate temporary accommodation, ensuring sufficient emphasis on transition into long-term housing.   
1.6 Collect key data related to the delivery of affordable permanent housing. Support is required to assist people with successfully maintaining their tenancy.   
1.7 The Housing First model shall prioritize the provision of permanent long-term housing. Support services for persons living with mental health, intellectual disability, substance use disorder, or with a history of offending behavior shall be addressed through coordinated and intensive support.   
1.8 The provision of safe, low-barrier, emergency accommodation that is comfortable, welcoming and suitable for persons with different levels of needs. Ensure that people imminently at risk of rough sleeping move straight into emergency accommodation rather than sleeping rough.   

1.9 Establish common principles in relation to Housing First services.

Supportive housing and community services (voluntary and court ordered) are used to consistently engage tenants to ensure housing stability.

▪ Full rights, responsibilities, and legal protections afforded to tenants; and

▪ Practices and policies to prevent lease violations and evictions; means to ensure that housing and community services are flexible to client needs

   
Increase funding to scale up outreach for existing and new rough sleepers to ensure that housing support and community services are provided ‘where they are’ waiting to come inside.   
1.10 Invest in the supply of new housing units for rough sleepers that are medium-term in nature (3 to 5 years) until the existing population transitions to settled homes.   

1.11 Establish national targets to deliver housing first tenancies.

Year 1 – 20 long-term permanent housing units

Year 2 – 40 long-term permanent housing units

   
1.12 Collect data gathered in respect of the fidelity of Housing First projects.   
1.13 Safeguarding reviews take place where a person has died while rough sleeping, living in inadequate housing, or when housing insecure.   

1.14 Establish a Poverty Commission to provide independent advice to ministers, have a strong scrutiny role in monitoring progress towards tackling poverty and inequality and have an advocacy role to help bring about real reductions in poverty and inequality in Bermuda.

At a citizen level, ensure that critical time interventions help to prevent and end homelessness for people who have experienced or are experiencing poverty.

   

1.15 Adopt Housing First for rough sleepers, prioritizing: ensuring that rough sleeping is rare, resolving rough sleeping quickly when it happens; and making sure no one returns to the street. Orientation: –

o Coping Skills

o Communication

o Conflict Management

   

1.16 Introduce the provision of whole-family asset-based supportive interventions to help struggling families (those already homeless as well as those at risk of homelessness).

Ensure that trauma-informed approaches are applied to each child and that ongoing well-being assessments are undertaken to ensure any additional learning or social support is put in place

   

1.17 Ensure that critical time interventions enable people leaving corrections facilities to have confirmed accommodation for a minimum of six months and housing and support services to facilitate successful reentry into society.

Ensure that incarceration does not cause a loss of home and/or employment where possible

   

1.18 A duty of care is placed on DCFS to ensure a successful transition for young people ageing out of the child welfare system for five years following discharge. Between 18yo – 23yo.

Statutory responsibilities to ensure that immediate housing and support services needs are in place for the same period and these statutory responsibilities are matched with critical time interventions.

   
1.19 Specific interventions are designed to ensure that LGBTQ+ youth who experience homelessness receive access to safe, supportive housing. Housing services and community support for youth should be free of bias and harassment and provide access to culturally competent services that affirm their identity and welcome them. This requires strategies to improve the cultural competence of staff working in these programs and providing these services.   

1.20 Ensure that critical time Interventions form a key part of strategies to prevent and end homelessness for people experiencing relationship breakdowns with intervention beginning at least six months from a potential homelessness event.

If a person is at risk of domestic abuse, include them in the official count of people experiencing homelessness and ensure adequate and coordinated interventions supported by social services, health professionals, domestic abuse support services and/or the police.

   
1.21 Specialized treatment and active rehabilitation for all health issues is part of the support that is provided to people experiencing homelessness or at risk of it. Universal access to high quality healthcare forms part of an inalienable right and its delivery is coordinated via case managers.   

1.22 Fundamental reform takes place to ensure that all private landlords adhere to a legally binding standard on decency accompanied by a modern tenancy system that gives renters peace of mind so they can confidently settle down and make their house a home.

An empowered ombudsman is in place to ensure that disputes between tenants and landlords can be settled quickly and cheaply, without going to court. Similarly, the grounds for possession where there is good reason for a landlord to take the property back are established.

   
2. A Systemic Approach to Homelessness Data and Intervention Monitoring. 
2.1 The definition proposed in this plan is adopted nationally across all stakeholders and enshrined in law. This extends to a definition of ‘people at risk of homelessness’.   

2.2 Common data across all people experiencing homelessness and those at risk of homelessness is defined as well as the frequency of that data capture.

