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Knowledge Exchange With Policy Impact

I recently spoke at a national conference on The Art and Science of Knowledge Exchange on maximizing policy impact. The focus of the conference was on HIV/AIDS and I argued that key things needed by people with HIV/AIDS — from comprehensive health and related services, information to enable individuals to better manage their health care, investment in research and service/program development, to many changes beyond health care and research such as community capacity and resource building and addressing underlying social determinants of health — all flow through government policy in one way or another. So, maximizing the policy impact of knowledge exchange and research is a critical part of winning the necessary progressive policy changes. And this, of course, applies to many other communities and issues as well.

My key messages were that to turn knowledge, program proposals or research into policy action requires that:

1. policy makers know about the research or program and its implications → knowledge exchange strategy for all research projects/programs and community organizations;
2. policy makers understand the basis of the problem → means reports have to clearly set out policy implications;
3. you give policy makers concrete policy solutions or alternatives that will address whatever the problem is → the more “policy-ready” the recommendations, the better;
4. policy makers have the political will to act – often beyond the power of individual research projects/programs → where advocacy, alliances and coalitions come in.

I had made a related presentation to a CIHR seminar of HIV researchers on maximizing the impact of their findings last year. Wellesley has also developed a number of workshops over the years on understanding complex policy environments, translating complex issues into actionable and policy-ready alternatives, making effective policy cases, and enhancing the policy impact of community-based and other research.

Selling Off Affordable Homes is Bad for Toronto’s Health: WI Backgrounder

To download the backgrounder as a PDF, click here.

Toronto Community Housing Corporation (TCHC) — the City of Toronto’s affordable housing agency — is making the unprecedented recommendation to sell-off more than 700 affordable homes at a time when the city’s waiting list for affordable housing sets new all-time record highs month after month. TCHC says that it urgently needs the cash from the sale of the homes to pay for a big capital repair bill for its portfolio of 58,000+ housing units and that if the units are to be fixed and maintained, it has no alternative but to sell off the homes to the highest bidder.

TCHC’s housing provides homes to more than 164,000 of the city’s residents  and are a vital health and community resource. Research from the Wellesley Institute and other local, national and international studies , demonstrate that a good home is vital to individual and population health. Poor housing is linked to increased illness and premature death, and a good home provides a stable base for healthy lives and strong communities. Some of this research is summarized in the Wellesley Institute’s Precarious Housing in Canada report.

Seven Things You Need To Know

Here are seven important observations that Toronto City Council, and all Torontonians, need to consider as they review the proposal to sell off hundreds of affordable homes.

ONE

Month after month, year after year, Toronto’s affordable housing wait list continues to set new records. In October 2011, there was an all-time high of 81,410 households on the list – an increase of more than 7% over the previous year. In October, a total of 282 households were housed from the list – which leaves the remaining households with a wait of two decades or longer to get a home. Toronto’s private rental housing markets, where almost half of the city’s households find a home, are also facing painfully tight conditions. The overall number of rental units in Toronto’s primary rental universe fell to 254,555 in the most recent survey by Canada Mortgage and Housing Corporation (CMHC) – a drop of 1,353 units in one year at a time when the city’s renter population is growing. CMHC reports that there are only 5,532 vacant rental units in Toronto’s primary rental market — a sharp drop of 30% in just one year. The number of rented condominium units also fell in Toronto in the most recent figures released by CMHC — down to 38,721. Average rents in the condo sector are 30% to 50% higher than average rents in the purpose-built rental sector.

The bottom line: Renter households face dwindling supply of housing in the private rental market and a years-long wait for an affordable home. Selling off hundreds of TCHC affordable homes will only make a terrible situation even worse.

TWO

TCHC reports that its stand-alone portfolio has a net operating income of $1.5 million — and this positive cash flow can be used to help pay for financing of needed capital repairs. The TCHC stand-alone portfolio, which includes the 700+ units that are proposed for sale, generates $8.5 million in annual revenue, and costs $7 million in annual expenses (utilities and operating costs). That $1.5 million positive cash flow turns into a liability for TCHC only when the long-term capital repair costs are added in. Infrastructure Ontario, the provincial government’s infrastructure loan facility, has hundreds of millions of capital repair loan dollars on offer to affordable housing providers at low rates. TCHC is a multi-billion dollar corporation with substantial assets and can directly enter the capital financing market and obtain competitive financing rates. Whether TCHC obtains financing through the province, or directly, its $1.5 million annual positive cash flow from the stand-alone units can be used to repay its financing. Staggering the capital repairs over time would ease the capital financing requirements in any year.

The bottom line: The $1.5 million net operating income from TCHC’s stand-alone portfolio can be used to help finance long-term capital repair needs.

