Community and Health Services Committee Minutes

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Council Chambers
Members Present:
  • K. Redman, 
  • D. Craig, 
  • R. Deutschmann, 
  • J. Erb, 
  • S. Foxton, 
  • M. Harris, 
  • C. Huinink, 
  • C. James, 
  • J. Liggett, 
  • D. McCabe, 
  • J. Nowak, 
  • N. Salonen, 
  • S. Shantz, 
  • B. Vrbanovic, 
  • K. Williams, 
  • and P. Wolf 

Should you require an alternative format or a copy of the official minutes please contact the Regional Clerk at Tel.: 519-575-4400, TTY: 519-575-4605, or regionalclerk@regionofwaterloo.ca


Chair J. Erb called the meeting to order at 9:01 a.m.

Chair J. Erb provided a land acknowledgement.

None.

Julie Walder from Marillac Place, Tracy Elop from Camino Wellbeing + Mental Health, and Jenn Holbrook from Pregnancy Centre provided a presentation and extended their support for the proposed Plan to End Chronic Homelessness, as co-creators. A copy of the presentation is attached to the agenda. They highlighted the importance of providing services and support for young parents through organizations like Marillac Place, Pregnancy Centre, and Camino Wellbeing + Mental Health.

In response to the Committee, J. Walder explained that they participated at the co-creator table during the creation of the proposed Plan. T. Elop further explained that funding will be essential for services to be extended to Cambridge.

Peter Sweeney, Commissioner of Community Services, clarified that the proposed Plan does not include specific funding allocations. The fee for service proposal by Marillac Place was endorsed by Regional Council, in principle, during the 2024 Budget process, but is not specifically noted in the proposed Plan to End Chronic Homelessness.

Responding to the Committee, J. Walder confirmed that the demographics for individuals seeking support from these organizations have been changing over the last few years as housing affordability has declined, as well as an increase of individuals requiring mental health assistance. These factors have contributed to their organizations being at 100% capacity since the end of 2022 and there has been an ongoing waitlist as well.

N. Salonen joined the meeting at 9:06 AM. ()

Shelley Campagnola, COMPASS Refugee Centre, endorsed the proposed Plan to End Chronic Homelessness as provided in Report CSD-HOU-24-006 as a co-creator. She noted that the Plan is ambitious with the objective of ending chronic homelessness by 2030. She further noted that political support, leadership, and commitment to community is essential for the Plan to be successful. The Plan must be inclusive of all demographics, including refugees, must address the issue of defining 'over housing' and be proactive to prevent homelessness.

In response to the Committee, S. Campagnola explained that the term functional homelessness refers to having three or less individuals suffering from chronic homelessness. She further explained that COMPASS has advocated to the Province through their local MP Mike Morris about the refugee community and the importance of including refugees in the conversation on homelessness.

S. Shantz joined the meeting at 9:18 AM. ()

Dr. Laura Pin, Wilfrid Laurier University, endorsed the Plan to End Chronic Homelessness as a co-creator and highlighted that the Plan is evidence based and action oriented. She further highlighted the community support for the Plan and the importance of meaningfully collaborating with individuals with lived expertise as they provide unique, specific and actionable items to the Plan.

In response to the Committee, L. Pin explained that the broad framework in the Plan does establish conceptual lenses to determine the best approach and that the scope narrows with specific recommendations as set out in the Appendices of Report CSD-HOU-24-006. She further explained that Staff are familiar with the human rights approach set out in the document "A National Protocol for Homeless Encampments in Canada".

Responding to the Committee, L. Pin agreed that municipalities are witnesses to the impact of homelessness and must advocate to the Federal and Provincial government for support. She further agreed that it is important to collaborate with area municipalities as there are many considerations under the jurisdiction of area municipalities, such as access to parks and public washrooms, that could impact unhoused individuals. 

Erin Dej, Cambridge, expressed support for the proposed Plan to End Chronic Homelessness and requested that the Committee endorse the Plan. The three main causes of homelessness are structural factors, system issues, and individual factors. She further expressed that action needs to be proactive not reactive and that it is a positive that the Plan focusses on prevention by addressing all three causes. A reactive approach can cause more harm, so it is important that the Plan be proactive and a process-based approach.

In responding to the Committee, E. Dej stated that ending chronic homelessness is not possible without prevention, as it becomes a continuous cycle, whereas the Plan is proposing to aid individuals before they become unhoused. Area municipality involvement is essential for prevention to ensure collaboration and consistency throughout the Region especially given jurisdictional factors.