▪ Establish a point of entry & exit

▪ Recording multiple entries within a 365-day period

▪ Record family with multiple members (including seniors, under 18, etc.)

   

2.3 Capture on a central system all people who are experiencing or at risk of becoming roofless, houseless, housing insecure, and/or having inadequate housing,

Ensure all agencies working in the homeless and housing sector engage with a central system to maintain information on a real-time basis.

   
2.4 Establish data linkage systems that include data sets across health, homelessness, housing, criminal justice, substance misuse, welfare benefits, immigration, and employment services.   

2.5 Design homelessness data collection so that it follows individuals through their journey within the homelessness system – this must include data on the outcomes and success of prevention.

▪ Allow individuals to report move-on status.

▪ Auto text message annually for 3 consecutive years and again at 5 years.

   
2.6 Implement a homelessness outcomes framework by which case managers support clients to make progress and achieve success in areas such as motivation and taking responsibility, self-care and living skills, managing money, personal administration, social networks and relationships, drug and alcohol misuse, physical health, emotional and mental health, meaningful use of time, managing tenancy and accommodation, and offending.   
2.7 Monitor homelessness interventions and evaluate their effectiveness: High Risk/Monthly; Medium Risk/Quarterly; Low Risk /Annually   

2.8 Develop data sets to monitor those impacted by poverty as well as the impact of that poverty.

Develop early warning systems to identify those at risk of homelessness.

   

2.9 Common data in relation to both the supply and demand for housing are defined and captured on a timely basis.

This includes data in relation to affordability, access and sustainability.

   
2.10 Develop a financial and economic quantification of the costs of homelessness in Bermuda based on the status quo. Use these to develop economic cases for change.   
2.11 Develop the economics associated with delivering the plan to end homelessness so that an implementation plan can be developed that matches investment capacity with the changes required.   
3. Sufficient, Accessible Social and Affordable Housing and Welfare Entitlements 

3.1 Strategic housing market assessments should evaluate the current and anticipated housing needs of the population, taking into consideration the requirement for housing that is affordable and accessible for homeless people.

These assessments should also capture the existing supply of housing in both the public and private sectors including all necessary data sets to enable effective decision making in relation to planning.

   

3.2 Create a definition of affordable housing that relates housing costs to households’ ability to pay and meets the needs of low-income groups.

▪ Affordable Housing

▪ Average income generated by homeless sector earns over the course of two full years.

▪ Housing inventory

▪ Cost per unit/cost of living

   

3.3 Set a target for delivering a set number of affordable homes each year and long-term targets to ensure that supply addresses demand. Report on this publicly.

Establish a rent-setting framework to ensure that social housing delivers rents that are affordable to those on low earnings and/or in receipt of financial assistance.

Ensure that all housing supply decisions are adequately informed by evidence on the scale of homelessness

   
3.4 Introduce a property portal that captures all social, affordable or rental accommodation in a central system in both the social and private sectors and uses that to manage the population into settled homes and identify supply gaps. Automate the matching of tenants to homes.   

3.5 Increase access to social renting for homeless people by creating a regulatory requirement that social landlords allocate a minimum proportion of social lettings to homeless nominees.

Ensure that each social housing provider reports publicly on their performance, providing settled homes for people experiencing homelessness.

   
3.6 Introduce a national register of landlords that all private landlords and lettings agencies are required to join and require private landlords and lettings agencies to submit annual data on the size (number of bedrooms) of their rental property and the level of rent they are charging. Integrate the data onto the property portal.   
3.7 Welfare entitlements should be set based on the actual costs of necessities and should take into consideration the needs of individuals. For example, health insurance coverage shortfalls must be supplemented to ensure that care is adequate.   

3.8 The system is agile to provide the necessary types of welfare support at sufficient levels according to the circumstances of the individual.

These levels would be established through interactions between the Government, the individual and case managers.

   
3.9 Ensure that welfare assistance is available at the right point to ensure that homelessness is capable of being prevented and that individuals do not resort to a state of crisis before they qualify for help.   

3.10 Streamline the process for applying for and approving financial assistance and institute key performance indicators in respect of all processes from application to payment.

Ensure that adequate support is provided and is accessible so that those entitled to it receive their entitlements in the shortest time.

   
3.11 Make available legal aid to advise on all welfare benefit matters, including advice on how to challenge unfair or wrong decisions or inaccurate assessments of personal circumstances.   

3.12 Create a mechanism to provide financial support while the formal process of financial assistance is being undertaken.

