Addictions Supportive Housing Program

A Partnership between Fife House and LOFT McEwan Housing and Support Services.

The HIV Addictions Supportive Housing Program (ASH) is a Housing First partnership between Loft’s McEwan Program and Fife House. ASH addresses gaps in service for homeless persons living with HIV/AIDS who experience health, mental health and severe substance use challenges, who cycle between hospitals, prisons, and detoxification beds. Fife House is the housing agency and manages 35 units of rent-supplemented housing through head leases throughout the City of Toronto. Loft McEwan provides the intensive case management supports on a ratio of 8:1. The combined five-person Fife/McEwan team have successfully managed this Toronto-first program since 2010.

In 2017/2018 the ASH Program had a 98% occupancy rate. Through intensive case management and supports the program has seen an 85% reduction in emergency room visits, and a 77% reduction in hospitalizations. These metrics have been steadily maintained. The program has had huge success in providing affordable, stable housing and improving clients’ health and wellness. These successes mean Fife House and Loft McEwan have been granted additional funding from the Ministry of Health and Long Term Care, and the Toronto Central LHIN, to add more units and an additional case manager to the team. The ASH program has been involved in a wide range of successes among its residents, ranging from supporting someone to reduce their risk of harm when using, to supporting someone to successfully reintegrate themselves back into successful, gainful employment, to reconnecting with estranged family members. All this starting with a foundation of appropriate and supportive housing.

“Words can’t begin to express the gratitude I have for you and the entire ASH program. I know I was not an easy person to work with, in fact I know I was almost impossible at times to support. However, your support was unwavering, you never flinched. You guys saved my life. That’s been well established, and said before. However, you guys did so much more than that, you built me a completely new life. It’s a life I never could have imagined, and the best part about it. I feel like the future for me is limitless. Thank you, thank you all, from the bottom of my heart.”    -ASH client

The ASH program supports clients in buildings throughout central Toronto.