“More than the house”: a Canadian perspective on housing stability

The challenges of achieving housing stability are examinable from a variety of locations and perspectives, resulting in a range of solutions and recommendations for practice. Attending to the experiences and understandings of both service users and service providers within a broad environmental scan, one can obtain a more complete picture of how housing stability can be supported and sustained. The purpose of this research is to better understand the practical landscape, human relationships, interdisciplinary understandings and everyday activities of housing stability.

The paper draws on thematic analysis from expert informant interviews conducted during an environmental scan of housing options and facilities for those who have been labelled “hard to house” in a large, ethnically‐diverse urban city in western Canada. Interviews of selected service users yielded information on their perspectives of the barriers and facilitators of housing stability. Parallel interviews of service providers and/or policy makers were also conducted, and responses compared and contrasted with those of service users.

Three interconnected patterns on the path to housing stability were experienced by the expert informants, and are explored herein. The overlapping and developmental themes “more than a house,” “finding support,” and “connecting multiple supports” are discussed. Conditions and realities of coordinated support need, particularly for those deemed “hard to house” because of addictions or mental health problems were revealed by the expert informants in this study.

Thematic analysis of the parallel interviews brought the landscape of housing stability into clearer focus and contributed to practice recommendations. This qualitative research approach was not intended to provide generalizable findings, but rather sheds light on particular experiences and understandings in ways that may contribute to further research. The themes identified may resonate in differing circumstances having arisen from the more generalized practical realities and social conditions which warrant an ongoing analysis.

The analysis revealed an ongoing gap of support for the management and coordination of the often complex requirements of support for housing stability for service users. Various service agencies, providing houses, providing financial aid, providing health and social support need to “connect multiple levels of support” something identified as an all too often missing link in achieving housing stability. Recommendations include recognizing the necessity of multiple sectors working together with multiple sites and layers of support, in particular for those who experience addictions or mental health problems. More tailored support, follow up and recognition of the potential for instability is a particular practical implication of the study. Invigorating a coordinative, case management role, with a view to bridging and bringing together seemingly disparate sectors and service providers are relevant practical implications of this study.

The research is novel in approach, drawing on a parallel expert informant interview process, and findings are of relevance to practical activities in housing, social and health services and policy as well as for scholarly dialogue and discussion.