Intensive Case Management Toolkit for Housing First Programs

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Explore the Intensive Case Management Toolkit designed to establish and maintain effective Housing First programs. Learn about the paradigm shift in managing homelessness, the cost benefits of housing vs. homelessness, system use reduction with Housing First, and the principles of Housing First emphasizing housing as a human right and the role of intensive case management in providing subsidized housing and personalized support for individuals' recovery and housing retention.


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  1. Introducing the Intensive Case Introducing the Intensive Case Management Toolkit Management Toolkit A Guide to Creating and Sustaining A Guide to Creating and Sustaining an Intensive Case Management an Intensive Case Management Program Utilizing the Housing First Program Utilizing the Housing First Model Model Sue Fortune & Karen Poffenroth Sue Fortune & Karen Poffenroth

  2. Paradigm Shift Paradigm Shift Managing homelessness to ending Managing homelessness to ending homelessness homelessness 10 year plans Prioritizing Housing Programs over traditional homelessness management programs Shift away from laying blame Harm Reduction Commitment to Housing First Programming

  3. Cost of Homelessness vs Cost of Cost of Homelessness vs Cost of Housing Housing F First irst $60,000 $50,000 $40,000 $45,743 $30,000 $20,000 $18,283 $10,000 $9,660 $2,988 $0 Before Housing 12 Months After Being Housed Cost of Homeless Shelter Cost of Public Systems Use Cost of Housing Program with Supports

  4. System Use Reduction in Housing System Use Reduction in Housing First First 100% 90% 80% 70% 60% Before Housing 50% After Housing 40% 30% 20% 10% 0% Police Interactions Incarcerations Hospital Stays EMS Use Emergency Room Visits

  5. Introduction to Housing First Introduction to Housing First Housing is a Human Right Individuals do not need to prove that they deserve housing or are housing ready Substance use and non-compliance with mental health treatment are not barriers to housing Goal is to prevent a return to homelessness

  6. Intensive Case Management Intensive Case Management Intensive Case Management provides Subsidized housing Intensive and flexible support Focus on individualized psycho-social recovery Focus on Housing Retention rather than Eviction Prevention

  7. Role of Toolkit Role of Toolkit Provides guidelines and support for agencies and programs Interested in ICM &/or HF Planning to Implement ICM &/or HF Increase ICM &/or HF adherence and outcomes in existing programs Introduces the ICM Web-Enabled Workbook Program Practical solutions for Clinical Interventions Program Planning Admin and Finances Funding Structure

  8. Thank You sfortune@thealex.ca sfortune@thealex.ca kpoffenroth@thealex.ca kpoffenroth@thealex.ca

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