Responding to the Committee, E. Dej confirmed that housing accessibility for young persons is important, but the needs of individuals suffering from homelessness is a life and death situation. She further confirmed that advocating to Provincial and federal government is at a crucial moment as the middle class is feeling an economic impact.

In response to the Committee, E. Dej surmised that all three levels of government need to be involved in the prevention of homelessness to address all three causes of homelessness, but she suggested that the Federal government could focus on structural factors, the Provincial government could focus on system issues, and municipalities could continue to focus on individual factors such as mental health, substance use, and the disproportionate rate of acquired brain injuries.

Responding to the Committee, she explained that addiction can be related to homelessness, however, housed individuals also suffer from substance use and make up the majority of overdoses. She further explained that substance use can be amplified due to the difficult circumstances caused by being unhoused.

Kristina Eliashevsky, Cambridge North Dumfries Ontario Health Team, expressed support for the Plan to End Chronic Homelessness as a co-creator. She noted the importance of the Plan giving consideration for various factors such as equitable housing and the complex medical needs in homelessness, especially for the aging population. She further expressed support for the formalizing of a leadership process, as outlined in the Plan, to integrate a system with a particular focus on health. The Plan must continue to have a person-centered approach with deference given to those with lived expertise.

Kevin White, Kitchener, expressed support for the Plan to End Chronic Homelessness and noted concerns related to budgetary needs that Council will need to provide for the Plan to function. They requested adequate funding to address the systematic issues that contribute to homelessness.

Hadembes Yebetit, Plan to End Chronic Homelessness Co-Creator Table, expressed support for the Plan to End Chronic Homelessness to address the concern for asylum seekers, newcomers, and refugees to find affordable housing.

Lesley Crompton, Kitchener, expressed support for the Plan to End Chronic Homelessness. Specifically, L. Crompton supported the provided Appendix C Lived Expertise Prototyping under item 7.1.1 CSD-HOU-24-006 and requested that the Committee endorse the proposed Plan.

Jaime Stief, Waterloo, withdrew their delegation. 

Brittney Emslie, Immigration Partnership of the Region of Waterloo, endorsed the Plan to End Chronic Homelessness as a co-creator. The Immigration Partnership got involved with the Plan to ensure that it is wholistic, equity informed, and systems focused. She noted that immigration lived expertise leadership and collaboration was essential to creating the Plan.

Stephen Jackson, Anishnabeg Outreach Employment and Training Inc., expressed concerns with the proposed Plan to End Chronic Homelessness. They stated that the causal factors of homelessness have not been addressed in the Plan and there is no avenue for community re-integration. S. Jackson stated that Anishnabeg Outreach Employment and Training Inc. is not in support of the Plan and requested that the Committee not endorse the Plan.

In response to the Committee, S. Jackson reiterated the three pillars that are necessary to prevent homelessness: proactive prevention, reactive crisis intervention, and supportive housing. Additionally, all levels of governments and related organizations must be in partnership to resolve these issues through a systems approach that would include the court system. They confirmed that community re-integration is dependent on addressing unresolved trauma, providing mental health tools, and teaching essential life skills to ensure that the housing first model has adequate supports in order to succeed.

Responding to the Committee, S. Jackson expressed concern that the Plan does not specifically address how homelessness will impact seniors over the next five years. They further expressed concern that there is not adequate support for mental health using the current system.

In response to the Committee, S. Jackson suggested that the Region build a business case to present to the Provincial and Federal government on how there can be financial savings overall, such as on hospital resources.

Responding to the Committee, engagement with all levels of government, all system organizations and agencies in a coordinated approach is crucial to ensure that individuals in the system have a clear path forward to re-integrate with the community.

Kae Elgie, Waterloo, expressed support for the Plan to End Chronic Homelessness as it integrated the voices of lived experience experts with academics and Regional Staff. She noted that the Plan would require both leadership and collaboration to implement the changes proposed by the Plan. She further noted that Regional guidance to both prevent and address homelessness is necessary based on the legislative direction of Bill 134, Affordable Homes and Good Jobs Act. She proposed that the Plan also include standards to ensure that new housing built and all existing rental housing be sustainable and climate friendly.

Matt Harrigan, Canadian Mental Health Association (CMHA) - Waterloo Wellington, expressed support for the Plan to End Chronic Homelessness as it addresses both the short and long term needs of mental health and housing supports. The CMHA clients have been precariously housed or suffering from homelessness due to mental health crisis that make maintaining a job difficult to pay for adequate housing. They emphasized that collaboration is crucial for the Plan to succeed.

