Fixed-site permanent supportive housing : understanding operational and environmental factors that contribute towards positive outcomes for residents of fixed-site permanent supportive housing in the Fraser Health and Interior Health Regions

Homelessness is a historical issue that has plagued many countries over time, and there have been a variety of responses to it. Homelessness is conceptualized as living without stable, permanent, or appropriate housing, is increasingly experienced by individuals who struggle with mental health issues, addiction, and poverty, and can result from both personal and systemic factors (Cronley, 2010). One measure to address increases in homelessness in Canada is the utilization of Permanent Supportive Housing (PSH). PSH is loosely defined as subsidized housing partnered with ongoing supportive services and often operates on Housing First (HF) principles (Byrne, Fargo, Montgomery, Munley & Culhane, 2014). Many PSH developments work with people who have varying levels of complexities on their lives, including mental health, addictions and histories of trauma. This study looked at operational and environmental factors that contribute towards positive outcomes for residents in PSH by having operators (management or lead staff member of operating organization for PSH surveyed) of developments in the Fraser Health and Interior Health regions complete a 25-question survey to share their experiences and insight. The participants identified positive outcomes and challenges in the areas of staffing, programming, and environmental designs. Understanding how PSH developments operate, and what considerations are needed to promote resident safety and independence will assist social workers and other human service providers as we journey towards providing services and reducing homelessness.