 

THREE

One of the biggest costs in maintaining the stand-alone portfolio of housing is the $3.3 million that TCHC reports as the annual cost of utilities. A prudent energy/utility assessment program could deliver substantial cost savings, which could help finance the initial capital investment. Large corporate landlords, individual homeowners and other property owners know that capital investments in energy efficiency and related items can be covered by utility savings in future years. As already noted, Infrastructure Ontario has hundreds of millions of dollars on offer to affordable housing providers for utility/energy upgrades. Investments today can be paid by future reductions in costs. TCHC has been working on improving the energy efficiency of its housing portfolio, and further investments into a prudent energy/utility assessment program could deliver substantial cost savings and help finance the initial capital investment.

The bottom line: With appropriate investments today, funded by Infrastructure Ontario, the $3.3 million stand-alone portfolio utility budget could yield substantial savings overtime that could be redirected towards capital repairs..

FOUR

Capital investments in affordable housing repairs and upgrades are good for the Toronto economy, and generate good jobs at a time when Toronto needs the economic boost. Canada’s federal government, in its Seventh Report to Canadians on Canada’s Economic Action Plan, reported that for every $1 the government invested in affordable housing– the bulk of which went to the repair and upgrade of housing –$1.50 in jobs and related economic activity was generated.. Affordable housing investments have one of the highest economic multipliers of all forms of government spending, according to the Harper government. Investments to upgrade rundown TCHC housing would not only benefit the tenants by creating healthier homes, but those investments would also generate good jobs and other economic benefits for Toronto. Statistics Canada’s latest Labour Force Survey, which reports a national decline in employment (including a decline in the construction sector), has raised fears that economic uncertainty could continue to affect the city’s jobs market. TCHC investment in housing repairs and energy efficiency would be especially welcome in the current climate.

The bottom line: Investment in affordable housing repairs generates good jobs and other economic activity – and Toronto needs both in these uncertain economic times.

 

FIVE

 Digging deeper into the numbers that Toronto Community Housing has provided, the sell-off of affordable homes raises additional fiscal questions. The TCHC stand-alone portfolio generates $8.6 million in rental revenue annually — through a combination of rents and rent subsidies for the units — and a positive annual operating income of $1.2 million once utility and operating costs are deducted. That’s a substantial revenue stream that TCHC is giving up if it sells off the housing. TCHC argues that the foregone revenues are outpaced by the substantial capital repair costs, but, as already noted, TCHC has the option to finance long-term repair using the cash flow from operating income. TCHC estimates that the sale of the properties will generate net proceeds of $269 million to $336 million, once various costs (fees, mortgage penalties, etc.) are deducted. Those figures depend on TCHC getting close to top dollar for properties that it acknowledges are in need of significant capital repairs. Willing buyers may not be so keen to pay top dollar, reducing TCHC’s anticipated proceeds. TCHC is also selling off other   parts of its portfolio – including Sparkle Solutions, a laundry company. TCHC should be using its sheer size as the second biggest landlord in North America to secure financial advantages for its business operations and social advantages for its tenants — as it successfully did in the redevelopment of Regent Park, where it convinced businesses to hire residents to work in new commercial enterprises. Instead of smart, innovative business practices that create a double bottom line — financial and social benefits — TCHC seems resigned to a shrinking role.

The bottom line: Selling off hundreds of affordable homes deprives TCHC of substantial operating revenues and is part of an ongoing process that is stripping the public housing landlord of valuable parts of its portfolio .

 

SIX

The TCHC report recommending the sell-off of 700+ homes dismisses the possibility of any additional capital funding from the federal or provincial government, even though a large portion of the estimated $650 million capital repair bill for TCHC is related to housing that was developed, owned and managed by the provincial government, or was developed under federal housing programs – and then downloaded to the city. Both senior levels of government have acknowledged the serious capital repair shortfall and their own liability, and have made significant payments over the past three years. A large gap remains and TCHC offers no explanation as to why it rules out the possibility of more federal and/or provincial capital repair funding. In addition, punitive rules set by the provincial government mean that the City of Toronto is forced to pay a substantial portion of the rent of TCHC tenants who receive provincial income assistance (Ontario Works or Ontario Disability Support Program). In 2008, the city was forced to pay $77 million for the annual rent shortfall due to provincial income assistance rules. As housing expert Joy Connelly has noted, that amount is certainly higher in 2011. Instead of vigorously pursuing its strong claims for capital repair funding and rent shortfalls from the provincial and federal governments, TCHC has given up on convincing senior governments of their fiscal responsibility without even trying.

The bottom line: The provincial and federal governments continue to bear a major liability for capital repair and operating shortfalls and could be a source of funding if askedbut TCHC has precluded additional funding from senior levels of government without any explanation.