Responding to the Committee, M. Harrigan confirmed that substance use has increased with their clientele which directly impacts health care and housing. The substance use does create more complex cases in the community that requires more support from various areas such as hospitals and justice services. He further confirmed that during the Covid-19 pandemic referrals to their mental health programs increased which requires more resources and funding.

Nadine Green, Kitchener, provided her lived expertise on experiencing homelessness and she endorsed the Plan to End Chronic Homelessness as a co-creator. She highlighted three main focuses of the Report CSD-HOU-24-006 Appendix B including preventing homelessness, centering community voices, and advancing equitable housing. She further highlighted that the Plan discusses a youth strategy to address the needs of youth experiencing homelessness.

Shannon Burt, Kitchener, provided a brief speech on their experience living in an encampment provided by Nadine Green. S. Burt expressed support for the Plan, as it has a human rights approach. 

Julian Ichim, Kitchener, withdrew their delegation. 

Gavin Moore, Kitchener, did not appear when called. 

Heather Mann, Waterloo, expressed support for the Plan to End Chronic Homelessness to address many external factors through a whole of community approach. She highlighted that there is community support for the Plan and the importance of working together to achieve the goals set out in the Plan. 

David Alton, Heather Majaury, and Fitsum Areguy, the Lived Expertise Prototyping Working Group, recognized that housing is a human right and that housing should be barrier free with accessible supports. The provided Lived Expertise Prototyping Process in Report CSD-HOUS-24-006 Appendix C has detailed information that impacts and guides the Plan to End Chronic Homelessness. They emphasized that the Lived Expertise Prototyping Appendix provided definitions that enhanced the information provided and also the appendix included information related to climate action as it relates to homelessness.

In response to the Committee, D. Alton confirmed that the Lived Expertise Prototype appendix is fundamentally working in dialogue with the Plan which is also an appendix of the noted Report. They further confirmed that the Prototype has specific calls to action as the creators have direct experience and the Plan needed to provide a broad overall framework.

Responding to the Committee, D. Alton explained that tangible action items that are key to housing are primary prevention tools, such as rental supplements, and the end of de-humanization of individuals experiencing homelessness. H. Majaury also shared that the Provincial financial assistance system, known as 'Ontario Works', ended their financial assistance because the Province deemed them to be 'over housed', as they exceeded the threshold of income, which resulted in H. Majaury becoming unhoused.

Responding to the Committee, D. Alton confirmed that they will continue to work with the Region on the common cause to end chronic homelessness and that the Lived Expertise Working Group is able and willing to work with the area municipalities as well.

The Committee acknowledged and thanked the working group for their efforts, specifically, in introducing more accessible and applicable terminology with their provided prototype input.

In response to the Committee, D. Alton explained that the Prototype Appendix expanded the definition of homelessness beyond the stereotypical definition of homelessness, such as by including couch surfing. F. Areguy also explained that the definition should be community-based. H. Majaury further explained that the definitions are meant to exceed legislative standards and the supports must be on a continuum as there will not be a completion date.

The Committee reconvened at 12:37 p.m. from a recess.

There were no requests to remove items from the Consent Agenda.

  • Moved byS. Shantz
    Seconded byD. McCabe

    That the Consent Agenda items be received for information and approved.

    In Favor (16)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, C. Huinink, and K. Williams
    Carried (16 to 0)

The Committee discussed adjusting the Committee day schedule to move Closed Committee immediately following Community and Health Services with the Planning and Works Committee and Administration and Finance Committee to follow.

P. Sweeney introduced the Plan to End Chronic Homelessness presentation. A copy of the presentation is attached to the agenda. He highlighted that the Plan is focused on addressing chronic homelessness and the challenges that cause homelessness through a community approach that centers lived experience. The Plan encompasses thirty (30) actions that address specific challenges such as rural considerations, youth and senior homelessness, mental health and addiction factors, and the necessity of providing wrap around care in supportive housing.

He further highlighted the community engagement conducted, in addition to the co-creator contributions, that formulated the Plan. He acknowledged the importance of the participation and dedication of the co-creators of the Plan. He further acknowledged the connection between homelessness and inequitable realities such that Indigenous Peoples are affected by homelessness at a disproportionate rate.

