Basically, a purpose built building with 30-50 small apartments and social services co-located. Residents have to meet conditions to get in, to remain in and progress to the point that they can function in more regular market housing, thus freeing the slot for another resident.
https://ottawainnercityhealth.ca/programs-services/supportiv...
' Our supportive living units are run in partnership with other organizations and provide specialized supports for individuals exiting homelessness. This includes substance use support, mental health care, and peer support. Our programs are designed to be client-centred with a harm-reduction-focus. [...] Carruthers is a supported housing program operated in partnership with the John Howard Society with 46 units. Originally, the substance use treatment available focused strongly on Injectable Opiate Substitution (IOAT) with 20 of the available apartments being reserved for people who were enrolled in that program. Many of the original residents have now migrated to other forms of treatment and to different lives where volunteering, work and time spent with family and friends are a priority. [..] The Richcraft Residence was the first OICH housing program which offered all available substance use, physical health and mental health treatments in one location providing a full menu of care options for residents. '
Upstream of supportive housing you need good street facing services with social workers and police well coordinated and tracking clients.
Downstream of supportive housing you need to help people maintain the progress they made at living more indepently as a functional part of their wider community.
Remaining problems include:
- keeping clients alive long enough to recover before they die from opiod poisoning
- having enough of supportive housing capacity to meet the need.
- the candidates who do not want to participate, even space was available.