Discussion about this post

User's avatar
Aaron Lambie's avatar

Don really appreciate this reflection, and especially your call for compassion and nuance at a time when the easy road is to stoke fear. You’re right that housing scarcity at the low end is a huge driver of visible distress, and that Housing First with proper supports is far more effective and humane than the costly cycles through hospitals, jails, and shelters.

Where I think our national conversation sometimes falls short, though, is in grappling with the legacy of deinstitutionalization. When Canada shuttered large mental health facilities decades ago, we never fully replaced them with scaled, community-based alternatives. That gap has left us with a “missing middle” in care, too many people cycle between ERs, encampments, and corrections because there’s no structured environment where long-term stabilization, treatment, and healing can take place.

Re-introducing institutional care doesn’t mean returning to the old asylums of abuse and neglect. It could mean modern, rights-based facilities, small-scale, therapeutic, culturally safe, and ideally Indigenous-governed where appropriate, that sit alongside Housing First and recovery programs. A tiered continuum, from secure stabilization to supportive housing, could give people pathways out of crisis that our current fragmented system simply doesn’t provide.

So yes, housing remains the best medicine. But for those facing severe and persistent mental illness or addictions, housing works best when it’s coupled with the right kind of care and that’s the piece we haven’t built properly since deinstitutionalization. Until we do, downtowns across Canada will keep carrying the strain. - Chat soon.

Geri's avatar

I agree wholeheartedly, having worked home care with young disabled, palliative and indigenous populations. I also live downtown. It's complicated, needing nuance and patience to listen, and communication, commitment and coordination to get things done.

9 more comments...

No posts

Ready for more?