{"id":15015,"date":"2020-07-22T09:00:30","date_gmt":"2020-07-22T13:00:30","guid":{"rendered":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/?p=15015"},"modified":"2020-07-23T15:18:37","modified_gmt":"2020-07-23T19:18:37","slug":"toronto-street-nurse-cathy-crowe-talks-homeless-shelters-and-coronavirus","status":"publish","type":"post","link":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/toronto-street-nurse-cathy-crowe-talks-homeless-shelters-and-coronavirus\/","title":{"rendered":"Toronto Street Nurse Cathy Crowe Talks Homeless Shelters and Coronavirus"},"content":{"rendered":"
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Crowe Fought for Physical Distancing in Toronto Shelters and Won<\/h2>\n

In super cities like Toronto, COVID-19 remains a scenario of disastrous proportions. The anxieties of citizens and health care providers are front and centre. The Greater Toronto Area is a hot bed for cases, even as surrounding areas are widening phase 3 of Ontario’s economic reopening.<\/p>\n

Cathy Crowe is a Street Nurse, author, educator, and activist who has been on the front lines of homelessness advocacy in Canada’s largest city for over 30 years. She has faced down huge political obstacles as a focal point during some of the worst experiences haunting Canada\u2019s homeless.<\/p>\n

As advocates protested at Rosedale Valley, and fought against clearing encampments beneath the Gardiner’s Expressway, Crowe didn\u2019t pretend that struggles were over for her city’s rough sleepers.<\/p>\n

\u201cI\u2019ve been hearing about more tent encampments,\u201d Crowe explained. \u201cThey\u2019re popping up in places like Kingston, Moncton, and all over the country. In Toronto, we\u2019re seeing more encampments grow. Some right on crowded main streets and right in populated shopping areas. The Rosedale Encampment was one in particular that we rallied around, because the City was planning to evict people there.\u201d<\/p>\n

An already busy time bucking the political establishment and fighting for those without a safe place to call home, COVID-19 brought further complications.<\/h4>\n

\u201cWhen the pandemic started, Toronto passed a declaration against evicting encampments, which was fabulous!\u201d Crowe recalled warmly. \u201cIt\u2019s actually recommended by the United Nations, and also by the Centre for Disease Control out of Atlanta to not evict people in encampments. Under their logic, it becomes like seeds in the air. People lose their supports.\u201d<\/p>\n

While this development was a perceived win for rough sleepers across the large urban landscape, the optimism was short lived. Despite declared intentions, actions continued against \u201ctent city\u201d encampments.<\/p>\n

\u201cWhat you saw on television under the Gardiner Expressway was quite a brutal eviction of homeless people,\u201d Crowe said. \u201cThe city is not keeping their word. A few people did get hotel rooms from that eviction, but not all.\u201d<\/p>\n

In a city with a diverse population, Band-Aid solutions only put dents in the larger health emergency of homelessness.<\/h4>\n

\u201cWe have over 70 shelters in Toronto, with over 7,000 people in them,\u201d Crowe said. \u201cIt\u2019s predicted that now our outside homeless population has gone from about 500 to about 1,500. It\u2019s huge! We have over 50 encampments across the city.\u201d<\/p>\n

\u201cOne of the things that came out of the pandemic was the realization that the only way people could be protected was if they were in shelter settings where it was one person for one room and one bathroom. This can\u2019t be done in most shelters. So, we began a campaign to move homeless people into hotel rooms. Over 1,000 homeless people have been moved into hotels.\u201d<\/p>\n

Hotels for homes campaigns are being echoed across the country. However, they are only meant as temporary solutions to shield homeless people from exposure to COVID-19. Crowe acknowledged successes in other cities, while also illustrating serious looming disasters.<\/p>\n

\u201cWe still aren\u2019t all the way there yet, but it\u2019s a positive step. The city started opening community gyms to act as shelters. (As of June), we\u2019ve have had 347 reported cases of homeless people infected with COVID-19, also shelter workers. We’ve have two COVID-19 deaths of homeless people, with another nine homeless people in hospitals.\u201d<\/p>\n

\u201cOne thing I will say the city is doing well is that they\u2019ve developed two hotels that are considered for recovery for homeless people after they have gotten COVID-19.\u201d<\/p>\n

Crowe broke down the dynamics of how these centres can prove helpful in addressing other symptoms of homelessness, as well.<\/h4>\n

\u201cThere is what we call \u2018wrap-around care\u2019 featuring on-site nursing and harm reduction support, peer support workers, doctors on call, three meals a day, one person per room, wifi access, and working televisions. All of this is available for a few weeks, or as long as the person needs to be there. That\u2019s a model that\u2019s exemplary. I have no criticisms of that. But I have other criticisms of both the province’s response and of the city’s response.\u201d<\/p>\n

Many of Crowe’s worries are reoccurring concerns elsewhere, which is people ending up back on the streets. When asked if there were any programs similar in scope offering much needed services, Crowe provided her analysis.<\/p>\n

\u201cI think the dream is there. We have 12 hotels now that support money is applied to under a lease arrangement. It would be optimal to purchase them, because then we’ve got opportunity for modest renovations. We could convert them into single-room occupancy (SRO) housing. But we haven\u2019t bought any yet.\u201d<\/p>\n