Peter Phillips, Supervisor Quality Assurance and Integration for Community Services, Jennifer Gordon, Lived Expertise Community Voice, Marjorie Knight, Lived Expertise Community Voice, and Chris McEvoy Manager of Homelessness and Supportive Housing, provided an overview of the Plan including significant definitions, strategic priorities and actions. P. Phillips noted that there are over five hundred individuals currently experiencing chronic homelessness in the Region and that it more widely impacts marginalized individuals. He further noted that the Plan has set out the objective to achieve "functional zero" by 2030 which means that three or less people will be experiencing homelessness over three or more months.

M. Knight provided lived experience expertise on homelessness. They expressed concern for the increased need for supports and resources for the community.

J. Gordon shared a lived expertise experience from a client, highlighting systemic issues that may have complied with policy standards, but, failed to provide adequate support for the individual in need, that then resulted in continued homelessness. She expressed that the Plan is necessary to amend the system to be serve the community.

C. McEvoy provided an overview of the system transformation that requires a proactive approach that addresses the complexity of needs throughout the Region, such that a rural community may have different needs than an urban center. He highlighted that in 2024, the Region has allocated $56 million to homelessness and supportive housing programs, however, further investment and advocacy is necessary for the Plan to thrive. P. Sweeney further highlighted that chronic homelessness is a shared responsibility that will include continued community collaboration with ongoing advocacy for all levels of government and organizational support.

The Committee expressed concern that Council Members have not been provided the adequate opportunity to participate in the process to create the Plan. In response to the Committee, P. Sweeney explained that Council directed Staff to provide this Plan and that Staff have provided several reports and updates to Council since August 2022.

The Committee acknowledged the efforts of Staff and expressed support for the Plan as a community framework with the continued community and municipal collaboration. In response to the Committee, C. McEvoy explained that action 4.4 is a recommendation to create a senior strategy embedded within the broader Plan. Additionally, he noted that Staff recommended funding supports for seniors experiencing homelessness and that was approved in the 2024 budget. He further explained that there are various community lead actions that will be implemented in the near future such as the 'Whole of Community Leadership' and the 'Prototyping' actions listed in Appendix C.

The Committee requested that when Staff return with budget recommendations for Council consideration that the recommendation be specific, tangible, and numerical. Additionally, the Committee requested that the Plan implementation include education for community integration and the increase of women focused supports.

The Committee continued to discuss the Plan and expressed further concern on the lack of opportunity for Council involvement and input, defining human rights in terms of the scope of the proposed Plan, and that the Plan does not reflect the request of Council. In response to the Committee, P. Sweeney clarified that following Council direction from August 2022, there was a shift in language to remove the term 'master' and to focus on chronic homelessness based on community feedback with individuals with lived experience.

The Committee expressed concern that the Plan does not specifically address the increase in youth experiencing homelessness and provide adequate resources, address senior crisis, address barriers in the justice system, and include specific preventive measures. The Committee also voiced concern that there is a lack of involvement by the private sector including land developers.

Responding to the Committee, P. Sweeney explained that community input has been essential for the creation of the Plan. C. McEvoy further explained that youth that experience homelessness are more likely to experience homelessness in their adulthood, therefore the investment in children, youth, and family is crucial to ensure prevention. The housing first model ensures that resources are dedicated to those in the greatest depth of need and then the investment strategy set out in the proposed Plan is meant to address the individuals entering the system.

The Committee voiced support for a Plan grounded in a community-based approach. However, there was further concerned voiced that area municipalities have not been engaged and communicated with properly. The Committee also requested that the advocacy strategy as set out in the Plan be accelerated.

In response to the Committee, P. Sweeney stated that Staff have not established the budgetary amount required from both the Provincial and Federal governments to implement the Plan recommended actions.

Responding to the Committee, Graham Walsh, Regional Solicitor, confirmed that the term 'human rights' can be used as both a broad term and for a legal basis, which would refer to applicable legislation such as the Charter of Rights and Freedoms.

In response to the Committee, P. Sweeney explained that collaboration with area municipalities has been embedded in the Plan with consideration for the intermunicipal dependency throughout the Region. P. Phillips further explained that Staff have recognized that area municipalities are key partners and Staff have engaged with area municipal CAOs to meet for discussions. Staff acknowledged that there should be increased area municipal engagement based on Committee feedback.

M. Harris left the meeting at 1:09 PM. ()
M. Harris joined the meeting at 1:36 PM. ()
  • Moved byB. Vrbanovic
    Seconded byS. Foxton

    Amendment: (indicated in bold)

    That the Regional Municipality of Waterloo accept in principle the Plan to End Chronic Homelessness Final Report as the official plan to prevent, address, and end homelessness in Waterloo Region as outlined in report CSD-HOU-24-006 dated April 9, 2024.