▪ What can be submitted now to access? – o Rental Assistance

▪ Eviction Notice – o Food Card; o Bus Pass

▪ What can be submitted within 30 days?

o Waive bank open/reactivation fee;

o Bank letter

o Voters ID;

o Scan docs to FA

   
3.13 Establish a welfare-to-work framework to provide early intervention when a claimant first leaves work. Including providing a case manager who is responsible for providing front-line support that claimants require before focusing on employment as the main outcome (example, help with managing a health condition or disability, confidence building and skills development).   
3.14 Review the private renters’ market and introduce a private renters bill to enshrine rights to both renters and landlords. As a result, renters in the private sector receive the right to feel secure in their homes, settle in their communities, and plan for the future with confidence. Landlords have clarity over their rights, including when they can reclaim a property.   
3.15 Establish a rent-ready training program to enable participants to develop an understanding of their rights and responsibilities as a tenant and how to maintain their home and live independently, including assistance with budgeting.   
3.16 Require every private sector landlord to ensure any home they rent is fit for human habitation at the start of and throughout the tenancy.   

3.17 Appoint an Ombudsman for renters to take complaints against landlords without going to court.

 

   
4. Citizen-centric Coordinated Service Delivery 

4.1 Define a collaborative system of homeless service delivery. Establish universal core service missions.

Establish a single plan to address the issue of homelessness that includes shared strategy and goals.

   
4.2 Policy and service delivery is developed co-productively, and as a result of data-driven and consultative processes with key stakeholders delivering within the homelessness ecosystem and those with lived experiences (people experiencing homelessness or at risk of it).   
4.3 The principle of equality – a response without discrimination – is enshrined in every proposed solution to end homelessness   

4.4 Statutorily define the following as priority groups for which urgent responses are developed and required:

1. a pregnant woman;

2. a person with whom a dependent child resides;

3. someone vulnerable as a result of

a. old age

b. mental or physical disability, or

c. other special reason.

4. homeless as a result of an emergency such as

a. flood

b. fire or

c. other disaster.

5. someone who is homeless as a result of domestic abuse;

6. 16-17 year olds;

7. 18-21 year olds

a. who are care leavers or

b. at particular risk of sexual or

c. financial exploitation.

8. ex-servicemen or women.

9. a person who has a local connection with the area and is vulnerable as a result of being an ex-prisoner.

   
4.5 Realign and integrate all information and resources by understanding and anticipating the cluster of needs a person experiencing, or at risk of homelessness, may have – even when the person may not be aware that those services are available – so delivering a citizen-centric rather than service-led approach.   

4.6 All services are designed and operated as trauma-informed, recognizing that people adapt to trauma in order to keep themselves safe, and give the client power and build trust, thus enhancing safety.

Programs and services for trauma survivors do not follow a ‘one size fits all’ approach and adequately take into account the trauma.

   

4.7 Create an appropriate data framework for the homeless sector so that there is ‘one source of the truth’ and data is harnessed to deliver optimal solutions for clients.

This framework would require the establishment of appropriate data sharing or exchange intra-agency and so should ensure confidentiality (only authorized parties access data), integrity (data is tamper-proof), and interoperability (all parties should be able to access irrespective of their technical architecture).

   

4.8 Establish a centralized case management system enabling service providers to contribute to the delivery of services using a single tool.

Deploy other technology solutions to deliver other aspects of the overall strategy.

   

4.9 Multi-disciplinary case management teams coordinate across agencies to support individuals with their needs.

▪ Identify app for rapid notification by concerned members of the community.

▪ Easy donations – Food Security.

▪ Keep the community in the loop on immediate needs, i.e., bed frame.

   
4.10 Case managers identify the barriers to clients accessing the care they need through the performance of their work, and those barriers are dismantled.   
5. Public Policy Reform and Statutory Rights and Protection Changes 

5.1 Establish an overall public policy whereby homelessness is a rarity and when it does occur, it is brief; the individual or household is supported back into accommodation quickly and sufficiently supported so that they do not fall back into homelessness.

This public policy is in respect of those currently experiencing homelessness as well as those at risk of homelessness.

   

5.2 A periodic review of public policy and statute is conducted to ensure that any conflicts that undermine an end to homelessness are identified and remediated.

New policies that are designed to address other issues and which have an indirect impact on homelessness are developed to ensure that they are supportive of homelessness policy overall.

   
5.3 The long-term drivers and the short and long-term impacts of poverty and inequality are adequately addressed through public policy. This follows a comprehensive review of existing policy.   

5.4 Mainstream rapid rehousing is a national policy to ensure that housing is secured whenever an individual enters the social service system.