SEVEN

Toronto is becoming a seriously divided city by income, and affordable housing spread throughout the city offers one practical solution to growing neighbourhood-based inequality. The Three Cities research by the University of Toronto’s Dr. David Hulchanski and the United Way of Greater Toronto’s series on poverty by postal code, record the growing divisions in Toronto neighbourhoods by income. Toronto Public Health’s Unequal City report documents the impact of neighbourhood inequality on the health of individuals and the population. Toronto urgently needs healthy and affordable housing in neighbourhoods throughout the city, but many of the units targeted for sale are in neigbourhoods that are already short of affordable homes. The TCHC report on the proposed sell-off doesn’t seriously canvass any alternatives. Housing expert Joy Connelly has offered other options for the stand-alone portfolio, including “non-profitization” of the housing stock — entering into management plans with non-profit and co-op housing providers. Over the years, TCHC and its predecessors have worked collaboratively with Toronto’s non-profit housing sector on effective solutions that preserve and enhance the city’s social housing stock. One shining example is the 400-unit Sonny Atkinson Co-op, which evolved out of the Alexandra Park public housing project. The ongoing sell-off of TCHC assets closes the door to future innovative arrangements that benefit tenants and neighbourhoods.

The bottom line: In an increasingly divided Toronto, healthy and affordable homes are needed in every neighbourhood; instead of cannibalizing its housing stock, Toronto Community Housing needs to continue to be innovative in collaborations with other housing providers on effective solutions that preserve and enhance the city’s social housing stock.

The chart below shows the rise in the number of households on the Toronto affordable housing wait list.

TCHC Housing Sell Off Backgrounder

Toronto Community Housing Corporation (TCHC) — the City of Toronto’s affordable housing agency — is making the unprecedented recommendation to sell-off more than 700 affordable homes at a time when the city’s waiting list for affordable housing sets new all-time record highs month after month. TCHC says that it urgently needs the cash from the sale of the homes to pay for a big capital repair bill for its portfolio of 58,000+ housing units and that if the units are to be fixed and maintained, it has no alternative but to sell off the homes to the highest bidder.

Read the full Backgrounder here

Anti-Camping By-Law Backgrounder

 

 

Toronto may be headed for a costly constitutional legal challenge of its proposed Streets By-law because of an amendment that seeks to criminalize a biological activity associated with people who are homeless. The draft Streets By-law was supposed to be a simple harmonization of similar by-laws that were in force in the former municipalities that were amalgamated to create the City of Toronto. But a last-minute amendment to the draft by-law, introduced by Councillor Shiner after — and in spite of — public consultation and against the recommendation of city staff, seeks to make it illegal to “camp,” “dwell,” and “lodge” on city streets and sidewalks. “Anti-camping” provisions have been used by a number of municipalities in Canada and the United States to target people who are homeless.

Camping Ban Streets By-law Backgrounder

The Real Cost of City Cuts

In the City of Toronto’s drive to address the budget deficit, a number of proposals for service cuts have been brought forward.  Unfortunately, many of the proposed service cuts have health implications that would disproportionately affect vulnerable populations in Toronto.

An enormous body of research demonstrates that adequate housing, income, child care, social safety nets, living environments, and other social conditions and opportunities are crucial determinants of the overall health of a population. Low incomes, precarious jobs, poverty, unaffordable housing and homelessness, social exclusion, and other forms of disparity underlie pervasive inequities in life expectancy, infant mortality, chronic conditions, and other poor health outcomes.

Policy development can be complex and unintended adverse consequences can easily result. The Wellesley Health Equity Lens is an evidence-based tool designed to help policy makers to assess the impact of proposed policy and program changes on population health and health inequities. The Lens is a high-level Health Equity Impact Assessment that:

• Analyzes whether a proposed policy or program change could have a different or inequitable impact on health within the community;

• Identifies what groups or neighbourhoods would be adversely and inequitably affected, and how;  and

• Sets out what can be done to mitigate and avoid these adverse and inequitable effects on population health.

We applied this analytical tool to three key policy and program changes proposed by the city: reducing child care funding and subsidies, eliminating the Hardship Fund, and limiting the development of affordable housing to completing only what has already been approved and funded.

Child Care: The importance of child care and early child development to individual and population level health is well-known, but in Toronto access to child care is currently worse in neighbourhoods with the highest child poverty. If proposed changes make access to child care less accessible, especially to low income families who cannot afford private care, then this will have a negative and inequitable impact on the health of already disadvantaged groups.

Hardship Fund: The Hardship Fund provides emergency short-term support for people with low or precarious incomes and is a vital safety net for the large numbers of working poor in Toronto.  Eliminating the program will have an adverse impact on recent immigrants, racialized populations and others in precarious and lower paid jobs. Increasing economic insecurity and poorer living conditions for these groups will increase their already greater risk of poor health.