    And that the Regional Municipality of Waterloo staff be directed to add area municipalities to the co-creators group to develop a detailed plan of recommendations including comprehensive funding and advocacy actions based on the Plan to End Chronic Homelessness Actions outlined in report CSD-HOU-24-006 and deliver it to Council as part of the 2025 Regional Budget process.

    In Favor (15)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, C. Huinink, and K. Williams
    Opposed (1)N. Salonen
    Carried (15 to 1)
  • Moved byC. Huinink
    Seconded byC. James

    Main motion, as amended:

    That the Regional Municipality of Waterloo accept in principle the Plan to End Chronic Homelessness Final Report as the official plan to prevent, address, and end homelessness in Waterloo Region as outlined in report CSD-HOU-24-006 dated April 9, 2024.

    And that the Regional Municipality of Waterloo staff be directed to add area municipalities to the co-creators group to develop a detailed plan of recommendations including comprehensive funding and advocacy actions based on the Plan to End Chronic Homelessness Actions outlined in report CSD-HOU-24-006 and deliver it to Council as part of the 2025 Regional Budget process.

    In Favor (15)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, C. Huinink, and K. Williams
    Opposed (1)N. Salonen
    Carried (15 to 1)

Barb Cardow, Director of Children's Services, provided a brief overview of the report CSD-CHS-24-002, Creating Culturally Responsive Non-Profit Child Care Spaces. She highlighted that the Staff recommendation will help to advance the Region's responsibility to respond to the 'Truth and Reconciliation Commission's Calls to Action', the 'United Nations Declaration on the Rights of Indigenous People', and 'Missing and Murdered Indigenous Girls and Women: Calls to Justice'. Staff have engaged with Indigenous organizations to ensure that it is community lead.

In response to the Committee, B. Cardow explained that the Childcare programs would be owned and operated by the Indigenous organizations and the Region would only be leasing the space. She further explained that the program will be different from 'mainstream' childcare as it will be for Indigenous Peoples by Indigenous Peoples.

Responding to the Committee, B. Cardow noted the increase in childcare needs in the Community and that Staff are in the process of looking for surplus properties and providers throughout the Region. She explained that the Indigenous lead programs typically prioritize Indigenous children to address the barriers that have been experienced in the childcare system and if there are spaces remaining, they will typically fill those spaces as well. The Access and Inclusion Plan is focused on ensuring equitable childcare for children at risk, such as individuals that are marginalized. She confirmed that the location of the proposed childcare center is located on a property formerly referred to as the Edith MacIntosh Child Care Centre.

The Committee noted that as the City of Kitchener owns the land for the proposed childcare centers there will have to be an indemnification with the City. Staff confirmed that the indemnification will be included in any further discussions.

  • Moved byS. Foxton
    Seconded byD. Craig

    That the Regional Municipality of Waterloo direct staff to explore opportunities and identify non-profit organizations to lease 30 Christopher Drive, Cambridge and 104 Stirling Avenue South, Kitchener to create culturally responsive childcare for Indigenous children and families and other families that face systemic barriers, as set out in report CSD-CHS-24-002 dated April 9, 2024.

    In Favor (16)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, C. Huinink, and K. Williams
    Carried (16 to 0)

R. Deutschmann requested an update on a recent news story about individuals experiencing issues with mould after moving from the shelter system into in housing. P. Sweeney confirmed that the item be added to the tracking list.

None. 

The next Community and Health Services meeting will be May 7, 2024.

This motion was added during the meeting following the direction of the Committee to adjust the order of the meetings.

  • Moved byP. Wolf
    Seconded byN. Salonen

    That a closed meeting of the Planning and Works, Community and Health Services, Administration and Finance Committees be held on Tuesday, April 9, 2024 immediately following the Planning and Works Committee in the Waterloo County Room, in accordance with Section 239 of the “Municipal Act, 2001”, for the purposes of considering the following subject matters:

    1. Receiving advice that is subject to solicitor-client privilege related to a proposed acquisition of lands;
    2. A proposed acquisition of lands;
    3. Receiving advice that is subject to solicitor-client privilege related to a proposed acquisition of lands;
    4. Personal matters about an identifiable individual. 
    In Favor (16)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, C. Huinink, and K. Williams
    Carried (16 to 0)

12.

 
  • Moved byK. Redman
    Seconded byS. Shantz

    That the meeting adjourn at 2:59 p.m.

    In Favor (16)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, C. Huinink, and K. Williams
    Carried (16 to 0)