Making the Prevention of Homelessness a Priority: The Role of Social Innovation

DOIhttp://doi.org/10.1111/ajes.12328
AuthorStephen Gaetz
Date01 March 2020
Published date01 March 2020
Making the Prevention of Homelessness a
Priority: The Role of Social Innovation
By Stephen Gaetz
abStract. Mass homelessness emerged in Canada in the wake of
neoliberal policies that reduced government production of housing
and other supportive measures. Efforts to reduce homelessness have
occurred in three stages: 1) an emergency response in the 1990s
that consisted mostly of investment in shelters, soup kitchens, and
day programs, 2) the implementation of community plans to end
homelessness, combined with the adoption of Housing First as a
strategy that seeks to provide reliable shelter as a first step to anyone
without it, followed by other remedial services, and 3) the recent
development in Canada of early intervention strategies to prevent
homelessness from its inception. The second stage was highly
successful in dealing with the situation of chronically homeless
adults, and many communities have begun to see reductions in
homelessness. However effective, this approach does not break the
cycle by intercepting potentially homeless individuals in their youth,
which is when it begins for many people. Canada is at the beginning
stages of the move towards a stronger focus on prevention, aided
by a social innovation agenda to identify, design, test, and evaluate
preventive interventions to determine which ones will be most
strategically effective, setting the stage for implementation and going
to scale.
Introduction
The persistence of modern mass homelessness continues to present
a challenge in many countries. There are three basic things one can
do to address the issue. First, we can seek to prevent homelessness
by working upstream to target those most vulnerable to homelessness
by providing necessary supports through early intervention. Second,
American Journal of Economics and Sociology, Vol. 79, No. 2 (March, 2020).
DOI: 10.1111/ajes.12328
© 2020 American Journal of Economics and Sociology, Inc
*Faculty of Education, York University, Toronto, Canada. President of the Canadian
Observatory on Homelessness (Homeless Hub). Email: sgaetz@edu.yorku.ca
354 The American Journal of Economics and Sociology
we can implement emergency services and supports to provide “tem-
porary” aid while people are experiencing homelessness. Third, we
can help people exit homelessness in a sustainable way through pro-
viding not only housing but, ideally, supports to stabilize their living
situation.
In Canada, the first phase of our response to modern mass home-
lessness focused mostly on the second option: providing temporary
shelter, day programs, and food. This approach continues to persist
as the dominant response in terms of funding, policy, and practice.
More recently—in the last 15years—there has been a shift towards
a focus on supporting sustainable exits from homelessness through
the implementation of evidence-based interventions such as Housing
First, often accompanied by coordinated community planning strat-
egies. Progress has been made, but implementation of these strate-
gies has been uneven across the country, and the number of people
experiencing homelessness has not declined sufficiently to suggest
that this emphasis—which mostly targets people who are chronically
homeless (and for the most part adults)—has been sufficient to drive
us towards actually ending homelessness.
What is missing in Canada and other countries is a more dedicated
effort to address the inflow into homelessness through prevention.
This article documents the journey towards prioritizing the prevention
of homelessness in Canada, including steps taken to provide defini-
tional clarity and to develop the knowledge and evidence base to
enable the implementation of effective prevention-focused policy and
practice. Through “Making the Shift—A Youth Homelessness Social
Innovation Lab,” the principles of social innovation are being applied
to develop and mobilize this knowledge to contribute to a systems
transformation in how homelessness is responded to in Canada, with
the ultimate goal not just to reduce the number of people who expe-
rience homelessness, but to produce better outcomes for people who
are precariously housed or are at risk of losing their housing.
Understanding the Roots of Modern Mass Homelessness in Canada
Canada has not always had a major homelessness problem. Hulchanski
et al. (2009) have argued that while there have long been people who

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