If you stand by the doors of the new St. John’s Kitchen, you see the constant flow as people come in and out. Some go immediately left to access showers, washrooms, laundry; others turn right to enter the dining room and select a table either alone or with friends. Each day some 350-400 people visit the space.
The following text is reprinted from the Dreamland Newsletter report on the Kensington area in Philadelphia, PA
I’ve been several times to the district in Philadelphia where dealers awaken their customers each morning with cries of free “Samples!” Kensington was once all about heroin. But fentanyl has taken over and addicts are frozen in bizarre positions — “Kensington yoga,” as it’s called.
A young man in his early 30’s repeatedly visited the Emergency Department – 1800 times in three years. He appeared to be shelter seeking, but in reality had an untreated/undiagnosed mental health issue. Our team advocated for a longer term mental health admission and visited him in hospital every day, building trust and offering support for his wound care and mental health. He was discharged to King Street Shelter and when that shelter closed, we helped support him to interim housing.
Our Specialized Outreach Services (SOS) is a mobile multidisciplinary team that supports individuals who are experiencing homelessness or are precariously housed and who are experiencing medical, mental health and/or substance use concerns. SOS is designed to provide low barrier clinical care to individuals who may have difficultly accessing other traditional supports. The SOS team is comprised of social workers, nurses and outreach workers who work alongside physicians, nurse practitioners, hospitals, police, and the court/probation system.
The Rose Bird is a beautifully written book providing a mother’s perspective on loving and losing her daughter to fentanyl. The author, Helen Davies, gives a raw account of the life of her daughter Katie, the tragic story of the life and struggles of a young woman who eventually is taken from this world by addiction and mental health issues.
Community Dental has been fortunate to receive a grant from the Accerta Health Access Foundation Grant to support volunteer Dentists and Hygienists to provide dental services to those individuals who are homeless or at risk of homelessness. We appreciate the help of Joe Cheira, Co-ordinator for Government Relations and Advocacy, Ontario Dental Association for helping to make this grant possible. This year there have been 9 dentists and 2 hygienists who volunteered at Community Dental and three other volunteers who help in the clinic.
Driving through rural Ontario, it is not unusual to see signs with Christian messages surrounded by colourful leaves at this time of year. I was struck recently by one sign that read, “Harden not your heart”. As we were driving by this sign, we were also receiving updates from our shelter team that there were four overdoses happening at the same time.
All around us, we have seen higher levels of anger expressed in political and social environments. You see this in relation to politics, you see it in the eyes of enraged drivers, and we have seen it in our community as people reconcile the realities of more and more people experiencing homelessness and drug addiction, especially around shelters and spaces that support people most at risk.
97 Victoria will focus on the combination of housing, health and community, supporting those most left out of services, and connecting people with mental health and addiction supports. We are excited that the building of the 44 new units of housing is well underway. Also exciting is that the foundation for the new St. John’s Kitchen building is set to begin in mid-September.
Published in March 2024 Good Work News; Originally published in San Francisco Chronicle, July 2023
Sadly, they are called “frequent flyers” — severely ill patients with serious medical conditions who routinely cycle in and out of hospital emergency departments. On any given day, their affliction could be an overwhelming infection, festering wounds or even a coma. Sometimes they require a ventilator and ICU care.
The Integrated Circle of Care is a fluid and collaborative approach followed by workers from different agencies weaving through St. John’s Kitchen. Within this approach, staff members from each agency are aware of their specific personal roles. However, the high level of collaboration between workers means that people can approach any worker, without knowing their agency association or specific role, and still receive support – either that worker will support the person directly, or they will introduce the person to another worker who can support the person more appropriately.
This approach makes relationships more natural and support more accessible. Workers from different agencies are easily approachable, meaning that people build relationships with multiple workers. Having relationships with different workers is important to a person’s support – it makes support from a trusted source easy to find, and means that people have a choice of worker to approach in any given situation.
In order to maintain a circle of care around a person, workers from different agencies ask for consent from the person for information to be shared between workers. Continuous communication between workers helps to ensure that people do not fall into gaps between services, and also that services are not duplicated.
