The homelessness problem...

I took this picture a couple years ago of an empty "camp out" under a bridge where someone had been sleeping. I worked at the shelter last night, in the actual shelter not the drunk tank or detox and had some interesting conversations with a coworker about how, in a nation as rich as Canada, people could live like this. We of course didn't come to any conclusions, but I realized how much my perspective has shifted in the past few years.

Something I have been reminded about time and time again over the past year is choices. We all make choices, each and every day, and the choices we make have a HUGE outcome on our lives. It is fine and well for us to say that homelessness is horrible, and it is, but yesterday I spoke with someone who despite having been given a house, chose to stay at the shelter because that is where he felt connection and a sense of "home". Choices.

Last night I had multiple people beg me for food. See here's the thing though, we give out food right when the shelter opens, if you come later then that, no food, because once it's gone, it's gone. So, if you have spent the day/evening drinking rather than taking advantage of the abundance of free food in the city, I don't necessarily feel sorry for you. Choices.

Now, the above being said, I also recognize that once you're on the street, the choices aren't that easy. Addictions aren't exactly easy to break. To use an example from my life, the fact that I'm overweight didn't stop me from eating cookies yesterday, even though I know I probably didn't need to. And that's cookies. I can't even imagine trying to come off years of hard drinking. Then of course, there's the added challenge of Fetal Alcohol Spectrum Disorders. In some cases, people's brains simply don't allow them to learn from their mistakes, so they make the same "poor" choices again and again. Mental Illness figures in, blackouts from substance use, peer pressure and involvement, low self esteem, self efficacy and little motivation for change.

So, while I will continue to advocate for funding and services for the homeless and near homeless, there is no way I can believe that is 100% someone else's fault. There are resources out there for those who seek them, there is food out there for the hungry homeless, and there are places of safety for those who need a break from life. I do truly believe there is more we can do, that the are clinical best practices we are most certainly not following, however I think I believe that there will always be homelessness, no matter what social net we put in place.

not a very happy holiday post.

Actions and Consequences

When I was a child, my parents taught me that there was a consequence to each of my actions, good or bad, and often, if I did the wrong thing, they were the ones to enforce the consequence.  For example, leaving my room in a mess despite repeated warnings to clean it up might result in not being allowed to watch TV until it was clean.  And more serious for me, my mom almost took my entire collection of books away because she caught me reading after lights out one too many times.  As adults, there’s no parent standing over us handing down consequences, but that doesn’t mean they are no longer there.  Bestest bud, for example, expected the house to be clean when she house sat this week and so because I hadn’t cleaned in ages I had to spend the two days leading up to my vacation cleaning like mad trying to make a dent in months of clutter. 

 

Many people believe that the homeless are simply living out the consequences of their actions and because of that they do not need our help.  Rather, they simply need to take new actions which will have more positive consequences.  If unemployment led to loss of housing, finding yourself employment will then lead to housing.  This way of looking at things looks at things on a more macro level and is easily generalized to many different situations. 

On a micro level however we look at individuals, their situations, their actions and what the consequences of those actions are.  It can become easy for my coworkers and I to take on a parental role (often quite unintentionally) and become the one who hands out consequences.  A client does something wrong, we punish them.  Sniff in the shelter, kicked out for 24 hours for example.  One would expect this to be a deterrent, but if losing housing wasn’t enough to force someone to find employment will 24 hours outside force someone to stop sniffing?  I think that’s what gets to a lot of us.  We kick people out over and over and over and over again, and they’re mad, really mad, and yet month, or a week or even the next day, they’re doing it again. 

 

One reason for this is addiction.  Addiction is very powerful.  I didn’t really just how powerful until I started working in detox.  I hear people whose hearts are just breaking because of the horrible consequences of their addictions, who want more than anything to stop, and yet are somehow still held captive by their substance of choice.  Further, after you use drugs/alcohol for a while your brain starts to go.  You actually kill brain cells and damage parts of your brain, including your memory.  Further you may not remember what happened as you “blacked out” from drinking. 

 

Another reason is FASD and/or other brain damage.  One of the frustrating things about working with children with FASD is their inability to understand the consequences of their actions.  This is true for adults with FASD as well, only we expect adults to have mastered this concept.  No matter how many times we tell someone, they may simply not get it (one of the reasons we tend not to use sliding punishment scales in which the punishment increases each time the action occurs).

A third reason people do not seem to learn from their consequences as we expect them to is mental illness, bet that depression, anxiety, schizophrenia or anything else along the spectrum.  It’s hard to care about the consequences when you don’t exist in the same reality as the one who makes the rules.  Sometimes a person can be so depressed they just don’t care, don’t care at all.  Watching that can be scary, people with zero regard for their own lives are not only a danger to themselves but to those around them as well. 

 

So, how then do we create a safe environment for all people?  

FASD (and more non sensical ramblings about homelessness)

I'm convinced a large percentage of our shelter population is to some extent affected by Fetal Alcohol Spectrum Disorder. According to the Canadian Public Health Agency people with FASD have a hard time:

• handling money, such as paying rent and buying food
• learning from their experiences and making changes in their behaviour
• understanding consequences of their behaviour, or "cause and effect"
• interacting with other people socially, and
• keeping a job.

You can see how all of those things would contribute to homelessness.

One thing that often strikes us is people's inability to budget money. Welfare cheques come out, and two days later there is no money. Granted, a lot of it goes to substances, but a lot of it is blown on fast food and random stuff as well. During the subsequent two weeks, people complain about their lack of money, wonder how to get money, question where their money has gone, but don't seem to connect it with the fact that they spent it rather quickly.

I have a client who I don't think ever enters a grocery store despite the fact he has his own place. He spends his welfare check at fast food restaurants gorging himself on hamburger after hamburger and drinking cup after cup of copy. He's able to blow through his check in two days, and then complains of gastrointestinal problems. Despite repeated interventions, he shows NO incite into this, and gets very upset that he is not "getting enough money". It's frustrating for everyone, because it happens every two weeks and yet the client NEVER seems to learn.

See and that's the thing about FASD. Brain's damaged by alcohol work differently, and it's hard to put yourself in a position to understand what people are going through. It's frustrating when people just don't seem to grasp things that come easily to you. Patience, is the important thing. And taking things one step at a time. Easier said then done.

I've been thinking a lot about FASD lately, and plan to post about it more when I have a chance, and have had some more thoughts.