Affordable Housing: Decent and affordable housing is a crucial determinant of health. Reducing programs to develop affordable housing will adversely affect people with disabilities, racialized populations and others who cannot afford market rents and cannot get past long waiting lists for subsidized housing.

Already in Toronto life expectancy is 4.5 years less for men living in the poorest neighbourhoods versus those from the richer areas, and 2 years for women.  Because the proposed reductions in child care, medical support, and affordable housing will have a disproportionate impact on already vulnerable groups, they will make these health inequities worse.  If the city pursues the proposed cuts, the current and future health of many vulnerable Torontonians will be compromised, and Toronto will become a more unequal city.

However, these negative and inequitable outcomes can be avoided, as set out in our full analysis. If the City plans to reduce expenses by cutting programs and services, it cannot be done at the expense of the most vulnerable. Applying Health Equity Impact Assessments to budget decisions will provide a window for elected officials, city staff, and Torontonians to see the inequitable effects of the proposed cuts and to build equity into budget decisions.

Download the report here: The Real Cost of City Cuts

The Importance of Accessible Community Recreation Services

This is the second in a series of policy briefs that ana­lyze youth-related policy implications from the St. James Town Initiative’s Voices of Multicultural Youth report and sets out recommendations and options for action. We recommend that the City of Toronto should undertake a Health Equity Impact Assessment to determine wheth­er eliminating access to free adult, registered pro­grams at Priority Centres has an inequitable and negative health impact on vulnerable populations — including youth — in the neighbourhoods that they serve and identify how to mitigate those risks. 

Download the brief here: The Importance of Accessible Community Recreation Services

Countdown to Zero: Balancing Toronto’s Budget – Slides


Countdown To Zero: Balancing Toronto’s Budget

Talking About Jobs

Over six months the Wellesley Institute, Atkinson Foundation and Metcalf Foundation brought together thoughtful leaders, practitioners and scholars to envision, in a pragmatic and practical way, 21st century labour market policies for Ontario. What grew from these discussions were a clear set of labour market policy proposals focused on workforce development and labour market regulation. These ideas are aimed at reducing labour market poverty. They will contribute to a healthier and more equitable Ontario.

Download our 6 Good Ideas: 6-Good-Ideas-About-Jobs-in-Ontario

Download our brochure: Talking About Jobs 

Watch our video:

 

 

List of Collaborators

Irfan Ahmed, ECE Bridging Program Coordinator, Thorncliffe Neighbourhood Office
Pedro Barata, Director of Public Affairs, United Way of Greater Toronto
Mike Belmore, External Relations Officer, Society of Energy Professionals
Sheila Block, Director – Economic Analysis, Wellesley Institute
Lesley Brown, Executive Director, Ontario Literacy Coalition
Ursule Critoph, Independent Consultant
Pam Frache, Research Director, Ontario Federation of Labour
Mary Gellatly, Parkdale Community Legal Services
Brad James, Department Head –Organizing, United Steelworkers
Deena Ladd, Coordinator, Workers Action Centre
Karen Charnow Lior, Executive Director, Toronto Workforce Innovation Group
Elizabeth McIsaac, Executive Director, TRIEC
Colette Murphy, Community Program Director, Metcalf Foundation
Christine Nunez, Managing Director, Atkinson Foundation
Ethan Poskanzer, Partner and Senior Research Lawyer, Sack, Goldblatt, Mitchell
Esel Laxa Panlaqui, Thorncliffe Neighbourhood Office
Carrie Robinson, District 6 Organizing Coordinator, Uniter Steelworkers
Randy Robinson, Political Economist, OPSEU
Kevin Shimmin, National Representative, United Food and Commercial Workers
Navjeet Sidhu, Researcher, Community Social Planning Council of Toronto
Sara Slinn, Associate Professor, Osgoode Hall Law School
John Stapleton, Open Policy
Paula Turtle, Canadian Counsel, United Steelworkers
Leah Vosko, Canada Research Chair, York University
Matt Wood, Executive Director, First Work: the Ontario Association of Youth Employment Centres

 

Housing, homelessness, income and health: Presentation notes

The Wellesley Institute’s Director of Housing and Innovation, Michael Shapcott, sets out the links between housing, homelessness, income and health and draws housing and homelessness lessons in this presentation to York University health policy students on October 19, 2011.

 

 

York University Presentation – Michael Shapcott – October 2011

 

 

Addressing Social Determinants of Health in a Complex World: Climate Change Adapatation and Equity

The roots of pervasive and damaging health inequities lie deep in fundamental structures of social inequality and exclusion such as income inequality, racism, precarious work, poor housing and homelessness, and inadequate access to health and social services. These social determinants are incredibly complex and dynamic, and policy directions have to be comprehensive and coordinated to address the many inter-dependent and constantly changing forces that shape health. Read the rest of this entry »