The Government ensures an adequate affordable and social housing supply to tackle immediate needs, including a commitment to continue investing at appropriate levels in affordable social housing to safeguard supply in the longer term. (This would be assisted by an agreed definition of affordable housing in a Bermuda economic context and a long-term view over the next 20 years, with cross-party support for the commitment.)

   
5.5 An end to homelessness forms an important part of Bermuda’s health strategy and is guided by public policy which ensures that health is equally available, accessible, acceptable and of good quality to all people.   

5.6 Social services (including housing services) comprise substantially all the services required to end homelessness and are funded by the taxpayer.

To the extent that services are required to sustain an end to homelessness through independent advocacy and accountability, the system cost of those services remains relatively low.

NGOs play a role to the extent that Government agencies or the taxpayer funds them directly to deliver services on behalf of the Government.

   
5.7 Political support is garnered (irrespective of political party) to end homelessness and commit to the necessary system changes over the decade that it will take   
5.8 Conduct a full economic analysis, setting out the costs of sustainably ending homelessness relative to the benefits of doing so.   
5.9 A system exists that gives people experiencing or at risk of homelessness a complete statutory safety net with entitlement to settled housing as well as an enforceable right of action against those charged with assisting them. The system has an overwhelming emphasis on prevention and early intervention as well as more humane and effective approaches whereby the law is used as a last resort.   

5.10 A system exists based on principles and law that includes, but is not limited to the following:

▪ Anyone facing the threat of homelessness within six months are protected by a robust set of prevention duties.

▪ A complete statutory safety net provides access to suitable settled accommodation for all homeless people.

▪ Appropriate provision should be given to families with dependent children.

▪ Public bodies have robust duties to cooperate with other bodies, prevent homelessness, and relieve homelessness.

▪ Robust and proportionate regulation, inspection, and monitoring of compliance with duties is in place and an open system of individual reviews and appeals exists.

▪ Adequate training and development of all front-line staff is complemented by duties to work cooperatively across the system with results based on the delivery of client outcomes, not service delivery.

 

   
6. Public Perception and Awareness 
6.1 A concerted effort (and associated campaigns) to reframe the issues from the homeless sector to broaden public understanding of homelessness to build empathy and support for solutions needed to end homelessness. This should include challenging discrimination, tackling stigma, and promoting inclusion.   
6.2 Government engagement in island-wide consultation and estate planning, ensuring that social housing solutions are developed with community support and buy-in and that the needs of all stakeholders are represented   

6.3 Campaigns are developed (coordinated by the entire homelessness sector to ensure consistency) to deepen public understanding and increase public demand for change by communicating in five core areas:-

1. A homelessness definition

2. Those at highest risk of homelessness

3. The causes of homelessness

4. The impacts of homelessness and the solutions to homelessness

5. These campaigns are focused on

a. ensuring that media report homelessness as a result of policy choices not life choices,

b. eliminating negative stereotypes and

c. showing the human, community and economic cost of not ending homelessness.

   
7. Other Holistic and System-Wide Reforms 
7.1 A statutory duty of care is legislated to require public agencies and/or authorities to prevent homelessness provide suitable accommodation to people experiencing homelessness or people at risk of homelessness (someone who does not have sufficient resources or support to prevent them from becoming homeless within the next six months) and provide satisfactory support to people who are, or may, become homeless.   
7.2 A statutory duty of care is legislated to require agencies to refer service users who they think may be homeless or threatened with homelessness to appropriate public agencies and/or authorities and/or third-sector organizations.   
7.3 A basis which (statutorily or non-statutorily) binds all service providers in the homelessness domain to care for an individual for as long as it takes to enable them to achieve a sustainable end to homelessness rather than simply to provide a service for a finite period of time.   
7.4 The Bermuda Health Strategy needs to consider all key social determinants of health in developing solutions to offer patients tailored primary care, intervening in care transitions, and helping patients find stability through housing and employment rather than simply providing hospital-based treatments.   
7.5 Public healthcare reforms must ensure universal health coverage in the medium term and address the medical needs of low- or no-income individuals in the near term. This may mean establishing free clinics (including the provision of dentistry for those who need it).   
7.6 Ensure that all healthcare providers screen patients for the social determinants of health. Establish systems to do this as well as social services are readily available to use, and staff are educated on what they are and how to point patients towards them.   
7.7 Constitute a quasi-independent commission comprising a panel of inter-agency experts responsible for governance over the delivery of the plan.   
7.8 Report on a public portal key data and statistics related to people experiencing homelessness and those at risk of it.   
7.9 Periodically report (at least annually but in real-time where possible) on the impact of implementing the activities contained within the plan to end homelessness. This reporting includes reporting of metrics established to monitor or deliver outcomes and provides transparency into who is responsible for delivering those outcomes.