As fall draws closer, the worries of a second wave of COVID-19 are top of mind.<\/h4>\n

\u201cThe goal would be some kind of pandemic exit strategy. Otherwise we\u2019re putting people back into shelters. We have to rethink shelters. We see this discussed at some of the national conferences on homelessness. There is big dialogue about new shelter models. Similar to hospitals and long-term care, we have to start looking at one person per room, with a maximum of two for the sake of health and safety.\u201d<\/p><\/blockquote>\n

Crowe admits that she doesn’t have the answers needed to tackle the issue fully, but her optimism has not yet been tempered. \u201cWe have to be aspirational, not oppositional. We got our first national housing program after World War 2. Maybe it\u2019s time for a COVID housing program.\u201d<\/p>\n

News coming out of Toronto is not all bad.<\/h4>\n

Incredible victories are inspiring other communities to act. A recent court victory mandating physical distancing in shelters will have long-range impacts as this crisis continues.<\/p>\n

\u201cWe had to go to the Superior Court of Ontario to convince the city to create physical distancing in shelters,\u201d Crowe said. \u201cThat it means moving beds, cots and mats a minimum of six feet apart, and to stop using the top of bunk beds.\u201d<\/p>\n

Even in spite of this monumental victory, Crowe admits that having to face this down in court was disappointing.<\/p>\n

\u201cWe tried the normal channels. We asked the Medical Officer of Health, we asked the city. Many people asked, and still they chose not to do that. They argued that (six feet social distancing) should be voluntary.\u201d<\/p>\n

\u201cThat left thousands of people at risk, so we created a court case. The Canadians Civil Liberties Association and a huge legal network worked hard on this, and the city settled. They are now doing their best to comply, making reports available to us so that we are able to monitor them.\u201d<\/p>\n

The case still remains in the courts, should it need to be reopened. And while the outcome has been favourable, the strain of a fractured relationship stings Crowe.<\/p>\n

\u201cEveryone has probably now memorized the mantras of \u2018wash your hands, don\u2019t touch your face and your eyes, stay six feet away,\u2019 and all of these different ways of saying that. And we (the City of Toronto) wouldn\u2019t do it for people in our shelters,\u201d Crowe explained disappointingly. \u201cPeople were sleeping in rooms of 40 to 100 people. It was unfortunate that this had to go to court.\u201d<\/p>\n

Crowe noted that the response to the decision has impacted shaping Toronto\u2019s public health messaging.<\/h4>\n

\u201cI think that on social media, people were celebrating with us. But they were also expressing their shock that the city wasn\u2019t willing to work with us. The city actually cancelled their daily press conference after the result was announced. And we have begun receiving our initial monitoring reports, which allows us to pose more questions to them.\u201d<\/p>\n

While these recent developments are likely to be beneficial, for Crowe the tragedy of homeless deaths continues to propel her forward.<\/p>\n

\u201cI think many people were kind of on pins and needles waiting for that to happen. When COVID-19 homeless deaths began happening, we were still very shocked. We added the two men onto our Toronto homelessness memorial listing as Jon Doe\u2019s,\u201d Crowe highlighted mournfully. \u201cOne of the men was an elderly man in his 70s, and the other was in his 50s.\u201d<\/p>\n

Citing recent research, Crowe again expressed her worries. She referenced localized data that some area researchers are citing, predicting that \u201cif enough measures are not taken quickly, there could be hundreds of deaths in the shelter system in a city the size of Toronto.\u201d<\/p>\n

\u201cRight now, we are pushing for what is called \u2018universal testing’ of everyone in the shelter system. But as you can imagine, there is a lot of finger pointing at this stage. Testing is the responsibility of the provincial government, but the municipality directs where testing takes place.\u201d<\/p>\n

\u201cWe have to fight for that! We can\u2019t let governments tell us they\u2019ve spent too much on COVID-19 relief. Keep fighting for important legislation like pharma care. We can\u2019t let them tell us they can\u2019t invest in housing. We have to stay on the front-burner.”<\/p>\n

Correction: Cathy Crowe provided an update. Since this interview took place in May, her group has taken the city back to court. In addition, there have been a total of 630+ COVID-19 cases and 5 deaths within the homeless population and the real encampment number is closer to 24.<\/em><\/h4>\n","protected":false},"excerpt":{"rendered":"

Crowe Fought for Physical Distancing in Toronto Shelters and Won In super cities like Toronto, COVID-19 remains a scenario of disastrous proportions. The anxieties of citizens and health care providers are front and centre. The Greater Toronto Area is a … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":21,"featured_media":15016,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[14097,459,375],"tags":[252,13939,13940,253,8601,832,603,515,508,1153,376,15424,15423],"coauthors":[13062],"acf":[],"_links":{"self":[{"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/posts\/15015"}],"collection":[{"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/comments?post=15015"}],"version-history":[{"count":0,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/posts\/15015\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/media\/15016"}],"wp:attachment":[{"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/media?parent=15015"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/categories?post=15015"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/tags?post=15015"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/wordpress-537697-2997182.cloudwaysapps.com\/wp-json\/wp\/v2\/coauthors?post=15015"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}